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Millions of patients each year suffer from acute pain as a result of trauma, illness, or surgery. Pain is the most common reason for admission to the emergency department (ED), comprising more than 40% of the over 100 million ED visits annually. The prevalence of intense acute pain is similarly high...

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This presentation will outline 3 sustainable stepwise approaches for providing chronic pain care within the patient centered medical home (PMH). Treatment of chronic pain is going through a systemic transformation (see 2016 National Pain Strategy from HHS and the 2009 VHA Stepped Care Model). The...

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Although many providers have experience in advising their patients to use topical analgesics for treatment of various types of acute and chronic pain conditions, there are new insights into just how important the skin is in evaluating and treating people with chronic pain. In this translational...

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Effective pain management has been deemed a human right, but some chronic pain patients perceive that to mean they are entitled to opioid analgesics for prolonged pain control. In response to these expectations, providers may feel pressured to say "Yes" and continue prescribing opioids, thereby...

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A common practice for treating chronic back pain includes core stabilization. There is strongly held belief in health care and fitness that back pain is related to the strength of core muscles. Where did this belief originate? Why is it so popular? What is the evidence supporting widespread use of...

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In February 2016, President Obama expressed his compassion for people with pain loud and clear, saying, "If we go to doctors right now and say 'Don't overprescribe' without providing some mechanisms for people in these communities to deal with the pain that they have or the issues that they have...

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There is strong evidence supporting the use of biobehavioral therapies for chronic pain conditions including fibromyalgia, migraine, and other forms of severe headache. Evidence based behavioral medicine treatments include cognitive behavioral therapy (CBT) and biobehavioral training. These...

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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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There are a number of common neuropathic pain syndromes, such as complex regional pain syndrome, postherpetic neuralgia, and diabetic neuropathy, that have established diagnostic and treatment paradigms. There also are a number of neuropathic pain disorders that are as common but less understood and...

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EDs are searching for new ways to treat pain that are rapid, safe, and effective. The search for new options is being driven by the national outcry to decrease opioid prescribing, pressure to see patients faster, decrease ED length of stay, and prevent readmissions while still treating pain and...

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