Opinion Archive

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.

Be Mindful of Your Own Pain Triggers When Counseling Patients

Be Mindful of Your Own Pain Triggers When Counseling Patients

Investing in a "good chair" for the clinic, that encourages good posture, could help you avoid painful back problems.

Picking the Best EMR For Your Pain Practice

Picking the Best EMR For Your Pain Practice

Most of these systems have online videos, which can be very educational.

Pain Management During Pregnancy Warrants Special Consideration

Pain Management During Pregnancy Warrants Special Consideration

Opioid use in women of reproductive-age has been a hot topic in the news of late.

The Price of Pain in Your Practice

The Price of Pain in Your Practice

Take a closer look at your work, exercise, rest, and stress factors during a typical work week.

Better Sleep, Less Pain: Studying the Links

Better Sleep, Less Pain: Studying the Links

Study investigating treatment to improve sleep and address pain related to fibromyalgia and PTSD.

Emerging Mobile Technology for Concussion Detection and Management

Emerging Mobile Technology for Concussion Detection and Management

Advancements in mobile detection technology allow immediate assessment, but can't replace a medical professional's diagnosis.

A Round of Applause For Kind Patients

A Round of Applause For Kind Patients

Patients who remain cheerful, despite personal drama, deserved to be recognized.

Pain and Connection

Pain and Connection

An essential part of our job as health care practitioners as one of bridge building; encouraging our patients to shorten the distance between the world of the ill and world of the well by enhancing connection.

Orofacial Pain: An Interprofessional Effort

Since pain is a subjective experience for which there are no accurate objective measurements, patient-derived information regarding their pain experience is important to analyze

Interpersonal Relationships Integral to Managing, Treating Pain

Interpersonal Relationships Integral to Managing, Treating Pain

Perspective-taking is a way to help foster empathic feelings in observers and to help people when they are experiencing pain.

Pearls To Reduce Needlestick Pain

Pearls To Reduce Needlestick Pain

Ease pediatric patients' anxiety about needles by talking with them about what to expect.

Brain Injury Can Lead to Mental Health Issues

Brain Injury Can Lead to Mental Health Issues

Concussions resulting from contact sports injuries can impact cognition, behavior and mood.

Concussion Detection, Management Varies Widely

Concussion Detection, Management Varies Widely

All too often, physicians, coaches, and athletes are swayed into making a quick conclusion after a hard hit.

Welcome to Clinical Pain Advisor

Welcome to Clinical Pain Advisor

Key features include: concise daily news, drug monographs, full length clinical features, continuing medical education courses, and coverage from major conferences.

Education Key in Pre-Surgical Discussions

Education Key in Pre-Surgical Discussions

Many medical centers are now developing multi-professional teams who will identify patients likely to have post-op problems.

Cannabinoids May Provide Pain Relief in Oral Cancer

Cannabinoids May Provide Pain Relief in Oral Cancer

Oral malignancies can be associated with increased pain, but current research suggests that a cannabis-based medication may reduce this morbidity.

Sleep Issues Common in Patients with Chronic Pain

Sleep Issues Common in Patients with Chronic Pain

A night with inadequate sleep may result in increased pain the next day, which may disrupt sleep even further. Learn how to help patients break this detrimental cycle.

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