| Podcast
Surveys of healthcare providers indicate that one of the most distressing features of clinical practice is that of patient nonadherence. Its incidence in pain medicine is concerning: over 50% of patients with chronic noncancer pain are nonadherent with their prescribed exercise treatment and up to...
| Podcast
Pain remains one of the most common reasons that people seek medical attention in the United States. When pain was designated as the fifth vital sign, people were given the right to have their pain assessed and effectively treated by their healthcare professionals. A number of ethical dilemmas have...
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The CDC guidelines have caused controversy and spurred heated discussion. Produced with a paucity of evidence based medicine, they were never evaluated and iterated in the manner of more appropriate guidelines. In this course, we will examine the guidelines and their effect on practitioners—primary...
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The reality of chronic pain can be sobering and depressing. The term “empathy” in the context of medical care may sometimes be confusing and misunderstood. This often results in the conveyance of sympathy—the “I’m sorry approach”—to patients suffering from chronic pain, which does not achieve the...
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Pain represents a foremost feature of neurogenic thoracic outlet syndrome (NTOS). Symptoms include ipsilateral upper extremity pain, sensory loss, shoulder and neck discomfort, arm paresis or edema, headache, and even sympathetic nervous system impairment. This presentation will cover an evidence...
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A myriad of medical conditions are accompanied by depression. Somatic pain is frequent in major depression and is found in 50% to 90% of depressed patients. Assessing pain accurately and, most particularly, knowing the trauma history and acknowledging its impact on functionality, may provide key...
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Low back pain is one of the most prevalent, costly, and complex issues we face in rehab and medicine as a whole. It has been proposed that a large portion of back pain cases are due to core weakness or, as it’s commonly referred to, instability. This idea originated from the work of Paul Hodges and...
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With our current climate of opioid overuse and increasing opioid related deaths, alternatives to pure mu opioids are necessary. Buprenorphine, an important weapon in the arsenal for management of substance use disorder, is now rising in popularity as an opioid option for chronic pain. Evidence has...
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Chronic pain involves a complex process, with an underlying pathophysiology that is now understood to involve a sensitized state. Understanding the etiology is essential to selecting appropriate treatment modalities. It is also essential to educate patients in a way that can be understood and...
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The number of deaths from prescription opioids from 2014 to 2016 were essentially unchanged, but deaths from illicit fentanyl derivatives over the same time period increased by almost 650%. Between 2010 and 2015, we know that by county, prescribed morphine daily dose equivalents (MEDD) per capita...