Multimodal, nonpharmacologic approaches are recommended as firstline treatments for pain but are often unavailable in resource-limited settings. In 2016, a multimodal pain management program was created and evaluated at Tom Waddell Urban Health primary care clinic in the Tenderloin neighborhood of...
Researchers performed MRI's on groups who’ve not been exposed to trauma and compared them to a group who’ve experienced trauma and been diagnosed with PTSD. Calculations determined the volumes of different brain areas. Noted: decreased volumes in the hippocampus and amygdala, which are both part of...
- Patients with chronic pain spend a lot of time on social media looking for answers, looking for help. I personally receive hundreds, if not thousands, of emails a year from patients crying out for help.
- They’re not even asking for opioids: they say “I just need help. As soon as a provider finds...
The anatomy of the visceral innervation: different organs cover the entire abdomen and pelvic region, including
- Fallopian tubes
- Lower part of the sigmoid and the rectum
Viscerosomatic conversion is a very interesting phenomenon when it comes to visceral pathways:...
Why do doctors get into legal trouble? The 4D model: dated, duped, dishonest, disabled (from decision making). You see this happen in the courtroom. Experts will point that out that a doctor
- Didn’t stay current on licensing board guidelines
- Was fooled and didn’t have the appropriate measures...
Dr. Sawsan As-Sanie: the following chronic overlapping pain conditions either solely or predominantly affect women—vulvodynia, temporomandibular disorders, myalgic encephalomyelitis/chronic fatigue syndrome, irritable bowel syndrome, interstitial cystitis/painful bladder syndrome, fibromyalgia...
Documentation is a many-headed beast:
- It started out as a way to keep track of what we’ve done, to create a record that would be a legacy to patient care
- It has transmogrified into a tool for billing, a risk management function
- It tries to document with other professionals who are caring for...
In geriatric patients, chronic pain is quite common as well as challenging. Due to age and comorbidities, surgery can be tough on this patient population.
- Fewer surgeries are being done on patients 65
- We have an option to provide, as the medical field is growing, minimally...
Interest in cannabinoids is at an all-time high. Does this interest impact the perceived opioid crisis? Do we know enough about CBD and THC to make decisions? What has Dr. Jay experienced?
We don’t know enough to be certain of anything:
- I personally hesitate to utilize and tell patients, “Oh...
A chronic pain patient may see many doctors, from general practitioner to pain specialist. But what comes between those visits? What’s the process?
- The patient is managed conservatively by the primary care doctor or practitioner, which may entail certain medication therapies or...