| Video
Jeremy A. Adler, MS, PA-C, of Pacific Pain Medicine Consultants, warns against looking for a single solution.
| Article
In an oral presentation delivered at the 2017 meeting of the North American Menopause Society, Carolyn J. Gibson, PhD, MPH, of the San Francisco VA Health Care System, offered her team’s findings on the relationship of menopause to chronic pain incidence and opioid use patterns among veterans. “The...
| Article
Despite promising evidence from 2 prior small studies, patients with complex regional pain syndrome (CRPS) are no more effectively treated with low-dose intravenous immunoglobulin (IVIg) than with placebo, according to a research team from the Pain Research Institute, Institute of Translational...
| Article
A fresh understanding of the experience of chronic pain in a poorly understood population demographic--homeless older adults--was provided by a study conducted by researchers from the University of California San Francisco and San Francisco General Hospital. The study found that almost 50% of...
| Video
In addition to other shortcomings, current prescribing guidelines are particularly ill-suited to the needs and challenges of patients already on opioid therapy. Drs. Heit and Gourlay discuss the roots of the problem and the role of primary care as talented amateurs in addiction medicine.
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Successful treatment of chronic pain means going beyond the pharmacologic options to embrace self-care, psychological and psychosocial factors, functional restoration, and alternative medicine. Dr. Pohl provides an exploration, and outlines some ideas for primary practitioners to engage.
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Dr. Napadow discusses some recent advances in neuromodulation that have advanced the utility of the modality for the treatment of chronic pain conditions. Transcutaneous Vagus Nerve Stimulation is one such promising approach that has shown clinical benefit in the treatment of migraine. New wearable...
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It is estimated that the incidence of Arachnoiditis has increased by some 400% in the last decade. Dr. Tennant outlines what primary care clinicians should know about the causes, symptoms, and MRI indications of the condition, and describes a clinical protocol for treatment.
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Drs. Hah and Prasad review the current evidence on long-term opioid therapy for chronic non-cancer pain, and discuss some approaches to achieving a successful transition to pain management without opioids.
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Dr. Stanos reviews the development of evidence based medicine and offers some pointers to primary practitioners on how to intelligently assess guidelines and clinical trials. Critical evaluation can help clinicians become better users of clinical and research information.