A primary care physician reflects on the advice he has provided patients over the years.
Ingredients in energy drinks are contributing to adverse cardiovascular events, including angina and myocardial infarction.
A physician's insights on the growing vape market and whether or not vaping is a better option for smoking cessation.
A physician reflects on his past medical missions to Haiti and shares what he could have done differently to make it a more satisfactory trip for him and his patients.
An example of a simple use of technology that not only averted the inconvenience and discomfort for the child of a trip to the ER, but also avoided exposing him to additional illnesses and avoided exposing others to what he had.
The smartphone was made for doctors, and there aren't enough hours in the day to sing its praises.
The very first thing you learn in surgical residency is that you are not a primary care physician.
Some patients want the doctor with the most knowledge about their diagnosis and they could care less if he plays well with others.
If you want to survive today in primary-care medicine, you must have an extraordinarily low practice overhead.
When it comes to charting our outpatient medical records, I have certainly seen the full-spectrum over the last 25 years.
Calling a preoperative evaluation a "clearance," in fact, belittles the purpose of the assessment, and provides little in terms of meaningful information to the surgeon.
Over the course of my residency, challenging though it was at times, I was gradually transformed into a real doctor.
Much concern has been voiced regarding legislation allowing the substitution of biosimilars for branded drugs.
Opioid tolerance may be curbed by taking magnesium.
Healthcare reform, in its various permutations, has been a political hot potato since before 1993.
From day one, the residents welcomed me with respect and support.
Patient evaluations performed through teleconferencing may lack the accuracy of an in-person physical exam.
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.
Katherine A. Roberts, MD, FACE, ECNU, discusses her experience with opting out of Medicare and offers advice to those considering doing the same.
Careful selection of surgical candidates can have an impact on neurologic recovery and quality of life.
While the lidocaine patch is still pharmacologic, it offers a different method of pain relief for patients.
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.
An antiviral that targets all the Herpes family virus successfully treated a patient with CFS.
"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."
"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."
Promoting public-private partnerships to maximize resources, knowledge-sharing, and expediency in treatment development, as a way to attract emerging and established researchers.
There is a lot of opportunity to improve on what can be offered to patients.
Huma Sheikh, MD, discusses stand-out presentations from the 2016 American Headache Society meeting
Changing the stigma around and frequency of injury in football requires a collaborative, educational effort involving all stakeholders.
Interventional pain therapies continue to play an important role for patients with chronic pain.
Psychologists have much to offer medicine as a profession, and pain medicine in particular.
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?
This case study highlights discrepancies between physical and radiologic findings and physical limitations in a patient with cervical and lumbar pain complaints.
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.
Dr Conidi discusses some of the major points addressed in the blockbuster film that could impact clinical practice.
Gratitude can help people to become more social and develop deeper and healthier relationships, which in turn can improve their emotional health.
Keeping opioid prescribing to 200 mg/d morphine equivalent or less may provide a measure of safety.
The 2015 ASRA guidelines categorize procedures depending on their risk: high risk, intermediate risk, and low risk.
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?
Medical practitioners should always treat patients with respect, no matter how stressed or annoyed they are.
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.
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.
The FDA approval of a pediatric indication for Oxycontin creates a safer situation for terminally ill children.
Clearing a patient for surgery is a clinician's attempt to mitigate any side effects from occurring as a result of a surgical procedure
Two major symptoms of the function of TMJ problems are pain and dysfunction.
PAs and NPs often receive several job offers after graduation, but there is more to consider than just salary.
When forced to re-evaluate your career, forewarned is forearmed.
Videotaping becomes a problem when the intent is punitive.
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
Steven Croft, MD, lays down his reasons why ICD-10 will do more bad than good for physician and patient communities.
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