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“It Could Be Worse” and Other Things to Avoid Saying to Your Patients With Chronic Pain

Opening the lines of communication with your patients with chronic pain and discussing times when they may have felt that you, as their clinician, did not understand their pain can be integral to better treating their condition, according to Melissa...

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A Multimodal Approach to Pain Management

Approximately 100 million adults in the United States experience chronic pain, and it is the number one cause of unemployment.1 “Pain is the leading reason people seek medical attention, costing the nation $625 billion annually — more than heart...

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Addressing Constipation With Patients on Opioids Integral to Treatment Success

Constipation is a commonly seen adverse event in patients who take opioids. Currently approved agents for opioid-induced constipation in this country include lubiprostone, methylnaltrexone, and naloxegol, with the last two belonging to the category...

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Adolescent Patients With Chronic Pain Different From Adults, Children

Adolescence is defined as the period between 10 and 19 years of age,1 and many individuals in this age group are reported to be living with chronic pain.2 Despite the prevalence of chronic pain in adolescence, many healthcare professionals do not...

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Approaching Pain Management from a New Perspective

To move forward in medicine, perhaps the best approach would be to take a step back and rethink what the medical community considers to be standard care. Understanding the reasoning behind why things are the way they are enables clinicians to keep...

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Are Opioid Overdose Prevention Strategies Working?

Opioid overdose prevention strategies often change, but that doesn’t mean that some of them aren’t already working. However, although some programs are showing some success, there is still more work to be done. Lisa McElhaney, president of the...

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Chronic Pain Treatment Often an “Imperfect Solution”

The desire of healthcare providers to come as close as possible to providing the “perfect” solution—completely relieving their patients’ chronic pain—may set the stage for unrealistic expectations of pain treatment. These unrealistic...

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Exhibit Hall

Fibromyalgia: Update on Understanding Pathophysiology and Treatment Approaches

With treatment approaches for fibromyalgia evolving over the course of modern medicine, many clinicians are reviewing the way they address potential symptoms of the common chronic, widespread pain condition. “We as clinicians have to be proactive...

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Fighting Illicit Drug Use With Healthcare Provider, Law Enforcement Partnerships

In the United States, approximately 1900 drug-related emergency department visits occur every day, accounting for an estimated $3.8 million in related healthcare costs1 — staggering numbers that still fall short of conveying the human toll of...

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How to Assess and Manage Acute and Chronic Low Back Pain

Using a multimodal approach could be a better method for managing acute or chronic back pain than prescribing opioids for a patient, especially if that patient will require lifelong treatment. Unlike acute low back pain, chronic low back pain will...

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In Assessing Back Pain, Focus on the Patient

With complaints of chronic back pain increasing in frequency, clinicians are being forced to strengthen their examination and assessment skills on a regular basis. A patient-centered approach is often necessary for a practitioner to formulate an...

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Keynote Address

Listen To Patient Complaints When Discussing Unresolved Pain

Unresolved pain is often neurogenic in origin; therefore, listening to the patient, as well as relying on one’s best clinical judgment, can help with diagnosing the sometimes difficult-to-spot conditions that result in this potentially debilitating...

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Opioid Prescribing: Navigating the Ethical Battlefield

As concerns continue to mount regarding opioid overdose, misuse, and abuse, laws and guidelines regulating the prescribing of painkillers to patients have become stricter. Prescribers of narcotics are faced with more than just ethical dilemmas when...

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Pain Management and the Groundhog Day Phenomenon

Although policies, procedures, and practices related to treating chronic pain are being discussed at national and international levels, there are often challenges to implementing widespread change. Kevin Zacharoff, MD, of PainEDU.org, discussed some...

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Pain Treatment Selection: Which Is Best?

Finding the right therapeutic approach for a patient does not have to be a challenging task for clinicians specializing in the treatment and management of pain. More often than not, pain management specialists are required to use more than one...

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Pharmacogenetic Testing: A Good Tool for Treating Patients With Pain

While numerous factors may influence patient responses to medications, treatment response likely depends on the relationship between the pharmacokinetics, pharmacodynamics, and pharmacogenetics for each individual patient. Jeffrey Fudin, PharmD,...

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Pleasure Spiked With Pain: Counseling Patients About Balance in Their Lives Is Key to Pain Treatment

Counseling patients who have chronic pain about how to find balance in their lives is important, because patients in pain often seek pleasure and may go too far to find it, according to a speaker at a session here. “You can go to too far in...

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Remove Mental Health Barriers to Fully Treat Patients With Chronic Pain

Painful chronic conditions often are accompanied by equally debilitating comorbidities such as depression, substance use disorders, and suicidal ideation. Unfortunately, there are significant barriers to accessing mental health services that need to...

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Rx Abuse: The Scope of the Problem in 2015

In 2013, there were more than 2.8 million new illicit drug users in the United States, or approximately 7800 new users per day. Although drug abuse is not a new concept, attitudes have shifted and recreational use has become more commonly accepted in...

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Safe Opioid Prescribing in the Era of Overdose

The number of opioid prescriptions filled in US pharmacies has tripled since the early 1990s, skyrocketing from 76 million in 1991 to 219 million in 2001.1 During this time period, emergency department visits from opioid misuse or abuse and...

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Sponsored Session in The Chelsea

Sponsored Session in The Chelsea

Surgical Decompression For Compression Neuropathy Offers Many Advantages

Surgical decompression can offer long-lasting pain relief and restore sensation in diabetic patients with peripheral neuropathy, leading to an improved quality of life. That was the word from Stephen L. Barrett, DPM, an adjunct professor at...

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The Changing Landscape of Prescription Drug Abuse and Diversion

Drug abuse in the United States has been changing over the years, and as more people become dependent on their drug of choice, clinicians are being forced to deal with the consequences. “Drug abuse has been going on for centuries,” said Lisa...

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Top 10 Reasons to Stay in the Pain Management Game

“Pain medications are neither panacea nor pariah, and experienced prescribers understand the need for a nuanced approach to pain management,” Michael R. Clark, MD, MPH, MBA, of Johns Hopkins University School of Medicine and the American Society...

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Virtual Reality for Pain Relief: From Science Fiction to Medical Therapy

From it’s first appearances in books like Aldous Huxley’s Brave New World and on television in the series Star Trek, virtual reality has captured the human imagination. Now the concept has progressed past the realm of the science fiction genre...

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Which Clinical Trial Design Is the Right One?

Understanding what is required in a clinical trial for approval by the US Food and Drug Administration (FDA) when bringing a particular drug to market can help researchers avoid challenges later on in the process. The FDA approval process requires...

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Why Improving Comment Tests for Pain is Essential to Patient Satisfaction

Clinicians involved in the treatment of musculoskeletal pain pathologies are frequently looking for tools that can change the way tests are ordered, interpreted, and used to improve the care of their patients. Understanding when a test is necessary...

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