Pain is one of the most common symptoms experienced by patients undergoing coronary artery bypass graft (CABG) surgery. Adequate pain management is critical to the well-being and overall recovery of these patients. This study aimed to evaluate the effect of preoperative in-person pain education on the pain severity experienced by patients undergoing CABG surgery in Rajaie Cardiovascular, Medical and Research Center in Tehran in 2022. In this quasi-experimental study, 72 patients undergoing coronary artery bypass surgery were selected and randomly divided into intervention (n=36) and control (n=36) groups.

Suicide rates are on the rise in the United States as is mortality associated with opioid toxicity. According to the Centers for Disease Control and Prevention, about 7% of opioid overdose deaths are suicide, but this number may be under-reported. Many people who use opioids or have opioid use disorder, (OUD), may have “passive” intentions to commit suicide that are difficult to quantify. Further, both chronic pain and mental health disorders are prevalent in those who use opioids, and both are independently associated with suicide. It appears that suicide is associated with a trio of interlocking risk factors: opioids and opioid use disorder, chronic pain, and psychiatric illness.

Acute pain is defined as an unpleasant sensory and emotional experience associated with, or resembling actual or potential tissue damage as a result of a surgical procedure, physical trauma, or as a consequence of a medical condition [1]. The prevalence of moderate-severe pain, defined as pain which significantly interferes with daily living activities, ranges between 27% and 66% in hospitalized pediatric patients and remains inconsistent even in those institutions with excellent resources and good reputations [2,3].

At the beginning there was an international network of physical therapists working in the field of psychiatry and mental health with the origin at Leuven University (Belgium) from in 2006. The International Organization of Physical Therapy in Mental Health (IOPTMH) was accepted as a World Confederation for Physical Therapy (WCPT) subgroup at the 17th General Meeting, in 2011 and reconfirmed in 2015 and 2019, including 21 member countries, Australia, Austria, Belgium, Colombia, Denmark, Estonia, Finland, Greece, Iceland, Japan, Latvia, Mexico, The Netherlands, Norway, Poland, Spain, South Africa, Sweden, Switzerland, Turkey, UK, but within IOPTMH, there is a network of individual physical therapists, representing 59 nations from 6 continents.

This case study focuses on the clinical course of a patient who underwent decompressive surgery for an acute on chronic cervical spinal cord injury and developed white cord syndrome, a reperfusion injury, as a result of the decompression. This case study is the eighth recorded case of white cord syndrome reported globally at the time of writing this case report.