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A pain medicine nurse practitioner looks at the emergence of advanced practice providers as key members of the multidisciplinary team. She also discusses the pros and cons of HCAHPS as a measure of patient satisfaction in the acute care setting
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An experienced pain management nurse practitioner brings some succinct observations on the proper role of electronic health recordkeeping and opioid risk evaluation to guide in coprescription of naloxone.
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It is estimated that the incidence of Arachnoiditis has increased by some 400% in the last decade. Dr. Tennant outlines what primary care clinicians should know about the causes, symptoms, and MRI indications of the condition, and describes a clinical protocol for treatment.
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Chronic pain may centralize in the brain and spinal cord, leading to constant neuropathic pain. Dr. Tennant discusses the mechanism of development, available diagnostic tools, and s why under recognition of neuroinflammation is one of our major problems in pain management.
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Drs. Hah and Prasad review the current evidence on long-term opioid therapy for chronic non-cancer pain, and discuss some approaches to achieving a successful transition to pain management without opioids.
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Women with chronic pelvic pain frequently endure long delays in referral to appropriate specialties for diagnosis and care. In this segment, a pain medicine psychologist and a pain medicine specialist outline what primary care should know about the epidemiology, risk factors and etiology of various...
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Opioid induced respiratory depression is associated with over 16,000 deaths in the US each year, and the risks of opioid therapy are not fully understood by many prescribers. Dr. Fudin reviews some of the unanticipated concerns, with a focus on assessing and managing risk for respiratory depression...
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The pathophysiology of vulvar pain is poorly understood, with the result that less than 2% of affected women are properly diagnosed and treated. The diversity of patient characteristics additionally confounds evaluation and effective treatment. This segment offers guidance on incorporating...
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Dysmenorrhea, or chronic menstrual pain, is the most common gynecological pain condition, affecting from 45% to 95% of menstruating women. But because it is commonly considered a normal aspect of the menstrual cycle, it is often undertreated. Dr. Lamvu considers the consequences of this...
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Dr. Stanos reviews the development of evidence based medicine and offers some pointers to primary practitioners on how to intelligently assess guidelines and clinical trials. Critical evaluation can help clinicians become better users of clinical and research information.