amputation to treat crps of the leg?
Mother has leg amputated after dropping perfume bottle on her foot
Gill Haddington, 42, of Morecambe, Lancashire, saw her foot swell to twice the size from September 2015. Doctors diagnosed the excruciating condition chronic regional pain syndrome.
www.dailymail.co.uk
Article doesn’t describe any treatments leading up to this. Surprised she could find a surgeon to perform a bka for crps. Had djd and fibro prior to the accident. Extreme and not standard of care. (Source: Student Doctor Network)
Source: Student Doctor Network - June 7, 2019 Category: Universities & Medical Training Authors: TheLoneWolf Tags: Pain Medicine Source Type: forums
TAP block consent
I've had it come up a few times where I didn't consent pre-op for TAP block but surgery takes an unexpected course and now they have an unanticipated abdominal incision and the patient really could benefit from a TAP block prior to emergence at this point. Is it reasonable to perform the block? They are so safe, I do them under GA anyway, and the benefits if the person has significant chronic pain issues would be potentially great. I don't want to have to wait until they're awake and in...
TAP block consent (Source: Student Doctor Network)
Source: Student Doctor Network - May 21, 2019 Category: Universities & Medical Training Authors: ethilo Tags: Anesthesiology Source Type: forums
CCM + Pain?
Was wondering out loud. Is there a future in pursuing ccm and chronic pain fellowship? Both. Is there a possibility of jobs with 2 weeks in pain clinic and rest icu? (Source: Student Doctor Network)
Source: Student Doctor Network - May 17, 2019 Category: Universities & Medical Training Authors: Dam272 Tags: Anesthesiology Source Type: forums
Chronic pain
90 year old patient with chronic low back (prior lami/fusion) and continued knee pain after TKA. I’m the 3rd PM doc she’s seen. She failed to follow up with the other PM bc she says nothing was helping. per chart review she’s been tried on multiple meds(meds all with side effects or no relief: gaba, Lyrica, cymbalta, savella, Tylenol #3, Vicodin, oxycodone) I’m hesitant to try TCA at her age and she has afibb. I tried her on Butrans but didn’t help. Compound cream slightly helpful. Starting...
Chronic pain (Source: Student Doctor Network)
Source: Student Doctor Network - April 28, 2019 Category: Universities & Medical Training Authors: Bsb2015 Tags: Pain Medicine Source Type: forums
Buprenorphine for pain
What is everyone's experience with buprenorphine for pain? I've only given butrans patches from 5 to 20 mcg and find that it isn't really strong enough for many patients with chronic pain. What about belbucca, and Subutex? Is the 2mg Subutex too much? (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2019 Category: Universities & Medical Training Authors: likeaboss Tags: Pain Medicine Source Type: forums
Compression Fracture and Vertebral Augmentation
Usually I would only do Kyphos on patients with an acute/subacute MRI with edema on the fracture.
I recently saw a patient with a CHRONIC compression fracture. But it is very tender.
I did a literature search, apparently one can do kyphos on chronic appearing fractures. Do you all do it in practice? I didnt know that you could. Thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2019 Category: Universities & Medical Training Authors: PinchandBurn Tags: Pain Medicine Source Type: forums
Re: Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials
(Source: BMJ Comments)
Source: BMJ Comments - April 8, 2019 Category: General Medicine Source Type: forums
Re: Managing twin crises in chronic pain and prescription opioids
(Source: BMJ Comments)
Source: BMJ Comments - March 14, 2019 Category: General Medicine Source Type: forums
Re: What interventions are effective to taper opioids in patients with chronic pain?
(Source: BMJ Comments)
Source: BMJ Comments - October 25, 2018 Category: General Medicine Source Type: forums
Question About Non Cancer Pain Management
Hi all fellow pharmacist,
I am a pharmacist practicing in a retail. I have a question in regards to chronic pain management for non cancer patients. I understand pain a fifth vial sign, and the goal is to have patients pain free. Doctors establish relationships with their regular patients. Doctors know what regimen is best to manage patients' chronic pain. On another hand, I am a floater pharmacist. I work at different stores and I do have my regular customers. When customers bring in...
Question About Non Cancer Pain Management (Source: Student Doctor Network)
Source: Student Doctor Network - April 29, 2018 Category: Universities & Medical Training Authors: Teddybear123456 Source Type: forums
Plain Dealer: Opioid Contracts Humilate Pain Patients
Opioid 'contracts' humiliate some patients with chronic pain, and may not make them safer
"Many of the more than 20 opioid contracts reviewed by The Plain Dealer contained inflammatory and threatening language instructing patients that deviations from the contract would be grounds for the prescriber to stop prescribing opioids "at any time."...
Plain Dealer: Opioid Contracts Humilate Pain Patients (Source: Student Doctor Network)
Source: Student Doctor Network - April 27, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
Why isn't Fisher Wallace Cranial Simulator and similar devices prescribed/discussed more?
Forgive me if I am posting in an inappropriate forum for this topic; I presume my question would be most relevant here.
I receive psychiatric care myself and I've observed others receive the same treament. Not once have I ever heard of a mental health care professional prescribing a device such as Fisher Wallace Cranial Simulator/similar devices nor discussed this with his/her patients. It is used to treat anxiety, depression, insomnia, and chronic pain such as arthritis by promoting the...
Why isn't Fisher Wallace Cranial Simulator and similar devices prescribed/discussed more? (Source: Student Doctor Network)
Source: Student Doctor Network - April 12, 2018 Category: Universities & Medical Training Authors: AlfonsTheGuru Source Type: forums
Pain Medicine fellowship with SIS Master Instructor - Salt Lake City Utah July 2018
Utah Center for Pain Management & Research – Nexus Pain Specialists
Fellowship Program type: Pain, Spine, Musculoskeletal, One Year.
IMMEDIATE OPENING AVAILABLE FOR POSITION STARTING JULY 1
Nexus Pain Specialists is a comprehensive multidisciplinary musculoskeletal practice with an emphasis on minimally invasive spinal procedures and regenerative medicine for the treatment of chronic pain. Our team is made up of Physical Medicine and Rehab...
Pain Medicine fellowship with SIS Master Instructor - Salt Lake City Utah July 2018 (Source: Student Doctor Network)
Source: Student Doctor Network - April 12, 2018 Category: Universities & Medical Training Authors: oreosandsake Source Type: forums
