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The complex problems that opioid issues bring about are not easily solved. Jeremy A. Adler, MS, PA-C, of Pacific Pain Medicine Consultants, warns against looking for a single solution.
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Dr. Date works at a county hospital in San Mateo, California. Although interdisciplinary teams should be the way to go, sometimes a lack of resources, and people, come into play and change the dynamic.
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Dr. Date works at a county hospital in San Mateo, California, where opioids are just one of the tools in the pain management toolbox.
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Dr. Date works at a county hospital in San Mateo, California, where a lack of practitioners and the limited resources of patients contribute to the pain management difficulties in this setting.
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New insights have been gained in realizing the importance of the skin in assessing and treating people with chronic pain. Drs Rice and Albrecht discuss the role of the skin as a functional organ for neural and vascular system interaction, and of keratinocytes in the development of pain. The...
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Virtual reality (VR) has been in the treatment armamentarium for some decades, but the technology has been cost-prohibitive for many practitioners. Dr. Jones outlines some recent advances that are changing the cost/benefit landscape, and discusses recent clinical evidence for VR in pain management...
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In addition to other shortcomings, current prescribing guidelines are particularly ill-suited to the needs and challenges of patients already on opioid therapy. Drs. Heit and Gourlay discuss the roots of the problem and the role of primary care as talented amateurs in addiction medicine.
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A specialist in public policy and bioethics considers the conundrum of gaining insurance coverage for this cost-efficient but expensive paradigm change to prescribing decisions, as well as some of the ethical issues associated with the practice of pharmacogenomic testing.
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Dr. Cuevas-Trisan discusses the emerging role of botulinum toxins as chemical neuromodulators, and their application to the management of chronic intractable pain syndromes.
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Viscosupplementation, or the injection of a synthetic hyaluronic acid into the affected joint, is thought to improve the viscosity of synovial fluid, therely enhancing movement and reducing pain. Dr. Cuevas-Trisan discusses the approach, and FDA approved and non-approved indications.