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Dr. Pryzbylkowski reviews some alternatives to opioids for pain management at different points in the surgical spectrum that can promote improved patient outcomes and mitigate the risk of adverse effects from long term opioids.
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Dr. Pryzbylkowski outlines some key points on the engagement of toxicology screening in the practice, both for pain management and other fields of medicine. Documenting medical necessity will help you stay on the right side of reimbursing entities.
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A culture of "neuromysticism" has arisen around medical marijuana, breeding confusion for patients and clinicians alike. The dearth of quality research on safety and efficacy is a significant contributor to the situation. Dr. Schatman talks about what we know, what we don't, and where cannabinoids...
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In this discussion, senior faculty members Heit and Gourlay reflect on some of the challenges resulting from the recent "decade of pain". Both the overuse of opioids and the solutions that have been proposed in response have led to changes in how we diagnose and treat this patient population...
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Too often, prescribers are the last to learn of an overdose event and worse, fail to take action once notified. Attorney Bolen outlines policies and protocols that practitioners can implement to proactively signal their intent to get things right when they go wrong.
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Emerging research shows that chronic pain produces a substantial biological burden, including cellular aging and systemic biological wear and tear. But the body also possesses resilience factors, and bolstering these may prevent or reverse the burden of pain. Drs. Bartley and Sibille explore in this...
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Emerging research shows that chronic pain produces a substantial biological burden, including cellular aging and systemic biological wear and tear. But the body also possesses resilience factors, and bolstering these may prevent or reverse the burden of pain. Drs. Bartley and Sibille explore in this...
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An increasing body of evidence points to the importance of the endocannabinoid system as a modulator of many physiological processes. Dr. Abrams outlines what primary care should know, and how it relates to the role of medical cannabis in pain management.
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Pain assessment and monitoring programs are getting a boost from technology, and there has been a rise in interest from both consumers and healthcare providers in using eHealth approaches to effect lifestyle changes that can advance pain management. Dr. Butler discusses the present state of the art...
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Drs. Hall and Aljassem address the complex pharmacokinetic profile of methadone, recommending that clinicians be knowledgeable in the interpatient variabilities of the medication, and aware of the limitations of the data concerning its use for managing severe or refractory pain.