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In this time during which the use of opioids for analgesia is being attacked by well-organized zealots, society is desperately seeking ways to make utilization of these medications safer and more effective. In a growing number of developed nations, genetic testing is being routinely utilized to...
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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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Prolonged exposure to opioids hypothetically activates a pro-nociceptive mechanism resulting in opioid induced hyperalgesia (OIH). Opioid hysteria doctors are causing payors and governing bodies to rush to bring the OIH concept into law and protocol, but are finding a lack of any scientific evidence...
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All types of healthcare professionals may encounter challenges and obstacles to patient outcomes despite providing optimized treatment plans and state-of-the-art care. These obstacles may come from a variety of barriers including the existence of secondary gains, low patient motivation, misalignment...
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Perhaps the single most failure producing aspect of chronic pain is its inherent isolation. Add the medical hopelessness faced by many patients, and a perfect storm is created for chronic pain patients to fall permanently out of the workforce and fail to thrive. Pain management coaching provides the...
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The prevalence of chronic pelvic pain in women aged 18 to 50 is around 15%. However, only one-third of these women seek medical care. Also, the average time from presentation to a primary care provider and appropriate specialty referral and diagnosis ranges from 3 to 7 years. Not only is it...
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In clinical practice today, more often than not patients receive care from an interprofessional team. How can we best prepare students and practitioners to optimize working in an interprofessional environment? This presentation will review the definition of interprofessional education, what is meant...