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The research has been interesting because obviously the debate hasn't been resolved, but it's becoming refined enough now that I think there are some key bits of information that we can get move on in future studies that will help improve clinical practice and help us understand what type of benefit...
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A news release from Hospital for Special Surgery (HSS) offers recommendations for the treatment of carpal tunnel syndrome, particularly with respect to the advantages of early and proactive diagnosis and treatment. Daniel Osei, MD, a hand surgeon at HSS commented, “When you think of carpal tunnel...
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An engineering team from Vanderbilt University has developed a smart, mechanized undergarment that may be of benefit in reducing the incidence of back pain and injury, according to their reported testing. The design won a Young Investigator Award last month at the Congress of the International...
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The main mechanism of action of botulinum toxins that's been well established is the inhibition of the release of acetylcholine from the presynaptic terminals. This action caused in the affected organ, typically in most cases muscle, is the weakening of contraction of the muscle and that could be...
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Postoperative acute pain is frequently undertreated and the consequences of suboptimal pain management are numerous. Dr. Argoff outlines some of these and the patients who are at risk, and discusses some better approaches to pain management, using both what is available today, and what may come from...
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There are some common pain complaints that you’ll see in the elderly, such as sacroiliitis or chronic low back pain that might be due to facetogenic osteoarthritis. These are conditions that we can see anywhere from 25% to 40% of patients, and even more so in the elderly. Looking at older patients...
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A study of a unique multidisciplinary psychological pain program at Toronto General Hospital has returned encouraging results in the form of enhanced functionality and quality of life, and reduced reliance on opioid therapy. The Transitional Pain Service (TPS) is described by practitioners at...
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New research conducted by a team from Tufts University Medical Center casts doubt on the efficacy of long-term, multiple corticosteroid injection therapy for the management of pain from knee osteoarthritis. The study found that repeat injections of intra-articular triamcinolone provided no...
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I liken pain management to a team sport. We need all the right players on the team. As physicians, and we all look at patients through a certain lens. But working at Stanford and also observing other places, I appreciate the value that pain psychology brings, that physical therapy brings, that all...
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The CDC guidelines and also the National Pain Strategy emphasize the role of behavioral factors, of pain psychology in the experience and treatment of pain. Most primary care physicians may not be aware of the critical role that psychology plays in the pain experience and in patient’s treatment...