| Podcast
Opioid therapy fairly predictably causes constipation, which can be a great source of distress for patients. Defined as a reduction in bowel movement frequency and increased straining, this adverse effect is so common that good practice dictates preventive therapies, not waiting to see if it...
| Podcast
Every day something new happens in pain management. One day it might be a change in a licensing board practice standards and the next day might bring new legislation on opioid overdose prevention. Whatever the case, pain management practitioners need a system to help keep themselves and their staff...
| Podcast
The field of pain management has undergone a circuitous adventure, much like a rabbit hole. As the economic, mental health, and medical consequences of prescribing opioid medications have mounted, the prevailing logic regarding the usefulness of prescribing opioids for chronic pain has shifted. The...
| Article
The risk of opioid induced respiratory depression (OIRD), especially among elderly patients, may be even more pronounced than previously thought, according to findings from a new study published online this week in the journal Anesthesiology. The study reports that a single dose of oxycodone taken...
| Podcast
In February 2016, President Obama expressed his compassion for people with pain loud and clear, saying, "If we go to doctors right now and say 'Don't overprescribe' without providing some mechanisms for people in these communities to deal with the pain that they have or the issues that they have...
| Podcast
Controversies continue to exist regarding safe and appropriate management of people with chronic pain. The "pendulum has swung in the other direction" with respect to the utility, safety, and efficacy of the use of opioids as a key component of chronic pain treatment. It seems to be unclear to many...
| Podcast
Effective pain management has been deemed a human right, but some chronic pain patients perceive that to mean they are entitled to opioid analgesics for prolonged pain control. In response to these expectations, providers may feel pressured to say "Yes" and continue prescribing opioids, thereby...
| Podcast
On September 16, 2015, the Centers for Disease Control and Prevention (CDC) hosted a public webinar where they revealed a draft of their 12 prescribing guidelines for chronic pain. Due to technical difficulties, the entire process was repeated the following day. Concerns over the way the guidelines...
| Podcast
The United States is in the midst of a prescription drug crisis. Each year, over 100 million surgical procedures are performed in the US and routinely opioid use is prescribed for postoperative pain. While the recent CDC guidelines are geared towards outpatient chronic pain management, few concerns...
| Podcast
The prescribers of opioid medications for pain and addiction are under heavy scrutiny from state regulators, law enforcement, and plaintiffs' attorneys. With benzodiazepine related overdose deaths quadrupling between 2001 and 2013, and sedative induced impairment garnering increasing attention in...