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Visceral pain can be debilitating, and can degrade a patient’s quality of life. It is often hard to localize, and can refer to other parts of the body. Dr. Christo discusses some aspects that differentiate visceral pain and some options for treatment.
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Are pain and pleasure part of a neurochemical continuum? Some evidence suggests that the brain’s pleasure chemical, dopamine is involved in the response to pain. Research has also examined the relationship between dopamine and endogenous opioids. Dr. Clark considers how these motivators interact in...
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The role of diet in provoking inflammation and subsequent pain is substantially underappreciated. Dr. Blatman offers pointers to frontline clinicians on what to look for and how to educate patients on the importance of nutrition and dietary selection to the prevention of pain and to the...
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Low Risk, High Reward for Musculoskeletal Pain and Tissue Injury
Simply defined, prolotherapy--short for proliferation therapy--is a treatment that stimulates the repair of painful areas. It has been around since the 1930’s and in a nutshell it’s an injection treatment that stimulates repair of...
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Fascia may be the most underappreciated tissue in the body. Dr. Blatman discusses how fresh advances in our understanding of the anatomy are informing our grasp of the causes of myofascial pain, and helping to develop more effective treatments for the condition.
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Morton’s neuralgia, as it turns out, is not a true growth of the nerve, but is a compression-type injury of the peripheral nerve as it is in the plantar aspect of the foot, heading out towards the toes. It produces some remarkable symptoms that have folks limping in through the door. The diagnostic...
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Dr. Rader is a practicing physician and clinical researcher in lower extremity conditions. Here he offers a synopsis of Morton’s Neuralgia, including pathophysiology, diagnosis, and treatment options, including better alternatives to the most commonly performed surgical procedure.
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An occupational therapist and practicing attorney discusses the power of engagement as a means to improving outcomes in patients with chronic pain conditions—and why this approach is good public policy as well.
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Integrative Pain Management is a multidimensional approach that combines interventional medicine with behavioral modalities. This segment discusses the concept and its benefits.
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Personality is a fascinating aspect of our patients, and it really does highlight how people are different--not in a good or bad way, but in a way that has inherent strengths in one situation and inherent vulnerabilities or weaknesses in another situation. And so, when we’re talking about...