Pain Management

Experts Offer Tips on Integrating Medical Marijuana Into Geriatric Practice

Experts Offer Tips on Integrating Medical Marijuana Into Geriatric Practice

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A study by the National Survey of Drug Use and Health (NSDUH) found that from 2002-2014 the proportion of adults aged 50 to 64 who reported cannabis use in the past year more than tripled from 2.9% to 9.0%. Among adults age 65 or older, there was more than a ten-fold increase (from 0.2% to 2.1%).

Optimal Strategies for Opioid Weaning After Ambulatory Surgery

Optimal Strategies for Opioid Weaning After Ambulatory Surgery

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Although there is a scarcity of evidence pertaining to the management of postoperative pain medication in the ambulatory setting, some findings suggest an approach similar to that used for the treatment of acute pain.

No Added Value With Liposomal Bupivacaine Following TKA With Peripheral Nerve Block

No Added Value With Liposomal Bupivacaine Following TKA With Peripheral Nerve Block

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The use of liposomal bupivacaine after total knee arthroplasty with a peripheral nerve block may not result in reductions in inpatient intake of opioids, hospital length of stay, or opioid-related complications.

Peripheral Nerve Blocks for Headache Disorders: Expert Roundtable

Peripheral Nerve Blocks for Headache Disorders: Expert Roundtable

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Although high-quality studies on the use of peripheral nerve blocks for the treatment of headache disorders are scarce, results observed in clinical practice support their use.

Standardized SCS Workflow May Effectively Alleviate Failed Back Surgery Syndrome-Related Pain

Standardized SCS Workflow May Effectively Alleviate Failed Back Surgery Syndrome-Related Pain

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A novel standardized spinal cord stimulation workflow may effectively and consistently alleviate back and leg pain associated with Failed Back Surgery Syndrome.

Spinal Stimulation Effective Treatment for Intractable Spine, Limb Pain

Spinal Stimulation Effective Treatment for Intractable Spine, Limb Pain

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In patients with intractable spine and limb pain, spinal stimulation was associated with better pain reduction than medical therapy, with newer stimulation technology having better effects than conventional stimulation.

Less Pain Post TKA With Addition of Peripheral Nerve Blocks

Less Pain Post TKA With Addition of Peripheral Nerve Blocks

Addition of an interspace between the popliteal artery and capsule of the posterior knee block and adductor canal block to periarticular injection is associated with less pain after total knee arthroplasty.

Intrathecal Drug Delivery and Spinal Cord Stimulation for Cancer Pain: A Review

Intrathecal Drug Delivery and Spinal Cord Stimulation for Cancer Pain: A Review

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Intrathecal drug delivery systems and spinal cord stimulation have shown promise for the treatment of cancer pain in initial studies.

Older Adults Believe Marijuana Can Be Effective for Pain

Older Adults Believe Marijuana Can Be Effective for Pain

A national sample of about 2,000 adults aged 50 to 80 years were asked about marijuana use for medical purposes, including its perceived benefits.

Multimodal Analgesia After Knee, Hip Arthroplasty and Perioperative Outcomes

Multimodal Analgesia After Knee, Hip Arthroplasty and Perioperative Outcomes

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Multimodal analgesia after hip or knee arthroplasty may be associated with fewer complications and reduced opioid prescriptions and hospital length of stay, compared with unimodal analgesia.

Multimodal Analgesia Cuts Complications Post Arthroplasty

Multimodal Analgesia Cuts Complications Post Arthroplasty

Fewer respiratory, GI issues; reductions also seen in opioid prescriptions and hospital length of stay

Many Patients Receive Inappropriate Tests, Treatments for Low Back Pain

Many Patients Receive Inappropriate Tests, Treatments for Low Back Pain

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More emphasis should be placed on self-management, physical and psychological therapies for treating low back pain, rather than pharmacological or surgical treatments.

Surgical Outcomes Associated With Trigger Site Deactivation for Migraines

Surgical Outcomes Associated With Trigger Site Deactivation for Migraines

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In some patients, surgical trigger site deactivation may treat migraine effectively and relieve symptoms substantially.

Conventional vs High-Frequency Spinal Cord Stimulation for Chronic Pain

Conventional vs High-Frequency Spinal Cord Stimulation for Chronic Pain

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In a preliminary study, high-frequency spinal cord stimulation was found to be more effective in treating chronic pain than conventional stimulation.

Evaluating Headache in the Elderly: Primary vs Secondary Causes

Evaluating Headache in the Elderly: Primary vs Secondary Causes

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Given the unique challenges presented by aging, new cases of headache in older adults should be evaluated carefully for a differential diagnosis of primary headache and to exclude underlying causes of secondary headache.

Peripheral Neuropathy Management in the Primary Care Setting: A Guide

Peripheral Neuropathy Management in the Primary Care Setting: A Guide

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Although peripheral neuropathy is one of the most common neurologic problems seen in the primary care setting, recognizing and evaluating peripheral neuropathy in a patient can be challenging due to its diverse presentations.

Non-Opioid Therapies for Pain Management in the ED

Non-Opioid Therapies for Pain Management in the ED

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The use of non-opioid analgesic therapies is increasing among ED physicians.

Trigger Point Dry Needling Plus Exercise Cost-Effective for Subacromial Pain Syndrome

Trigger Point Dry Needling Plus Exercise Cost-Effective for Subacromial Pain Syndrome

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Adding trigger point dry needling to an exercise program may be more effective than exercise alone for lowering cost associated with subacromial pain syndrome care.

Too Early to Formulate Recommendations on Medical Cannabis vs Opioids for Pain?

Too Early to Formulate Recommendations on Medical Cannabis vs Opioids for Pain?

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Various strategies to reduce opioid overdose deaths have been implemented and it has been suggested that access to medical cannabis may lead to a reduction in opioid use for pain management.

Trigger Point Injections, Pulsed Radiofrequency for Abdominal Myofascial Pain Syndrome

Trigger Point Injections, Pulsed Radiofrequency for Abdominal Myofascial Pain Syndrome

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Trigger point injection with steroids and pulsed radiofrequency treatment of trigger points may effectively relieve pain associated with abdominal myofascial pain syndrome.

Comparing the Efficacy of Postherpetic Neuralgia Treatments for Pain Relief

Comparing the Efficacy of Postherpetic Neuralgia Treatments for Pain Relief

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Analgesics may be more effective in alleviating pain associated with postherpetic neuralgia compared with topical therapies, antivirals, antidepressants, and antiepileptics.

Optimal Approaches to the Management of Burn Pain: Expert Insight

Optimal Approaches to the Management of Burn Pain: Expert Insight

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Depending on the extent of the injury, pain due to burns can range from mild to severe to excruciating.

Factors Influencing Plasma Ropivacaine Concentrations After Local Infiltration Analgesia

Factors Influencing Plasma Ropivacaine Concentrations After Local Infiltration Analgesia

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Factors influencing peak plasma total ropivacaine concentration after local infiltration analgesia in patients undergoing total knee arthroscopy included age, weight, creatinine, and female sex.

Pain Specialist Dr Beth Darnall Presented at the World Economic Forum Annual Meeting: Here Are Her Takeaways

Pain Specialist Dr Beth Darnall Presented at the World Economic Forum Annual Meeting: Here Are Her Takeaways

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Brief, low-cost and scalable psychobehavioral interventions can address gaps in pain education and provide people worldwide with the information and skills to alter the trajectory of their pain and suffering.

Atypical Antipsychotics as Adjuncts in Chronic Pain Management: How Effective Are They?

Atypical Antipsychotics as Adjuncts in Chronic Pain Management: How Effective Are They?

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In recent years, atypical antipsychotics - particularly olanzapine and quetiapine - have gained increasing attention as adjuncts in pain management regimens.

Staying in Line With Medical Ethics by Altering Opioid Prescribing Practices

Staying in Line With Medical Ethics by Altering Opioid Prescribing Practices

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One physician shares his thoughts on the importance of balancing autonomy, beneficence, and nonmaleficence when prescribing opioids to patients.

Pain Management Challenges In Severely Obese Patients

Pain Management Challenges In Severely Obese Patients

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Special caution is warranted in the administration of pain treatment to patients with severe obesity, and additional research in this population is needed.

Limited Evidence for the Effectiveness of Oxcarbazepine in Neuropathic Pain

Limited Evidence for the Effectiveness of Oxcarbazepine in Neuropathic Pain

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Evidence for the effectiveness of oxcarbazepine in painful diabetic neuropathy and other forms of neuropathic pain is limited.

Topical Analgesics Aid Opioid Discontinuation, Pain Management

Topical Analgesics Aid Opioid Discontinuation, Pain Management

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In a recent study, about half of the study patients taking opioids who were prescribed topical analgesics for pain management discontinued their opioids after 3 to 6 months of treatment.

Race/Ethnicity May Not Accurately Predict Health-Related Quality of Life in Chronic Pain

Race/Ethnicity May Not Accurately Predict Health-Related Quality of Life in Chronic Pain

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Age, anxiety, and socioeconomic status are better predictors than race and ethnicity for health-related quality of life outcomes in patients with chronic pain.

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