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Pain

Getting Third Parties Out Of The Exam Room

Aug 12, 2014

Any physician, especially primary care physicians, can tell you that they are frequently forced to make a decision based on a third party’s opinion. Most often, this will be an insurance company den...

Optimizing Migraine Care

Jul 31, 2014

The American Headache Society (AHS) recently joined the Choosing Wisely initiative of the American Board of Internal Medicine in an effort to draw attention to tests and procedures that are associated...

New Evidence-Based Guidelines: 4 Signs of Concussion

Jul 22, 2014

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...

A Look at Opioid Use During Pregnancy

Jul 10, 2014

According to NIH data, prescriptions for opioids have increased dramatically in the general population, rising by more than 200 million between 1991 and 2009. In 2014, the American Society of Anesthes...

Trends In The Top Killers

Jun 24, 2014

The CDC recently released data on the most common causes of death in the United States in 2010. ...

Relieving Pain in Colorectal Surgery

May 06, 2014

Researchers have developed enhanced recovery pathways (ERP) to improve outcomes and reduce readmissions in colorectal surgery patients. “ERP protocols use a set of standardized pre- and postoperativ...

Identifying Predictors of Osteoarthritis

Apr 30, 2014

Osteoarthritis (OA) is a significant health problem, with studies suggesting that the condition affects up to 10% of men and 18% of women over the age of 60. Previous research has suggested that some ...

The Evolution of Medicine

Apr 04, 2014

Source: BestMedicalDegrees.com 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, adva...

NSAIDs: Striving for Judicious Use

Mar 27, 2014

Every winter when cold and flu season hits, millions of people take non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen to ease the aches and pains associated with being sick. I...

Examining Physician Rx Drug Abuse

Mar 27, 2014

Substance use is one of the most frequent causes of impairment among physicians, and some reports estimate that 10% to 15% of doctors will have a substance use disorder in their lifetime. “Substance...

AAOS 2014: Can Allergies Explain Postoperative Joint Replacement Pain?

Mar 17, 2014

The Particulars: Previous research has found that joint replacements can sometimes end in implant failure that is due to factors other than infection or apparent biomechanical issues. It is possible t...

AAOS 2014: Gastric Bypass Improves Knee Pain & Function

Mar 17, 2014

The Particulars: Elevated BMI has been linked to symptomatic knee osteoarthritis (OA) in previous studies. Data are lacking on the impact of weight loss following gastric bypass surgery (GBS) on knee ...

AAOS 2014: Postoperative “Doctor Shopping” & Narcotic Use in Orthopedic Patients

Mar 17, 2014

The Particulars: Recent studies have shown that prescription drug abuse is on the rise throughout the United States. With this phenomenon has come a rise in “doctor shopping,” the practice of visi...

Managing Painful Diabetic Neuropathy

Feb 21, 2014

Diabetic peripheral neuropathy (DPN) is one of the most common complications associated with diabetes. Recent esti­mates show that DPN affects approximately 50% of people with diabetes in the United ...

Managing Fibromyalgia and Comorbid Depression

Jan 13, 2014

About 50% to 70% of fibromyalgia patients have a lifetime history of depression, many of whom take antidepressants to treat their depression. A common clinical question has been how to manage fibromya...

Managing Pain in Patients With IBD

Dec 23, 2013

Among patients with inflammatory bowel disease (IBD), abdominal pain is a common and frustrating symptom with multifaceted pathophysiology and can be associated with significant emotional suffering, d...

Opioid Backlash Threatens Sickle Cell Care

Dec 19, 2013

The well-meaning push to curb opioid prescribing could worsen healthcare for sickle cell patients. Clinicians tend to undertreat the substantial pain experienced by many sickle cell patients and treat...

Guidelines for Managing Gout

Nov 26, 2013

The incidence of physician-diagnosed gout has risen over the past 20 years and now affects about 8.3 million adults in the United States. Uric acid excess has been identified as the key contributor to...

Is Pain Really The 5th Vital Sign?

Oct 28, 2013

This has been bothering me for many years. No, pain is not the 5th vital sign. It's not a sign at all. Vital signs are the following: heart rate; blood pressure; respiratory rate; temperature. W...

ACEP 13: Automated Pain Tracker Ups Analgesia Use

Oct 17, 2013

The Particulars: Data indicate that pain is one of the leading complaints among ED patients. Patient satisfaction has been shown to improve when greater attention is given to pain assessment. The Auto...