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High-quality research on the safety and efficacy of medical cannabinoids as pain therapy has long been impeded by an adverse regulatory environment. Even as the prominence of medical marijuana continues to grow--in part due to the public health crisis of opioid abuse--confusion about marijuana for...
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Stem cell therapy is among the newest innovations in the management of chronic pain and degenerative disease, and offers the most promising outlook in terms of success and prognosis. The technique of stem cell extraction is easy and can be done on-site. Patient recovery time is minimal, pain relief...
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A discussion of the challenges of effective patient/provider communications about chronic pain conditions. Drs. Cheatle and Schatman outline how new models of shared decision making and patient mindfulness can help improve the quality of the interaction while acknowledging the time constraints of...
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There are three pathophysiological aspects to consider with mild traumatic brain injury. The first that occurs is marked accumulation of glutamate, which essentially destroys cells. It burns cells out. It kills cells. But it’s just part of a major metabolic cascade that is unhelpful to the patient...
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Recent technological advances have prompted the increasing use of ultrasound for anatomical visualization during pain management procedures. Dr. Bottros reviews the basics of ultrasound, its application in a range of pain management procedures, and discusses its efficacy in relation to other...
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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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One of the things that can be difficult with respect to people who have acute pain is not thinking about the possible situation one, or three months out. Every so often patients deviate from the norm, which would be the healing and resolution of that acute pain. And it’s very easy, with an acute...
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Although pain affects people of all ages, older adults are at increased risk for chronic pain and resultant disability, as well as for transition from acute to chronic pain. In a “graying” America, it is important for clinicians to understand age-related influences on pain. Dr. Fillingim considers...
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Must opioid therapy work for everyone to be a valid part of the treatment armamentarium? Dr. Passik considers some of the consequences of “absolutist thinking” that are leading members of the pain community to unnecessarily harsh self-judgements. The opioid abuse epidemic is real, but so are the...
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Chronic pain affects all segments of the population, but of course older adults are more likely to be impacted, particularly by joint pain and other forms of musculoskeletal pain. In some studies, up to 50% of the older population reports clinically significant pain. Those numbers go even higher in...