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Pretty much any relationship between pain and depression that you can imagine has data behind it. There is evidence that they both interact. There’s evidence that pain impedes treatment of depression. There’s evidence that depression impedes treatment of pain. They are distinct but related problems...
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Ketamine has been in clinical use for over 30 years. It has an excellent safety profile and profound analgesia. In the operating room, we really like it for specific populations. It’s related to the drug PCP and it does have some psychomimetic effects which is actually one of the reasons it’s not...
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An attorney discusses the role and importance of laboratory test reports in a medical legal proceeding, and gives examples of how they are used to indicate compliance/noncompliance.
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Pharmacogenetic testing is a new idea and a new science that has been attached to chronic pain prescribing, but it’s important to note that it may not be appropriate for every patient in your practice. As a prescriber, you have to be the one to make that differentiation.
Examples of patients you...
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Why would envy have anything related to someone in physical pain? At first blush you might say it wouldn’t, in part because we typically assume that if someone is in physical pain, especially, our automatic reaction should be empathy. That is a natural response. But there are going to be cases that...
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A discussion of the research breakthroughs that have occurred in the understanding of centralized pain, and an outline of approaches to pain management.
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I am very fortunate and honored to represent the American Society of Interventional Pain Physicians who have led the way in teaching and implementation of interventional pain medicine. IPM techniques are effectively applied to spinal pain, the most prevalent pain we have. They are also effective for...
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I think the important thing with methadone is safety first. Even though I’m a big methadone fan, I don’t think everyone is an ideal candidate for methadone therapy. I think we have to have a patient who’s very reliable, who will follow the plan of care, who will follow the directions, someone who...
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Aura is basically secondary to what has been termed the cortical spreading depression, and what that means is that you have oligemia. You have blood flow decrease starting at the back in the brain and it moves forward. With this cortical spreading depression, the oligemia--the decreased blood flow-...
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The conclusion of a 2-part discussion. Some specific limitations of UTD as a clinical tool are examined. Drs. Gourlay and Heit also consider the role of opioids in chronic pain management, with balanced regard for the risks of pain and addiction.