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When tapering opioid therapy, frontline practitioners may at times be faced with chronic pain patients suffering from undiagnosed mental health disorders. In most cultures, the majority of mental health cases go unrecognized in primary care settings. About 60% of previously undetected cases could...

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Exercise Your Demons

Nonpharmacological interventions are increasingly being prescribed for people with chronic musculoskeletal pain. Current evidence on the role of regular physical activity and exercise in the management of chronic musculoskeletal pain (eg, fibromyalgia, chronic low back pain...

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While we have increasing understanding of the mechanisms of musculoskeletal pain, this knowledge has translated into treatments that so far have left many patients and healthcare providers dissatisfied. This is particularly true for fibromyalgia syndrome (FM) and chronic widespread pain that...

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Chronic low back pain (cLBP) is a pervasive problem, consistently among the top 5 most common reasons for primary care visits and among the most prominent painful conditions. Although some patients with cLBP have clear pathoanatomic causes of pain, for many there is no clear association between pain...

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Musculoskeletal (MSK) pain conditions are the leading cause of disability worldwide, and this year’s American Pain Society track will explore the latest evidence addressing measurement, mechanisms, and management of MSK pain conditions. Among the most prevalent MSK pain conditions is knee...

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Many healthcare professionals have experienced aberrant behaviors from patients when prescribing controlled substances. The formulation of a differential diagnosis of the behaviors and having a consistent plan of action is key. This presentation will draw upon real cases to highlight approaches that...

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Burnout, a phenomenon closely linked with depression and characterized by emotional exhaustion, depersonalization, and reduced self-efficacy, has increased at a disproportionate rate in physicians compared to the general US working population. While interventions have been developed to address...

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Medical and recreational marijuana are sources of great confusion to patients and clinicians alike. A culture of “neuromysticism” around medical marijuana has arisen, leaving patients and clinicians muddled regarding what constitutes “medical” marijuana. This is due in part to the poor quality of...

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In order to successfully clinically manage pain, it is essential to begin with an understanding of the underlying mechanisms responsible for its generation. A skillful approach based upon better knowledge concerning the anatomical structures, pathways, and events that result in pain is more likely...

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There are many reasons why healthcare providers choose not to manage pain, or unknowingly undertreat pain, including fear of addiction or overdose, litigation, and difficult personality types. Mostly practitioners undertreat because of a lack of knowledge, understanding, and confidence to manage...

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