| Podcast
Low pressure headaches (LPH) are caused by low cerebral spinal fluid (CSF) pressure or volume and may be spontaneous or provoked. Although the suspected incidence of spontaneous intracranial hypotension (SIH) is rare, improved imaging and greater awareness have led to increased identification...
| Podcast
In the age of modern medical miracles, it is easy to forget that we change our body chemistry every time we eat. The quality and composition of our food has the power to increase or decrease body-wide inflammation. Yet most medical schools have only a few hours of learning time devoted to a topic...
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In this time during which the use of opioids for analgesia is being attacked by well-organized zealots, society is desperately seeking ways to make utilization of these medications safer and more effective. In a growing number of developed nations, genetic testing is being routinely utilized to...
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All types of healthcare professionals may encounter challenges and obstacles to patient outcomes despite providing optimized treatment plans and state-of-the-art care. These obstacles may come from a variety of barriers including the existence of secondary gains, low patient motivation, misalignment...
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Chart documentation is important in any practice, but even more so when working with chronic pain patients. The treatment of chronic pain management comes with increased potential for litigation. There are important steps that prescribers must take with their documentation to lessen that risk. As a...
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Although long regarded as an appropriate standard of care for treating acute and cancer pain, the use of prescription opioids to treat chronic benign pain conditions has been highly controversial. The lack of empirical support in conjunction with the increased prevalence of prescription opioid abuse...
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Prolonged exposure to opioids hypothetically activates a pro-nociceptive mechanism resulting in opioid induced hyperalgesia (OIH). Opioid hysteria doctors are causing payors and governing bodies to rush to bring the OIH concept into law and protocol, but are finding a lack of any scientific evidence...
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The emerging role of botulinum toxins as chemical neuromodulators, specifically in the management of chronic intractable painful syndromes, will be presented. There is compelling evidence showing that toxins modulate chronic neurogenic inflammation, commonly expressed as peripheral sensitization...
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Pain and restrictions on movement are often inextricably linked. The pain of movement and the tendency to hold oneself still in order to avoid further pain can have a residually negative impact in a disease trajectory. Compelling research in music and medicine illuminates the therapeutic benefits of...
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Despite the increase in prescriptions of pain medication and interventional procedures to treat pain, there is scant evidence from population based research that these treatments have been successful in reducing pain associated functional impairment. This is because successful treatment of chronic...