2025
Pain Management in the Older Adults A Narrative Review
Rajput K, Ng J, Zwolinski N, Chow R. Pain Management in the Older Adults A Narrative Review. Clinics In Geriatric Medicine 2025, 41: 131-151. PMID: 39551538, DOI: 10.1016/j.cger.2024.03.011.Peer-Reviewed Original ResearchConceptsPain managementOlder adult populationOlder adult patientsOlder adultsAdult populationMultiple medicationsLife expectancyClinical practiceAdult patientsMedical managementPreexisting comorbiditiesPainUnited StatesDegenerative processPracticeNonagenariansMedicationAdultsComorbiditiesReviewManagementOctogenariansPatients
2024
A comparison of steroid dose with or without local anesthetic in lumbar interlaminar epidural steroid injections
Chow R, Ng J, Wood M, Yanez D, He Z, Rajput K. A comparison of steroid dose with or without local anesthetic in lumbar interlaminar epidural steroid injections. Pain Practice 2024 PMID: 39305041, DOI: 10.1111/papr.13410.Peer-Reviewed Original ResearchEpidural steroid injectionsHigh-dose steroidsInterlaminar epidural steroid injectionsLow-dose steroidsInterlaminar ESILow-dose dexamethasonePercentage of patientsPain reliefSteroid injectionMonths follow-upLocal anestheticsSteroid doseLumbar interlaminar epidural steroid injectionsTransforaminal epidural steroid injectionPercentage of pain reliefHigh-dose dexamethasoneModerate to significant improvementNRS pain scoresSignificant pain improvementSignificant pain reliefNon-particulate steroidsBaseline demographic dataTransforaminal ESILumbar radiculopathyPain improvementThe Landscape of Pain Medicine for Women Physicians: A Perspective.
Jankelovits A, Chow R, Rana P, Rajput K. The Landscape of Pain Medicine for Women Physicians: A Perspective. Pain Physician 2024, 27: 317-320. PMID: 39087969.Peer-Reviewed Original ResearchConceptsPain medicineWomen physiciansInterventional painPain medicine fellowsField of pain medicineGender disparitiesInterventional pain medicineAdverse health outcomesPrivate practiceSubspecialty of anesthesiologyUniversity School of MedicineLack of mentorshipPain physiciansPhysicians' beliefsHealth outcomesFemale physiciansPainSchool of MedicineFemale cliniciansCochrane DatabaseAcademic hospitalBottom quartileYale University School of MedicineFellowship programsMedical subspecialtiesRelationship of pain relief with catastrophizing following interventional pain procedures for low back pain
Rajput K, Howie B, Danesh J, Zhao X, Lin H, Yanez D, Chow R. Relationship of pain relief with catastrophizing following interventional pain procedures for low back pain. Regional Anesthesia & Pain Medicine 2024, rapm-2023-105247. PMID: 38744446, DOI: 10.1136/rapm-2023-105247.Peer-Reviewed Original ResearchChronic low back painPain Catastrophizing Scale scoresPain Catastrophizing ScaleBrief Pain InventoryLow back painPain severity scorePain severitySteroid injectionBack painPain interventionsAssociated with worse pain outcomesFollow-upRelationship of pain reliefResponses to pain interventionsSeverity scoreInterventional pain proceduresActivity-related painFluoroscopic-guided injectionPost-injectionBaseline painPrior surgeryOpioid useClinically meaningful changePain outcomesPain relief
2023
A Survey Study of Surgeons and Anesthesiologists Regarding Perioperative Multimodal Analgesia for Opioid-Tolerant Patients
Haddad D, Yu V, Chow R, Yanez D, Rajput K. A Survey Study of Surgeons and Anesthesiologists Regarding Perioperative Multimodal Analgesia for Opioid-Tolerant Patients. Journal Of PeriAnesthesia Nursing 2023, 39: 87-92. PMID: 37855765, DOI: 10.1016/j.jopan.2023.07.001.Peer-Reviewed Original ResearchOpioid-tolerant patientsPerioperative pain managementPain managementMultimodal analgesicsPerioperative multimodal analgesiaPatient-centered carePerioperative nursing teamMultimodal analgesiaPerioperative timeRegional anestheticPain consultationsPractice patternsRegional anesthesiaNursing teamMost surgeonsPatientsAnesthesiologistsRegional blocksSurgeonsOptimal outcomesAnalgesicsSurvey studyQualtrics surveyUrgent needAnalgesiaPeripheral Nerve Stimulation for Pain Management: A Review
Chow R, Lee R, Rajput K. Peripheral Nerve Stimulation for Pain Management: A Review. Current Pain And Headache Reports 2023, 27: 321-327. PMID: 37523121, DOI: 10.1007/s11916-023-01143-0.Peer-Reviewed Original ResearchConceptsPeripheral nerve stimulationNerve stimulationChronic painChronic low back painSingle peripheral nerveUse of PNSChronic pain conditionsPost-amputation painLong-term outcomesLow back painWidespread disease processNeuropathic etiologyUpcoming evidenceNeuropathic painPain reliefOccipital neuralgiaPain conditionsPain managementBack painPeripheral nervesPainRecent FindingsThereDisease processImproved functionAvailable evidencePain Management in the Elderly A Narrative Review
Rajput K, Ng J, Zwolinski N, Chow R. Pain Management in the Elderly A Narrative Review. Anesthesiology Clinics 2023, 41: 671-691. PMID: 37516502, DOI: 10.1016/j.anclin.2023.03.003.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsComparing patient comorbidity between hospital outpatient department and ambulatory surgery center for arthroscopic surgery
Rajput K, Aggarwal N, Chow R. Comparing patient comorbidity between hospital outpatient department and ambulatory surgery center for arthroscopic surgery. Perioperative Care And Operating Room Management 2023, 30: 100298. DOI: 10.1016/j.pcorm.2022.100298.Peer-Reviewed Original ResearchHospital outpatient departmentsAmbulatory surgery centersElixhauser Comorbidity IndexUnplanned hospital admissionsPatient comorbiditiesDuration of stayHospital admissionOutpatient departmentSicker patientsSurgery centersArthroscopic surgerySimilar perioperative outcomesHigher ECI scoresComorbidity indexPerioperative outcomesHealthy patientsAnesthesia chargesKnee arthroscopyGeneral anestheticsPatientsECI scoresOrthopedic surgeryComorbiditiesSurgeryReadmission
2022
Genitofemoral Nerve Block
Wood M, Rajput K, Chow R. Genitofemoral Nerve Block. 2022, 449-455. DOI: 10.1007/978-3-031-11188-4_46.ChaptersGenitofemoral nerve blockNerve blockTransversus abdominis plane blockInguinal hernia repairAnterior scrotumPlane blockRound ligamentSensory innervationTherapeutic injectionsHernia repairSpermatic cordLabia majoraVisceral componentsMons pubisPainExtensive manipulationInnervationPatientsSurgeryCordScrotumGroinAdjunctMajoraBedsideResearch registration guidelines
Chow R, Rajput K. Research registration guidelines. Interventional Pain Medicine 2022, 1: 100129. PMID: 39239128, PMCID: PMC11373058, DOI: 10.1016/j.inpm.2022.100129.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsRegional anesthesia and analgesia in sickle cell pain episodes: A scoping review
Howie B, Rajput K, Chow R. Regional anesthesia and analgesia in sickle cell pain episodes: A scoping review. Interventional Pain Medicine 2022, 1: 100108. PMID: 39238512, PMCID: PMC11372884, DOI: 10.1016/j.inpm.2022.100108.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsVaso-occlusive crisisSCD pain crisisPatient-controlled analgesiaCase reportRegional anesthesiaPain crisisCase seriesNerve blockSickle cell disease vaso-occlusive crisisSickle cell vaso-occlusive crisisContinuous femoral blockRight thigh painVaso-occlusive painCochrane Central RegisterPediatric case seriesPediatric case reportSickle cell painCommon reason patientsAdult case reportRegional nerve blocksRegional anesthetic blocksCrisis painTotal discontinuationFemoral blockLeg painTrigger point injection therapies for chronic myofascial neck and back pain: A systematic review
Debrosse M, Shergill S, Shah A, Patel K, Gulati A, Rajput K. Trigger point injection therapies for chronic myofascial neck and back pain: A systematic review. Interventional Pain Medicine 2022, 1: 100076. PMID: 39238525, PMCID: PMC11373026, DOI: 10.1016/j.inpm.2022.100076.Peer-Reviewed Original ResearchTrigger point injectionsOnabotulinum toxin ACase-control studyNormal salineToxin ABack painOnabotulinum toxinPain improvementInclusion criteriaControl studyNewcastle-Ottawa Quality Assessment ScaleTrigger point injection therapyGreater pain improvementOutcome time pointPoint injection therapyTime pointsBotulinum toxin AQuality Assessment ScaleShort-term time pointsSterile water groupElectronic literature databasesDatabase startImproved painInjection therapyPain outcomesEnhanced Recovery After Surgery: Opioid Sparing Strategies After Discharge: A Review
Rajput K, Shergill S, Chow RM, Vadivelu N, Kaye AD. Enhanced Recovery After Surgery: Opioid Sparing Strategies After Discharge: A Review. Current Pain And Headache Reports 2022, 26: 93-102. PMID: 35072920, DOI: 10.1007/s11916-022-01009-x.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsOpioid usePersistent post-surgical painNon-opioid strategiesNon-opioid therapiesOpioid-sparing strategiesOverprescribing of opioidsPostoperative pain scoresMultimodal analgesic approachPost-surgical painSide effect profileNon-opioid analgesicsRecent FindingsSeveral studiesERAS protocolOpioid protocolAnalgesic approachBreakthrough painHospital stayMultimodal analgesiaPain scoresAcute painOral ketaminePostoperative periodEffect profilePatient recoveryGood quality researchAnalgesia for Gynecologic Oncologic Surgeries: A Narrative Review
Patel K, Shergill S, Vadivelu N, Rajput K. Analgesia for Gynecologic Oncologic Surgeries: A Narrative Review. Current Pain And Headache Reports 2022, 26: 1-13. PMID: 35118596, DOI: 10.1007/s11916-022-00998-z.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsHyperthermic intraperitoneal chemotherapyCytoreductive surgeryPain managementNarrative reviewOptimal perioperative pain managementGynecologic oncologic surgeryPerioperative analgesic planPostoperative pain managementPerioperative pain managementLocal anesthetic infiltrationInvasive cancer surgeryMultimodal analgesicsPreemptive analgesiaMultimodal analgesiaPostoperative painAnalgesic planAnesthetic infiltrationGynecologic malignanciesIntraperitoneal chemotherapyPerioperative periodSurgery protocolThoracic epiduralCancer surgeryChronic painNeuraxial techniques
2021
Patterns of Use of Opioid Sparing Adjuncts for Perioperative Pain Management of Patients on Chronic Opioids.
Rajput K, Reid CB, Yanez D, Shiwlochan D, Ohanyan S, Chow R. Patterns of Use of Opioid Sparing Adjuncts for Perioperative Pain Management of Patients on Chronic Opioids. Pain Physician 2021, 24: 577-586. PMID: 34793645.Peer-Reviewed Original ResearchConceptsChronic opioid useNarcotic scorePostoperative opioid usePerioperative pain managementOpioid useMultimodal analgesicsChronic opioidsRegional anesthesiaSurgical factorsPredictors of usePain managementHigher oddsSingle-center retrospective observational studyTertiary care academic hospitalIntraoperative opioid useOpioid-sparing adjunctsPerioperative pain controlRetrospective observational studyOutcomes of interestMean MMEMore MMEsMorphine equivalentsOpioid doseComorbidity indexIntraoperative opioidsThe COVID‐19 vaccine and interventional procedures: Exploring the relationship between steroid administration and subsequent vaccine efficacy
Chow RM, Rajput K, Howie BA, Varhabhatla N. The COVID‐19 vaccine and interventional procedures: Exploring the relationship between steroid administration and subsequent vaccine efficacy. Pain Practice 2021, 21: 966-973. PMID: 34314563, PMCID: PMC8420220, DOI: 10.1111/papr.13062.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsVaccine efficacySteroid injectionImmune responseIntra-articular steroid injectionEffects of steroidsCOVID-19 vaccineContinuous steroidsSteroid administrationSubsequent downstream effectsFormal recommendationsInterventional proceduresSteroidsLiterature searchPatientsVaccinationAvailable evidenceEfficacySignificant suppressionVaccineInjectionAdministrationDownstream effectsShared consensusStudyInfluenzaPain Management in Painful Psoriasis and Psoriatic Arthropathy: Challenging and Intricately Intertwined Issues Involving Several Systems
Kodumudi V, Rajput K. Pain Management in Painful Psoriasis and Psoriatic Arthropathy: Challenging and Intricately Intertwined Issues Involving Several Systems. Current Pain And Headache Reports 2021, 25: 36. PMID: 33821380, DOI: 10.1007/s11916-021-00952-5.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPrimary disease burdenPsoriatic arthropathyDisease burdenInflammatory autoimmune conditionMild topical steroidsNon-steroidal medicationsPurpose of ReviewPsoriasisSystemic immunomodulatory agentsOptimal clinical managementTreatment of painVitamin D analogsQuality of lifeRecent FindingsPainCorticosteroid injectionPain controlTopical steroidsPsoriatic diseaseUnderlying diseaseAutoimmune conditionsPain managementAssociated painInterventional optionsImmunomodulatory agentsClinical managementSevere diseasePain Control in Dermatologic Conditions
Kodumudi V, Lam D, Rajput K. Pain Control in Dermatologic Conditions. Current Pain And Headache Reports 2021, 25: 38. PMID: 33821364, DOI: 10.1007/s11916-021-00955-2.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsDermatologic conditionsPain controlPrimary disease burdenEpidural steroid injectionsSympathetic nerve blockPain management strategiesLower limb ulcersInterventional Pain PhysiciansQuality of lifeScope of practicePostherpetic neuralgiaSteroid injectionSystemic immunosuppressantsTopical steroidsModerate painSevere painPain physiciansNerve blockTreatment algorithmLimb ulcersNeuropathic agentsTopical agentsCounter analgesicsDisease burdenPatient expectationsDoes Choice of Steroid Matter for Treatment of Chronic Low Back Pain with Sacroiliac Joint Injections: a Retrospective Study
Krishnan R, Kurup V, Vadivelu N, Dai F, Zhou B, Rajput K. Does Choice of Steroid Matter for Treatment of Chronic Low Back Pain with Sacroiliac Joint Injections: a Retrospective Study. Current Pain And Headache Reports 2021, 25: 34. PMID: 33760993, DOI: 10.1007/s11916-021-00942-7.Peer-Reviewed Original ResearchConceptsChronic low back painLow back painSIJ injectionsTAC groupPain reliefMTP groupBack painSacroiliac jointOpiate useInstitutional IRB approvalModerate-quality evidenceRetrospective chart reviewStatistical differenceSacroiliac joint injectionsSource of painResultsSixty-five percentType of steroidPurpose of ReviewPrevalenceSIJ painChart reviewPain physiciansJoint injectionsRetrospective studySteroid preparationsQuality evidenceWeaning Protocols After Ambulatory Surgery
Aggarwal N, Zafar J, Kodumudi G, Vadivelu N, Laurans M, Rajput K. Weaning Protocols After Ambulatory Surgery. 2021, 369-377. DOI: 10.1007/978-3-030-55262-6_28.ChaptersHospital-based outpatient departmentsAmbulatory surgery centersPostoperative painUnplanned admissionsAmbulatory surgeryLong-term opioid usersNumber of surgeriesUnanticipated admissionMultimodal analgesiaOpioid prescriptionsPain medicationPerioperative analgesiaIntractable nauseaOutpatient departmentOpioid usersAmbulatory proceduresSurgery centersWeaning protocolHospital careOrthopedic proceduresSurgeryPainPatientsAdmissionMajor cause