Author ’s response IV: Needling is superior to conventional care in chronic low back pain
(Source: BMJ Comments)
Source: BMJ Comments - April 6, 2018 Category: General Medicine Source Type: forums
Re: Management of chronic pain using complementary and integrative medicine
(Source: BMJ Comments)
Source: BMJ Comments - March 16, 2018 Category: General Medicine Source Type: forums
Should SCS be higher in the treatment algorithm for chronic pain?
Why Are Devices the Last-in-Line Treatment for Chronic Pain?
Is Roger Chou justified believing this?
"Roger Chou, MD, a CDC guidelines co-author and professor of medicine in the Internal Medicine and Geriatrics Division at Oregon Health & Science University, argues the risks outweigh the benefits. "Spinal cord stimulators and related modalities may have some role in management of chronic pain, but...
Should SCS be higher in the treatment algorithm for chronic pain? (Source: Student Doctor Network)
Source: Student Doctor Network - March 2, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
Chronic Pain and Opioids - Impact on atient visit experience
Will the hyper-emphasis on 'patient experience' becoming ever tied to compensation, this article seems to confirm clinicians' concerns of such.
Communication about chronic pain and opioids in primary care: impact on patient and physician visit experience
Henry, Stephen G.a,b,*; Bell, Robert A.c,d; Fenton, Joshua J.b,e; Kravitz, Richard L.a,b
PAIN: February 2018 - Volume 159 - Issue 2 - p 371–379
doi:...
Chronic Pain and Opioids - Impact on atient visit experience (Source: Student Doctor Network)
Source: Student Doctor Network - March 2, 2018 Category: Universities & Medical Training Authors: NOSfan Source Type: forums
Pediatric Pain Medicine Fellowships
Anyone have any insight into this field, it seems relatively new with only afew institutions offering the fellowship. Do you receive a general certificate as a pain physician, or are you limited to only pediatric pain management? What is the caseload? Terminal pediatric patients? Procedural heavy? I love working with kids but I'm wondering if there is a similar lifestyle to adult chronic pain practice? - important to consider every aspect of the field before committing to it. (Source: Student Doctor Network)
Source: Student Doctor Network - February 20, 2018 Category: Universities & Medical Training Authors: Diet Dr Pepper Source Type: forums
Ira Cantor, MD: "Chronic Pain Patients Need Opioids"
The other opioid epidemic: Chronic pain patients in need of care - Philly
Is Dr. Cantor justified believing this??
“There was no good medical reason to taper your medications. They were helpful and weren’t abused. There aren’t new regulations, rather, recommendations about not using higher levels of opioid medications unless there is a compelling reason....
Ira Cantor, MD: "Chronic Pain Patients Need Opioids" (Source: Student Doctor Network)
Source: Student Doctor Network - February 19, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
Interesting Case
Had a patient today in clinic, elderly female, history of lumbar lami L3-S1 for leg pain 6 months ago. She came to me today because of continued post op leg pain (RLE > LLE), unable to walk now after surgery. Surgeons wont touch her. Neurologists don't know. EMG shows chronic L5 radic, but otherwise normal. MRI with residual L5 NF stenosis. I thought her pain was coming from the L5, but then this was on her LE MRI ordered by another physician:
-Abnormal enlargement and signal...
Interesting Case (Source: Student Doctor Network)
Source: Student Doctor Network - February 14, 2018 Category: Universities & Medical Training Authors: painfree23 Source Type: forums
Great SDN Blog on Chronic Pain, SCS, and Opioid Epidemic!
Kudos to Dr. Deer and Dr. Hagedorn. I would love to see others on this forum post and participate.
Chronic Pain, the Opioid Epidemic, and the Role of Neuromodulation - Student Doctor Network (Source: Student Doctor Network)
Source: Student Doctor Network - February 3, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
Tribalism-Provider Archetypes in the Pain Medicine Specialty
I see at least the following:
Injectionologists/needle monkey's
Pill pusher's
Suboxone pimp's
Chronic Pain Deniers/therapeutic nihilist's
Alt med whacko's
Stim Ho's
Regen Med Guru's
Health system lackey's
Worker Comp *****'s
Ortho Group B*tches
Are there others? (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
MAC Anesthesia with chronic pain pts
I was wondering since my interest is in chronic pain.
Does the presence of chronic pain change the way an anesthesiologist treats the pt?
Especially with MAC anesthesia when the pt is awake and sometimes the procedure would appear that the pt only needs local anesthetic, but because of comorbidities (ie, chronic pain) would make the procedure not tolerable?
As I am doing chronic pain research now, in a lot of pain conditions, the pain becomes...
MAC Anesthesia with chronic pain pts (Source: Student Doctor Network)
Source: Student Doctor Network - January 3, 2018 Category: Universities & Medical Training Authors: hellohelpwithfuture Source Type: forums
Exam Room 1: Consent for Elective Buprenorphine Rotation
78 year old female with advanced OA, spondylosis, multiple medical comorbidities and significant cognitive impairment residing in assisted living/memory care unit on FNT 50 mcg/hr TD patch and two percocet 5/325's QD. PCP no longer RX's opioids for chronic pain. Family, caregiver, and private duty RN want patient off "heroin pills" and fentanyl. Patient does not want to rotate. Significant family issues and litigated trust. Psychiatrist says patient is competent despite cognitive issues....
Exam Room 1: Consent for Elective Buprenorphine Rotation (Source: Student Doctor Network)
Source: Student Doctor Network - December 30, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
Marijuana to Reduce Opioid Usage
PLoS One. 2017 Nov 16;12(11):e0187795. doi: 10.1371/journal.pone.0187795. eCollection 2017.
Associations between medical cannabis and prescription opioid use in chronic pain patients: A preliminary cohort study.
Vigil JM1,...
Marijuana to Reduce Opioid Usage (Source: Student Doctor Network)
Source: Student Doctor Network - December 29, 2017 Category: Universities & Medical Training Authors: algosdoc Source Type: forums
Prolo GIGO: Critque the **** out of this!
Clin Med Insights Arthritis Musculoskelet Disord. 2016 Jul 7;9:139-59. doi: 10.4137/CMAMD.S39160. eCollection 2016.
A Systematic Review of Dextrose Prolotherapy for Chronic Musculoskeletal Pain.
Hauser RA1, Lackner JB2, Steilen-Matias D1, Harris DK3.
Author information
Abstract
OBJECTIVE:
The aim of this study was to systematically review dextrose (d-glucose) prolotherapy efficacy in the treatment of chronic musculoskeletal pain.
DATA SOURCES:
Electronic databases...
Prolo GIGO: Critque the **** out of this! (Source: Student Doctor Network)
Source: Student Doctor Network - December 19, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
Pain and Rheum
Hey guys,
PGY1 here, just finished a rheumatology rotation and noticed a lot of patient with chronic pain that would benefit from interventioinal pain or pharm treatment such as fibro, or inflammatory arthritis that could benefit from geniculat blocks, or chronic neck and back pain. I am interested in pain, do not know all available interventions but noticed the patients were not well controlled at times. How feasible would a rheum/interventional pain clinic be or would it even make sense? (Source: Student Doctor Network)
Source: Student Doctor Network - December 16, 2017 Category: Universities & Medical Training Authors: AnybodyWantAPeanut? Source Type: forums
Chronic Foot Pain
This is a 45 year old patient with Charcot foot who has severe constant neuropathic pain. She uses high dose opioids to remain functional. I am tapering after inheriting this patient. Pain is flaring up. I am considering sympathetic nerve blocks. But would anyone do anything like phenol on the cutaneous nerves or RFA or something weird and experimental like that? Any other ideas? (Source: Student Doctor Network)
Source: Student Doctor Network - December 12, 2017 Category: Universities & Medical Training Authors: Papa Lou Source Type: forums
