Tag: pain treatment

Exercise and Acetaminophen: Tools for Your Patients’ Pain Treatment Toolbox

Despite all our good intentions to alleviate our patients’ chronic pain symptoms and improve their quality of life, there are many challenges in the way. We have limited time to interact with each individual, and frequently, insurance does not cover the ideal multidisciplinary approach. Adding to these obstacles is the significant increase in prescriptions medications… Read more »

Same Opioid, Same Patient Type, Same Response?

Empirical is typically defined1 as “originating in or based on observation or experience” (e.g., empirical data), “relying on experience or observation alone often without due regard for system and theory” (e.g., an empirical basis for a theory), or “capable of being verified or disproved by observation or experiment” (e.g., empirical laws). It is quite common for… Read more »

The Beers Criteria

Census data shows that the average number of people in the United States turning 65 each day is approximately 10,000. More people will turn 65 every day for the next 20 years, making this one of the fastest growing segments of the U.S. population. It is reasonable to think that the number of people seeking medical attention for pain-related… 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 »

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 »

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 »

When a Patient Appears Intoxicated or Somnolent: Difficult Conversations, Part VII

This is the seventh 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 #7: A patient appears to be intoxicated… 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 »