Those in FM, what would you like to learn/know about Pain Medicine?

Hi y'all, I plan on giving a presentation to a large local family medicine group and I'm reaching out to see what YOU would like to learn from someone who is in pain management. This may be one presentation or a short series. Ideally, this would be useful and practical. So, think more 'what is the best muscle relaxant' and less of the esoteric 'different opioid subtypes receptors.' I hope that made sense. Below are some ideas. I'm open to hearing from YOU. Which muscle relaxant to... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Family Medicine Source Type: forums

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Congratulations! You’re an insightful clinician who’s offered your patient a screening assessment to find out if she or he has psychosocial risk factors – and yes! they do! Well done. Now what? Do you… send your patient to the nearest psychologist?spend at least one treatment session offering pain neurobiology education?scramble to find a “psychologically informed physio” to send them to, because it takes really highly trained and special clinicians to work with these peoplegive your patient the same exercise prescription you were going to anyway because, after all, they still hav...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Back pain Chronic pain Clinical reasoning Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Research Science in practice biopsychosocial healthcare pain management Therapeutic approaches Source Type: blogs
ConclusionThe path of the obturator externus muscle branch of the obturator nerve ran close to the mesh arm. It may provide a clinical anatomical basis explaining the observed postoperative pain.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
ConclusionsWorkplace interventions focusing on the management of BNP and overcoming difficulties in walking, standing, and sitting, potentially utilizing exercise, therapy, and ergonomic interventions, may prevent absenteeism.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
 Written by Pendell Meyers with edits by SmithNOTE: Please check outMy Commentat the very bottom of this post — in which I amplify discussion by Drs. Meyers&Smith on somesubtle-but-important ECG findings on theinitial ECG—KenGrauer, MD —A man in his 60s called EMS apparently for shortness of breath. EMS found him in distress and hypoxemic requiring 4 L nasal cannula to maintain oxygen saturation greater than 93%.Here is his triage ECG:What do you think?An old ECG was available on file, from 2 years ago:RBBB, otherwise normal.The triage ECG is diagnostic of life threatening hyperkalemia (sodium ch...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Low back pain (LBP) is complex with abundant biopsychosocial factors interacting to impact pain, disability, and quality of life 35. Approaches that focus on individual factors related to LBP (i.e., reductionist approaches), rather than considering the complexity and interaction between factors, have limited efficacy 12. Considerable effort has been placed on advancing management strategies to embrace the broader dimensions of the condition 26, 31. In personalised medicine, it is increasingly recognised that efficacy of interventions depends in part on the preferences and expectations of the individual with LBP.
Source: The Journal of Pain - Category: Materials Science Authors: Tags: Original Reports Source Type: research
People who experience debilitating back pain come to their doctors with one pressing question: Do I need back surgery? Often, they are surprised to hear me, a neurosurgeon, answer, “No.” In many cases, physical therapy, pain management, weight loss management, and physiatry can help people to delay – and in some cases avoid – backRead more …Expertise is the backbone of successful spine treatment originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Neurosurgery Orthopedics Source Type: blogs
Cell Mol Neurobiol. 2022 Jan 15. doi: 10.1007/s10571-022-01188-6. Online ahead of print.ABSTRACTPhosphorylation of N-methyl-D-aspartate receptor (NMDAR) is widely regarded as a vital modification of synaptic function. Various protein kinases are responsible for direct phosphorylation of NMDAR, such as cyclic adenosine monophosphate-dependent protein kinase A, protein kinase C, Ca2+/calmodulin-dependent protein kinase II, Src family protein tyrosine kinases, cyclin-dependent kinase 5, and casein kinase II. The detailed function of these kinases on distinct subunits of NMDAR has been reported previously and contributes to ph...
Source: Cellular and Molecular Neurobiology - Category: Cytology Authors: Source Type: research
J Emerg Med. 2022 Jan 12:S0736-4679(21)00748-4. doi: 10.1016/j.jemermed.2021.10.009. Online ahead of print.ABSTRACTBACKGROUND: Hemorrhagic cholecystitis is a rare cause of abdominal pain. Most often described in the setting of blunt abdominal trauma, anticoagulation use, coagulopathy (such as cirrhosis or renal failure), and malignancy (biliary angiosarcoma), this rare condition can be difficult to identify unless high on the differential. With point-of-care ultrasound becoming more commonplace in the emergency department (ED), this tool can be successfully used to make a timely diagnosis in the correct clinical context.CA...
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
We present a 43  year old female with a nuanced constellation of comorbidities and confirmed MCTLMP following a workup for abdominal pain and irritative lower urinary tract symptoms. Notably, this tumor did not change in size over a 3-year course of serial imaging prior to surgical excision. This urachal MCTLMP re presents roughly the 26th and one of the smallest of its subtype reported in the literature. This case illustrates the diagnosis and management of this rare urachal MCTLMP. Individual patient medical history, clinical considerations, and neoplasm characteristics are examined. Although rare, the pot enti...
Source: International Cancer Conference Journal - Category: Cancer & Oncology Source Type: research
Bone metastases occur in about 40% of all patients with cancer. This substantial proportion reflects the significant challenge faced by patients and clinicians as well as the need for treatment advancements, particularly since life expectancy has increased due to the introduction of precision medicine. The primary goal of treatment of these patients is to alleviate symptoms while the secondary goal is to maintain or restore patient function. As patients often experience pain with conservative management of this condition, which impacts quality of life and can lead to reduced mobility, depression, and anxiety, interventiona...
Source: Techniques in Vascular and Interventional Radiology - Category: Radiology Authors: Source Type: research
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