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Physical scars have a systemic influence on chronic pain, including postsurgical, back, shoulder, and neuropathic pain. They can initiate and maintain stress on the nervous system, adversely affecting patient quality of life. Kelley Armstrong introduces the concept of scar release therapy and its...
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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 clinical documentation and appropriate action based on...
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Frank Ferris, MD, executive director of palliative medicine, research and education at Ohio Health, outlines how the tools of palliative care can advance the cause of managing pain associated with advanced illness.
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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…