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Experiences from the First StimRouter Implanted in Patients in Canada
As a shadowing medical student in family medicine clinics in Toronto, I’d seen patients with chronic pain of a neurogenic origin and always felt heartbroken. I’d looked on in helplessness as we consoled the patients and offered them physiotherapy, bedrest, and pain killers. We and the patients knew none of these options were curative, and subsequently tiptoed around that subject. Fortunately, Health Canada approved a new solution earlier this year: a peripheral nerve stimulator called the Bioness StimRouter. It’s a minimally invasive neuromodulation device consisting of an implanted lead, an external pulse generator,...
Source: Medgadget - June 28, 2018 Category: Medical Devices Authors: Ben Ouyang Tags: Anesthesiology Exclusive Pain Management Rehab Source Type: blogs

Use of a Case Study Method To Explore Sensory-Processing Characteristics of Children With Complex Regional Pain Syndrome
Place holdercoming soon! (Source: ABC Therapeutics Occupational Therapy Weblog)
Source: ABC Therapeutics Occupational Therapy Weblog - April 2, 2018 Category: Occupational Health Tags: OT practice Source Type: blogs

Abbott Releases Proclaim DRG Dorsal Root Ganglion Stimulator for Chronic Pain
Abbott is releasing in the U.S. its Proclaim DRG neurostimulation system to fight chronic pain in patients with complex regional pain syndrome in their legs. The product consists of an implantable neuromodulator that stimulates the dorsal root ganglion (DRG), an Apple iPad for programming the device, and an iPod touch for the patient control of the device. In a recent clinical trial, dorsal root ganglion stimulation has shown markedly better outcomes over spinal cord stimulation in many patients suffering from chronic pain in the lower extremities. Bluetooth wireless connectivity is used to change the settings on the impl...
Source: Medgadget - October 16, 2017 Category: Medical Devices Authors: Editors Tags: Neurology Neurosurgery Pain Management Source Type: blogs

Opioid Induced Hyperalgesia Prevented by Buprenorphine?
“Buprenorphine is a kappa receptor antagonist. For these reasons, buprenorphine might be unique in its ability to treat chronic pain and possibly OIH.” The opioid crisis has been fueled by the use of opioids to treat chronic pain.  Practice patterns have changed, but doctors are still criticized for their roles in the overuse of opioids.  I’ve sat through community ‘heroin forums’ (sometimes on stage) as sheriffs, politicians, and ‘recovered addicts’ firmly pointed fingers at health professionals.  I, meanwhile, kept my finger under the table, but had the thought that some of the people pointing ...
Source: Suboxone Talk Zone - February 5, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Acute Pain Buprenorphine Chronic pain Suboxone treatment buprenorphine treats chronic pain chronic pain treatment opioid induced hyperalgesia opioid pain relief pain vs. addiction Source Type: blogs

America ’s veterans deserve the best, and safest, pain treatment
Pain is usually considered a symptom, not a life-threatening medical problem. But for Army veteran Richard Dejarnette, 52, constant excruciating pain in his right leg made his life intolerable, and he believes he wouldn’t be alive today if a physician anesthesiologist at the VA West Los Angeles Medical Center hadn’t been there to help him. On December 14, the Department of Veterans Affairs announced the wise decision to keep physician anesthesiologists at the head of the anesthesia care team at VA hospitals nationwide, ensuring that veterans like Mr. Dejarnette will continue to receive first-class anesthesia care. Whil...
Source: Kevin, M.D. - Medical Weblog - January 31, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/ajit-rai" rel="tag" > Ajit Rai, MD < /a > Tags: Physician Pain management Source Type: blogs

Managing pain is a focus of medicine today. Here’s why.
The scope of the problem Chronic pain is a health epidemic. Estimates suggest that up to a third of adults or a hundred million Americans live with chronic pain conditions that interfere with their work and life. From back pain to headaches to diabetic neuropathy, chronic pain is widespread and debilitating. These patients suffer tremendously, and societal consequences are significant; back pain is one of the most common causes of missing work and prescription drug abuse is a consequence of our struggle to manage these chronic conditions. Pain syndromes span a wide spectrum of diseases Patients who come to a pain clinic in...
Source: Kevin, M.D. - Medical Weblog - July 11, 2015 Category: Journals (General) Authors: Tags: Conditions Pain management Source Type: blogs

How the health care system is making pain patients worse 
Over 100 million Americans suffer from chronic pain such as spinal disorders (lower back pain, disc disease, pinched nerves and neck pain), complex regional pain syndrome, fibromyalgia and headaches. The cost of chronic pain in human suffering, lost worker productivity and in health care dollars is counted in the billions. Yet despite newer, expensive and invasive treatments like spinal fusions and disc surgery, spinal cord stimulators, steroid and painkiller injections, nerve  “burning” and of course the excessive use of opioid drugs, chronic pain is becoming worse in the U.S. adult population not better! ...
Source: Kevin, M.D. - Medical Weblog - March 4, 2015 Category: Journals (General) Authors: Tags: Conditions Pain management Source Type: blogs

Complex Regional Pain Syndrome: Pathophysiology, Diagnosis, and Treatment - Pain Medicine News
Complex regional pain syndrome (CRPS) is a chronic, predominantly neuropathic and partly musculoskeletal pain disorder often associated with autonomic disturbances. It is divided into 2 types, reflecting the absence or presence of a nerve injury.Patients with either type may exhibit symptoms such as burning pain, hyperalgesia, and/or allodynia with an element of musculoskeletal pain. CRPS can be distinguished from other types of neuropathic pain by the presence of regional spread as opposed to a pattern more consistent with neuralgia or peripheral neuropathy. Autonomic dysfunction (such as altered sweating, changes in skin...
Source: Psychology of Pain - January 3, 2015 Category: Psychiatrists and Psychologists Source Type: blogs

Techniques that May Actually Save Your V-Fib Patient
Winning teams have depth, and games are often won from the bench or deep in the batting order. That is certainly true when competing against ventricular fibrillation, and a few tools you might not know can help these patients.   A 55-year-old man with severe coronary heart disease and previous four-vessel coronary artery bypass surgery collapsed at a mall. He also had an unprotected left main atherosclerotic plaque. Bystanders immediately began chest compressions, and the available AED, unfortunately, advised no shock. Paramedics started bag-valve-mask ventilation and high-quality mechanical compressions with a Lucas d...
Source: Spontaneous Circulation - October 1, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Techniques that May Actually Save Your V-Fib Patient
Winning teams have depth, and games are often won from the bench or deep in the batting order. That is certainly true when competing against ventricular fibrillation, and a few tools you might not know can help these patients.   A 55-year-old man with severe coronary heart disease and previous four-vessel coronary artery bypass surgery collapsed at a mall. He also had an unprotected left main atherosclerotic plaque. Bystanders immediately began chest compressions, and the available AED, unfortunately, advised no shock. Paramedics started bag-valve-mask ventilation and high-quality mechanical compressions with a Lucas devi...
Source: Spontaneous Circulation - October 1, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Meeting the support needs of patients with complex regional pain syndrome through innovative use of wiki technology: a mixed-methods study
This study set up a peer-support online forum to identify the nature of support provided and to explore its development over time. Report Summary NIHR publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 1, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Patient involvement, experience and feedback Source Type: blogs

Facebook Activity Earns Zarbee's a Slap on the Wrist from FDA
The FDA continued their focus on social media by coming down on Zarbee's for activity on the company’s Facebook page.  Zarbee's, a company focusing on natural cough remedies for young children, received a letter from the FDA outlining transgressions within (relatively) recent social media activity.  The letter specifically focused on Facebook activity including likes on certain comments as well as two tweets from earlier this year.  Most of the highlighted activity took place in January and February of this year although two posts from October 2013 are mentioned as well.  Some of the specific posts ci...
Source: ePharma Summit - July 14, 2014 Category: Medical Marketing and PR Tags: #epharma ePharma Summit epharma West FDA Social Media FDA Social media guidance FDA social media guidelines Zarbees Zarbees Facebook Zarbees FDA Source Type: blogs

Complex regional pain syndrome: yes, it’s complex
Complex regional pain sydrome or “CRPS” (pronounced CRIPS) is an enigma. It’s complex. It involves different body systems. It’s very, very painful, and it can be incredibly disabling. It has had lots of different names over the years – in 1982 when I trained it was called “causalgia” or “Sudeck’s atrophy”, but in 1993 the International Association for the Study of Pain developed guidelines for diagnosing and managing this complex pain problem. Since then we’ve heard a lot about CRPS, at least those of us working in the pain management field have. I am not so...
Source: HealthSkills Weblog - July 6, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Pain conditions Research pain management Source Type: blogs

Ailurophobia (fear of cats) and the ability to sense their presence
Here's a leftover Halloween treat from American neurologist Silas Weir Mitchell (1829–1914).1 Mitchell was an illustrious physician known for discovering complex regional pain syndrome, coining the term "phantom limb", and prescribing the sexist "rest cure" (bed rest) for 19th century nervous maladies.2 His work on the treatment of neurasthenia and hysteria had an influence on Sigmund Freud, although the treatments were medical in nature and not psychoanalytic.In 1902, he consulted on a case of a young female patient who had an extreme fear of cats, and claimed she could always tell if one was nearby. Mitchell was skept...
Source: The Neurocritic - November 2, 2013 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Reasons to pause when discussing a "sensory processing disorder" construct.
The Sensory Profile is an assessment tool that purports to measure sensory processing abilities (Pearson Education Inc., 2008); there are versions for infant/toddlers, school aged children, and adolescent/adult populations.  The tool has been used to document the incidence of a "sensory processing disorder" construct (Ahn, et. al., 2004; Ben-Sasson, et. al., 2009).  To date, although many scientists recognize that children can have difficulties with processing sensory information, this diagnostic construct has been rejected and is not considered as a distinct clinical entity (AAP, 2012).   For more in depth ...
Source: ABC Therapeutics Occupational Therapy Weblog - October 29, 2013 Category: Occupational Therapists Tags: OT practice sensory integration Source Type: blogs