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Although some studies have hinted at a possible role for metformin in pain management, a recent investigation found no difference in pain scores among diabetic patients who used metformin and those who did not

Researchers have demonstrate the efficacy of an implantable organic electronic delivery device for the treatment of neuropathic pain in an animal model. The small organic electronic ion pump could be an effective option for patients suffering from severe nerve pain.

In last month's Pain Perspectives, I discussed the importance of assessing patients with chronic pain for depression – as it is extremely prevalent in this population and has been found to interfere with physical treatment. This month, we will begin to look at what the primary care physician can do to ensure that their patients with chronic pain have their depression addressed adequately.

Interventional pain management-the field of helping patients with acute or chronic pain without doing major surgery--is a both a growing specialty and one that is under assault. As the annual meeting of the American Society of Interventional Pain Physicians got underway in Orlando, FL today, group leaders outlined the organization's political agenda.

Approximately 20% of women develop leiomyomas during their childbearing years. When these uterine fibroids cause excessive bleeding, pelvic pain, cramping, or painful intercourse, surgery is indicated. Hysterectomy is an appropriate choice for women who are done with childbearing, but for women with childbearing plans for the future, myomectomy is an option. However, hemorrhage is a common complication during myomectomy.

A 28 year-old commercial realtor comes to your office on Monday morning after spraining his right ankle in a basketball game with friends the preceding Saturday afternoon. He has a swollen right ankle with tenderness inferior and anterior to the lateral malleolus. He is limping but able to apply weight to the injured extremity.