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Problems related to prescription painkillers and heroin lead the news almost every night. Tens of thousands of Americans die every year from unintentionally overdosing on these drugs. Why do we have this problem? Dr. Gonzalez and Mr. Fazio assess the drug problem in the United States, and discuss...
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Pelvic peripheral neuralgias may be a cause of pain in 6% of women with chronic pelvic pain. This type of pain is neuropathic and typically follows the distribution of specific peripheral nerves. Common causes of neuropathic pain include trauma and visceral pathology, and the diagnosis can be...
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Individuals who suffer from chronic pain often present with significant medical and psychiatric comorbidities that can exacerbate the pain experience and contribute to a further erosion of quality of life and disability. Suicide is a serious side effect of chronic pain.
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Senior faculty member Michael Clark offers insight and guidance on engagement of the psychiatrist on the pain management team. There is much that the psychiatric perspective can contribute, from the specifics of medication management to the broader landscape of understanding pain in the context of...
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Spinal bracing is an effective alternative for relieving pain and providing a better quality of life for the elderly and may reduce the need for opioids. Dr. Winifred Bragg discusses spinal bracing safety, efficacy, and pain relieving capabilities. Bracing can and should help reduce the need for...
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Current practice in the outpatient setting tends to utilize pain psychology and movement based interventions such as exercise, physical therapy, or yoga as adjuncts to care, and are often delivered separately to the patient. Healthcare providers are aware of the benefits of psychological therapies...
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Dr. Jay discusses an emerging class of medications that represents a paradigm shift in the treatment of migraine: CGRP receptor antagonists. But there’s more to managing migraine than just the medication…
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Evidence suggests that multimodal treatment approaches that focus on biopsychosocial factors achieve the best outcomes for patients with chronic pain. Dr. Adkinson shares some best practices and possible pitfalls related to engagement of this team based integrative pain care.
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Dr. Argoff reviews small fiber neuropathy and outlines some recent advances in our understanding of the pathophysiology. Pointers for diagnosis and options for treatment are also provided.
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It is now recognized that the phenotypic features of centralized pain exist in many common pain conditions. The 2011 Survey Criteria for Fibromyalgia can be used as a surrogate of centralized pain to detect patients with fibromyalgia-like or centralized pain characteristics. Patients with higher...