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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Source: Neuron - Category: Neuroscience Source Type: research
Publication date: 19 September 2018Source: Neuron, Volume 99, Issue 6Author(s): Paul V. Naser, Rohini KunerWith the current unmet demand for effective analgesics and the opioid crisis, pain relief without major central adverse effects is highly appealing. In this issue of Neuron, Snyder et al. (2018) report on the localization, functions, and therapeutic potential of kappa opioid receptors in peripheral sensory neurons.
Source: Neuron - Category: Neuroscience Source Type: research
Publication date: Available online 29 July 2017Source: NeuroscienceAuthor(s): Silvia Tommasin, Costanza Giannì, Laura De Giglio, Patrizia PantanoAbstractMultiple Sclerosis (MS) is a chronic neurological disease that represents a leading cause of disability in young adults and is characterized by inflammation and degeneration of both white matter (WM) and gray matter (GM). Defining the presence or absence of inflammation on individual basis is a key point in choosing the therapy and monitoring the treatment response.Magnetic resonance imaging (MRI) represents the most sensitive non-invasive tool to monitor inflammati...
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Use of continuous positive airway pressure after an acute stroke or transient ischemia attack may improve neurologic functioning in patients with sleep apnea, a new study found.Medscape Medical News
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BOSTON (CBS) – Pregnant women may be able to optimize their baby’s eyesight and brain function by regularly eating fatty fish during pregnancy. Researchers studied 56 mothers and their children in Finland and found that infants whose mothers ate fish three or more times a week during the last trimester did better on vision tests than those whose mothers ate little or no fish. Fish contain fatty acids, which are critical for nerve cells involved in eyesight and help brain cells communicate with one another. Pregnant women are currently advised to eat some fish but are also told to avoid fish that are high i...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health Syndicated Local Watch Listen Dr. Mallika Marshall Eyesight Source Type: news
Authors: Ames P, Bucci T, Merashli M, Amaral M, Arcaro A, Gentile F, Nourooz-Zadeh J, DelgadoAlves J Abstract Systemic sclerosis (SSc) is a multisystem autoimmune disease: characterized from the clinical side by progressive vasculopathy and fibrosis of the skin and different organs and from the biochemical side by fibroblast deregulation with excessive production of collagen and increased expression of nicotinamide adenine dinucleotide phosphate oxidase 4 (NOX4). The latter contributes to an overproduction of reactive oxygen species that via an autocrine loop maintains NOX4 in a state of activation. Reactive o...
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Central Ohio now has 55 doctors certified by the state to recommend medical marijuana, with 21 added in the past two months, including a senior executive at a nearby community hospital. While most of the physicians are in independent practice, such as a pain or addiction medicine clinic, more institutional employees are signing up, according to Columbus Business First research cross-referencing medical licenses with specialties and practice location. Among them is Dr. Victor Tri anfo, chief medical…
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In this study we analysed the effect of laser treatment of aphthous lesions with four devices available on the market, two with wavelength in the infra-red region (2940 nm 808 nm) and two with a wavelength in the visible region (450 nm and 635 nm).Diode lasers 808 nm and 450 nm defined almost the same results with an improvement starting already after the application and gradually improving until 7 days after treatment without any statistically significant difference between them. Diode 635 nm was the device gaining the earliest effect reducing the pain already during the treatment and maintaining it at low...
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Publication date: September 2018Source: European Urology Supplements, Volume 17, Issue 9Author(s): Montes S. Fernández-Pello, R. Gil, Villamil L. Rodriguez, S. Escaf, A. Alzueta, J.M. Gonzalo-Orden
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Publication date: September 2018Source: European Urology Supplements, Volume 17, Issue 9Author(s): M. Eghbal, M. Zargham, N. Saberi, M. Mohamad, M. Yazdani
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