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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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I have commented before on the falling life expectancy in the United States, following two decades during which gains lagged those in the other wealthy countries.I previously linked to this editorial in BMJ by two Americans, and I emphasized their discussion of the opioid epidemic, alcohol abuse and suicide as key factors in the recent decline. I put less emphasis on life expectancy in the U.S. falling behind in the longer term.While the U.S. is among the wealthiest countries, it has a higher poverty rate than most others, and provides far less in the way of basic family support, educational opportunity, and health care ac...
Source: Stayin' Alive - Category: American Health Source Type: blogs
AbstractPurpose of ReviewChronic low back pain (CLBP) is a major source of physical and psychiatric morbidity and mortality, and the current overreliance on opioid analgesics has contributed to a burgeoning epidemic in the USA. Cognitive behavioral therapy (CBT) is an empirically supported treatment for CLBP, but little information exists regarding its potential efficacy for CLBP ’s precursor condition, subacute low back pain (sALBP), defined here as having a 7–12-week duration. Earlier intervention with CBT at the sALBP stage could produce larger clinical benefits. This systematic review was undertaken to char...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
AbstractContemporary art can be a powerful pedagogical tool in the health humanities. Students in an undergraduate course in the health humanities explore the subjective experience of illness and develop their empathy by studying three artists in the context of the AIDS epidemic: Keith Haring, Felix Gonzalez-Torres, and Wolfgang Tillmans. Using assignments based in narrative pedagogy, students expand their empathic response to pain and suffering. The role of visual art in health humanities pedagogy is discussed.
Source: Journal of Medical Humanities - Category: Medical Ethics Source Type: research
AbstractPurpose of ReviewThe prevalence of chronic pain and prescription opioid abuse has resulted in epidemic problems for patients and clinicians. The consequences are taking a heavy toll on patients, physicians, and society. Specific to radiology, a significant need exists for best practice assessment and treatment approaches for pain management, as patients with chronic pain often undergo radiological tests of unclear clinical relevance.Recent FindingsThe USA is amid an opioid-prescribing epidemic and resultant overdose public health emergency. A variety of reasons, which are examined in this manuscript, have contribut...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
AbstractPurpose of ReviewThe opioid crisis most likely is the most profound public health crisis our nation has faced. In 2015 alone, 52,000 people died of drug overdoses, with over 30,000 of those people dying from opioid drugs. A recent community forum led by the Cleveland Clinic contrasted this yearly death rate with the loss of 58,000 American lives in 4  years of the Vietnam War. The present review describes the origins of this opioid epidemic and provides context for our present circumstances.Recent FindingsAlarmingly, the overwhelming majority of opioid abusers begin their addiction with prescription medication...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
After being prescribed opioids for just one day, individuals can face significant challenges with addiction, with six percent continuing to use opioids a year later, according to the Centers for Disease Control and Prevention (CDC). The likelihood of long-term use increases sharply after five days of use. While much of the discussion around the opioid epidemic has centered on the challenges of opioid use and recovery, to get to the root of this national public health emergency, providers must focus on diminishing the risk of addiction before patients take their first dose. How can providers best help patients reduce the pr...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Hospital-Based Medicine Pain Management Source Type: blogs
Across the United States at least forty people die each day from overdosing on opioids like Vicodin, codeine, heroin, and oxycontin. Seven percent of drivers who died in car crashes last year were found to have prescription opioids in their systems — seven times more than in 1995. Considering these alarming rates of overdosing and DUIs, this is serious business. Authorities view it in their traditional way: the problem is drugs. Thus doctors should curtail prescribing, and patients should clean up and go through rehab. But the situation’s less about drugs than, frankly, rampant suicide. These drugs’ risks...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Pain Management Psychiatry Source Type: blogs
Responsible analgesic prescribing is paramount in the opioid epidemic era yet no standardized protocol exists. We aim to: (1) quantify and correlate outpatient opioid need after total knee and hip arthroplasty (TKA/THA) with preoperative objective pain pressure thresholds (PPT) and subjective pain measures (2) report incidence of non-surgical opioid prescriptions six weeks postoperatively.
Source: The Journal of Arthroplasty - Category: Orthopaedics Authors: Source Type: research
This article examines the appropriate use of opioids across the range of clinical settings encountered in gynecologic oncology. PMID: 29472016 [PubMed - as supplied by publisher]
Source: Gynecologic Oncology - Category: Cancer & Oncology Authors: Tags: Gynecol Oncol Source Type: research
Urine testing for patients with chronic pain has grown explosively amid the opioid epidemic. It costs billions of dollars annually and has raised concerns that some labs and doctors run urine tests needlessly or charge exorbitant rates to boost profits.
Source: CNN.com - Health - Category: Consumer Health News Source Type: news
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