As US citizens continue to adjust to the changing political landscape, many in the medical field are wondering whether now may be the right time for medical malpractice reform.
Vestibular rehabilitation was found to ameliorate headache, dizziness, and psychological factors in patients with vestibular migraine or a combination of tension-type headache and dizziness.
Congress will now be addressing the problem of antibiotic resistance with a bill introduced to the US House of Representatives on March 30, 2017.
This article discusses the most prevalent risk factors, as well as the clinical signs and symptoms, associated with RA.
The estimated overall prevalence of migraine is 18% in women and 6% in men, and the rate is as high as 37% among women during the reproductive years.
The challenges to providing optimal levels of healthcare for people using Medicaid systems are many-fold.
Knowing when to make a referral and when to look more carefully into a patient's problems on your own is difficult. However, it is important to consider all options when diagnosing a patient.
A number of shortcomings are associated with systematic reviews and meta-analyses of postoperative care.
Once a poorly understood and heavily debated disease within cardiovascular medicine, thoracic outlet syndrome has recently been recognized as a more common syndrome than previously thought.
A 44-year-old man presents to his local urgent care clinic for chest pain radiating up into his neck. He states that the pain started 5 hours ago and is gradually getting worse.
Under the law, hospitals with EDs must provide for "an appropriate medical screening examination within the capability of the hospital's ED" to determine if an emergency medical condition exists.
One of the more exciting potential uses of frankincense is in the treatment of cancer.
The Office for Civil Rights in the US Department of Health and Human Services has progressively increased fines for health care providers who experience HIPAA breaches.
The wide range of etiologies underlying neuropathic pain render it a particularly challenging condition to manage.
Increasingly, the scientific community is coming to realize the invaluable role that negative outcomes play in the understanding of medicine as a whole.
New methods of obtaining consent are offering options that can bridge the geographic distances between researcher and participant, while making study information more easily accessible.
The American Diabetes Association released an updated position statement on the prevention, detection, and management of diabetic neuropathies.
A challenge facing clinicians regarding the diagnosis of small fiber neuropathies lies in the scarcity of objective biomarkers.
On February 7, 2017, CNN hosted an interesting debate between Bernie Sanders, Independent senator of Vermont, and Ted Cruz, Republican senator from Texas, regarding the future of the Affordable Care Act.
The American Society of Interventional Pain Physicians (ASIPP) has issued updated opioid prescribing guidelines for the management of patients with chronic, non-cancer pain.
The cause of the RA-CVD link is unclear, although viral infection has been implicated in some studies.
The large number of recalls of medical devices has pointed to a need for more active monitoring of product performance from the standpoints of both safety and efficacy.
Omega-3 fatty acids reduce the production of pro-inflammatory cytokines.
The FDA released guidance to establish standards for communications about products.
Novel psychosocial therapies such as cognitive behavioral therapy that have been effective in adults with fibromyalgia need additional neuromuscular fitness training to overcome catastrophizing and fear of exercise in adolescents.
Despite the clear role of culture in suicidal behavior, it is often neglected by clinicians.
Female athletes at higher risk for concussion and worse related outcomes than male athletes.
Polymorphism at the level of drug receptors, transporters, or other proteins involved in drug metabolism or action may have an impact on the effect of a drug.
Patient advocacy organizations serve a number of valuable functions, including funding research, guiding treatment protocols, influencing legislation, and educating patients.
Dr Krant discussed some of the issues facing patients with RA.
In January 2017, the National Academies of Sciences, Engineering, and Medicine released a report titled "The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendation for Research."
Although the underlying pathophysiology of homeostasis-related headaches is not yet clearly defined, the nervous and endocrine systems are thought to be involved through the maintenance of homeostasis.
Healthcare education lacks the fundamentals required to properly address sexual health, leaving providers poorly prepared to support patients.
Healthcare providers are increasingly offering patients access to their own electronic health records via online portals.
Vagus nerve stimulation inhibits cytokine production and reduces inflammation, and may be effective for a subset of RA patients.
The Polyanalgesic Consensus Conference updated guidelines regarding the treatment of pain via intrathecal therapy.
HIPAA clearly states providers should have business associate agreements with vendors that receive, maintain, or transmit protected health information.
A recent article outlined a 10-step program to assist clinicians in diagnosing and treating chronic daily headache.
"The main changes needed in medical education are primarily structural with pass/fail grading and reduction in class time and amount of information being taught."
Joining an Independent Physician Association or an Accountable Care Organization to facilitate data collection, reporting, and coordination of care.
In a recent issue of JAMA focused on medical education, researchers and physicians explore what's working and what's not in medical education.
From tracking growth to scanning X-rays to reviewing pathology slides, to estimating gestational age from an ultrasound to interpreting whole genome sequences for variants with clinical impact, AIM is going to change the value proposition of clinicians.
The ACA is likely to be partially or fully repealed, though it is uncertain how physician practices and the benefits of the 20 million newly-insured will be affected.
Compassion directed to self is gaining acceptance as a potential therapeutic modality to complement existing treatment options for chronic pain.
The opportunity exists to radically change the way medicine approaches TBI.
Symptoms of diabetic peripheral neuropathy include lower-extremity weakness, in addition to tingling, pain and burning.
Telerheumatology can improve healthcare access, patient outcomes, and costs
Researchers have found that the main mechanism of action of clove oil is on cell membrane damage.
Recent studies show that THC consumption affects the dopamine system.
Dr Katz formulated 10 recommendations for the FDA, 3 of which he detailed during his presentation.
While many studies have elucidated some of the intricacies of the chronic pain experience, the definition of pain has not adapted to current knowledge.
In the new guidelines, the authors aimed to examine the available data to clarify which pharmacologic and non-pharmacologic treatments are safe and effective for RLS.
Pain relief through distraction suggests that pain experience can be modified, and highlights the influence cognitive processes have on pain perception.
Drug development faces 2 major issues: pre-clinical animal efficacy studies do not accurately predict human efficacy, and clinical trials often wrongly fail to show drug efficacy.
Basic research has made vital contributions to all aspects of medical care, including our understanding of pain pathophysiology.
Non-medication approaches such as biofeedback and cognitive behavioral therapy may be helpful adjunct therapies and may help with more long-term coping strategies.
Improved classification of chronic pain offers the opportunity to more effectively blend psychological intervention with a biomedical approach to manage chronic pain.
"To understand pain, we need to understand the interaction between the immune, endocrine and nervous systems."
The greater interconnection of biobanks and researchers leads not only to enhanced statistical power, but to greater genetic diversity, expanding the number of people affected by this grand project.
Even slight reductions in body weight can improve pain and mobility in patients with arthritis.
A Pain-Related Beliefs and Attitudes about Sleep scale assesses attitudes about sleep among individuals with chronic pain.
We explore 5 technologies recently developed to manage pain.
Fear avoidance has been implicated in the transition from acute to chronic pain. In this model, conditioning contributes to the perpetuation of pain, and it is thought that disruption of conditioning would lead to the path of recovery.
"I believe that the best care is individualized care. And the most effective approach is sometimes whatever the patient will actually do," concluded Melanie Storrusten, LCSW.
Dr Bushnell suggests practicing yoga, as long-term yogis have higher pain tolerance and increased gray matter—including in pain-modulating brain areas—compared with that of non-practitioners.
Spinal cord stimulation, neurotechnology, acupuncture, neurostimulation: all effective in treating migraine, headaches.
Understanding pain mechanisms for targeted treatments.
A study suggests that female physicians do not use as many codes as their male counterparts, resulting in a reimbursement gap.
The lack of evidence base for treating chronic pain with neurostimulation resulted in the development of guideline recommendations based on systematic review and meta-analysis of published studies.
Rheumatology Advisor speaks with Erin Michos, MD, cardiologist at Johns Hopkins School of Medicine, and Eric Matteson, MD, rheumatologist at Mayo Clinic, about refining cardiovascular risk assessment in patients with rheumatoid arthritis.
In the past decade, brain imaging studies have shed light on the neural correlates of pain perception and pain modulation, and recently have also begun to clarify the neural mechanisms that underlie different pain sensations. New developments in functional, structural and neurochemical imaging have advanced understanding of chronic pain, and may help predict individuals with acute pain who are likely to progress to chronic pain.
"The clinician's role is to understand the nature, magnitude, intensity, and frequency of that pain."
An emerging clinical strategy for personalized pain management.
A high proportion of individuals with IBS have comorbid anxiety and depression affecting the HPA axis and microbiota.
Preservation of motion in the cervical spine
Common brain regions activated during meditation and pain
Assessing epidemiologic and genetic factors among individuals with positive family history of RA may identify those suitable for RA prevention strategies
New guideline addresses cancer-related chronic pain
Practices should review the list of 18 identifiers and remove each item before sharing data.
Mu-Opioid Analgesic in Phase III Offers Hope for the Management of Chronic Pain Without Addictive Side Effects
Slowing entry through the blood-brain barrier
Results from studies evaluating various pain modalities indicate alterations within and between resting state functional networks.
Intrathecal therapy represents a valuable option for many patients with severe, refractory chronic pain.
Advising patients on strains, explaining limitations
Importance of finding ways to mitigate chronic opioid use after surgery.
Often, family and friends cannot appreciate the depth of pain and suffering that depression can cause.
Implementation of the Narcotic Safety Initiative has been successful in California one year after its launching.
Dermatologists are in a key position to screen for psoriatic arthritis (PsA), as the overlapping and variable symptoms of the disease require multidisciplinary care.
Of the patients in the trial, 5 developed serious adverse effects, including pain.
Studies describing novel treatment avenues and/or complementary and alternative medicines for the treatment of pain in Parkinson's disease.
The Identification of Pain in Mood Disorders: Toward Improving Comorbid Diagnoses and Treatment Outcomes
Studies examining the identification and use of screening tools for mental illness in chronic pain
A team approach is essential for adequate management of scleroderma-related pain.
New guidelines for treatment of migraine in the ED seek to reduce opioid prescription.
VA studies highlighting each of the chapters of the National Pain Strategy
Cognitive behavioral therapy, expressive writing, mindfulness, problem-solving: some of the complementary treatment options for RA chronic pain management,
Addressing chronic pain in veterans
Interventional Treatment Options for Cancer Pain
Cross-disciplinary collaborations for chronic pain
Clinical Pain Advisor Articles
- Transcranial Random Noise Stimulation Effective on Multiple Fibromyalgia-Associated Symptoms
- Comparing Dry Needling, Cortisone for Greater Trochanteric Pain Syndrome
- Vestibular Rehabilitation an Effective Treatment for Vestibular Migraine
- Secondary Hyperalgesia Mediated by Nociceptive and Other Sensory Pathways
- Naloxone: Policies and Access