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Fierce debates rage on about chronic pain. These include the utility of chronic opioid therapy, the value proposition of multidisciplinary approaches, reimbursement related issues, risk of aberrant drug related behaviors, along with many other questions related to assessment and treatment...
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The prescribers of opioid medications for pain and addiction are under heavy scrutiny from state regulators, law enforcement, and plaintiffs' attorneys. With benzodiazepine related overdose deaths quadrupling between 2001 and 2013, and sedative induced impairment garnering increasing attention in...
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Many patients receiving opioids will need to be switched from one opioid to another during therapy or at least from one dosage formulation or route of administration to another. During this session, practitioners learn to recognize clinical situations in which opioid switching would be appropriate...
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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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Pain management in the elderly can be quite complex. The most common method of pain control in this population is pharmacotherapy. However, this patient population is becoming subject to the complex interactions and risks associated with polypharmacy. Hence, interventional strategies are...
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Nonopioid analgesics are oftentimes considered first-line therapy for most chronic pain syndromes. A strong understanding of these agents' mechanism of action, pharmacokinetics, and toxicity profiles is paramount for today's pain practitioner. This course will provide an in-depth look at each of the...
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Diagnostic testing is an integral component for the differential diagnosis. In routine clinical practice there has been a tendency for clinical examinations to become more cursory, largely influenced by increasing demands of time and patient expectations of technological advances. The end result may...
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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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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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In the age of modern medical miracles, it is easy to forget that we change our body chemistry every time we eat. The quality and composition of our food has the power to increase or decrease body-wide inflammation. Yet most medical schools have only a few hours of learning time devoted to a topic...