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Don ’t let the opioid crisis affect the treatment course for your patients

Mrs. Smith is an 81-year-old female. She worked a long time doing very physical work and is now on a fixed income and comes to my office with chronic pain. X-rays show she has degenerative arthritis in her hips, knees and lumbar spine. She has taken Norco twice a day for years and has been able to be very stable on this. She has always been compliant with her medications. She has not lost them or had them stolen. She lives with her husband, and they use a safe where they keep their medications. The patient has done well with acupuncture and massage in the past but is not able to afford these, and her insurance doesn’t cover these services. The main reason she was referred to our clinic is that her primary care provider is refusing to prescribe her medications as they do not want to prescribe long-term opioids. I work in interventional pain management, and we provide a lot of interventional services that can help decrease pain for a lot of patients. We also take care of people who are on chronic pain medications. With the opioid “crisis” there have been a lot of providers who no longer believe in pain. Pain has gone from the fifth vital sign to a non-existent symptom which has left a lot of patients who are in pain to suffer. We’ve come to a point where we have found that there is an issue with opioid medications, but no one wants to come up with a solution. We have options for alternative treatments that have been found to help people with chronic pain...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Meds Pain Management Primary Care Source Type: blogs

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Abstract Spa bathing is known as a medical treatment for certain diseases causing chronic pains. Spa water contains mineral components which lower the specific heat of the water, resulting in a higher efficiency to warm body-core temperature. This phenomenon yields pain-relieving effect for rheumatoid arthritis, low back pain, sciatic neuralgia, fibromyalgia, etc. Here we introduce medical and biological effects of mud-spa-bathing therapy for fibromyalgia other than pain relief, the changes of blood examination data, and the telomere length of circulating leukocytes. The enrolled 7 patients with fibromyalgia syndr...
Source: Molecular and Cellular Biochemistry - Category: Biochemistry Authors: Tags: Mol Cell Biochem Source Type: research
Arthritis Research UK’sThe Nation’s Joint Problem campaign has reached millions of people over the last three months, through national news stories and features and TV, cinema and billboard advertising. We asked two people who helped to shape the campaign content about their experience of being part of our ground-breaking push to change attitudes to arthritis.JulietteJournalist and author ofMostly Cloudy, Some Bright Spells Juliette Wills, 45, has lived with inflammatory spinal arthritis for 18 years. She wrote thesix powerful stories featured in The Guardian which exposed the hidden impact of arthritis, as wel...
Source: Arthritis Research UK - Category: Rheumatology Source Type: news
We have all seen and heard the story: a patient who is overweight and has heart problems (or arthritis, diabetes, low back pain or any number of other chronic conditions) is told by their doctor that they need to exercise. The patient agrees, “Yes, I really will try to start an exercise program.” Six months later, the patient is back in the doctor’s office, and the conversation goes something like this: “Well, I started going to the gym, but it really didn’t help.” OR “I started walking around my neighborhood, but the kids, work or any number of other life factors impeded the progr...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Cardiology Primary Care Source Type: blogs
People with kneeosteoarthritis are experiencing a decreased quality of life due to a fear of movement associated with the condition. This is according to a new US study carried out by the University of North Carolina at Chapel Hill, which has indicated that this fear of movement may be causing those with osteoarthritis to lead less active lifestyles, putting them at risk of their conditions worsening. Factors affecting fear of movement For this study, a total of 350 participants taking part in a clinical trial were asked to evaluate their fear of movement, as well as providing details on their age, sex, race, education,pai...
Source: Arthritis Research UK - Category: Rheumatology Source Type: news
Prominent researchers, clinicians and commentators seem to suggest that aiming to help people live with their pain is aiming too low. That pain cure or at least reduction is The Thing To Do. It’s certainly got a bit of a ring to it – “I can help get rid of your pain” has a sex appeal that “I can help you live with your pain” doesn’t have. And I can recognise the appeal. Persistent pain can be a scourge for those who live with it; it can eat away at every part of life. Imagine waking up one day to find NO PAIN! Excited much? So why do I keep hammering on about this not very glamorou...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Chronic pain Clinical reasoning Coping Skills Coping strategies Professional topics Research Resilience/Health Science in practice acceptance function healthcare self management Therapeutic approaches Source Type: blogs
Late last month, the White House issued a statement declaring the opioid crisis a national health emergency. Many companies in the healthcare field are aware of this issue, but only a handful of pain-treating device makers are focused on fighting the crisis. Atlanta-based Medovex is aiming to be one of the few. Medovex produces the DenerveX system, a combined therapy device designed to treat patients with chronic lower back pain related to facet joint syndrome. It’s a system that prez &CEO Patrick Kullman is hopeful will both be successful and help stem the opioid crisis in the US. “We have made a crea...
Source: Mass Device - Category: Medical Devices Authors: Tags: Pain Management Spinal Medovex Source Type: news
Funding Opportunity PA-18-164 from the NIH Guide for Grants and Contracts. This Funding Opportunity Announcement (FOA) seeks clinical research on self-management interventions and technologies that improve health and quality of life in persons needing assistance to optimize and maintain existing functional capabilities, prevent/delay disabilities and navigate their environment. The research focus encompasses maintenance/restorative care that can be tailored to individuals existing functional abilities and interests and is intended to enhance physical, sensory, motor, and mental capabilities. Of particular interest is rese...
Source: NIH Funding Opportunities (Notices, PA, RFA) - Category: Research Source Type: funding
Funding Opportunity PA-18-146 from the NIH Guide for Grants and Contracts. This Funding Opportunity Announcement (FOA) seeks clinical research on self-management interventions and technologies that improve health and quality of life in persons needing assistance to optimize and maintain existing functional capabilities, prevent/delay disabilities and navigate their environment. The research focus encompasses maintenance/restorative care that can be tailored to individuals existing functional abilities and interests and is intended to enhance physical, sensory, motor, and mental capabilities. Of particular interest is rese...
Source: NIH Funding Opportunities (Notices, PA, RFA) - Category: Research Source Type: funding
ConclusionThis large‐scale study demonstrates that regardless of the pain definition used, the magnitude of association between pain and other associated symptoms of fibromyalgia is similar. This finding supports the continued collection of both when classifying fibromyalgia, but highlights the fact that pain may not require to follow the definition outlined within the 1990 American College of Rheumatology criteria.
Source: Arthritis Care and Research - Category: Rheumatology Authors: Tags: Original Article Source Type: research
In August, The New York Times published a guest op-ed by a man named David Roberts who suffered from severe chronic pain for many years before finally finding relief. The piece immediately went viral, with distinguished news journalist and personality Dan Rather posting it to his Facebook page with the addendum that it could “offer hope” to some pain patients. However, for many of us in the chronic pain community, particularly women, the piece was regarded with weariness and frustration. The first and most prominent source of annoyance for me regarding this piece was the part when the author finally discloses h...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Behavioral Health Pain Management Women's Health Source Type: blogs
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