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?

All articles by Peter David Pacheco, RPh, PA-C
This case study highlights discrepancies between physical and radiologic findings and physical limitations in a patient with cervical and lumbar pain complaints.
Have you seen the “power of suggestion” provide relief to patients in 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.
Keeping opioid prescribing to 200 mg/d morphine equivalent or less may provide a measure of safety.
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?
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