| Video
Naloxone received FDA approval for the treatment of opioid overdose in 1971. Only recently has its use at the community level become more commonplace. Dr. Zacharoff looks at naloxone's role in improving the safety and efficacy of opioid analgesics, and in arresting the surge in unintended opioid...
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Dr. Getson specializes in the treatment of patients with complex regional pain syndrome. In this segment, he discusses what we know (and don't) about the condition, outlines points and tools of diagnosis, and offers detail on the elements of successful multimodal treatment. Early recognition is the...
| Article
We're stressed in so many ways and our body tries to compensate for that stress and keep us on an even keel. It compensates in an analogous way as if you were running; your heart beats faster, you prepare yourself for fight or flight, you try to keep your body together and you have many mechanisms...
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Until recently there has been scant evidence on which to base treatment for complex regional pain syndrome (CRPS), leaving an empirical approach as the required alternative. Dr. Harden discusses what may be changing in that landscape, where the evidence gaps still exist, and where providers should...
| Video
With advancing age, the risk for comorbid sleep disturbance and chronic pain has been shown to increase. Where opioids are prescribed for pain, impairments to sleep can worsen. But the use of benzodiazepines for better sleep is contraindicated in combination with opioids. What to do? Dr. Raffa...
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Providers who do not understand medical necessity for drug testing, controlled medication prescribing, and substance abuse treatment are at risk as payers increasingly scrutinize these areas. Attorney Jennifer Bolen outlines some "pearls and pitfalls" for clinicians. Watch for important tools you...
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Up to 40% of patients who undero spinal surgery for lower back pain will develop postlaminectomy syndrome, or failed back surgery syndrome (FBSS). Dr. Josihi outlines the pathology, causes, diagnosis, and treatment options that primary care should know about.
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Dr. Cheatle reviews some medication and non-medication treatment options for addressing substance use disorder. The message to primary care: a multimodal approach works best, and treatment of the SUD without attention to management of the patient's underlying pain is the likely route to relapse.
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Patients with chronic pain and substance use disorders often have accompanying psychiatric and medical disorders that place them at elevated risk for suicide. Dr. Cheatle, a professor of psychiatry, discusses the epidemiology of suicidal ideation in this population and offers some guidance in...
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In this discussion, senior faculty members Heit and Gourlay reflect on some of the challenges resulting from the recent "decade of pain". Both the overuse of opioids and the solutions that have been proposed in response have led to changes in how we diagnose and treat this patient population...