Management of COVID-19 in Transplant Recipients Evolved During Pandemic
Therapies used to treat COVID-19 in solid organ transplant recipients shifted since the pandemic began
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Alcohol Withdrawal: Individualized Care and Pharmacologic Treatment
More than 50% of patients with alcohol use disorder develop alcohol withdrawal symptoms within hours of discontinuing or decreasing alcohol use.
Exploring Aspirin for the Treatment and Prevention of Migraines
Aspirin has been effective for acute migraines both as a solitary modality and in combination with other drugs, and thus has clinical value in treatment and prophylaxis of the migraines overall.
What Does the Future of the Mental Health Pandemic Hold?
With health experts across the country agreeing we are in the midst of a mental health pandemic, psychiatrist Aaron M. Hawkins, MD offers his view about the current state and the future of mental health in the United States.
Highlights of Virtual Congressional Briefing: Understanding the Immune Response to COVID-19
Panelists at a virtual congressional briefing, including James Kublin, MD, addressed critical questions about new diagnostic technologies, vaccine and treatment development, and the long-term impact of COVID-19 on patients who have recovered from the disease.
Fighting the Syndemic: Addressing Opioid Use Disorder and Decreasing HIV Go Hand-in- Hand
Structural concerns, racial and socioeconomic issues, and state- and federal-level policy present challenges when trying to address the intersecting epidemics of opioid use disorder and HIV.
Uncontrolled Gout: An Open Dialogue With Patients
Suneet Grewal, MD, provides a deeper insight into the impact of uncontrolled gout on the quality of life of patients and the importance of having an open dialogue.
Calciphylaxis Prevention and Treatment Strategies
Calciphylaxis treatment should include a multimodal approach with a focus on supportive care, infection prevention, pain management, and wound healing.
Moving Toward a Multidisciplinary Approach in Pain Management in Psoriasis and Psoriatic Arthritis
Psoriasis and psoriatic arthritis have been associated with the underreporting and undertreatment of pain. To provide adequate care and management of pain in psoriatic disease, a multidisciplinary approach is required.
Systematic Pain Review Sets the Stage for a Gold Standard of Patient Care
Three types of musculoskeletal pain and differences in diagnostic evaluation and treatment were evaluated in an in-depth systematic review to create a gold standard of care.
Life After Medicine: Doctors on How They’ve Tackled Retirement
We speak to two doctors about life after hanging up their white coats.
Complex Interaction Between Migraine Symptoms and Gastrointestinal Comorbidities
Researchers searched publication databases for studies of the gut-brain connection, migraine, and gastric disorders.
Evaluating Accuracy of Antigen, Molecular-Based Point-of-Care COVID-19 Tests
In this expert interview, the performance of the numerous rapid point-of-care testing modalities available for COVID-19 infection is discussed.
COVID-19 and IBD: Impact of Disease State and Biologics
In patients with IBD, management of immunosuppressive regimens, as well as safety and efficacy of vaccines, has raised many questions during the COVID-19 pandemic.
Palliative Care in Head and Neck Cancer: One Size Doesn’t Fit All
A study found no benefit to early palliative care interventions, suggesting a one-size-fits-all approach won’t work in head and neck cancer.
Vaccine Expert Discusses EUA of COVID-19 Vaccine for Adolescents
The expanded EUA of the COVID-19 vaccine “will be the biggest positive change for adolescents since the beginning of the lockdown in March 2020.” — Mary Koslap-Petraco, DNP, PPCNP-BC, CPNP, FAANP
Epidermolysis Bullosa: Treatment Challenges and Emerging Developments
Even though it is often thought of as a skin condition, many forms of epidermolysis bullosa are truly multisystem disorders, which makes coordinating the care complex.
Marijuana and IBD: Challenging Decisions
Though patient use of cannabinoids for the treatment of IBD has increased, clinical decision making on whether to formally recommend it as treatment remains difficult.
HIPAA Needs to Keep Up With Information Technology
Core provisions of the HIPAA legislation have largely remained unchanged since their inception despite rapid evolution of technology to keep protected health information from hackers.
The Power of Touch: How Physical Contact Can Reshape the Clinical Exam ─ Part II
We continue discussing the power of touch and how has it played into the history of clinical treatment as well as our current reality.
The Impact of Telemedicine on Nurses’ Workload
Recent study findings point to an overlooked downside of the growing reliance on telehealth: an increased burden on nurses.
American Lung Association Report Shows 40% of US Regularly Breathes Polluted Air
The American Lung Association’s 22nd annual “State of the Air” report shows that approximately 40% of Americans breathe polluted air on a regular basis.
Gene Therapy: A Promising Future for Inherited Peripheral Neuropathy
Gene therapy shows promise in the management of inherited peripheral neuropathy and the complex array of symptoms that patients experience. Gene therapy holds promise in the management of peripheral neuropathies and in significant improvement of quality of life for patients.
More Diversity in Medicine, More Equity in Health Care Urgently Needed
The field of medicine has been plagued by the underrepresentation of African Americans, people of Hispanic heritage, and Native Americans, as well as institutional racism and sexism that have persisted for decades.
The Power of Touch: How Physical Contact Can Reshape the Clinical Exam — Part 1
What is the power of touch and how has it played into the history of clinical treatment as well as our current reality?
Strategies for Managing Uncertainty in Patient Care
For many health care professionals, successfully managing uncertainty means recognizing that surety is complicated and illusory and knowledge is iterative and provisional rather than definitive.
Strategies for Minimizing Vaccination Pain in Children
Insufficient pain management during childhood immunizations may lead to increased fear of needles and later health care avoidance.
Medication Management of Opioids, Antipsychotic Use in Older Adults
Experts examine medication management in older adults, including the use of antidepressants for patients with Alzheimer disease and the dangers of opioid prescribing.
COVID-19 Emerging as a Multi-Organ Disease Requiring Multidisciplinary Care
In today’s feature article, we talk with Ziyad Al-Aly, MD, of the Institute for Public Health in Washington, DC, who describes treating long-haulers as “America’s next big health crisis.”
Managing the Interplay of Familial Hypercholesterolemia and COVID-19
About 90% of those with familial hypercholesterolemia have not been diagnosed or treated for it, leaving them more vulnerable for COVID-19 infection and its complications.
Pulse Oximetry: Examining Racial Bias in a Valuable But Flawed Tool
Since pulse oximetry technology was developed in nondiverse populations, racial bias may influence the accuracy of pulse oximeter readings.
Patients With Underlying Medical Conditions Now a Priority for COVID-19 Vaccination
In March, the Centers for Disease Control and Prevention launched phase 1c of its COVID-19 vaccine roll-out plan. Diabetes patients and patients with other underlying medical conditions are included on the list. Learn more in this article.
Opioids and IBD: Current Challenges
Initiation of opioid use during a flare of symptoms can eventually lead to chronic opioid use (COU), which can have detrimental effects on a patient’s IBD, as well as their overall clinical health.
World Health Organization Guidelines for Managing Chronic Pain in Pediatric Patients
The Guideline Development Group of the WHO agreed that its recommendations on managing chronic pain in children would be based on the principles that access to pain management is a fundamental human right and children have a right to the highest possible standard of health.
America’s Access to Care Crisis: Telemedicine Provides the Solution
For telemedicine to thrive in a postpandemic era, temporary rules regarding reimbursement and providers’ ability to fully care for the patient in any setting must be made permanent.
Calls for More Support as Physicians Face Online Harassment
The researchers conducted 1103 surveys, encompassing 464 US physicians.
A Conversation About Racial Disparities in Health Care With Dr Scharles Konadu
Clinical Pain Advisor met with Scharles Konadu, MD, a member of the American Board of Internal Medicine Gastroenterology Specialty Board, to discuss how deeply racial inequity is woven into our health care system.
The Impact of Obesity on Knee Osteoarthritis Symptoms and Surgical Outcomes
Weight loss is associated with reduced pain, improved function, and better quality of life in patients with knee OA who are overweight or obese.
Review: Pain of Radiation Therapy Increases With Frequency of Its Use
The authors of this review present key epidemiologic data about cancer patients vulnerable for each pain syndrome along with evidence for the management for each condition.
Moral Judgments and COVID-19 Vaccine Hesitancy
Whatever strategy you employ to encourage vaccinations, it is important to be respectful and empathize with your patient’s concerns and perspectives.
Controversy: Protecting People Who Use Drugs During COVID-19
Anna Lembke, MD, discusses how patients who use drugs are affected by the convergence of 2 public health emergencies – increasing overdose rates, and the COVID-19 pandemic – and addresses controversial solutions proposed by other investigators.
Expert Perspective: The Opioid Crisis and COVID-19
To learn more about the overlapping crises of the opioid epidemic and the COVID-19 pandemic, Psychiatry Advisor interviewed pain specialist Paul J. Christo, MD, MBA, the Director of the Multidisciplinary Pain Fellowship Program at Johns Hopkins Hospital in Baltimore, Maryland.
Differential Diagnosis of Trigeminal Neuralgia in Facial Pain
Trigeminal neuralgia is a chronic neuropathic pain disorder that is important to include in the differential diagnosis of head or facial pain.
COVID-19 Pandemic Creates New Roles for Advanced Practice Providers
When the pandemic first reached Boston in March 2020, Massachusetts General Hospital responded by redeploying advanced practice providers, including nurse practitioners and physician assistants.
Clinicians Should Prepare for the End of Telehealth Waivers
Healthcare providers should take steps now to ensure that the telehealth modalities they use are HIPAA compliant.
The Place of Virtue Ethics in a Pandemic
An appreciation of the virtues one wishes to embody can help to navigate the complex ethical dilemmas physicians may face during the COVID-19 crisis.
Recognizing and Diagnosing Avascular Necrosis of the Hip in Primary Care
Clinicians must be well-versed in distinguishing the exact etiology of avascular necrosis of the hip in order to prevent further injury and recommend the best course of treatment.
PAIN Panel Publishes Guidance on Perioperative Management of Cannabis Use
This study looks at the perioperative management of cannabis use in patients who are undergoing surgery with anesthesia.
Panel Publishes Consensus Recommendations on Opioid Tapering
An interdisciplinary panel formulated recommendations on opioid tapering strategies in primary care, with particular emphasis placed on addressing biopsychosocial perspectives.
How Clinician Can Cope With Psychological Distress During the Pandemic
When talking about work issues, Dr Bernstein recommends trying not to focus too much on how awful things are because it can be disheartening.
How Doctors Can Cope With Psychological Distress During the Pandemic
When talking about work issues, Dr Bernstein recommends trying not to focus too much on how awful things are because it can be disheartening.
IT Asset Inventories Are a First Step in Securing Health Information
Practices need to know all of the components of their health information systems to determine potential vulnerabilities.
How Top Experts Are Advancing Osteoarthritis Care and Assessments in the United States
Top osteoarthritis experts as identified by Expertscape are participating in research that will identify methods for prevention, improved diagnosis, and effective treatment of this prevalent condition.
Ethical Considerations When Prescribing Unproven Therapies for COVID-19
Meeting public demand for an urgently needed effective medication quickly and safely during a pandemic involves difficult tradeoffs.
Spotlight on Fibromyalgia: Updates on Diagnosis and Clinical Management
Fibromyalgia is a chronic pain condition characterized by widespread musculoskeletal pain, sleep disturbance, fatigue.
The Psychology of Collecting Debt: How to Get Patients to Pay Their Bills
By connecting on a personal level, medical practices may have better results in getting patients to settle their accounts.
Guideline on Managing Acute Pain From Non-Low Back, Musculoskeletal Injuries
A guideline was released comparing the effectiveness of various treatment strategists for acute pain from non-low back musculoskeletal injuries.
Effect of Pain on Functioning in Serious Mental Illness
Authors of a paper share their perspectives on the topic of chronic pain in individuals with mental health disorders.
ACP/AAFP Publish Guideline on Managing Acute Pain From Musculoskeletal Injuries
This guideline provides recommendations for managing acute pain resulting from non–low back, musculoskeletal injuries in adults.
Protecting Medical Practices From Ransomware
Hackers have penetrated healthcare providers’ computer systems to encrypt information and demand money for its release.
ASH Guidelines for the Management of Pain in Sickle Cell Disease
The American Society of Hematology released their evidence-based 2020 guidelines on the management of acute and chronic pain in sickle cell disease.
Prepare to E-Prescribe Controlled Substances
Beginning next year, a federal law takes effect requiring that prescriptions for controlled substances covered under Medicare be prescribed electronically.
Improving the Explanation of Treatment Risks to Your Patients
Physicians should frame treatment options by their “harms and benefits,” not by their “risks and benefits.”
The Neurological Symptoms of COVID-19: Practitioner Views
Research has revealed that the SARS-CoV-2 viral infection may have neurological manifestations, with critical implications for clinical practice.
A Case of Unremitting Back Pain Following Kidney Stones
Right-sided flank pain has been present for several months and occurs when standing, bending, and lifting—pain only improves when laying down.
The Emerging Role of NPs in Physical Medicine and Rehabilitation
Nurse Practitioners can provide efficacious care to people with disabilities, resulting in cost savings, improved outcomes, and high value.
Chronic Fatigue Syndrome, Viruses, and the Innate Immune System
Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) is a disorder characterized by marked fatigue, exertion induced malaise, cognitive clouding (or brain fog), impaired academic/work performance, disrupted sleep, and joint/muscle pain.
Back to Basics: Focus on Risk Assessments for HIPAA Compliance
Regardless of the challenges a smaller group might have, a risk assessment is a baseline for any HIPAA program. The cost of this assessment is considerably less than a HIPAA fine.
Managing Chronic Headache During the COVID-19 Pandemic: A Q&A
Matthew Robbins, MD, author of “COVID-19 and headache: a primer for trainees,” details how care has changed for patients with chronic headaches in the midst of the COVID-19 pandemic.
Exploring the Link Between Pediatric Migraine & Sleep Disorders
The bidirectional relationship between migraine and sleep disorders are examined in this article.
Genetic Polymorphisms: Understanding Their Relationship With Cancer Pain
A discussion on the genetic influence of single nucleotide polymorphisms on cancer pain and their potential to assist pain management in patients with cancer.
ASIPP Releases Guidelines for Facet Joint Interventions
The ASIPP has published comprehensive, evidence-based guidelines for performing diagnostic and therapeutic facet joint interventions in the management of chronic spinal pain.
Reopening Your Medical Practice: Navigating a Complex Process
Physicians should remain cognizant that this is a rapidly and continually evolving situation and that, although some regulations are being relaxed as the country reopens, there might be an increase in cases.
Social Workers Are Underutilized in Oncologic Pain Management
Expertise in the use of nonpharmacologic pain management techniques and therapies allow masters-prepared social workers to be an integral member of a multidisciplinary cancer care team.
Novel Class of Preventive Treatments for Migraine
Anti-calcitonin gene-related peptide monoclonal antibodies are the first approved pharmacologic treatments developed explicitly for the prevention of migraine.
Safe Treatments for Migraine During Pregnancy and Lactation
Investigators have found that hormonal treatment strategies are effective in preventing menstrual migraine, but other strategies are appropriate for lactation and pregnancy.
Addressing Skin Pain in Atopic Dermatitis
The burden of pain as a component of atopic dermatitis treatment should be assessed and managed in a thorough manner.
Menstrual Migraine: Revisiting the Relationship Between Hormones and Migraine
A narrative review summarizes recent data on the pathophysiology, epidemiology, and burden of disease and treatment of menstrual migraine.
Maintaining Hospital Infection Control During the COVID-19 Pandemic
Physicians and hospitals have urged the public to seek immediate medical care when needed, with reassurance regarding sound infection control practices that hospitals have implemented in light of the COVID-19 pandemic.
The United States Test Against COVID-19
Mitigating the spread of a virus as infectious as SARS-CoV-2 requires having ample and accurate diagnostic tests available. However, in the United States, community transmission began to occur before adequate testing measures could be implemented.
Treating Comorbid Migraine and Temporomandibular Dysfunction
Paul G. Mathew, MD and Steven D. Bender, DDS, uniquely encounter patients with TMD and migraine in their respective practice and offer their insight regarding the diagnosis and management this often overlooked comorbidity.
Physical Therapy Recommendation Rates for Knee Osteoarthritis
Researchers described and compared triennial rates of physician recommendations for physical therapy, lifestyle counseling, and pain medication for knee osteoarthritis.
Seven Things to Consider When Transitioning to Telemedicine During COVID-19
Seven things to consider when transitioning to telemedicine during the COVID-19 pandemic.
Support and Self-Care for Clinicians During the COVID-19 Pandemic
COVID-19 is one of the most difficult and challenging events of modern times, upending clinicians’ sense of order and control,1 inundating medical facilities with patients and potentially overwhelming the healthcare system in the US.
A Review of Pharmacologic Treatment Options for Painful Diabetic Neuropathy
The management of painful diabetic peripheral neuropathy requires the use of effective agents that also may aid in improving sleep and mood.
Applying Novel Joint Preservation Technology in Glenohumeral OA
In this interview, Gregory P Nicholson, MD, discusses the applications of a novel joint preservation technology in glenohumeral osteoarthritis.
Overview of CMS Interim Coverage for Telehealth During the COVID-19 Pandemic
The CMS interim regulations are aimed at improving access to telemedicine and remote monitoring services in an effort to circumvent unnecessary exposure to COVID-19.
New Metabolic Theories of Migraine Pathogenesis
The potential for metabolic etiologies for migraine opens a whole new approach to treatment, particularly the opportunity to intervene much earlier in the process.
How Global Warming May Be Fueling Disease Outbreaks
Climate change poses a significant threat to global public health by increasing the incidence of novel infectious diseases, as well as the spread of existing ones.
The Value and Importance of MiRNAs as Potential Biomarkers in Migraine
Investigators examine the role of miRNAs in migraine, including understanding its pathogenesis, the population at risk, diagnosis, patient stratification, chronification risk factors, response to treatments, and miRNA-based therapeutic options.
Improving Cancer Pain Management Amid the Opioid Crisis
Research into opioid alternatives for cancer-related pain has stalled, however substance use disorders remain problematic.
The Efficacy of Cannabinoids and Opioids in Inflammatory Bowel Diseases
In recent years, a number of preclinical models have shown that cannabinoids may be highly effective at improving inflammation and, therefore, may be a potential treatment for inflammatory bowel diseases.
Managing Conflict of Interest
Managing conflict of interest enables the medical profession to avoid bias in the delivery of patient care while allowing for reasonable financial relationships with industry.
Migraine & Cardiovascular Disease: The Missing Link
Although associations between migraine headaches and CVD have been known for more than 40 years, the underlying pathobiology of this connection has not been appreciated until recently.
Long-Term Neurodevelopmental Effects of Prenatal Opioid Exposure
Perinatal exposure to opioids may have significant immune, neural, and behavioral effects that can alter CNS development.
Updated Guidelines for the Management of Hand, Hip, and Knee OA
The American College of Rheumatology and the Arthritis Foundation developed evidence-based guidelines for the management of hand, hip, and knee osteoarthritis.
Cybersecurity Lessons and Trends to Review for the New Year
Use staff meetings or emails to keep current issues like phishing or social engineering in front of employees.
Awareness of Physician Burnout Has Peaked, But What Is the Next Step In Addressing It?
Burnout is thought to be the direct result of occupational demands that consistently outweigh the physical, mental, and psychological abilities of individuals suffering from it.
Closed-Loop SC Stimulation for Chronic Back and Leg Pain (Part 2)
Lead author Nagy Mekhail, MD, PhD discusses the importance of neuromodulation, specifically a closed loop spinal cord stimulation system (SCS), for the management of chronic pain.
Closed-Loop Spinal Cord Stimulation for Chronic Back and Leg Pain
Spinal cord stimulation (SCS) with a closed-loop system that uses recorded evoked compound action potentials (ECAPs) is superior to a fixed-output, open-loop system for patients with chronic back and leg pain.
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