Clinical conversations in the management of chronic musculoskeletal pain in vulnerable patient populations: a meta-ethnography

Emerson, Alicia J.; Einhorn, Leah; Groover, Morgan; Naze, Garrett S.; Baxter, G. David

doi:10.1080/09638288.2022.2130447

Cited by 4 publications

(8 citation statements)

References 95 publications

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“…In terms of methods, 26 studies were qualitative (38.8%), 30 were quantitative (44.7%; which included randomized controlled/clinical trials), four were mixed-methods (5.9%), and seven were reviews (10.4%; including literature, narrative, meta-ethnography, and systematic). 16 , 27–32 The most frequently cited method of data collection was interviews ( n = 21, 31.3%), followed by questionnaires/surveys ( n = 15, 22.3%). Most studies focused generally on chronic pain ( n = 49, 73.1%), with the remaining focusing on specific chronic pain conditions, including migraine, fibromyalgia, sickle cell disease, diabetic neuropathy, HIV-related pain, irritable bowel syndrome, hip or knee osteoarthritis, and back, neck, or knee pain.…”

Section: Resultsmentioning

confidence: 99%

“…A large portion of the studies did not specify a theory or guiding conceptual framework ( n = 28, 41.7%). Of those studies that used a framework ( n = 39, 58.2%), examples include Black feminist thought and critical arts-based inquiry, 35 participatory action research, 55 Gadamerian philosophical hermeneutics, 36 two nested hierarchical models (Bronfenbrenner’s bioecological model and social ecological model), 16 the National Institute on Aging Health Disparities Research Framework, 31 Newman’s theory, 48 the sociology of illness experience, 60 Rhodes’ risk environment framework, 61 Bronfenbrenner’s process–person–context–time model, 46 Neuman’s systems model, 62 the life course perspective, 45 and the biopsychosocial model. 28 , 30 , 32 , 43 , 63 , 64 We noted that studies that drew on theory offered more fulsome understandings of and approaches to marginalization, which sheds light on the structures underpinning aspects of chronic pain experiences among marginalized groups.…”

Section: Resultsmentioning

confidence: 99%

“…For example, within the realm of health care, marginalization can include sociopolitical rhetoric and health policies. 16 The emphasis on marginalization as a social process maintains that people subjected to marginalization (often based on racialized status, sexual orientation, socioeconomic status, gender, ability, etc.) are not inherently deficient, nor victims (i.e., “marginal” or “marginalized”), but subjected to (and targeted by) social systems and structures that may be designed in ways that work against them.…”

Section: Introductionmentioning

confidence: 99%

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Attending to Marginalization in The Chronic Pain Literature: A Scoping Review

Connoy,

Solomon,

Longo

et al. 2024

Canadian Journal of Pain

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Background There has been a recent and, for many within the chronic pain space, long-overdue increase in literature that focuses on equity, diversity, inclusion, and decolonization (EDI-D) to understand chronic pain among people who are historically and structurally marginalized. Aims In light of this growing attention in chronic pain research, we undertook a scoping review of studies that focus on people living with chronic pain and marginalization to map how these studies were carried out, how marginalization was conceptualized and operationalized by researchers, and identify suggestions for moving forward with marginalization and EDI-D in mind to better support people living with chronic pain. Methods We conducted this scoping review using critical analysis in a manner that aligns with dominant scoping review frameworks and recent developments made to scoping review methodology as well as reporting guidelines. Results Drawing on 67 studies, we begin with a descriptive review of the literature followed by a critical review that aims to identify fissures within the field through the following themes: (1) varying considerations of sociopolitical and socioeconomic contexts, (2) conceptual conflations between sex and gender, and (3) differing approaches to how people living with chronic pain and marginalization are described. Conclusion By identifying strengths and limitations in the research literature, we aim to highlight opportunities for researchers to contribute to a more comprehensive understanding of marginalization in chronic pain experiences.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Attending to Marginalization in The Chronic Pain Literature: A Scoping Review

Connoy,

Solomon,

Longo

et al. 2024

Canadian Journal of Pain

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“…Ethnographic research also reveals how cultural beliefs, rituals, and social norms influence the experience and management of pain. These studies underscore the importance of considering cultural context in understanding and addressing pain (Dupuis, 2022, Emerson, et. al., 2023, Silverman, Baroiller & Hemer, 2021.…”

Section: Anthropological Perspectives On Painmentioning

confidence: 87%

Cross-Cultural Perspectives on Pain: A Comprehensive Review of Anthropological Research

Chioma Anthonia Okolo,

Oloruntoba Babawarun,

Tolulope Oyinlola Olorunsogo

2024

Int. j. appl. res. soc. sci.

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Cross-cultural perspectives on pain offer valuable insights into how different societies understand, experience, and manage pain. This comprehensive review of anthropological research explores the diverse cultural beliefs, practices, and experiences related to pain. It highlights the importance of considering cultural context in understanding pain perception and management. Anthropological research has revealed that pain is not solely a physiological phenomenon but is deeply intertwined with cultural beliefs, social norms, and individual experiences. Different cultures may have varying concepts of pain, with some viewing it as a natural part of life, while others see it as a punishment or a test of endurance. These cultural beliefs can influence how pain is expressed, perceived, and treated within a society. The review examines how cultural factors shape pain communication and expression. For example, some cultures may encourage stoicism and discourage the open expression of pain, while others may view pain expression as a way to seek sympathy and support. These cultural norms can impact how individuals seek help for their pain and how they interact with healthcare providers. Furthermore, the review explores cultural variations in pain management strategies. While some cultures may rely heavily on traditional healing practices such as herbal remedies or spiritual rituals, others may prioritize biomedical interventions. Understanding these cultural differences is essential for healthcare providers to provide culturally sensitive care and improve patient outcomes. Overall, this review underscores the importance of taking a holistic and culturally informed approach to pain management. By recognizing and respecting cultural differences in the experience and expression of pain, healthcare providers can deliver more effective and compassionate care to individuals from diverse cultural backgrounds. Keywords: Cross-Cultural, Perspective, Pain, Anthropological, Research.

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“…Additionally, healthcare providers’ own implicit biases, differences in patient/provider expectations, and cultural and linguistic disparities further feed into the negative stigmatization of patients with chronic pain, limit access to pain treatments, impact diagnostic decision-making, and iatrogenically create a negative feedback loop [ 11 ]. To combat disjointed care, providers must work together with their patients, listen to their patients’ lived experiences, and explore their perspectives that may better reduce bias and inequities and increase empathy and health outcomes [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Atypical Presentation and Diagnosis of Multiple Myeloma: A Case Report

Kong,

Riddell,

Kohler

et al. 2024

Cureus

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Chronic neck pain is a common, seemingly benign condition that typically does not warrant an urgent workup, in contrast to acute onset neck pain. Vertebral artery dissection (VAD) is a relatively rare presentation of acute onset neck pain and often presents in the context of blunt trauma. Due to the risk of subsequent clot formation and stroke, patients who present with symptoms suggestive of VAD must be promptly screened, most often first with computed tomography angiography (CTA) followed by magnetic resonance imaging (MRI) or magnetic resonance angiography (MRA) for further evaluation. We present a case of a 69-year-old male with a history of chronic neck pain who was seen in the emergency department due to acute, severe neck pain with initial CTA imaging that suggested left VAD. However, follow-up MRI of his cervical spine identified that what seemed to be a left VAD was instead multiple myeloma. This case demonstrates the utility of using multiple imaging modalities, including CT, CTA, MRI, and MRA, in diagnosing an atypical presentation of multiple myeloma and the consequences of physician implicit biases that are often involved when treating patients with chronic pain.

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Clinical conversations in the management of chronic musculoskeletal pain in vulnerable patient populations: a meta-ethnography

Cited by 4 publications

References 95 publications

Attending to Marginalization in The Chronic Pain Literature: A Scoping Review

Attending to Marginalization in The Chronic Pain Literature: A Scoping Review

Cross-Cultural Perspectives on Pain: A Comprehensive Review of Anthropological Research

Atypical Presentation and Diagnosis of Multiple Myeloma: A Case Report

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