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Acute pain is associated with negative outcomes; therefore, efforts to prevent and control pain are necessary. Goals for acute postoperative pain management include reducing the incidence and severity of pain, particularly that which impacts patient function such as movement; minimizing side effects...
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Chronic pain may centralize in the spinal cord and brain leaving the patient with constant, neuropathic pain. The mechanism of this development is microglial activation and neuroinflammation. Successful treatment usually requires a special pharmacologic regimen that includes analgesics, neuropathic...
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Manual therapy has long been used to treat spinal pain. Spinal manipulative therapy, in particular, has received special emphasis as many providers use it as a featured part of their practice. It has a favorable side effect profile, but there continues to be healthy debate on whether it is an...
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There is a group of intractable pain patients who have extensively accessed the pain treatment system only to be unable to find satisfactory pain relief. These patients have sought treatment at multiple academic centers and attempted numerous nonmedical, pharmacologic, and invasive interventions...
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Every day something new happens in pain management. One day it might be a change in a licensing board practice standards and the next day might bring new legislation on opioid overdose prevention. Whatever the case, pain management practitioners need a system to help keep themselves and their staff...
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Social media presents many opportunities for pain practitioners to keep up with the pulse of what is happening in pain practice and pain policy. Thought leaders share valuable information via social media, and social media is one way patients obtain and share information about pain. This session...
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Patients suffering from chronic pain commonly experience comorbid problems that can further impair quality of life. These include psychological and medical comorbidities and fatigue and sleep disorders. Greater than 50% of patients with pain disorders experience sleep disturbance, with estimates as...
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Chronic pain affects 100 million US adults. It is the #1 reason people are out of work. It is the leading reason that people seek medical attention, costing the nation upwards of $635 billion annually--more than heart disease, cancer, and diabetes combined. Given the burden of unmanaged pain in...
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Functional pain syndromes (irritable bowel syndrome, fibromyalgia, interstitial cystitis, vulvodynia, etc) are commonly seen in primary care and by pain medicine practitioners. For example, fibromyalgia affects 5 million people and interstitial cystitis 8 million women per year, and the etiologies...
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Ketamine, known on the street as "special K," is a dissociative anesthetic with hallucinogenic properties and is classified as a controlled substance. Its unique mechanism as an N-methyl-Daspartate (NMDA) receptor antagonist is thought to be responsible for many of the drug's most promising...