Tag: chronic pain

Pain Medications: How Long is Too Long?

Revised by Kevin L. Zacharoff, MD December 2015 There are many different types of pain medications available to help healthcare providers treat patients with chronic pain. Depending on the specific medication, they can be obtained by prescription or are available over-the-counter (OTC). Pain medications provide an important component of most treatment plans intended to relieve… Read more »

A Systematic Approach to the Use of Opioids in the Treatment of Chronic Pain

Many clinicians may have reluctance to prescribe opioids for patients in pain outside of the most controlled of situations (i.e., when the patient is a hospital inpatient). This phenomenon is fairly well accepted by clinicians and patients, and is often the result of some combination of a variety of factors: – Clinicians who are not experts… Read more »

New Approaches to Combating Abuse of Opioids

Opioids play an important and omnipresent role in the treatment of moderate to severe acute and chronic pain. The fact of the matter is that in patients with acute pain, such as postoperative pain, opioids are utilized as the first-line treatment at least 98% of the time. Opioids are also recognized as the cornerstone of… Read more »

The Logic of Pain Management

The arbitration of pain, one of the human body’s natural defense mechanisms, and alleviation of patient suffering present an interesting clinical challenge for the clinician. There are few medical conditions where the input of the patient is as crucial to the desired outcome of therapy as that of the clinician. Indeed, most common ailments appropriately… 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 »