Latest Features & Opinion

The Unintended Consequences of the CDC ...

The guideline formulated by the Centers for Disease Control and Prevention in an effort to curb opioid overdose-related deaths included a recommendation for steep reductions in opioid doses for patients taking high doses of the drug for chronic pain.

Popular Heroin Inhalation Method Tied to ...

"Chasing the dragon" is an increasingly popular method of heroin inhalation among drug users.

Managing Comorbid Opioid and Alcohol Use ...

When alcohol and opioid addiction occur together, managing them concomitantly becomes challenging. Whereas some patients may not need medication for alcohol addiction, opioid abuse does require pharmacotherapy.

Detox vs Medication-Assisted Treatment for Opioid ...

Based on current evidence, there is a strong consensus that medication-assisted treatment is recommended over detoxification in the treatment of opioid use disorder during pregnancy.

Comorbid Bipolar Disorder and Substance Abuse: ...

Bipolar disorder is often comorbid with substance use disorders, with alcohol being the top substance. Clinicians should take a thorough history to uncover substance use disorder because it will guide the management of both disorders.

Descriptive, Predictive Data at Odds in ...

Because they're busy looking in different directions, "innocent until proven guilty" and "first, do no harm" don't always get along.

Pediatric Migraine and Obesity: What We ...

Data in children do support an association between pediatric obesity and headache disorders in general, but more research is needed to confirm the association specifically with pediatric migraine.

Striking a Balance Between Opioid Surveillance ...

Big data has enabled public health authorities to identify doctor-shopping patients and those who needed treatment for opioid abuse. The trade-off, however, could be patient and provider privacy.
Chronic Pain

Pediatric Chronic Musculoskeletal Pain: Diagnosis and Management

Pediatric Chronic Musculoskeletal Pain: Diagnosis and Management

Chronic, noninflammatory pain in children and adolescents encompasses a wide range of pain syndromes. Clinicians need to consider not only the physical manifestations of pain but also the psychosocial and academic impact of the child's pain and impairment.

Migraine & Headache

Persistent Poststroke Headache: Finding Its Place in Stroke Aftercare

Persistent Poststroke Headache: Finding Its Place in Stroke Aftercare

The continued observation of this delayed headache syndrome may point to a different pathophysiology from tension-type headache or acute poststroke headache.

Opioid Addiction

Perioperative Pain Management in Patients With Opioid Use Disorder

Perioperative Pain Management in Patients With Opioid Use Disorder

The perioperative management of pain in patients with opioid use disorders presents multiple challenges to clinicians. A recent review offered clinical guidance for various subgroups of these individuals.

Chronic Pain

The Role of Psychological Factors in Phantom Limb Pain Reviewed

The Role of Psychological Factors in Phantom Limb Pain Reviewed

Up to 85% of amputees experience phantom limb pain: sensations in the missing limb that patients may describe as burning, cramping, tingling, itching, stabbing, throbbing, or a feeling of "pins and needles."

Opioid Addiction

Abuse-Deterrent Opioid Formulations: Barriers to Broader Use

Abuse-Deterrent Opioid Formulations: Barriers to Broader Use

Abuse-deterrent opioid formulations have not yet been widely accepted despite their proposed value in reducing opioid abuse and related mortality. Many of the current barriers to broader use are related to their higher cost compared with conventional formulations.

Opioid Addiction

Striking a Balance Between Opioid Surveillance and Patient Privacy

Striking a Balance Between Opioid Surveillance and Patient Privacy

Big data has enabled public health authorities to identify doctor-shopping patients and those who needed treatment for opioid abuse. The trade-off, however, could be patient and provider privacy.

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