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Acupuncture has been used for centuries to treat pain; however, multiple recent randomized controlled trials of acupuncture in chronic pain disorders have largely shown mixed findings. In most of these studies acupuncture is no better than sham/placebo. Moreover, many basic as well as clinical...
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Low pressure headaches (LPH) are caused by low cerebral spinal fluid (CSF) pressure or volume and may be spontaneous or provoked. Although the suspected incidence of spontaneous intracranial hypotension (SIH) is rare, improved imaging and greater awareness have led to increased identification...
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Many common chronic pain conditions including headache, various types of musculoskeletal pain, and certain neuropathic pain conditions can be successfully treated with office based procedures. In this session, common office based procedures that can be performed to treat chronic pain will be...
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On September 16, 2015, the Centers for Disease Control and Prevention (CDC) hosted a public webinar where they revealed a draft of their 12 prescribing guidelines for chronic pain. Due to technical difficulties, the entire process was repeated the following day. Concerns over the way the guidelines...
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Accumulating evidence suggests that widespread pain syndromes such as fibromyalgia display a generalized disturbance in central nervous system pain processing. Multiple lines of research have identified that the locus for many functional chronic pain disorders, including fibromyalgia, pelvic pain...
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Pain management coaching is a systematized application of techniques, including motivational interviewing, that enable your patients to work through ambivalence and take action to change their lives. One of the primary components is education. Coaches teach skills to enable the patient to regain a...
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Pain and restrictions on movement are often inextricably linked. The pain of movement and the tendency to hold oneself still in order to avoid further pain can have a residually negative impact in a disease trajectory. Compelling research in music and medicine illuminates the therapeutic benefits of...
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Despite the increase in prescriptions of pain medication and interventional procedures to treat pain, there is scant evidence from population based research that these treatments have been successful in reducing pain associated functional impairment. This is because successful treatment of chronic...
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Arachnoiditis is officially listed as a rare disease, but its estimated incidence has increased over about 400% in the past decade. Almost every pain practice has now encountered a case. Technically, the name implies an inflammatory disease of the arachnoid layer of the thecal sac or meninges. In...
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Although long regarded as an appropriate standard of care for treating acute and cancer pain, the use of prescription opioids to treat chronic benign pain conditions has been highly controversial. The lack of empirical support in conjunction with the increased prevalence of prescription opioid abuse...