The cost of chronic pain

There is a saying that being poor is expensive. From personal experience, I know this to be true. But I think it also needs to be said that, especially in the United States, chronic illness can be quite expensive as well. In fact, there is a huge intersection between poverty and disability/illness. As with many intersections, it is a chicken-or-egg scenario, difficult to determine which is begetting which. But one thing is clear: there are often blind spots about these expenses in the medical community and how they can impact chronically ill people already struggling with finances. Recently I attended a seminar on the topic and was immediately struck by the lack of attention to the expense of the nonpharmacological treatments being advised to take the place of opioids. I watched the doctors on the panel enthusiastically promote acupuncture, yoga, chiropractic care, biofeedback, massage, lidocaine patches, and TENS units. Yet, many of these treatments are not covered by most insurance plans and can be very expensive to pay for out of pocket. In the case of something like massage or acupuncture, it can cost well over $100 per visit. Since these therapies usually require multiple visits to achieve long-term outcomes, it can cost patients hundreds or thousands of dollars to cover the costs of such treatments. Considering that most people with disability live below the poverty level, many people with chronic pain may not be in a financial position to fund these alternative treatme...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Health care Health policy Pain Management Source Type: blogs

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Publication date: Available online 15 December 2018Source: Life SciencesAuthor(s): Julia Modesto Vicente, Caio Jordão Teixeira, Junia Carolina Santos-Silva, Dailson Nogueira de Souza, Natália Tobar, Fabiola Sales Furtuoso, Isabel Gouveia Adabo, Frhancielly Shirley Sodré, Gilson Murata, Silvana Bordin, Gabriel Forato AnhêAbstractAimsThe present investigation evaluated whether pregnancy followed by lactation exerts long-term impacts on maternal hepatic lipid metabolism.Main methodsFemale mice were subjected to two pregnancies, after which they were either allowed to breastfeed their pups for 21 d...
Source: Life Sciences - Category: Biology Source Type: research
BACKGROUND: The loss of mobility during aging impacts independence and leads to further disability, morbidity, and reduced life expectancy. Our objective was to examine the feasibility and safety of conducting a randomized controlled trial of yoga for olde...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
Publication date: Available online 16 December 2018Source: Respiratory Medicine Case ReportsAuthor(s): Ryota Otoshi, Hideaki Yamakawa, Tamiko Takemura, Takuma Katano, Naoto Aiko, Goushi Matama, Kohsuke Isomoto, Tomohisa Baba, Eri Hagiwara, Takashi OguraAbstractA 66-year-old man, an ex-smoker, was referred to our hospital for slightly progressive respiratory symptoms of cough and dyspnea on exertion and chest abnormal shadow. Chest high-resolution computed tomography showed wide-ranging ground-glass attenuation and reticulation with lower lobe predominance. Bronchoalveolar lavage (BAL) fluid revealed a marked increase in ly...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
It ’s now become a public ritual for a successful woman to out herself for having self-doubtsAt around the same, distant time that I was meant to be studying comparative – animal – psychology, a couple of US psychologists, Pauline Rose Clance and Suzanne Imes, came up with something never yet observed in a herring gull, but frequently – they concluded – afflicting successful women: the Impostor Phenomenon.It designated,they wrote, “an internal experience of intellectual phoniness, which appears to be particularly prevalent and intense among a select sample of high-achieving women”.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Women Michelle Obama UK news Sheryl Sandberg Life and style Psychology Science US news Source Type: news
8 January 1942 – 14 March 2018The physicist ’s former research student recalls their close relationship at Cambridge, the sheer might of his intellect, and how he once bored the great man to sleep• Nicolas Roeg by Donald Sutherland• Read the Observer’s obituaries of 2018 in full hereStephen was not so famous when I began my PhD at Cambridge in 1972, but his brilliance was already clear to his peers and I found it rather daunting when, on becoming his research student, I was informed by one of my tutors that he was the brightest person in the department. Nevertheless, it soon became evident that ...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Stephen Hawking Astronomy Space Physics Science Source Type: news
CONCLUSIONS: The majority of patients included in this study experienced a significant and rapid improvement of GBS following treatment with IVIG. Combined therapy of PLEX and IVIG was not proven to be effective in patients who encountered a failure of the first-line treatment. PMID: 30550005 [PubMed - in process]
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
PARACETAMOL and ibuprofen are both used for treating pain and fever, proving particularly helpful in the case of a hangover. But can you take both together - is this more effective or is it in fact dangerous?
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
The objective of this trial study was to assess whether submucosal veneering of internally connected zirconia abutments influences clinical, radiographic, and technical outcomes of single-tooth implant-borne reconstructions at 5 years after loading. A total of 20 patients with 20 single-tooth implants in the anterior or premolar area of the maxilla or mandible were included. The implants were randomly restored with fixed single-tooth reconstructions using either pink-veneered customized zirconia abutments (test group = 10) or nonveneered customized zirconia abutments (control group = 10). All reconstructions were adhesivel...
Source: International Journal of Periodontics and Restorative Dentistry - Category: Dentistry Tags: Int J Periodontics Restorative Dent Source Type: research
Traumatic brain injury (TBI) accounts for a significant amount of death and disability worldwide and the majority of this burden affects individuals in low-and-middle income countries. The GNOS is a multi-centre international, prospective cohort study. Thi...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Commentary Source Type: news
IMPORTANCE: Bicycling is an increasingly common activity in the United States that is often associated with fall injuries to the head and face. Although helmets lessen head injury, their role in reducing facial injuries is less clear; therefore, it is impo...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
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