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About my blogs
About my blogs
I discuss topics related to pain management in an accessible manner for anyone interested in this fascinating yet often misunderstood area of medicine, including healthcare professionals, patients, and students.
My goal is purely educational and non-profit. While I strive to utilize the best available scientific evidence, the content of my blogs primarily reflects my personal opinions.
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Why can surgery cause chronic pain?
Surgery can lead to chronic pain, likely due to persistent nerve damage, inflammation, and alteration in the processing of pain signals in the spinal cord and brain.

Michele Curatolo
11 minutes ago4 min read


The interplay of body and mind in relation to pain biomarkers
New research highlights the benefits of combining biological and psychosocial measures when identifying biomarkers for pain. This supports the biopsychosocial model and urges a holistic approach to pain management. However, practical challenges like the cost and time involved in comprehensive testing remain, necessitating further investigation to evaluate the integrated approach's feasibility and effectiveness in improving patient outcomes.

Michele Curatolo
Sep 23 min read


Steroid injections for chronic pain: How do they work (and why they may not)
Steroids are commonly administered via injection to help manage chronic pain. But how do they work, and why do they often seem ineffective?

Michele Curatolo
Aug 64 min read


Pain management in seniors: Is gabapentin a death risk?
Gabapentin may not increase the risk of death when used with opioids, but its safety profile warrants cautious use.

Michele Curatolo
Mar 212 min read


A new dawn in pain relief: Suzetrigine gets FDA green light
In a groundbreaking development, the FDA has approved Vertex's suzetrigine for the treatment of moderate to severe acute pain. This...

Michele Curatolo
Feb 243 min read


Muscle relaxants for chronic pain
Muscle relaxants can help manage chronic pain, but not reliably and not in all types of chronic pain.

Michele Curatolo
Jan 243 min read


Gabapentin and pregabalin for pain: overrated and overprescribed?
Gabapentin and pregabalin are likely overprescribed for pain. They offer pain relief in some patients ,but often cause adverse effects.

Michele Curatolo
Dec 12, 20242 min read


One more reason to consider injections for chronic pain
Injections for low back pain may work even if patients know that they are receiving a placebo. What does it mean for pain management?

Michele Curatolo
Oct 9, 20242 min read


Is "sciatica" a thing?
Pain radiating from the back into the leg is often referred to as “sciatica”, but this term is misleading and should be abandoned.

Michele Curatolo
May 22, 20243 min read


Learning about chronic pain can reduce pain
Pain neuroscience education aims to improve the patient's understanding of pain, and can lead to reduced pain and better function.

Michele Curatolo
Jan 24, 20243 min read


What have we achieved after 50 years of pain research?
Achievement of pain research during the last 50 years: many advances in knowledge, still modest benefits for patients.

Michele Curatolo
Nov 1, 20234 min read


Somatosensory tests in personalized pain medicine
Somatosensory tests may be useful in personalized pain medicine. Their usefulness should be addressed by randomized controlled trials,

Michele Curatolo
Sep 11, 20234 min read


Disc degeneration and low back pain
Disc degeneration is considered a cause of low back pain, but is common among individuals without pain. Does it mean that it is unimportant?

Michele Curatolo
Jun 12, 20234 min read


Diagnosis of pain from the sacroiliac joint
Clinical criteria can help with the diagnosis of sacroiliac joint pain, but some of them are not better than just guessing.

Michele Curatolo
May 22, 20234 min read


How to manage an episode of low back pain?
The causes of acute low back pain are largely unknown, and treatments are of uncertain efficacy. However, healing is most likely to happen.

Michele Curatolo
Apr 20, 20234 min read


Can a procedure lead to permanent relief of chronic pain?
Frequent patient's questions: "Can you do a nerve block or kill a nerve to treat my chronic pain? Can this be a permanent solution"?

Michele Curatolo
Mar 1, 20233 min read


Do antidepressants reduce pain or not?
Antidepressants can relieve pain independent of the presence of depression, likely due to their effect on the pain inhibitory system.

Michele Curatolo
Feb 6, 20233 min read


Sense and nonsense of biomarkers in pain medicine
Biomarkers are highly needed in pain medicine. However, measures have to fulfill criteria and validation to be biomarkers.

Michele Curatolo
Jan 5, 20234 min read


Placebo for pain: from enemy to friend
The placebo effect relies on patient’s expectation that a treatment will help. It is a welcome way to enhance pain relief.

Michele Curatolo
Nov 16, 20223 min read


Is the distinction between acute and chronic pain meaningful?
The classification of pain into acute (<3 months duration) and chronic (>3 months) lacks scientific support and clinical usefulness.

Michele Curatolo
Oct 24, 20225 min read
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