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Integrative medicine approaches for pain treatment -- can they be an alternative to opioids?

(Wolters Kluwer Health) Can acupuncture and yoga help to fight the opioid epidemic? These and other integrative medicine approaches have shown at least preliminary evidence of effectiveness in pain management, according to an article in the December issue of Anesthesia&Analgesia -- a special thematic issue addressing the opioid crisis.
Source: EurekAlert! - Social and Behavioral Science - Category: International Medicine & Public Health Source Type: news

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(TRENTON, N.J.) — New data show that the number of prescriptions for opioid painkillers filled in the U.S. fell dramatically last year. They showed their biggest drop in 25 years. The decline comes amid increasing legal restrictions and public awareness of the dangers of addiction. A health data firm released a report Thursday showing a 9 percent average drop nationwide in the number of prescriptions for opioids filled by retail and mail-order pharmacies. All 50 states and the District of Columbia had declines of more than 5 percent. The U.S. is estimated to consume roughly 30 percent of all opioids used worldwide. ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime medicine onetime Source Type: news
New data suggests progress in efforts to curb the epidemic but raises questions about whether tightened prescribing may be leading some people to heroin and fentanyl.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Pain-Relieving Drugs Opioids and Opiates Addiction (Psychology) Drugs (Pharmaceuticals) Source Type: news
Conclusions: The OSPRO-ROS tool may be used to improve the prediction of persistent musculoskeletal pain at 12 months in conjunction with comorbidities and pain intensity (baseline and 4 weeks). These are potentially important findings because persistent pain was not commonly evaluated in previous screening studies; however, it is a relevant outcome in an era of front-line nonpharmacological pain management. PMID: 29669081 [PubMed - in process]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
Conclusion Commissioner Gottlieb ended his speech by recognizing that “we haven’t seen meaningful, voluntary actions,” when it comes to opioids and to that end, the FDA is planning to host a summit with CEOs and other senior representatives of internet stakeholders, academics, and various advocacy groups to identify technology gaps and possible solutions. Both the House and the Senate are working on a variety of bipartisan proposals that could be included in the next legislative package addressing the opioid epidemic. The House Energy and Commerce Committee has the third in its hearing series on this to...
Source: Policy and Medicine - Category: American Health Authors: Source Type: blogs
(Princeton University, Woodrow Wilson School of Public and International Affairs) Improving job prospects for people in economically depressed parts of the United States is unlikely to help curb the opioid epidemic, according to a study by researchers at Princeton University. On the other hand, opioid use may actually help some women -- but not men -- stay in the labor force when they would otherwise leave because of chronic pain.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
(Wolters Kluwer Health) Can medical marijuana help to fight the opioid epidemic? Many believe that it can. But a new study finds that people who use medical marijuana actually have higher rates of medical and non-medical prescription drug use--including pain relievers. The study appears in the Journal of Addiction Medicine, the official journal of the American Society of Addiction Medicine (ASAM), published by Wolters Kluwer.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
To the Editor Drs Kolodny and Frieden outlined steps the government should take to curb the opioid epidemic, such as improving surveillance of prescribers through the use of databases, improving reporting and responses to overdoses, promoting more cautious guidelines for use of narcotics, increasing access and reimbursement for nonopioid and nonpharmacologic management of pain, interrupting supply of heroin and illicitly produced synthetic opioids, increasing access to addiction treatment, and reducing harm to current users. However, they left out the role the Drug Enforcement Administration (DEA) can play in its ability t...
Source: JAMA - Category: General Medicine Source Type: research
(University of Colorado at Boulder) Giving opioids to animals to quell pain after surgery prolongs pain for three weeks and primes specialized immune cells in the spinal cord to be more reactive to pain, according to a new study by the University of Colorado Boulder. The authors say the paradoxical findings could add a new wrinkle to the conversation about the national opioid epidemic.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
Chronic pain associations struggle to raise awareness of "silent epidemic". CMAJ. 2018 Apr 16;190(15):E483-E484 Authors: Collier R PMID: 29661822 [PubMed - in process]
Source: cmaj - Category: General Medicine Authors: Tags: CMAJ Source Type: research
Publication date: Available online 1 March 2018 Source:EXPLORE Author(s): Heather Tick, Arya Nielsen, Kenneth R. Pelletier, Robert Bonakdar, Samantha Simmons, Ronald Glick, Emily Ratner, Russell L. Lemmon, Peter Wayne, Veronica Zador Medical pain management is in crisis: from the pervasiveness of pain to inadequate pain treatment, from the escalation of prescription opioids to an epidemic in addiction, diversion and overdose deaths. The rising costs of pain care and managing adverse effects of that care has prompted action from state and federal agencies including the DOD, VHA, NIH, FDA and CDC. There is pressure for pain...
Source: EXPLORE: The Journal of Science and Healing - Category: Complementary Medicine Source Type: research
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