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Buprenorphine is an increasingly popular alternative to long term opioid use, with a lower risk profile. But how to safely manage acute pain episodes in patients who are receiving buprenorphine therapy? Clinical pharmacy specialists Foy and Uritsky discuss…
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To quote a contemporary leader in pain care, “Treating pain is a team sport.” Although our healthcare system is still disjointed, causing many clinicians to operate in what may feel like a lonely silo, we can support each other and bolster our patients’ confidence in their prognosis by communicating...
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Clinical pharmacist Mark Garofoli offers a strategic thought process for appropriate selection of medications for patients with muscle spasm and/or muscle spasticity.
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There’s room for improvement in treating fibromyalgia and widespread pain, and new advances in research may take us there. Rheumatologist Roland Staud, MD, FACP, advocates for a comprehensive approach that includes consideration of the patient’s mood, sleep disorders, and fatigue, and emphasizes non...
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Headaches, of all varieties, are a common occurrence in adult and pediatric populations. What’s the distinction between types, and how best can practitioners make that distinction? Dr. VanderPluym of the Mayo Clinic, a pediatric neurologist specializing in headache and concussion, discusses.
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>Empathy is the ability to understand the patient’s experience from their frame of reference. Dr. Zacharoff discusses how taking the patient’s narrative into account can result in a more rewarding and successful level of patient-provider communication and lead to better treatment outcomes.
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While abuse deterrent formulations purportedly meet the FDA demand for safer opioid medications, their expense has been rarely supported by third party payors. Dr. Schatman reviews the reimbursement picture, the evidence for their effectiveness, and how prescribers can best respond.
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Emerging trends offer practical ways to elevate management of acute pain in daily practice and help practitioners fill a toolbox to better tailor approaches to individual pain management needs. Alexis LaPietra, DO, FACEP, FAAEM, is the Director of Emergency Medicine at the St. Joseph’s Healthcare...
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Dr. Fitzgerald debunks the common notion that pain in pregnancy is normal, and that sciatic neuropathy is usually the cause. Pelvic girdle pain is common and can be successfully treated nonpharmacologically. Proactive intervention can prevent an acute pain presentation from becoming chronic.
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The shift away from opioid use in medication management for chronic pain has changed the dynamic of opioid prescribing in many ways. Now, more than ever, prescribers are under the microscope regarding selection of opioids and doses as well as clinic al documentation and appropriate action based on...