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Central poststroke pain is a neuropathic pain disorder frequently described as burning pain associated with allodynia and hyperalgesia over affected regions of the body. Dr. Bottros discusses what clinicians should know about recent findings that may shed light on future targets for treatment.
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What’s changing in the pain treatment paradigm? Various models of thinking—through psychology, sociology, spirituality, physiologically—are converging.
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Despite being one of the more frequently noted triggers for migraine, estrogen and its role in the pathology of migraine is still unknown. This talk discusses the current understanding of the role of estrogen in the headache experience. We will start by touching on the clinical experience the field...
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Opioids. “Good.” “Bad.” The opinion pendulum swings, sometimes too far in either direction. Steve Passik, PhD, offers his opinion on how to find a balance.
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Chronic low back pain is consistently among the top 5 most common reasons for primary care visits, and for many presentations there is no clear association between the patient’s pain and identifiable pathology of the spine or associated tissues. Dr. Goodin discusses the patient experience with this...
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The leading cause of pain and disability among older adults is musculoskeletal pain conditions, the most prevalent being knee osteoarthritis (OA). Knee OA has historically been viewed as a regional pain condition driven by peripheral input due to arthritis changes in the knee joint. Roger Fillingim...
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Emerging literature is demonstrating the effects of sensory acuity disturbances on pain and altered motor performance. Addressing these sensory disturbances can decrease pain and improve mobility. What is neuroplasticity and how can it help a patient in pain?
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Dr. Zacharoff examines the roles of both prescription and illicit opioids—heroin and fentanyl—as components of today’s “opioid abuse epidemic”. There are similarities and important differences and the task for clinicians is to minimize harms while addressing the needs of patients in pain.
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Failing to adequately differentially diagnose the cause of back pain can account for the frequency of clinical failures in treatment. Dr. Glick offers some pointers involving physical assessment, imaging studies, and the impact of failed treatments on the diagnosis. It’s important that primary care...
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Since the Roman Empire, electricity has been used in the field of medicine for treating pain. In the era of modern medicine, the field of neuromodulation has entered its renaissance with the introduction of novel wave forms such as HF10, burst closed loop, and noninvasive vagal nerve stimulation...