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Dr. Ziegler comments on the importance of documenting best practice compliance in today's environment of intense scrutiny and litigiousness. There are steps that clinicians can take today, and ways that they can influence the future of regulation and reimbursement.
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Patients with serious, advanced illness often present with chronic pain that is outside the scope of usual practice. Frank Ferris, MD, brings his experience as a palliative care practitioner to the task of "thinking outside the box" to successfully treat the difficult pain syndromes that can...
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A number of regulatory agencies are now "sitting at the pain management table" with the ability to impact clinical decisions regarding pain care. It is critical that the practitioner is able to navigate the waters without sacrificing the primary stakeholder: the patient. Dr. Zacharoff weighs in...
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Naloxone received FDA approval for the treatment of opioid overdose in 1971. Only recently has its use at the community level become more commonplace. Dr. Zacharoff looks at naloxone's role in improving the safety and efficacy of opioid analgesics, and in arresting the surge in unintended opioid...
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Dr. Getson specializes in the treatment of patients with complex regional pain syndrome. In this segment, he discusses what we know (and don't) about the condition, outlines points and tools of diagnosis, and offers detail on the elements of successful multimodal treatment. Early recognition is the...
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In the area of accepted standards of prescribing practice, do you know what law enforcement is looking for? Dr. Gonzalez offers pointers from his "Pain practice checkup" presented at PAINWeek 2017. Good information to keep you in the know!
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With opioids in the penalty box, and no new molecule on the horizon, what is "plan B" for primary care in the treatment of chronic pain? Dr. Stacey offers perspective, as a pain practitioner.
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Dr. Stacey reviews the key guidelines for treating migraine and neuropathic pain and evaluates their strengths and weaknesses in providing direction for clinical decision making.
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Until recently there has been scant evidence on which to base treatment for complex regional pain syndrome (CRPS), leaving an empirical approach as the required alternative. Dr. Harden discusses what may be changing in that landscape, where the evidence gaps still exist, and where providers should...
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With advancing age, the risk for comorbid sleep disturbance and chronic pain has been shown to increase. Where opioids are prescribed for pain, impairments to sleep can worsen. But the use of benzodiazepines for better sleep is contraindicated in combination with opioids. What to do? Dr. Raffa...