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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The current opioid crisis highlights an urgent need for better paradigms for prevention and treatment of chronic pain and addiction. Although many approach this complex clinical condition with the question, “Is this pain or is this addiction?,” it is more than the sum of its parts. Chronic pain among those with dependence and addiction often evolves into a complex disabling condition with pain at multiple sites, psychosocial dysfunctions, medical and psychiatric disorders, polypharmacy, and polysub stance use, all interacting with each other in complex ways (multimorbidity). The authors offer an integrative the...
Source: Medical Clinics of North America - Category: Primary Care Authors: Source Type: research
Efforts to improve treatment of pain using opioids have to adequately take into account their therapeutic shortcomings which involve addictiveness. While there are no signs of an “opioid epidemic” in Germany s...
Source: BMC Family Practice - Category: Primary Care Authors: Tags: Research article Source Type: research
Excessive cell phone use is a trend that is growing every day. We are consumed with life behind the screen. But why? Because often, in the digital world, flowers are blooming and the sun is always shining. Many of us seek and gain validation from likes and comments on photos or ideas we post online, and naturally, we crave more of that every day. But when does this craving become obsessive and possibly an addiction? Many individuals form a smartphone addiction because they can’t live without the acceptance and information they have access to on their devices. We should avoid getting trapped in the infatuation of wha...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Habits Happiness Mental Health and Wellness Self-Help Sleep Technology Phone addiction Smartphone Technology And Culture Source Type: blogs
​​BY STUART ETENGOFF, DO, &ABDULLAH ​BOKHARI​, AB, DOA 20-year-old Caucasian man presented via EMS with a chief complaint of withdrawal from ketamine and secondary complaints of abdominal pain, blood in his urine, and painful urination with urgency for two days.He said he had been using ketamine intravenously daily for the past five days, up to 35 grams over the past week. His last use was 24 hours prior to presentation to the ED. He stated that he had been using ketamine regularly for four years and that he has used it intravenously, orally, and intranasally.He reported a history of ADHD and a family hist...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
The crushing toll of the opioid crisis is daily news, including stories about ways to “fix” it. A wide array of initiatives has been brought forward in an attempt to curb this epidemic and the damage it causes. Prescription monitoring programs (PMPs) are one of them. The goal of PMPs is a good one — to identify patients who are being prescribed multiple medications by multiple clinicians. It is a means to introduce some stewardship for preventing overuse and misuse of prescription drugs. How prescription monitoring programs work Prescription monitoring programs are state-based electronic databases that pr...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Addiction Drugs and Supplements Health Source Type: blogs
Addiction, EarlyView.
Source: Addiction - Category: Addiction Authors: Source Type: research
A  story in today’s Wall Street Journal discusses the latest report from the Organization for Economic Cooperation and Development on ”prime age” (25-54) labor-force participation rates among its 35 member countries through the last quarter of 2017. While the US rate has improved, it remains below the average OECD rate, lagging behind such developed countries as Japan and the UK. What’s puzzling is why the authors of the report decided to weigh in on the opioid overdose issue.Noting that per capita opioid prescriptions in the US are “significantly higher” than in othe...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
ConclusionEmotion dysregulation is an important and malleable treatment target with the potential to reduce or prevent opioid misuse and suicidality among opioid-treated chronic pain patients.
Source: Borderline Personality Disorder and Emotion Dysregulation - Category: Psychiatry Source Type: research
Gun control advocates like to accuse legislators of being “afraid of the NRA,” implying that reason and principle have nothing to do with their legislative decisions. In the same way, Jackie Kucinich, in a column in The Daily Beast, suggests that the failure of Congress to pass CARA 2.0 (Comprehensive Addiction and Recovery Act) is due primarily to the lobbying clout of the American Medical Association, pointing to its status as the “seventh highest lobbying spender in 2017.”  The article quotes opioid reform advocate Gary Mendell as saying “the AMA will resist anything tha...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Conclusions: Case managers can serve an important advocacy role and intervene to improve the coordination of services and efficient use of resources. This will lead to improved quality of life and optimal health care utilization for persons with SCD. Implications for Case Management Practice: As a constant member of the health care team, the case manager may be the only health care team member who has a broad knowledge of the patient's experience of acute and chronic pain, usual state of health, social behavioral health needs, and how these factors may affect both inpatient and outpatient health care use and health ou...
Source: Professional Case Management - Category: Health Management Tags: Articles Source Type: research
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