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Senior PAINWeek faculty member Douglas Gourlay, MD, MSc, FRCPS, FASAM, has spoken often of the need for frontline practitioners with an interest in pain to become “talented amateurs” in addiction medicine. A new consensus document released by the American Society of Addiction Medicine (ASAM) may...
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A recent study has failed to confirm the conclusions of smaller, earlier research suggesting the effectiveness of ketamine in reducing postoperative delirium and pain. Senior author George Mashour, MD, PhD, professor of anesthesiology and associate dean for clinical and translational research at the...
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What does the data say about nonopioid analgesics? Which provide value to what condition? A palliative care services overseer discusses the pros and cons of these treatments, their potential role in pain management, and available data supporting their use.
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The use of interventional procedures is probably going to increase due to the CDC guidelines, because they are emphasizing non-opioid, and non-pharmacological therapies. So this is an important area for primary care doctors to understand, specifically if we look at patients with low back pain, one...
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A number of factors came together to facilitate increased prescribing of opioids and prescribing to more people using higher doses. There was a perceived under treatment of chronic pain. Laws and regulations were passed in many states to permit the use of opioids for that purpose, for which they...
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Findings from a study conducted at University of Kansas Medical Center have identified the p53 protein as crucial to the prevention of liver damage following acetaminophen overdose. The protein is additionally involved in signaling the liver to repair itself. The insight could lead to new treatment...
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Evidence-based medicine is how we connect research to clinical practice. It started in the 80s and 90s as of way of looking at how studies are done and how they could be applied to clinical care, and it’s gone through a number of changes over the years. Evidence-based medicine now is being applied...
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Coinciding with, and in support of, National Prescription Drug Take Back Day, April 29, the American Medical Association (AMA) has released new recommendations for clinicians to engage in promoting the safe use, storage, and disposal of prescription opioids. The AMA says that the new recommendations...
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The nationwide opioid abuse epidemic has directed a lot of attention from the state and federal levels on the primary care provider. The CDC guidelines for the prescribing of opioids for acute pain can do a lot to help a provider to steel himself or herself in the event that there is inquiry into...
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Much of the publicity today, as well as initiatives like the CDC guidelines, really focus on the outpatient problems with chronic pain patients. But there’s a growing concern with how we prescribe opioids for post-op pain control. There is a fair amount of literature that’s emerging about whether...