Rehab fails: What goes wrong in pain rehabilitation (1)
Well obviously I’m not going to cover everything that goes wrong – and certainly not in one post! But inspired by some conversations I’ve had recently, I thought I’d discuss some of the common #fails we do in rehabilitation. Things that might explain why people with pain are thought to be “unmotivated” or “noncompliant” – because if the rehab doesn’t ‘work’ of course it’s the person with pain who’s at fault, right? So for today, here goes.
Starting at the wrong intensity
One of the main things that happens when someone’s in pain...
Source: HealthSkills Weblog - March 20, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Cognitive behavioral therapy Cognitive skills Motivation Occupational therapy Pain conditions Physiotherapy Psychology Resilience/Health Science in practice biop Source Type: blogs
Blame to go around on the opioid epidemic
The Purdue Pharma settlement gave family members of people who were harmed by opioid prescribingthe opportunity to confront Purdue family members, a dramatic spectacle that represents some measure of justice but casts blame for the disaster of the opioid epidemic on one family. That is not the whole story, or really a true story. Prior to the 1980s, opioids were generally prescribed in the U.S. only for short-term use, after surgery or severe injury, or for people who were terminally ill.In the 1980s, for reasons which are not entirely clear, attitudes in the medical profession began to shift and physicians began to t...
Source: Stayin' Alive - March 14, 2022 Category: American Health Source Type: blogs
Making sense of pain
It’s been said many times, so many times I can’t locate the originator of the saying “humans are meaning-making machines” – no more so than when a person experiences pain. Whether it’s a stubbed toe, sprained ankle, thundering headache – or, in my case, weird and ongoing widespread body pain AKA fibromyalgia – we would like to make sense of what’s going on. And mostly we tell simple stories about what we were doing, what happened to the body and that’s that.
In the case of weird or persistent pains the challenge becomes harder. The original story might not fit ...
Source: HealthSkills Weblog - March 6, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Research Resilience/Health pain management Therapeutic approaches Source Type: blogs
An elderly woman with shortness of breath and an ECG that helps understand it
Written by Pendell Meyers, edits by Smith and GrauerOne of my fantastic residents brought me an ECG on shift and asked for my interpretation without any context:What do you think?I responded that it looks like chronic right ventricular hypertrophy. This is due to the QRS morphology and axis including incomplete RBBB pattern in V1, precordial R wave progression reversal, matching deep S waves in leftward leads I and aVL, very rightward limb lead axis including R wave in aVR. See Ken Grauer ' s comments below where he points out that the tall P-wave in lead II is diagnostic of right atrial enlargement, which supp...
Source: Dr. Smith's ECG Blog - March 6, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
Spinal Cord Stimulators for Chronic Pain: Interview with Charlie Covert, VP and GM, Pain Therapies, Medtronic
Chronic pain is a difficult burden to bear, but advances in spinal stimulators are helping suitable patients to gain some control over their infliction. Medtronic is a major player in this space, and is continually developing its spinal cord stimulators to better address patient and clinician needs.
For instance, the company announced the release of the FDA-approved Vanta neurostimulator last summer. The recharge-free device allows full-body MRI access, personalized programming, and can provide over seven years of service (depending on settings). The new implant is also smaller and thinner than previous incarnations...
Source: Medgadget - March 2, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Neurology Pain Management medtronic Source Type: blogs
