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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.
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A professor of physical medicine and rehabilitation discusses the treatment of neuropathic pain and what the primary care clinician should know and do. Addressing the whole patient via an interdisciplinary team is the key to better outcomes. Specific points on Fibromyalgia, CRPS, and Ketamine as...
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Recent guidelines from the CDC strongly urge a reduction in opioid prescribing in favor of a multidisciplinary approach for the treatment of chronic pain. Dr. Silverman discusses how frontline practitioners can contextualize this information to help patients achieve better functionality and quality...
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Integrative medicine is the culture change that the Institute of Medicine has called for in treating pain. Dr. Tick discusses its importance in contrast to today's disease management approach, and considers the special influence of nutrition on chronic pain. The quality and composition of our diet...
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Dr. Pryzbylkowski discusses regenerative medicine as an approach to tresptoration and repair of damaged tissue, and specifically focuses on platelet rich plasma and its role in interventional pain management.
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The pressures and challenges of managing patients with chronic pain are inciting some practitioners to opt out. Dr. Zacharoff considers some aspects of the professional landscape that are contributing to this condition, and why the "math" concerning pain patients and pain specialists makes it...
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In judging the outcome of a pain treatment plan, the patient has an important say. Good communication between patient and practitioner is thus an essential element of successful chronic pain management. Dr. Zacharoff discusses the barriers to effective communication, its contribution to patient...
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Healthcare provider burnout is notably common in clinicians engaged in pain management. What are the risk factors, and what can practitioners do to improve their resilience and improve quality of life--for themselves and their patients?