Top Tweets for #TransitionalPain
๐ ๐๐ซ๐ข๐๐ ๐ข๐ง๐ ๐๐๐ข๐ง, ๐๐จ๐ญ ๐๐ฎ๐ฌ๐ญ ๐๐ซ๐๐๐ญ๐ข๐ง๐ ๐๐ญ: ๐๐ก๐ ๐๐ข๐ฌ๐ฌ๐๐ ๐๐ข๐ง๐ค ๐ข๐ง ๐๐ซ๐๐ง๐ฌ๐ข๐ญ๐ข๐จ๐ง๐๐ฅ ๐๐๐ข๐ง ๐๐๐ซ๐
#TransitionalPain #BeyondTheBlock #PainContinuum #MedTwitter #ChronicPainPrevention #RAInsights #RegionalAnesthesia #PainMedicine #AcuteToChronic #PainPathways #MultimodalAnalgesia #TPS #PainTrajectory
#GrayZonesInRA
#GrayAreasInRA
๐๐๐๐ ๐๐๐๐๐ ๐ข๐ง ๐๐
โค Transitional Pain Services (TPS) were never meant to be a formality.
โค They were designed as a continuum of care, preventing the silent drift from acute pain to chronic suffering.
โค Yet, what we often witness is the rise of Transitional Pain Syndromes - where pain lingers, evolves, and embeds itself into the patientโs life.
โค Regional anesthesia is excellent for blocking pain, but not always for modulating long-term pain trajectories.
Whats going ๐๐๐๐๐? ๐
๐ต ๐ค ๐๐๐๐๐๐๐ ๐
๐๐๐๐๐๐ - ๐๐ก๐ ๐๐ ๐ง๐จ๐ซ๐๐ ๐
๐จ๐ฎ๐ง๐๐๐ญ๐ข๐จ๐ง
๐นPre-existing chronic pain, opioid tolerance, anxiety, catastrophizing, poor compliance.
๐นThese are not side notes, they are primary drivers.
๐นIgnoring them is like treating symptoms while fueling the disease.
๐ด ๐ช ๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐ - ๐๐ง๐ข๐ง๐ญ๐๐ง๐๐๐ ๐๐๐ซ๐ฆ
๐ธ Abrupt stoppage of essential medications (antidepressants, anticonvulsants, baseline opioids) disrupts neurochemical balance.
๐ธIn trying to โsimplify,โ we often complicate recovery.
โซ ๐ ๐๐๐๐๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐ - ๐๐๐ฎ๐ญ๐ ๐๐๐ง๐ฌ, ๐๐ก๐ซ๐จ๐ง๐ข๐ ๐๐จ๐ง๐ฌ๐๐ช๐ฎ๐๐ง๐๐๐ฌ
โพBrilliant at managing immediate pain, yet often limited by a 24-hour VAS mindset.
โพPain relief is celebrated early, while long-term pain evolution goes untracked.
๐ฃ ๐ง ๐๐๐๐๐๐๐๐๐ ๐๐๐
๐๐๐๐- ๐๐๐ข๐ง ๐๐ฌ ๐๐จ๐ญ ๐๐ง๐-๐๐ข๐ฆ๐๐ง๐ฌ๐ข๐จ๐ง๐๐ฅ
๐น Nociceptive โ Neuropathic โ Nociplastic.
๐นWithout understanding pain pathways and phenotypes, we end up applying uniform solutions to diverse problems.
๐ ๐ฏ ๐๐๐๐๐-๐๐๐๐ ๐๐๐๐๐ - ๐๐ก๐ ๐๐ข๐ ๐ ๐๐ฌ๐ญ ๐๐ซ๐๐ฉ
๐น A low VAS score at 24 hours is not success - itโs just a snapshot.
๐น True success lies in functional recovery, prevention of central sensitization, and avoiding chronicity.
๐ ๐ ๐
๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐ - ๐๐ข๐ฌ๐ฅ๐๐๐๐ข๐ง๐ ๐๐ข๐ฆ๐ฉ๐ฅ๐ข๐๐ข๐ญ๐ฒ
โ Short, procedure-focused, and outcome-limited studies create half-knowledge.
โ This leads to miscommunication, inconsistent practices, and silo-based decision-making.
โณ๏ธ ๐ค ๐๐๐๐ ๐๐
๐๐๐๐๐๐๐๐๐๐๐ - ๐๐ก๐ ๐๐จ๐ซ๐ ๐
๐๐ข๐ฅ๐ฎ๐ซ๐
โ
Surgeons, anesthesiologists, and pain physicians often work in parallel, not in sync.
โ
TPS fails when care is episodic instead of continuous.
โช ๐ ๐๐ก๐ ๐๐๐ฒ ๐
๐จ๐ซ๐ฐ๐๐ซ๐
โ๏ธ Shift from Pain Scores โ Pain Trajectories
โ๏ธ Shift from Protocol โ Personalization
โ๏ธ Shift from Acute Relief โ Long-Term Recovery
โ๏ธ Shift from Isolated Care โ Integrated TPS Model
๐ฅ ๐
๐๐๐๐ ๐๐๐๐๐๐๐๐๐
๐ Pain is not a 24-hour event. It is a biological journey, influenced by neural plasticity, psychology, and perioperative decisions.
๐ If we continue to measure success in hours, we will continue to create suffering for monthsโฆ even years.
๐ Transitional Pain Care is not about crossing the bridge quickly - itโs about making sure the patient never falls off it.
๐ Even a โperfect blockโ can fail the patient if:
โซ๏ธ TPS is absent
โซ๏ธ Baseline meds are stopped
โซ๏ธ Pain phenotype is misunderstood
๐ Move from: โDid my block work?โ
To: โDid my intervention alter the patientโs pain journey?โ
๐ RA may start the storyโฆ but transitional pain care decides the ending.

@EMARIANOMD @RAPMOnline @ESchwenkMD @TobiHunterDNP @KyleHarrisonMD @VAPaloAlto @stanfordanes Thrilled to see our work published in @RAPMOnline! Building a transitional pain service is both complex and rewarding. Honored to collaborate with such an incredible team. Thanks @EMARIANOMD @ESchwenkMD @TobiHunterDNP @KyleHarrisonMD @VAPaloAlto @stanfordanes! #TransitionalPain
@200UB313 teaching us about the pelvic pain in pregnant women which is not given enough attention but is a serious problem which needs addressing urgently. A very passionate talk @DaraEsra @ESRA_Society
#transitionalpain services need to be set up for these patients

Calling all Pain Nurses interested in Transitional Pain and Service Development!! Come and join our free workshop available to Pain Nurse Network members!! #Painnurse #transitionalpain #qualityimprovement @RNPainNet

Cash-strapped Pakistan gets $7 billion loan from IMF, Finance Minister says will face 'transitional pain'
https://t.co/FymEljSWL8
#cashtrapped #PakistanGovt #IMF #transitionalpain #IMFLoan
The post-op pain experience varies for each patient. However, incorporating a multimodal approach that involves #cryoNB can play a crucial role in minimizing #TransitionalPain and facilitating the recovery process. โ
Learn more at https://t.co/ztWj2I8byg
I am pleased to share with you our new publication; addressing a very important and emerging topic (Transitional Pain Medicine).
@vafisalmasi @DrOttestad @DrSeanMackey @StanfordPain @stanfordanes
Enjoy!
https://t.co/6LfKob4qgy...
#painmanagement #chronicpain #TransitionalPain

Saphenous nerve block @ mid-thigh remains an important tool in diagnosing & treating
โถ๏ธpersistent post-surgical pain
โก๏ธ s/p Ankle Surgery
โฉ s/p Knee Surgery/Replacement
#postsurgicalpain #transitionalpain #orthopedics #chronicpain @ASPSP_Pain
I am thrilled to share with you my new lecture on โTransitional Pain Medicineโ! In this lecture, I will take you over the rational and potential of this new field, as well as my personal vision.
Enjoy: https://t.co/XyEELwKKiv
#TransitionalPain #CPSP #PPSP #ChronicPain

@DrKimBaylessNP @ASRA_Society @KohanLynn @JacksonHeatherJ @TobiHunterDNP @Zhussaini2 @JaminaJohn @MarthaBentley17 @grimmer_jenn Thank you @DrKimBaylessNP for all what you do for the pain community #TransitionalPain
@ASRA_Society
I have a manuscript coming soon in this topic โ stay tuned. @kaohesham @Vafisalmasi @DrOttestad @NarouzeMD @EMARIANOMD @Drhaclarke
#TransitionalPain #CPSP #PPSP #ChronicPain #AcutePain #PainPhysician
Are you attending #STS2023? Don't miss Nathalie Cote, our TPS physiotherapist, speaking about "Non-Pharmaceutical Approaches to Pain Management" on Jan 21st. More info here: https://t.co/dMbiZmczJ4
#TransitionalPain #ChronicPain

Improving perioperative care to prevent chronic post-surgical #pain. Donโt miss @Drhaclarke at the @a2cps_pain Journal Club on Jan 26 to learn more. Register here: https://t.co/siEQGc4abj
#transitionalpain

Improving perioperative care to prevent chronic post-surgical #pain. Donโt miss @Drhaclarke at the @a2cps_pain Journal Club on Jan 26 to learn more. Register here: https://t.co/siEQGc4abj
#transitionalpain

I had a great time giving a talk about nerve blocks to our new #acutepain and #transitionalpain nurses while we created medication vial ornaments ๐

Check out our publication! We adapted a #ChronicPain questionnaire for the #TransitionalPain setting through #pediatric patient & family feedback. Grateful for this team! @DrLisaIsaac @JenniferTyrre14 @lallooc @rachelgoren @SKAnesthesia
#PatientEngagement
https://t.co/LjgIdScIej
@DrKimBaylessNP reviews the benefits of the #transitionalpain service and the need for #opioid stewardship. #APPRNSIG @ASRA_Society

New from @RAPMOnline: Making a business plan for a transitional pain service in the U.S.
https://t.co/LVyHLCYx0b
#TransitionalPain #Regionalanesthesa #Pain #ChronicPain
@NarouzeMD @RodneyGabrielMD @kaohesham @KyleHarrisonMD @EMARIANOMD
@dr_rajgupta @ESchwenkMD

It is normal to experience pain after surgery, but what happens when it is months, years post surgery and still experiencing #pain? Wish there was services like this when I had my 1st shoulder surgery. Check it out #TransitionalPain services
What can patients expect at the #transitionalpain service? Find out more about our approach to patient care on our website: https://t.co/Omri3tmxik

What can patients expect at the #transitionalpain service? Find out more about our approach to patient care on our website: https://t.co/Omri3tmxik

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