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Chronic pain patients who fail standard treatments represent a growing problem, and a dilemma for health care providers. A pain specialist and senior PAINWeek faculty member discusses what we know about treatment failure, and outlines some elements of a successful treatment approach.
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Osteoarthritic conditions and resultant pain are common in most clinicians’ practice. Dr. Stanos discusses the role of central sensitization in pain causation, and the benefits and risks associated with various pharmacological treatment options.
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Fibromyalgia remains a challenge to diagnose and to treat. Dr. Stanos discusses some of the complexities of the condition, and some recent insights into etiology. Options for primary care intervention are also considered.
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The existence of opioid induced hyperalgesia as a side effect of chronic opioid therapy has been debated. A pain specialist offers his perspective on its reality and manifestations, and what the primary care clinician can do in response.
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As mobile technology has become more ubiquitous and widely used by all age groups, its potential for pain management has become more apparent. Dr. Reid reviews the current landscape for devices and apps, and considers some challenges to the adoption of mHealth technologies by older populations.
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Dr. Reid reviews some of the age-related complications of geriatric pain management, and discusses the safety and efficacy of both pharmacologic and alternative treatment modalities. The value of collaborative models of care delivery for this patient group is also considered.
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Why is complex regional pain syndrome a frustrating and challenging patient presentation? This segment outlines some of the reasons, and offers some pointers on diagnosis and treatment.
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The available research provides scant evidence in support of medication or interventional procedures for reducing pain associated with functional impairment. Dr. Pohl outlines the elements of a more comprehensive treatment approach that engages nonpharmacologic modalities.
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EPCS—electronic prescribing of controlled substances—offers the prospect of enhanced prescribing efficiency and improved patient safety. In this segment, Dr. Kelly outlines some DEA requirements that providers must meet to take advantage of this prescribing advance.
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A geriatric psychiatrist discussed the epidemiology and screening process for these frequently comorbid conditions, and why considering these chronic conditions as linked may improve treatment outcomes in older patients.