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Tell the FDA not to embrace quackery: Write to oppose its proposal on acupuncture and chiropractic for chronic pain

Chiropractors and acupuncturists have lobbied for a greater role in treating pain. They might well have won it. Last week, the FDA released proposed changes Wednesday to its blueprint on educating health care providers about treating pain, which now recommend that doctors learn about chiropractic care and acupuncture as therapies that might help patients avoid opioids. There’s still time to stop this, but you have to write the FDA.
Source: Respectful Insolence - Category: Surgery Authors: Tags: Complementary and alternative medicine Politics Pseudoscience Quackery Skepticism/critical thinking acupuncture Chiropractic chronic pain fda opioid opioid addiction regulation Source Type: blogs

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Chronic geriatric pain is a complex condition to assess and treat. Older age is associated with several highly prevalent comorbid pain conditions including both musculoskeletal and neurologic conditions.1 The impact of pain in older persons goes far beyond physiologic risks to include impaired cognitive function, depression, sleep disturbance, diminished socialization, increased healthcare use and costs, and impaired functional abilities.2 Despite the prevalence and potential impact, stoic attitudes of older adults in pain, myths about pain being a natural element of aging, and fears about potential addiction, can lead to ...
Source: Geriatric Nursing - Category: Nursing Authors: Source Type: research
I am a physician in recovery and just celebrated my fifth-year anniversary on October 11, 2017. While in active addiction, my drugs of choice were benzodiazepines and opioids that I washed down with top-shelf alcohol. Near the end of my usage, I was diverting scheduled drugs in order to feed my addiction. After an unsuccessful suicide attempt, I finally admitted myself for treatment. As part of the treatment process, I enrolled with our state’s physician help program (PHP). Because of my diversion, they were obligated to report me to the medical board who in turn suspended my license for six months. After that time p...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Psychiatry Source Type: blogs
25.3 million (11.2%) American adults suffer from daily chronic pain (Nahin, J Pain, 2015), with treatments often providing inadequate pain relief, adverse events, tolerance, dependence, and addiction. Natural products offer a safer alternative. Resveratrol was shown to be effective in mouse models of diabetic neuropathy (Sharma, Kulkarni and Chopra, Fundam Clin Pharmacol, 2007), chronic constriction injury (Tao, Ding et  al., Int Immunopharmacol, 2016), and incision-induced allodynia (Tillu, Melemedjian et al., Mol Pain, 2012).
Source: The Journal of Pain - Category: Materials Science Authors: Source Type: research
Opioids are an important component of chronic pain management for some patients; however, others may develop unrelenting tolerance, unmanageable side effects, opioid-induced hyperalgesia, opioid misuse, or other challenges that demand revision of care. Options for opioid management may then include: enhanced self-regulation, tightened prescribing structure, rotation or scheduling changes, tapering to lower doses (with or without rotation), discontinuation (with or without addition of naltrexone), or transition to opioid agonist therapy of addiction (OAT).
Source: The Journal of Pain - Category: Materials Science Authors: Source Type: research
WASHINGTON (AP) — Companies selling some of the most lucrative prescription painkillers funneled millions of dollars to advocacy groups that in turn promoted the medications' use, according to a report released Monday by a U.S. senator. The investigation by Missouri's Sen. Claire McCaskill sheds light on the opioid industry's ability to shape public opinion and raises questions about its role in an overdose epidemic that has claimed hundreds of thousands of American lives. Representatives of some of the drugmakers named in the report said they did not set conditions on how the money was to be spent or force the group...
Source: JEMS: Journal of Emergency Medical Services News - Category: Emergency Medicine Authors: Tags: News Administration and Leadership Source Type: news
ConclusionsThe study highlights the attitudes of chronic pain patients in Ireland towards medicinal cannabis. It shows their desire to have medical cannabis legalised for chronic pain and that they view it as a reasonable pain management option.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
February 13, 2018 at 1pm ET The National Institute for Health Care Management (NIHCM) Foundation is hosting The Opioid Crisis: Understanding Pain and Preventing Opioid Misuse. “This webinar will get to the heart of the prevention question, exploring efforts across the health system to stop opioid abuse before it starts. Speakers will discuss: Efforts to standardize the use of opioids to treat chronic pain based on CDC guidelines, and the use of insurance data to identify non-standard treatment patterns for targeted outreach Partnerships to collect data and share best practices for reducing opioid use in the are...
Source: BHIC - Category: Databases & Libraries Authors: Tags: Substance Addiction and Misuse Webinars health systems opioid Source Type: blogs
Authors: Chen J, Liu XM, Zhang Y Abstract Different types of neuronal nicotinic acetylcholine receptors (nAChRs) are expected to occur in vivo, most structure-activity relationship studies have been carried out for just a few neuronal subtypes. The present review enlightens current aspects of venom modulators of nAChRs. Important electronic databases such as PubMed or Google scholar were explored for the collection of latest studies in the field. Clinical and basic research has shown that cholinergic receptors play a role in several disorders of the nervous system such as chronic pain, Alzheimers disease and addict...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
Psychosocial stress, defined here as socioenvironmental demands that tax the adaptive capacity of the individual (e.g., low socioeconomic status, childhood adversity, bullying), has repeatedly been linked to substance use disorders (SUDs). Neighborhood poverty and social support are shown to influence substance use patterns. Among smokers, multiple psychosocial stressors are associated with relapse, and acute psychosocial stress has been demonstrated to enhance cigarette craving and smoking behavior. Similarly, psychosocial stress has been associated with greater risk of relapse in individuals with alcohol and cocaine use ...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
Abstract The opioid crisis in the United States has been declared a public health emergency. Various governmental agencies, cancer care organizations and the Centers for Disease Control and Prevention have issued guidelines in hopes of managing this crisis. Curbing over-prescription of opioids by medical professionals has been a central theme in many of these guidelines. Gynecologic oncologists encounter patients with a variety of pain sources, including acute pain secondary to the underlying malignancy or surgical procedures as well as chronic pain related to the malignancy and the sequelae of treatments rendered...
Source: Gynecologic Oncology - Category: Cancer & Oncology Authors: Tags: Gynecol Oncol Source Type: research
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