| Video
It is estimated that the incidence of Arachnoiditis has increased by some 400% in the last decade. Dr. Tennant outlines what primary care clinicians should know about the causes, symptoms, and MRI indications of the condition, and describes a clinical protocol for treatment.
| Video
Chronic pain may centralize in the brain and spinal cord, leading to constant neuropathic pain. Dr. Tennant discusses the mechanism of development, available diagnostic tools, and s why under recognition of neuroinflammation is one of our major problems in pain management.
| Video
Opioid induced respiratory depression is associated with over 16,000 deaths in the US each year, and the risks of opioid therapy are not fully understood by many prescribers. Dr. Fudin reviews some of the unanticipated concerns, with a focus on assessing and managing risk for respiratory depression...
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Dr. Stanos reviews the development of evidence based medicine and offers some pointers to primary practitioners on how to intelligently assess guidelines and clinical trials. Critical evaluation can help clinicians become better users of clinical and research information.
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Recent guidelines from the CDC strongly urge a reduction in opioid prescribing in favor of a multidisciplinary approach for the treatment of chronic pain. Dr. Silverman discusses how frontline practitioners can contextualize this information to help patients achieve better functionality and quality...
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Integrative medicine is the culture change that the Institute of Medicine has called for in treating pain. Dr. Tick discusses its importance in contrast to today's disease management approach, and considers the special influence of nutrition on chronic pain. The quality and composition of our diet...
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Dr. Pryzbylkowski discusses regenerative medicine as an approach to tresptoration and repair of damaged tissue, and specifically focuses on platelet rich plasma and its role in interventional pain management.
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The pressures and challenges of managing patients with chronic pain are inciting some practitioners to opt out. Dr. Zacharoff considers some aspects of the professional landscape that are contributing to this condition, and why the "math" concerning pain patients and pain specialists makes it...
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In judging the outcome of a pain treatment plan, the patient has an important say. Good communication between patient and practitioner is thus an essential element of successful chronic pain management. Dr. Zacharoff discusses the barriers to effective communication, its contribution to patient...
| Article
We need to understand the importance of the brain and patient's pain and try to take steps to figure out in an individual patient to what degree is the brain driving their pain and to what degree is the body driving their pain. Because in some sense, the treatments we use to target the brain are...