| Article
There is a tremendous interplay between sleep and pain and stress and function, adrenal glands, fatigue and healing. We're not as aware of the sleep issues as we need to be. All of our pain patients, with rare exception, have some issue with sleep. When we have pain, pain will wake us up when we...
| Podcast
2016 was not a good year to be on the wrong side of medical necessity when it came to drug testing and ongoing prescribing of controlled medication or substance abuse treatment programs. 2017 is likely to be an expensive year for those who do not proactively take steps to understand medical...
| Article
New policies and training invoked by Navy Medicine, providing medical services to sailors, Marines, and family members, are designed to strike a balance between ensuring safe use of opioids and preserving access to them for the treatment of chronic pain. Patients in the care of Navy Medicine will...
| Article
The cost of healthcare of course is a concern. The insurance companies are in the business of providing insurance and healthcare professionals and patients are seeking out quality care. There’s an inherent conflict there because unfortunately pain is a complex biopsychosocial problem. It really does...
| Article
Last week, US Surgeon General Jerome Adams, MD, MPH, issued an advisory advocating for greater distribution and availability of naloxone as an element of the national response to opioid use disorder. The Surgeon General recommends that individuals at risk for opioid overdose, as well as their family...
| Podcast
This presentation will highlight common procedures used for pain reduction, their evidence base, and a basic description of how each procedure is performed. We will primarily review epidural steroid injections, facet joint blocks and denervation, sacroiliac joint injections and denervation...
| Article
In 2017, the state of Kentucky became the first to classify gabapentin as a Schedule 5 substance, following the finding that the drug was involved in up to 33% of overdose fatalities during the prior year. This means that prescriptions for gabapentin will be reported to the state’s PDMP going...
| Article
Findings from a recent study suggest that moderate alcohol consumption is associated with less pain in patients with chronic pain and fibromyalgia, although fibromyalgia patients reported less benefit. Patients with chronic pain who were moderate drinkers also reported less anxiety, depression, and...
| Article
Because they are likely to be at the scene of an overdose when it occurs, fellow drug users may be the most suitable targets for naloxone training, according to conclusions from a new study conducted at Johns Hopkins Bloomberg School of Public Health. In interviews with 450 drug users in the...
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