Many translational barriers exist between preclinical research and clinical practice.
Systemic lidocaine administered via IV or patch has consistently shown effectiveness for the treatment and prevention of chronic pain.
Suicide among physicians is a staggering public health crisis that has gone largely ignored; one physician shares his insight.
Headache screening should be a routine part of a prenatal visit so that if and when a patient presents with an attack, a suitable plan of action is already established.
In recent years, atypical antipsychotics - particularly olanzapine and quetiapine - have gained increasing attention as adjuncts in pain management regimens.
The monoclonal antibody erenumab has shown favorable results regarding efficacy and safety for the prevention of migraine.
Despite its prevalence, tension-type headache is often complicated by overlapping symptoms and a weak understanding of tension-type headache etiology.
One physician shares his thoughts on the importance of balancing autonomy, beneficence, and nonmaleficence when prescribing opioids to patients.
Special caution is warranted in the administration of pain treatment to patients with severe obesity, and additional research in this population is needed.
The adoption of telehealth technology continues to expand, but requires further research to fully realize the potential it has to address socially desirable goals such as improving the patient experience of care.
An expert shares his insight on how victims of sexual harassment respond to trauma, and how you can best support your patients who have experienced sexual harassment or abuse.
Dike Drummond, MD, and CEO of The Happy MD, an organization focused on physician burnout prevention and leadership, shares his insights on how to tackle compassion fatigue and burnout in the emergency department.
The most promising tools to predict acute pain after cesarean delivery are local anesthetic infiltration before placement of spinal anesthesia, and asking patients simple questions about anticipated pain and analgesic needs.
Increasing evidence suggests a relationship between migraine and multiple sclerosis that is beyond comorbidity and may help clarify the pathophysiology of both disorders.
Neuromodulation techniques have been explored as alternative treatment options in patients with trigeminal neuralgia who do not achieve adequate pain relief with pharmacologic therapies and surgical interventions.
Concierge medicine gives many patients an attractive alternative to accessing health services, but is this model of healthcare sustainable?
Neda Ratanawongsa, MD, MPH, Associate Chief Health Informatics Officer for Ambulatory Services, shares her insight on how to best manage the challenge of tackling electronic health record requirements while also optimizing patient encounters.
The scourge of defensive medicine — the practice of recommending tests or treatments for the purpose of avoiding or mitigating litigation — has been dissected tirelessly.
Although much of the response to the opioid epidemic exempts treatment for cancer-related pain, a recent Oncology Nurse Advisor online survey showed that more than 80% of respondents were concerned about how current restrictions set up to manage the opioid crisis are affecting cancer patient pain management.
Machine learning programs can process enormous quantities of information and make meaningful and actionable predictions about future behaviors and outcomes, but what are the potential pitfalls?
The 2017 revisions to the Common Rule deal largely with improving the transparency and clarity of intended uses under the current standard of informed consent while introducing a new concept of "broad consent".
The National Vaccine Advisory Committee highlighted 5 core concepts and strategies that can increase integration of social psychological components with health communication principles to improve the perceived benefits of adult vaccination.
"Infodemiology" and "infoveillance" are terms used to describe an emerging approach to public health research, based on Google Trends big data monitoring and data mining.
The prevalence of opioid abuse has not only resulted in a substantial increase in drug-related deaths and HIV transmissions, but has also led to an increase in the number of people infected with HCV.
Scientists warn that unless there is an adequate response and proactive measures are taken, society will soon have to deal with direct and indirect effects of the changing climate on human health.
Peripheral nerve blocks for pediatric headache treatment are associated with significant benefit and minimal risk.
Malpractice claims in outpatient chronic pain management most commonly involved patient noncooperation in care and provider deficits in clinical judgment, communication, and documentation.
The HIV Medicine Association of the Infectious Diseases Society of America has released new guidelines for the management of chronic pain in patients living with human immunodeficiency virus.
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.
Clinical Pain Advisor Articles
- Reviewing the Effectiveness of Lidocaine for the Management of Chronic Pain
- Guidelines on the Perioperative Pain Management of Patients on Buprenorphine Therapy
- Probable Medication Overuse in Elderly With Migraine
- Burden Associated With Pharmacotherapy Switching in Trigeminal Neuralgia
- Addressing Barriers to Translational Pain Research
- Migraine Burden May Be Reduced With Physical Activity
- Guidelines on the Perioperative Pain Management of Patients on Buprenorphine Therapy
- Reviewing the Effectiveness of Lidocaine for the Management of Chronic Pain
- Injections of Corticosteroids vs Local Anesthetic in Rotator Cuff-Related Shoulder Pain
- Epidural Steroid Injections Associated With Decreased Bone Mineral Density, Increased Risk for Vertebral Fracture
- Walking Ability in Older Adults With Lumbopelvic Pain
- Clinical Pain Assessment Tools May Not Be Useful in Sedated Patients in the ICU
- Osteoarthritis-Associated Pain Not Relieved With Hydroxychloroquine
- Factor Underlying High Prevalence of Physician Burnout
- OnabotulinumtoxinA May Be Safe, Effective for Long-Term Headache Prevention in Chronic Migraine