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The cost of treating chronic pain now exceeds $500 billion annually, and conventional approaches deliver more failures than successes. Dr. Kaplan discusses why our failure is rooted in a misunderstanding of the problem, and asserts that the comorbidities of pain and depression are, in actuality...
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In this segment, a former law enforcement professional and credentialed pharmacist considers the world of illicit pharmaceutical trafficking from the juncture of prescribers, investigators, and the legal system. What is happening, and how can the professions coordinate in response?
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Treating Chronic pain often reveals misalignments between patients and healthcare providers, including incongruity of expectations over what constitutes success. Dr. Zacharoff considers why and how the mismatch may arise, and how it might be minimized or avoided.
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A number of validated risk assessment tools are available to the prescribing clinician, and their use is increasingly important in the current environment for opioid therapy. A clinical psychologist and Certified Pain Educator summarizes what the frontline practitioner should know about the pros and...
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Counterfeit medications are a cause of decreased wellness, increased morbidity, and even death. An anesthesiologist and interventional pain physician reviews the origin of counterfeit medications, describes some anti-counterfeiting technologies and considers prescriber responsibilities in reducing...
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Dr. Jay recounts the case of a patient in pain whose examination was pathophysiologically normal in all respects. Where should the clinician look for clues? Successful treatment may depend on connecting the seemingly unrelated facts.
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Dr. Jay discusses the clinical aspects of concussion, postconcussion syndrome, and minor traumatic brain injury. What should the frontline practitioner know about the pathophysiology, and about available options for treatment?
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Doctors Gourlay and Heit, specialists in the arena of pain and addition, explore some of the more common issues confronting the primary care clinician in the management of long-term opioid prescribing. The focus is on the challenges of the inherited patient. In part 2, we consider the issue of...
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Doctors Gourlay and Heit, specialists in the arena of pain and addition, explore some of the more common issues confronting the primary care clinician in the management of long-term opioid prescribing. The focus is on the challenges of the inherited patient.
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Patients with pain often report feeling discounted by health care providers, family, coworkers and caregivers. Dr. Geraghty comments on the etiquette of successful patient communication so that patients feel validated and better treatment outcomes are achieved.