How will Pain Medicine do during the next recession?

It's been my sense that this specialty is counter-cyclical in nature. If the economy tanks and more people are out of work, filing comp &disability claims, will this be good for the specialty?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums

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Conclusions: For one-level ACDF, the anchored cage with screws has some advantage compared to the stand-alone PEEK cage in avoiding dysphagia and restoring disc space height and cervical lordosis. We suggest the anchored spacer may be a good substitute for the stand-alone cage in one-level ACDF. Level of Evidence: Level II
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
Knee osteoarthritis (OA) is a major cause of pain and disability with estimated prevalence of>20% in the elderly. Treating patients with intermediate disease severity is a challenge due to poor response to conservative treatment. Surgery is not warranted in them due to absence of severe deformity. This pain is postulated to be related to osteochondral neoangiogenesis with low-grade inflammation. The feasibility, safety and efficacy of genicular artery embolization for relief of symptoms in this subgroup was studied
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific Session 1 Source Type: research
To determine if genicular artery embolization (GAE) is more effective than a sham procedure in reducing pain and disability secondary to knee osteoarthritis (OA).
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific Session 1 Source Type: research
Authors: DENTAL SUPPLEMENT, Mummolo S, Sapio S, Falco A, Vittorini OL, Quinzi V Abstract The aim of this study is to evaluate the success of functional rehabilitation of one dental session in patients with severe disabilities such as severe autism, baby bottle syndrome and severe odontophobia, and to assess how patient compliance pre- and post-intervention changes in moderate sedation. Between the beginning of 2016 and the end of 2018, 20 pedodontic patients with severe odontophobia, severe autism and baby bottle syndrome who needed dental treatment came to our attention. Patients were aged between 3 and 12 years, ...
Source: Journal of Biological Regulators and Homeostatic Agents - Category: Biomedical Science Tags: J Biol Regul Homeost Agents Source Type: research
This article focuses primarily on new molecular entities in development targeting various chronic pain receptors and new delivery technologies.
Source: Physical Medicine and Rehabilitation Clinics of North America - Category: Rehabilitation Authors: Source Type: research
Conclusions: The use of custom-made foot orthoses help in the management of the symptoms by participants. This study could contribute to the foot specialists being considered as an additional member in multidisciplinary teams that are trying to develop an approach for patients with EDS.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
Drawing on advances in chronic pain metrics, a simplified Graded Chronic Pain Scale-Revised was developed to differentiate mild, bothersome, and high-impact chronic pain. Graded Chronic Pain Scale-Revised was validated among adult enrollees of 2 health plans (N = 2021). In this population, the prevalence of chronic pain (pain present most or every day, prior 3 months) was 40.5%: 15.4% with mild chronic pain (lower pain intensity and interference); 10.1% bothersome chronic pain (moderate to severe pain intensity with lower interference with life activities); and 15.0% high-impact chronic pain (sustained pain-related activit...
Source: Pain - Category: Anesthesiology Tags: Research Paper Source Type: research
This study addresses the problem of long-term opioid use by chronic pain patients. The study involved a secondary analysis of unanalyzed data from a published study of 2 versions of cognitive-behavioural therapy-based interdisciplinary treatment for chronic pain. In this study, we examined whether the use of opioids by 140 chronic pain patients could be ceased sustainably over 12 months after participation in the comprehensive interdisciplinary pain management program aimed at enhancing pain self-management. On admission to the treatment, there were no significant differences between those patients taking or not taking opi...
Source: Pain - Category: Anesthesiology Tags: Clinical Note Source Type: research
Pain-related fear is typically associated with avoidance behavior and pain-related disability in youth with chronic pain. Youth with elevated pain-related fear have attenuated treatment responses; thus, targeted treatment is highly warranted. Evidence supporting graded in vivo exposure treatment (GET) for adults with chronic pain is considerable, but just emerging for youth. The current investigation represents the first sequential replicated and randomized single-case experimental phase design with multiple measures evaluating GET for youth with chronic pain, entitled GET Living. A cohort of 27 youth (81% female) with mix...
Source: Pain - Category: Anesthesiology Tags: Research Paper Source Type: research
Conclusion: Self-management behaviors and HrQoL of CHD patients in Chinese communities were inadequate. There is a positive correlation between self-management behaviors and HrQoL among CHD patients in Chinese community settings. Therefore, it is critical to improve self-management behaviors and HrQoL of CHD patients in Chinese communities.Impact statement: Self-management behaviors were found to positively influence on HrQoL among CHD patients in Chinese community settings. It is necessary to develop the nursing intervention on self-management behaviors to enhance the HrQoL of CHD patients in Chinese communities. PMID...
Source: Contemporary Nurse - Category: Nursing Tags: Contemp Nurse Source Type: research
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