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Beyond its role in treating opioid dependence, methadone has unique benefits that make it a viable option for chronic pain management. But with these come multiple pitfalls, for which the risks of methadone therapy may outweigh its benefits for some patients. Levorphanol shares all of the benefits...
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Who is at risk for transition from acute to chronic pain, and why is this progression difficult to predict? Dr. Zacharoff considers these questions, and outlines some strategies for the clinician to engage to reduce the risk of transition.
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A clinical health psychologist discusses the diverse effects of chronic pain on adolescent patients, with consideration for how this phase of life differs from both childhood and adult stages. These differences have implications for the experience of pain, across biological, psychological, social...
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There are number of problems for patients who suffer from chronic pain, and one of them is frustration with the treatment outcome. We in healthcare want to be the heroes, we want to be the fireman who’s going to rush in, break down the door with the axe and pull people to safety, and I think that...
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In patients with advanced illness, pain medication regimens may be inappropriately prolonged, due to clinical inertia or misperceptions over continued benefit. This segment considers the process for evaluating the medication decision in advanced illness, and insight into compassionate patient and...
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Although prescription medications are of great benefit to many patients with chronic non-cancer pain, there are significant complications for patients who are either addicted or in recovery. Dr. Durham, a clinical pharmacist, professor of pharmacy, and medication prescriber, considers the...
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Ultrasound was started by Karl Dussik in the 1930s and’40s and he was trying to diagnose intracranial tumors. Things have progressed extensively over the last several decades and so ultrasound is now being used to help locate peripheral nerves and to help coordinate injections and to even show some...
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States have tried to respond to the opioid overdose epidemic, and one of the more recent innovations has been a focus on dosage thresholds and subsequent triggers. Once a chronic pain patient, for example, reaches 120 mg morphine equivalency per day, it triggers a particular action or recommendation...
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It’s been said that patients who are on higher doses of morphine equivalence per day are at higher risk of opiate induced respiratory depression and death. But the truth is that patients who are on very high doses of opioids may be very much sicker and they may be at a higher risk of death for other...
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Chronic low back pain doesn’t necessarily have to be just one thing or another; there can be a variety of reasons why people have it Facet-mediated pain is considered one of the more frequent things that we see when it comes to chronic low back pain reasons, accounting for anywhere from 15 to 45...