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Guidelines for Methadone Safety

The American Pain Society has released guidelines on methadone safety, providing recommendations developed by a multidisciplinary expert panel. Clinical skills and knowledge on the safe use of methadone are imperative to mitigating potential risks.

AAPM 2015

New research was presented at AAPM 2015, the annual meeting of the American Academy of Pain Medicine, from March 19 to 22 in National Harbor, MD. The features below highlight some of the studies that emerged from the conference.…

Opioid-Induced Constipation in Cancer Patients

Patients with advanced cancer who experience opioid-induced constipation (OIC) often experience psychological distress and negative cognitions. Understanding the nature of this burden may improve how clinicians recognize and assess the problem and promote more intensive management strategies that address the distress OIC often produces.

“Doctor Shopping” After Orthopedic Trauma

Postoperative “doctor shopping” for narcotic providers appears to be common among orthopedic trauma patients. Surgeons are recommended to prescribe these potent drugs with great care and vigilance to minimize risks for abuse, dependence, and other adverse events.

Refining Neurosurgery Practices

The American Association of Neurological Surgeons and the Congress of Neurological Surgeons recently joined the American Board of Internal Medicine’s Choosing Wisely campaign with their own list of five practices to avoid in neurosurgery. “The purpose,” says Daniel K. Resnick, MD, “is to alert patients and physicians to common practices that may not be necessary or efficacious.”

The Recommendations

1) Do not administer steroids after severe traumatic brain injuries.…

New Options for Treating Opioid Addiction

The quest for improved outcomes in the treatment of opioid addiction is accelerating on several fronts. Buprenorphine is widely used for the treatment of opioid dependence. Studies have shown that it’s an effective means to reduce opioid cravings and help prevent withdrawal symptoms.…


Drug Wars in the Exam Room

"Though we should never deny appropriate medical treatment to a patient, this balancing act can be difficult, and we sometimes fail to differentiate between those in need from those selling a tale."

New Evidence-Based Guidelines: 4 Signs of Concussion

The first part of new evidence-based guidelines, published in the September 2014 issue of Neurosurgery, sought to identify which signs, symptoms, and neurologic and cognitive deficits have the highest and most consistent prevalence in samples of individuals sustaining a potentially concussive event.…

The Evolution of Medicine


Modern medicine has helped lead to a surge in average life expectancy, which was only about 36 in the late 1800s. With humans routinely living into their 100s, advances in medical science are to thank. Let’s take a journey through the history of medical advancements.…

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