Opinion

Concern Regarding Legislation Allowing Substitution of Biosimilars for Branded Drugs

Concern Regarding Legislation Allowing Substitution of Biosimilars for Branded Drugs

Much concern has been voiced regarding legislation allowing the substitution of biosimilars for branded drugs.

Magnesium for Patients on Opioids for Pain

Magnesium for Patients on Opioids for Pain

Opioid tolerance may be curbed by taking magnesium.

Is Meaningful Healthcare Reform On Its Way?

Is Meaningful Healthcare Reform On Its Way?

Healthcare reform, in its various permutations, has been a political hot potato since before 1993.

Residents: a Midwife's Opinion

Residents: a Midwife's Opinion

From day one, the residents welcomed me with respect and support.

Is Telecommunicating With Patients Worth It?

Is Telecommunicating With Patients Worth It?

Patient evaluations performed through teleconferencing may lack the accuracy of an in-person physical exam.

Discussing Off-Label Use of Medications With Patients

Discussing Off-Label Use of Medications With Patients

Though there is no law that says patients must be told that the medications they have been prescribed are for an off-label use, and the FDA does not regulate the practice of medicine, I feel it is important to provide at least a brief explanation to my patients.

Opting Out of Medicare: What You Should Know

Opting Out of Medicare: What You Should Know

Katherine A. Roberts, MD, FACE, ECNU, discusses her experience with opting out of Medicare and offers advice to those considering doing the same.

The Risks and Benefits of Decompressive Craniectomy in Traumatic Brain Injury

The Risks and Benefits of Decompressive Craniectomy in Traumatic Brain Injury

Careful selection of surgical candidates can have an impact on neurologic recovery and quality of life.

A Case for the Lidocaine Patch

A Case for the Lidocaine Patch

While the lidocaine patch is still pharmacologic, it offers a different method of pain relief for patients.

Expert Feedback on the Surgeon General's Report on Addiction

Expert Feedback on the Surgeon General's Report on Addiction

If we invest in providing addiction treatment that is evidence-based and fundamentally invested in the dignity of every person who needs that treatment, a lot more people are going to find themselves ready to seek it out.

Adequately Treating Chronic Fatigue Syndrome

Adequately Treating Chronic Fatigue Syndrome

An antiviral that targets all the Herpes family virus successfully treated a patient with CFS.

The Pros and Cons of the Chronic Care Management Program

The Pros and Cons of the Chronic Care Management Program

"To write the program off saying it is too complicated or not worth it may be short-sighted," Dr Shapiro concluded. "Almost anything that is incrementally beneficial to the practice financially becomes important in an era where there is pressure on declining reimbursement."

Johns Hopkins Pain Physician: on the Need for an Inter-Disciplinary Approach to Pain Management

Johns Hopkins Pain Physician: on the Need for an Inter-Disciplinary Approach to Pain Management

"As [a member] of the NIH Task Force on pain, I would say that one of the things that's important to show is that an interdisciplinary model and a multimodal approach are effective and cost-effective, as they certainly are expensive."

Are Public-Private Partnerships the Answer to the Aging Biomedical Workforce?

Are Public-Private Partnerships the Answer to the Aging Biomedical Workforce?

Promoting public-private partnerships to maximize resources, knowledge-sharing, and expediency in treatment development, as a way to attract emerging and established researchers.

A Pain Clinician's Perspective on the Comprehensive Addiction and Recovery Act

A Pain Clinician's Perspective on the Comprehensive Addiction and Recovery Act

There is a lot of opportunity to improve on what can be offered to patients.

American Headache Society Annual Meeting: Highlights

American Headache Society Annual Meeting: Highlights

Huma Sheikh, MD, discusses stand-out presentations from the 2016 American Headache Society meeting

Can We Make Football Safer?

Can We Make Football Safer?

Changing the stigma around and frequency of injury in football requires a collaborative, educational effort involving all stakeholders.

Interventional Pain Management: 5 Things Primary Care Providers Should Know

Interventional Pain Management: 5 Things Primary Care Providers Should Know

Interventional pain therapies continue to play an important role for patients with chronic pain.

How Psychologists, Physicians Can Coexist in Pain Medicine

How Psychologists, Physicians Can Coexist in Pain Medicine

Psychologists have much to offer medicine as a profession, and pain medicine in particular.

Clinical Dilemmas: Prescribing Opioids Concurrently With Medical Cannabis

Clinical Dilemmas: Prescribing Opioids Concurrently With Medical Cannabis

Does your pain clinic currently allow the use of cannabis in combination with opioid medication? If so, has a maximum THC threshold been identified? How have your patients responded to such treatment?

Discrepancies Between Physical, Radiologic Findings and Physical Limitations

Discrepancies Between Physical, Radiologic Findings and Physical Limitations

This case study highlights discrepancies between physical and radiologic findings and physical limitations in a patient with cervical and lumbar pain complaints.

The Power of Emotion on Chronic Pain

The Power of Emotion on Chronic Pain

The correlation between mental health and how well chronic pain is controlled has been well established, and this particular case appears to demonstrate this relationship quite well.

What You Should Know About Concussion, the Film

What You Should Know About Concussion, the Film

Dr Conidi discusses some of the major points addressed in the blockbuster film that could impact clinical practice.

Thanksgiving, Gratitude, and Mental Health

Thanksgiving, Gratitude, and Mental Health

Gratitude can help people to become more social and develop deeper and healthier relationships, which in turn can improve their emotional health.

Setting Opioid Dosage Limits in Clinical Practice

Setting Opioid Dosage Limits in Clinical Practice

Keeping opioid prescribing to 200 mg/d morphine equivalent or less may provide a measure of safety.

An Overview of ASRA Guidelines for Patients on Anticoagulants Undergoing Pain Procedures

An Overview of ASRA Guidelines for Patients on Anticoagulants Undergoing Pain Procedures

The 2015 ASRA guidelines categorize procedures depending on their risk: high risk, intermediate risk, and low risk.

Opioid Precaution During Cold and Flu Season: Medication Adjustment May Be Required

Opioid Precaution During Cold and Flu Season: Medication Adjustment May Be Required

A patient with debilitating chronic pain experiences an altered level of consciousness following a bout of the flu. Could his high-dose opioid regimen be to blame?

Clinicians Should Never Disrespect Patients

Clinicians Should Never Disrespect Patients

Medical practitioners should always treat patients with respect, no matter how stressed or annoyed they are.

Equalizing The Pain Pendulum

Equalizing The Pain Pendulum

The tendency to overprescribe opioids and undertreat pain will swing back and forth until generalists and pain specialists can come to a common understanding about controlled substances and opioids.

Podcast: Overview Of Low Back Pain

Podcast: Overview Of Low Back Pain

Low back pain is one of the most common pain syndromes. In fact, about 69% of adults in the United States will have low back pain at some point in their lifetime.

Should We Be Concerned With Giving 11 Year Olds Oxycontin?

Should We Be Concerned With Giving 11 Year Olds Oxycontin?

The FDA approval of a pediatric indication for Oxycontin creates a safer situation for terminally ill children.

Podcast: What Does It Mean To 'Clear' A Patient?

Podcast: What Does It Mean To 'Clear' A Patient?

Clearing a patient for surgery is a clinician's attempt to mitigate any side effects from occurring as a result of a surgical procedure

Podcast: What You Need To Know About Temporomandibular Joint Dysfunction

Podcast: What You Need To Know About Temporomandibular Joint Dysfunction

Two major symptoms of the function of TMJ problems are pain and dysfunction.

The Graduate's Guidebook To PA, NP Job Offers

The Graduate's Guidebook To PA, NP Job Offers

PAs and NPs often receive several job offers after graduation, but there is more to consider than just salary.

Career Advice: Don't Wait For Happiness

Career Advice: Don't Wait For Happiness

When forced to re-evaluate your career, forewarned is forearmed.

Podcast: Should Doctors Be Videotaped?

Podcast: Should Doctors Be Videotaped?

Videotaping becomes a problem when the intent is punitive.

Podcast: Understanding Somatic, Visceral Abdominal Pain

Podcast: Understanding Somatic, Visceral Abdominal Pain

Even though movement causing exacerbation of pain can happen with both somatic and visceral abdominal pain, asking patients to do a sit-up or a twister can identify trigger points in the rectus muscles and the obliques

Opinion: Why ICD-10 Will Do More Bad Than Good

Opinion: Why ICD-10 Will Do More Bad Than Good

Steven Croft, MD, lays down his reasons why ICD-10 will do more bad than good for physician and patient communities.

Healthy Patients Refer Your Practice To Their Friends

Healthy Patients Refer Your Practice To Their Friends

Finishing a fellowship means it's now time to find the right job. Not every practice model is the the perfect fit for everybody, so it's rather important for physicians to understand which structure will work best for them.

Alternatives To Surgery For Back Pain

Alternatives To Surgery For Back Pain

Many patients with back pain stop treatment due to dissatisfaction with treatment.

An Overview Of Postherpetic Neuraglia

An Overview Of Postherpetic Neuraglia

Postherpetic neuralgia is defined as pain persisting for more than three months after zoster's onset.

Several Considerations When Prescribing Opioids For Patients With Cancer

Several Considerations When Prescribing Opioids For Patients With Cancer

There are key factors to consider when determining the best treatment strategy for pain in patients with cancer.

Various Neurosurgical Options Available for Chronic Pain

Various Neurosurgical Options Available for Chronic Pain

It is important to review the most recent data available before performing some of these options to make sure these techniques are not out of date.

Assessing Pain: Do the Scales Measure Up?

Assessing Pain: Do the Scales Measure Up?

There are many ways to assess pain in patients.

A Book to Ease Worry About Surgery

A Book to Ease Worry About Surgery

Welwyn Ardsley and the Cosmic Ninjas are on a quest to help you ease your pediatric patients' fears of surgery.

Illicit Substance Abuse in the Elderly: A Growing Problem

Illicit Substance Abuse in the Elderly: A Growing Problem

Cocaine, heroin and marijuana are the most popular illegal drugs abused among seniors.

Careful Consideration Warranted for Obese Patients In Pain

Careful Consideration Warranted for Obese Patients In Pain

In one study of 3,000 twins, after adjusting for variables, twins who were overweight were more likely to report painful conditions.

Get Set for Coding Changes

Get Set for Coding Changes

Many of the pending codes are orthopedic in nature, which holds significance for clinicians dealing with patients with pain.

Ultrasound For Your Pain Practice: A Good Idea?

Ultrasound For Your Pain Practice: A Good Idea?

Although flouroscopy is still key, ultrasound has its place,

Avoiding Complications During Interventional Procedures

Avoiding Complications During Interventional Procedures

When dealing with a patient with a previous iodinated contrast agent reaction, pretreatment should be considered.

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