Pain-related conditions

APS/AAPM Clinical Guidelines for Chronic Opioid Therapy in Patients with Noncancer Pain

The basis for the long-term use of opioids in the treatment of cancer pain has been fairly well established. Alternatively, a variety of controversies and differences of opinion have surrounded the use of opioid therapy when treating chronic noncancer pain. Issues range from the scientific basis for efficacy, safe and appropriate use, to health care… Read more »

Fibromyalgia Syndrome

Fibromyalgia, short for what is actually fibromyalgia syndrome, is one of those diagnoses that can often present specific challenges to primary healthcare providers, as it is surrounded by a swirl of controversies; some legitimate, some founded in what many consider “old-fashioned thinking”. Admittedly, when the criteria for defining a medical condition is itself a source… Read more »

Opioid-Induced Constipation

Globally, it was estimated that a total of 365 million prescriptions were written for opioids in 2005, with 235 million of those written in the United States. A significant proportion of them were for the treatment of chronic pain. In the USA, 20% of prescriptions for opioid therapy were for over 30 days’ duration1. Today,… Read more »

Osteoarthritis Overview

Data from 2003-2005 from the National Health Interview Survey showed some impressive information about the prevalence or arthritis in the United States. Forty-six million American adults reported doctor-diagnosed arthritis, making arthritis one of the nation’s most common health problems. Not only is arthritis highly prevalent among U.S. adults, it is the leading cause of disability… 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 »

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 »

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 »

Herbal Remedies and Pain

Herbal remedies are medications made directly from the leaves, stems, roots and/or seeds of plants. They are also known as natural, complimentary, alternative, homeopathic and holistic medications or preparations. Herbal remedies have been used for thousands of years by all major cultures of the world. In fact the World Health Organization (WHO) reports that herbal… Read more »