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We just want to remind clinicians that it's an interdisciplinary approach that's going to help people the most, especially when you're weaning people off of medications. If the opiates have been the primary tool that they've used to manage their pain and you're taking that away, you need to give...
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There is not very great evidence in terms of what the outcomes are for long-term opioid therapy for chronic non-cancer pain. That's not to say that it's good or bad. But the question is how do we prescribe opioids, how do we do it safely, and when patients express interest in tapering their opioids...
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Dr. Date works at a county hospital in San Mateo, California, where opioids are just one of the tools in the pain management toolbox.
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Unfortunately with the current opioid epidemic, practitioners across all subspecialties are looking to find alternatives to treat pain effectively and to not solely rely on opiates especially as a first line treatment. In the emergency department we see a variety of pain, some mild, some severe. For...
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The value of topical analgesics as a safe and effective treatment alternative to opioids and prescription NSAIDs for chronic pain management has been confirmed in a new study led by PAINWeek faculty member Jeffrey Gudin, MD, director of pain and palliative care, Englewood Hospital, New Jersey. Dr...
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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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The recently released CDC prescribing guidelines and recommendations from the National Pain Strategy refer to pain psychology as on the critical path to the management of pain. Drs. Mackey and Darnall discuss this role and what needs to be done to bring this treatment modality within the reach of...
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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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Recent press coverage highlights the work of congressional representatives and key opinion leaders to impact insurance carrier policy with respect to nonopioid and abuse deterrent opioid treatment alternatives for pain. Senator Joe Manchin (D-W.Va.) recently sent a letter to the CEOs of UnitedHealth...
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Morphine equivalent daily dose (MEDD) has been routinely used in clinical practice and as a research variable. Dr. Schatman discusses some of the ethical concerns attending the use of this flawed concept, for both clinical guidance and research validity.