Year: 2011

Reports of Lost or Stolen Medications: Difficult Conversations, Part IV

This is the fourth article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #4: A patient reports their pain medication… Read more »

Reducing Reliance on Pharmacologic Treatment: Difficult Conversations, Part III

This is the first article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #3: Finding a better way to communicate… Read more »

Definitions related to aberrant drug-related behavior: Is there correct terminology?

Reviewed February 2014 Man is the only critter who feels the need to label things as flowers or weeds. ~Author Unknown Words can be powerful, and sometimes their meaning may be misinterpreted based on how they are used. One person may think that words are being used inaccurately and as a form of ‘labeling’, while… Read more »

Osteoarthritis and Physical Activity – Are Patients Doing Their Part?

Osteoarthritis (OA) is a common condition whose prevalence increases with age. Although there is currently no “cure” for OA, treatment often focuses on pain control and maintenance of joint function. The hallmarks of joint function maintenance are weight loss (if appropriate), assistive devices (e.g., walker, cane), and therapeutic exercise. Therapeutic exercise regimens for OA typically… Read more »

Problematic Behavior: Difficult Conversations, Part II

This is the second article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #2: A patient’s behavior becomes increasingly irritable,… Read more »

Primary Care Providers and Prescription Pain Medication: Difficult Conversations, Part I

This is the first article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #1: The patient’s complaints about pain are… Read more »

Introduction to Complex Regional Pain Syndrome (CRPS)

Complex regional pain syndrome (CRPS) is a neuropathic pain condition that can often be challenging to diagnose and even more challenging to treat. It is a condition in which the patient feels a response to an injury-producing painful experience over and over again, at the same level of acuity as if the painful event had… Read more »

Opioid REMS Becomes a Reality

When PainEDU.org last covered the topic of the Food and Drug Administration (FDA’s) intended plans for curbing opioid risk, we felt confident one thing was for sure – that education would likely be a key ingredient in the ultimate implemented solution. On Tuesday, April 19th, 2011, a press conference was held to announce the White House’s National Prescription… Read more »

Recommendations for Acetaminophen

Acetaminophen is one of the most commonly used over-the-counter (OTC) medications in the United States. It is strictly classified as a centrally acting analgesic and antipyretic agent, is a common treatment of mild to moderate pain, and is often a recommended first-line of analgesic therapy. Acetaminophen is sometimes combined with opioid medications (e.g. codeine, hydrocodone,… Read more »

Update on Postherpetic Neuralgia

Approximately 1 million cases of herpes zoster, or shingles, occur each year in the United States. Lifetime risk of this common condition is estimated to be close to 30% or higher, with age-adjusted, sex-specific rates higher in women than in men (3.9 vs. 3.2 per 1000 person-years, respectively).1 Pain is the most common symptom associated… Read more »