| Video
Patients can have control over various realms of their life, leading to less pain and improved quality of life. Dr. James Fricton explains the 7 realms and how they affect pain.
| Video
The legal landscape for prescribers of controlled medications for pain and addiction is fraught with risk. Attorney Michael Barnes outlines best practices for prescribing clinicians to protect their patients from harm and themselves from criminal and civil liability.
| Video
Morphine equivalent daily dose (MEDD) has been routinely used in clinical practice and as a research variable. Dr. Schatman discusses some of the ethical concerns attending the use of this flawed concept, for both clinical guidance and research validity.
| Video
Dr. Christo outlines some common procedures used for pain reduction, including a basic description, and the supporting evidence base. Also considered are patient presentations that may be most suited to one or another of these modalities.
| Video
Chronic pain can lead to inactivity, functional impairment, and reduced quality of life. Dr. Abaci discusses the complex central nervous system changes that can accompany chronic pain syndromes, and how exercise can mitigate these effects. While individual patient presentations differ, the core...
| Video
Concern over opioid abuse is amplifying interest in opioid induced hyperalgesia among governing bodies and payor organizations. Dr. Harden discusses the current state of the science surrounding OIH, including terminology, technology/methodology, and existing evidence. Additionally, he offers some...
| Video
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.
| Video
Public policy reaction to the opioid crisis has significant implications for practitioners and their patients with pain. Attorney Michael Barnes looks at the current federal and state-level regulatory picture, and at some benefits, drawbacks, and unintended consequences of regulatory response.
| Video
Postoperative acute pain is frequently undertreated and the consequences of suboptimal pain management are numerous. Dr. Argoff outlines some of these and the patients who are at risk, and discusses some better approaches to pain management, using both what is available today, and what may come from...
| Video
Dr. Fillingim discusses the evidence suggesting that changes in structure and function of the brain contribute to the pathophysiology of chronic pain. Drawing on a conceptual model of pain as on a continuum of peripheral and central contributors, the tailoring of brain vs body-focused treatment...