Some patients with migraines prefer nonpharmacological approaches to treatment and for these patients, evidence-based behavioral treatments may be at least as effective for migraine prophylaxis as medication.
Senator Bernie Sanders' Health Policy Advisors on Causes and Solutions to Healthcare Inequality in America
Healthcare disparities have increased along with widening economic inequality between wealthy and low-income Americans.
Findings suggest that up to 15% of encounters with adult patients can be described as "difficult".
The need for data transparency carries an ethical and moral obligation and requires nonselective and unbiased publication of clinical results.
Although a range of incidental findings may be observed on MRI obtained in pediatric headache, they are rarely indicative of a serious underlying condition.
A recently published article exposes a gaping hole in the access to an effective first-line therapy for a portion of patients with cluster headache in the United States.
The Centers for Medicare & Medicaid Services has issued a final rule that could result in steep payment reductions for physicians of certain specialties in 2018.
Although animal studies have shed light on various aspects of the role of oxytocin in pain processing, the small number of human studies on the topic have produced inconsistent results.
A recent study provides a comprehensive summary of the relevant published studies linking migraine and gastrointestinal or related disorders.
There is a suggested link between migraine and the presence of patent foramen ovale, with the suggestion that PFO closure surgery might be a preventative measure against future migraine attacks, but what are the consequences?
Findings from animal studies indicated that anesthetics may be neurotoxic and could result in long-term central nervous system alterations and cognitive dysfunction.
Although more than three-quarters of TBI cases are mild with rapid symptom resolution, some people suffer persistent debilitation and pain.
Serving an estimated 141.4 million patients a year and providing an average of 47.7% of all medical care in the United States, our emergency departments reflect all the good and bad about our nation's healthcare system.
Pain management in athletes requires a clear understanding of the different types of pain and various factors that can contribute to pain in this population.
Cluster headaches are considered the most severe headache type and the most difficult to treat. In 2016, the American Headache Society released new evidence-based guidelines for the treatment of cluster headache.
Despite growing awareness of physician burnout in recent years, the problem has continued to increase. Take a look at risk factors and consequences of physician burnout, and how to address the issue.
Obama Administration Senior Policy Advisor and Addiction Expert on White House Initiative to Address the Opioid Crisis
On October 30, 2017, the Clinton Foundation's Health Matters Initiative held a panel event at the Johns Hopkins Bloomberg School of Public Health for the release of a report co-written by these 2 organizations, titled "The Opioid Epidemic - From Evidence to Impact."
As survival rates for patients with burns have improved, the need for effective treatments for chronic pain in this population has become more pressing.
Fewer randomized controlled trials include children vs adult cohorts, and the evidence pertaining to this population.
A manager for your medical practice can help keep things running smoothly, but there are a few factors to consider before deciding to hire one.
A 64-year-old man presents to the emergency department with abdominal pain and distention, as well as constipation of 8 days' duration.
A man with a history of hypertension and migraines complains of a headache he has had for approximately 3 days alongside neck stiffness and a fever.
An average of 1 security breach occurs every day. Physicians need to ensure their network is protected as much as possible from cyber threats.
Pain is 1 the most frequent reasons for ED visits. See what an ED physician has to say about opioid prescribing and general pain management approaches in the ED.
When buying a medical practice, physicians should consider location, financials, and staffing before deciding whether or not to pursue this huge undertaking.
Many practitioners, researchers, and patients also appeal for techniques that could objectively measure pain.
A recent study by Doulberis and colleagues provides a comprehensive summary of the relevant published studies linking migraine and gastrointestinal or related disorders.
Overly aggressive or futile care at the end of a patient's life is particularly costly, both in dollars and in terms of patients' quality of life.
Sacral neuromodulation may represent an effective and safe treatment approach for refractory bladder pain syndrome/interstitial cystitis.
Although a majority of women with rheumatoid arthritis were previously though to achieve remission during pregnancy, recent studies indicate remission occurs in only 20% to 40% of cases.
Contextual forms of CBT, such as ACT and mindfulness-based therapies, have been linked with improvements in various domains for patients with chronic pain, although predictors and moderators have yet to be elucidated.
Coeditor-in-chief of The Encyclopedia of Creativity ,Steven Pritzker, PhD, discusses how physicians can utilize creativity in health care to improve patient care.
In a controversial and divisive article, a group of researchers proposes to improve "statistical standards of evidence" by lowering the P value from P <.05 to P <.005 in the fields of biomedical and social sciences.
Technological advances can be helpful in juvenile idiopathic arthritis and are particularly well suited to younger people in general, who are more comfortable with device technologies and more likely to adopt them.
Almost 10% of pediatric patients with migraine also experience various episodic syndromes. Physicians Amy Gelfand and Diana Lebron weigh in on what to look for to help you find the right diagnosis.
The increased use of opioid prescriptions to treat chronic pain has resulted in the rise of opioid use disorder, addiction, and abuse. We offer an overview of how and when to prescribe opioids for the management of chronic pain.
One physician reflects on the importance of strengthening the relationship between you and your patient, and why it matters.
Concierge medicine fills an important and growing niche in today's medical marketplace, appealing to thousands of physicians around the country and the scores of patients they serve.
Here are five potentially pivotal MACRA issues that you should know about.
The FDA recommended the approval of CTL019 chimeric antigen receptor (CAR) T cell therapy for acute lymphoblastic leukemia (ALL).
A 39-year-old man presents to the emergency department with 3 days of progressive bilateral leg pain, nausea, malaise, and no other symptoms. What additional tests should you order to make a correct diagnosis?
Neuraxial anesthetics and analgesics are associated with fewer systemic adverse effects than general anesthetics.
Nearly 10% of pediatric patients with migraines also experience episodic syndromes involving symptoms such as vomiting, vertigo, or gastrointestinal pain.
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.
Anthony Mariano, PhD, provided guidance for clinicians for tapering patients off opioids.
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.
Clinical Pain Advisor Articles
- Peripheral Nerve Blocks Reduce Postoperative Pain After Hip Replacement
- Patients With Migraine Frequently Revisit the Emergency Department for Headache
- Cooled Radiofrequency Ablation Relieves Osteoarthritis-Related Knee Pain
- Senator Bernie Sanders' Health Policy Advisors on Causes and Solutions to Healthcare Inequality in America
- Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain
- Cannabis Use Associated With Relationship Between Pain and Negative Affect
- Chronic Pain Associated With Traumatic Brain Injury: Causes and Management
- Fibromyalgia Screening in Patients With Chronic Pain: Two Simple Tests
- Peripheral Nerve Blocks Reduce Postoperative Pain After Hip Replacement
- Patients With Migraine Frequently Revisit the Emergency Department for Headache
- Chemonucleolysis With Radiopaque Gelified Ethanol May Be Effective Analgesic for Chronic Radicular Pain
- Prochlorperazine More Effective Than Ketamine for Treating Headaches in the Emergency Department
- Factors Contributing to Improved Outcomes With OnabotulinumtoxinA for Chronic Migraine
- Checklist Allows Physicians to Easily Identify Clinical Practice Guidelines
- FDA Accepts New Drug Application for Novel Buprenorphine Sublingual Spray