| 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.
| Video
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...
| Video
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.
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Integrative medicine is the culture change that the Institute of Medicine has called for in treating pain. Dr. Tick discusses its importance in contrast to today's disease management approach, and considers the special influence of nutrition on chronic pain. The quality and composition of our diet...
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Dr. Pryzbylkowski discusses regenerative medicine as an approach to tresptoration and repair of damaged tissue, and specifically focuses on platelet rich plasma and its role in interventional pain management.
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The pressures and challenges of managing patients with chronic pain are inciting some practitioners to opt out. Dr. Zacharoff considers some aspects of the professional landscape that are contributing to this condition, and why the "math" concerning pain patients and pain specialists makes it...
| Article
We need to understand the importance of the brain and patient's pain and try to take steps to figure out in an individual patient to what degree is the brain driving their pain and to what degree is the body driving their pain. Because in some sense, the treatments we use to target the brain are...