September 2011

One Woman's Dance with the Pain Experience

October 15, 2011

Feature Article

The author recounts how her struggles as a patient being treated for a chronic painful condition, and learning that thousands of other women have had similar experiences, opened her eyes to the effects of gender-based disparities in pain treatment and led her to take a lead role in advocating for change.

Adding a New Tool to the Pain Management Toolbox

October 14, 2011

Feature Q&A

An algorithm-driven resource can aid in promoting treatment adherence and identifying high-risk patients in opioid therapy. Anecdotal accounts and clinical studies alike indicate that primary care physicians and other clinicians who use opioid medications to treat patients for chronic pain are struggling to implement uniform and effective abuse and misuse assessment and risk management protocols.

What Should Non-specialists Look for When They Suspect a Patient May be Suffering from Migraines?

October 13, 2011

Feature Q&A

Gary Jay, MD, DAAPM, FAAPM, a neurologist and independent consultant in Raleigh-Durham, NC, discusses the challenges associated with properly diagnosing migraine, reviews the overlapping symptoms that can lead clinicians to confuse migraine with other headache types and misdiagnose a patient, and explains the potential consequences for patients who have been misdiagnosed. This interview is based on information Dr. Jay presented during a presentation titled "Differential Diagnosis of Migraine Headache" at PAINWeek 2011.

A Gray Area of Treatment: Opioids, Chronic Pain, and the Elderly

October 13, 2011

Geriatric pain medicine

Do primary care physicians who are not geriatricians under-treat chronic pain in older patients due to lack of education, concerns over adverse effects, and other barriers to the use of opioids?

Myths and Misconceptions Surrounding Addiction in Chronic Pain Patients Treated with Opioid Analgesics

October 11, 2011

Opioid addiction and dependence

Although the evidence appears to indicate that addiction rates are quite low among chronic pain patients treated with prescription opioids, clinician and patient fears regarding addiction continue to play a significant role in the treatment decision process. Proper screening, risk assessment, and ongoing monitoring remain the keys to minimizing addiction risk and ensuring effective pain management.

The Generalist's Approach to the Assessment and Management of Patients Suffering with Chronic Pain

October 06, 2011

Feature Article

Communication skills, a better understanding of the presentation of chronic pain, and a methodical approach to evaluation and treatment are the keys providing better pain care. Chronic pain is a common clinical presentation, yet many physicians remain apprehensive and feel reluctant about caring for patients with this condition.

Poisonings Associated with Opioid Medications Are on the Rise among Children and Adolescents

September 30, 2011

Pediatric pain medicine

The increase in the number of young children seen in the emergency department and/or admitted to the hospital due to inadvertent ingestion of prescription and OTC analgesics can be only partially explained by the increase in prescriptions and sales of these medications.