The lack of a standard definition for disease flare made recognizing them complicated, but it's now easier thanks to a new and effective identification tool from OMERACT.
A closer look into how the danger of malware and viruses, and how you can best prevent such an attack.
Rates of opioid misuse and related overdoses have soared in recent years in the United States, highlighting the importance of screening tools to identify patients at high risk for adverse events from opioid use.
The risk for death associated with SLE remains high for patients with SLE-associated PAH and researchers have identified the biomarkers that may lead to early detection.
Patients with RA have a significantly higher risk of cardiovascular disease, and cardiac magnetic resonance can help with early diagnosis.
Primary care physicians can face many challenges in diagnosing conversion disorder; Dr Patricia Tsui sheds light on diagnosis and management in the primary care setting.
Healthcare is shifting to a value-based system that evaluates outcomes and cost, promising to provide a sustainable healthcare cost reform.
If flu vaccines were mandatory for all school-age children, the savings on direct healthcare costs alone would easily reach into the tens of millions.
The NP failed to provide standard care.
The design of buildings has been departing further and further from the rule of nature; more and more stripes appear decade by decade, making the buildings less and less comfortable to look at.
Passage of the Consolidated Appropriations Act and of the AHCA leaves large holes in the funding of the proposed national approach to infectious disease control.
A 66-year-old woman with a history of sarcoidosis and hypertension presents to the ED for 4 days with right-sided abdominal pain, vomiting, fever, and mild diarrhea without blood.
If the employer's plan is deemed unaffordable, families and individuals now have the ability to purchase insurance at a lower cost through the ACA marketplace.
While migraine is often triggered by environmental factors such as stress, impaired sleep, and menstruation, recent findings have shed light on the significant genetic influence associated with the disorder.
On May 4, 2017, the House of Representatives passed the American Health Care Act by a narrow margin, even though the Congressional Budget Office had not officially reviewed and reported on the bill's impact.
A host of factors affect a practice's revenue cycle, but none more important perhaps than the adjusted collection rate.
Value-based care, an increasingly important concept in oncology, is grounded on the relationship between the efficacy and cost of an anticancer drug.
A negative pain mindset - catastrophizing - undermines pain treatment effectiveness and facilitates structural brain changes that serve to maintain pain and distress.
We are lagging in terms of regulating work hours and wellness. We are behind in getting help for physicians suffering from addiction and depression. We are behind in demanding better pay, and we continue to tolerate pay cuts despite our rising costs.
Cancer Therapy Advisor asked Dr Roberts about the PGen Study and the implications for DTC cancer risk testing in the future.
Medical liability is one of the most troubling issues in medicine today, resulting in a heavy burden of patient mortality and injury.
The mechanisms underlying the link between unruptured AVM and headache are unclear, and it is difficult to differentiate AVM-associated headaches with headaches of other origins.
Aspirin use and cancer has primarily been evaluated by observational studies, which may have substantial bias.
Important aspects of patient care, such as empathy, relationship-building, and dealing with patients' emotions are often given less emphasis in medical schools.
When working with patients, it is important to consider their sexual orientation and gender identity to ask the right questions and provide the best care possible.
Some courts have ruled that if no medical decision or treatment decision is offered, a physician-patient relationship is not created, and no responsibility for the physician's fate is transferred.
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.
Clinical Pain Advisor Articles
- Intrathecal Ziconotide Long-Term Efficacy and Safety for Severe Chronic Pain
- Sciatic Plus Femoral Nerve Blocks Effective on Total Hip Arthroplasty-Related Pain
- Psychological Factors, Not Opioid Use, Linked with Disability After Fracture Surgery
- Acupressure Not Effective as Adjunctive Therapy to Sodium Valproate for Chronic Migraine With Aura
- Morphine Lacks Efficacy for RA, Chronic Fatigue Syndrome and Fibromyalgia
- Yoga Improves Health Outcomes in Veterans With Chronic Low Back Pain
- The Advice You Give Your Patients May Be Just What They Need to Hear
- Childhood Adversity Common in Patients With Fibromyalgia, Chronic Widespread Pain
- Peripheral Nerve Stimulation Effective for Chronic Pain With Postherpetic Neuralgia
- Neonatal Withdrawal Risk Higher With Opioids Plus Psychotropic Drugs