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Dr. McPherson discusses what the primary care clinician should know about initiating methadone therapy, including an outline of some of the precautions that should be considered with this opioid.
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We have found that even subclinical levels of anxiety and depression can be important in terms of the experience of pain. Another factor that we spend a lot of time investigating in the pain research world is pain-related catastrophizing. It has a pervasive effect on people’s ability to manage pain...
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Chronic pain can be significantly influenced by psychological factors, and proper recognition and treatment can contribute to clinical success.
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Dr. McPherson is an acclaimed professor of pharmacy, primary care practitioner and consultant in hospice and palliative care. This segment examines some adverse events that are associated with opioid analgesics.
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Diabetes can induce inflammation causing apoptosis, effecting major changes along the entire length of the GI tract down into the colon. Diabetic gastroparesis is the real culprit to the problem that we’re facing with GI pain in these patients. And so our goal is to try to help that symptom by...
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Another common pain syndrome that occurs in older adults is postherpetic neuralgia or shingles pain. This is something that I think is really underappreciated. Essentially, what we’re looking at is that when we’re young, many of us develop chickenpox. As we age, the varicella-zoster virus that...
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Dr. Robeck is a physician with the Veterans Health Administration. This discussion introduces the Primary Care Medical Home and its applicability to non-VA clinical settings.
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When you go to the textbooks, historically speaking, there was no mention of pain associated with neuromuscular disorders. Most--including Charcot-Marie-Tooth (which is a hereditary neuropathy) amyotrophic lateral sclerosis, most forms of muscular dystrophy--conditions were described as painless and...
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Low back pain plagues a lot of us, but as we age we’re more prone to the possibility. Low back pain can be caused by numerous different reasons, but mostly it’s due to musculoligamentous strain. Other things can cause it like facet joint problems in the spine, sacroiliac joint disease, piriformis...
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With increased use of technology, like computers and mobile phones, we see a significant increase in carpal tunnel syndrome and tendon problems like tendonitis of the wrist and elbow. The primary care physician should understand what they are dealing with when somebody presents with elbow or hand...