Hypnosis to manage musculoskeletal and neuropathic chronic pain: A systematic review and meta-analysis

Langlois, Pascaline; Perrochon, Anaïck; Ragazzoni, David; Rainville, Pierre; Wood, Chantal; Vanhaudenhuyse, Audrey; Pageaux, Benjamin; Ounajim, Amine; Lavallière, Martin; Debarnot, Ursula; Luque-Moreno, Carlos; Roulaud, Manuel; Simoneau, Martin; Goudman, Lisa; Moens, Maarten; Rigoard, Philippe; Billot, Maxime

doi:10.1016/j.neubiorev.2022.104591

Cited by 45 publications

(33 citation statements)

References 104 publications

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“…A recent meta-analysis on hypnosis in musculoskeletal and neuropathic pain [36] and systematic review on hypnosis in neuropathic pain [37] have reported a significant moderate to large effect size, and an effect superior to active comparator or standard care, respectively. Unfortunately, the neuropathic cases cannot be told from musculoskeletal one in the former, while the latter also includes patients with complex regional pain syndrome type I (now excluded from the definition of neuropathic pain).…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, the neuropathic cases cannot be told from musculoskeletal one in the former, while the latter also includes patients with complex regional pain syndrome type I (now excluded from the definition of neuropathic pain). In both articles, the included trials were strongly heterogeneous as regard the hypnotic protocol and the number of sessions, but most of them also included self-hypnosis; the best effects were found when at least 8 sessions were administered in one study [36]; unfortunately, no data about hypnotic ability, on which result also depend [24], are available.…”

Section: Discussionmentioning

confidence: 99%

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Neuropathic Pain Due to Avulsion of C -C Nerve Roots: A Successful Integrative Approach by 5 7 Acupuncture, Trigger Point Injection and Hypnosis

2023

Chron Pain Manag

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Neuropathic pain is one of the major challenges in clinical practice, the pharmacological treatment of which is far below the expectations. We report on a case with persistent shoulder and arm pain following avulsion of C5-C7 nerve roots despite pharmacological therapy (oxycodone 20 mg and pregabalin 225 mg daily, plus ketorolac 10 mg as needed). The clinical examination disclosed the co-occurrence of myofascial trigger-points, suggesting a twofold origin of pain and the need for treating both of them. Therefore, the patient was submitted to 10 sessions of acupuncture plus trigger point injection with lidocaine and steroids, followed by three sessions of hypnosis. At 12 months follow-up the patient reported a relevant decrease of pain (VAS decrease from 7 plus frequent paroxysm at 10 to 4 plus 1-2 paroxysm/month at 7) that allowed him to withdraw the pharmacological therapy. Our results, though based on a single case, suggest the potential benefits of hypnosis in neuropathic pain and the need of a careful differential diagnosis of pain mechanisms actually involved, in order to properly guide an integrative approach.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Neuropathic Pain Due to Avulsion of C -C Nerve Roots: A Successful Integrative Approach by 5 7 Acupuncture, Trigger Point Injection and Hypnosis

2023

Chron Pain Manag

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“…In addition, the duration and frequency of yoga therapy sessions should be considered. Yoga therapy could be modelled on other complementary approaches such as mindfulness [39,40] (e.g., Mindfulness Based Stress Reduction or Mindfulness-Based Cognitive therapy) and clinical hypnosis [41], which recommend practicing for at least 8 weeks with a professional in order to achieve signi cant effects on anxiety or pain, potentiated by home self-practice [42,43]. Subgroup analysis by Zhu et al [29] showed that 8 to 16 weeks with 60 to 150 min per session improved the bene ts of mindfulness exercises on PTSD symptoms.…”

Section: Discussionmentioning

confidence: 99%

Management of post-traumatic stress disorder symptoms by yoga: an overview

Laplaud

Perrochon

Gallou-Guyot

et al. 2022

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Background: Posttraumatic stress disorder (PTSD) can occur after facing with trauma. While PTSD management strategies include first-line pharmacotherapy and psychotherapy, mind-body therapies, such as yoga, are applied in PTSD population. This overview aimed to summarize the effectiveness of yoga interventions on PTSD symptoms in adults in a systematic review including randomized controlled trials (RCTs).Method: We searched for systematic reviews with or without meta-analysis of RCTs involving adults with PTSD diagnosis or trauma history. The search was conducted until April 2022, through six databases (Cochrane Database, MEDLINE (Pubmed), Scopus, Embase, CINHAL and PEDro). The primary outcome was the evolution of PTSD symptoms throughout the intervention. Secondary outcomes included follow-up, safety, adherence, and cost of the intervention. Two authors independently performed the selection, data extraction and risk of bias assessment with the AMSTAR 2 tool and overlap calculation. This overview is a qualitative summary of the results obtained in the selected studies.Results: Eleven systematic reviews were analyzed, of which 8 included meta-analyses. The overlap between studies was considered as very high (corrected covered area of 21 %). Fifty-nine RCTs involving 4434 participants were included. Yoga had significant small-to-moderate effect-size on PTSD symptoms decrease in 7 and non-significant effects in 1 systematic review with meta-analysis. All systematic reviews without meta-analysis found beneficial effects of yoga on PTSD. Secondary outcomes were not sufficiently assessed to provide clear evidence. Results should be interpreted with caution as 1 systematic review was rated as at moderate risk of bias, 3 as low and 7 as critically low. Conclusions: While yoga therapy seems promising for decreasing PTSD symptoms, future research should standardize yoga therapy duration and consider long-term efficacy to better delineate yoga therapy efficacy in PTSD patients.

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“…Danhauer et al and Chantawong et al suggested that the negative findings in their studies, which were inconsistent with the three previously mentioned trials, could be at least partly explained by the limited choice of music genres. However, a combined approach in a prospective way, such as virtual reality or hypnosis, might be another method to decrease pain and anxiety [ 30 , 31 , 32 , 33 , 34 ]. Nevertheless, according to a systematic study, the reduction in pain intensity during the procedure was similar to previous studies in which the participants could select the type of music by themselves.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Listening to Music on Pain Reduction during Colposcopy-Directed Cervical Biopsy: A Randomized, Controlled Trial

et al. 2022

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Background and Objective: To investigate the efficacy of listening to music on pain reduction during colposcopy-directed cervical biopsy (CDB). Materials and Methods: From June 2020 to November 2021, 240 women undergoing CDB were enrolled. The participants were randomized into three groups: Group 1, colposcopic examination while wearing headphones and listening to music; Group 2, colposcopy while wearing headphones but not listening to music; Group 3 (control group), colposcopy while neither listening to music nor wearing headphones. All participating women completed a 10 cm visual analog scale for subjective pain at three time points: baseline, immediately after cervical biopsy, and 15 min after the procedure. The primary endpoint was the biopsy pain score. Result: Of the 240 women, a sample size of 80 was randomly assigned per group. The clinical–pathological and procedure-related characteristics of the participants in all groups were similar. The mean baseline pain score between each group was not significantly different (2.83 in the music group, 2.54 in group 2, and 2.94 in the control group, p = 0.47). There were no significant differences between each group in terms of mean biopsy pain score (4.21 in the music group, 4.24 in group 2, and 4.30 in the control group, p = 0.98). The differences in changes between the baseline pain score and the biopsy pain score were not statistically significant (1.39 in the music group, 1.70 in group 2, and 1.36 in the control group, p = 0.69). In the multiple comparison analysis, the differences in changes between the biopsy pain score and the baseline pain score between each group were also not statistically significant. There were no complications with the intervention observed. Conclusion: This study demonstrated that there was no beneficial effect of listening to music on pain reduction during colposcopy-directed cervical biopsies.

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Hypnosis to manage musculoskeletal and neuropathic chronic pain: A systematic review and meta-analysis

Cited by 45 publications

References 104 publications

Neuropathic Pain Due to Avulsion of C -C Nerve Roots: A Successful Integrative Approach by 5 7 Acupuncture, Trigger Point Injection and Hypnosis

Neuropathic Pain Due to Avulsion of C -C Nerve Roots: A Successful Integrative Approach by 5 7 Acupuncture, Trigger Point Injection and Hypnosis

Management of post-traumatic stress disorder symptoms by yoga: an overview

Efficacy of Listening to Music on Pain Reduction during Colposcopy-Directed Cervical Biopsy: A Randomized, Controlled Trial

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