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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. 

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Topical opioids can provide rapid pain reduction without reported adverse effects or tolerance. A physician and a pharmacist review the current evidence supporting topical opioid administration for pain, and discuss the logistics of adding compounded solutions to the clinician' s practice. 

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Almost every pain practice has now encountered a case of this once-considered rare condition. The underlying cause is neuroinflammation of the nerve roots of the cauda equina. Dr. Tennant outlines what practitioners should know about causes, symptoms, MRI findings, and the clinical protocol for...

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Chronic pain can centralize in the spinal cord and brain, resulting in constant neuropathic pain. The mechanism of this development is microglial activation and neuroinflammation. Dr. Tennant discusses the condition and keys to successful treatment.

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