Overprescribing Is a Key Component of the Opioid Crisis — Here’s How to Stop It
By DAVE CHASE
Today’s opioid crisis is one of the most dire side effects driven by our dysfunctional U.S. healthcare system. A recent JAMA Surgery report found that many surgeons prescribe four times more opioids than their patients use. This opens the door for misuse and abuse later on. In fact, the total combined cost of misuse, abuse, dependence and overdose is about $78.5 billion.
Unfortunately, there’s a direct connection between the low-quality care many patients receive, and the astounding rates of opioid addiction. Often, insurance plans offer access to high-cost, volume-centric physicians and include high de...
Source: The Health Care Blog - January 29, 2019 Category: Consumer Health News Authors: matthew holt Tags: Patients Value-Based Care Dave Chase Opioid epidemic Source Type: blogs
Cauda equina mass: An Approach
- CLINICAL PRESENTATION&FINDINGS 57 yr male with h/o low back pain with no h/o trauma presents for MRI lumbar spine which shows – Large relatively well defined , regular, intradural, subtly& heterogeneously enhancing SOL, seen from lower L3 border to middle of body of L5 with compression of cauda equina fibers, displaying mostly soft tissue signals on all sequences / normal meningeal enhancement, with no significant hemorrhage / fat / cystic / necrosis/ MR demonstrable calcification components / sugarcoating / scalloping or enlargement of the posterior neural e...
Source: Sumer's Radiology Site - January 12, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Ankylosing Spondylitis: MRI
DiscussionAnkylosing spondylitis (also known as Bechterew disease and Marie Str ümpell disease). More common in males with 3:1 ratio.Spondyloarthritis is a group of diseases with common clinical, laboratory, and genetic features& association with human leukocyte antigen HLA-B27. Ankylosing spondylitis is the prototypic disease in the spectrum of spondyloarthritis which usually has axial skeletal manifestations. Other representative disorders in this spectrum of disease which usually have peripheral articular involvement, but axial skeleton manifestations are also frequently seen are --psoriati...
Source: Sumer's Radiology Site - January 11, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Natural Remedies That Help Relieve Your Joint Pain?
You're reading Natural Remedies That Help Relieve Your Joint Pain?, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
If you are among millions of people suffering from joint pain and arthritis and living on pain-killers for quite a while, there is good news for you-you can have natural remedies to get rid of your pain. Whether you are facing stiffness, reduced the range of movements, and difficulty walking, there are certain natural therapies that are pretty much safer alternatives to taking drugs.
According to the Centre...
Source: PickTheBrain | Motivation and Self Improvement - January 9, 2019 Category: Consumer Health News Authors: smithwillas Tags: health and fitness Joint pain natural remedies Source Type: blogs
Natural Remedies That Help Relieve Your Joint Pain
You're reading Natural Remedies That Help Relieve Your Joint Pain, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
If you are among millions of people suffering from joint pain and arthritis and living on pain-killers for quite a while, there is good news for you-you can have natural remedies to get rid of your pain. Whether you are facing stiffness, reduced the range of movements, and difficulty walking, there are certain natural therapies that are pretty much safer alternatives to taking drugs.
According to the Centre ...
Source: PickTheBrain | Motivation and Self Improvement - January 9, 2019 Category: Consumer Health News Authors: smithwillas Tags: health and fitness Joint pain natural remedies Source Type: blogs
What Are The Best Natural Remedies That Help Relieve Your Joint Pain?
You're reading What Are The Best Natural Remedies That Help Relieve Your Joint Pain?, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
If you are among millions of people suffering from joint pain and arthritis and living on pain-killers for quite a while, there is good news for you-you can have natural remedies to get rid of your pain. Whether you are facing stiffness, reduced the range of movements, and difficulty walking, there are certain natural therapies that are pretty much safer alternatives to taking drugs.
Accor...
Source: PickTheBrain | Motivation and Self Improvement - January 8, 2019 Category: Consumer Health News Authors: smithwillas Tags: health and fitness Joint pain natural remedies Source Type: blogs
How are you going with your resolutions?
It’s seven days into the new year, and if you’ve made New Year’s resolutions I’d like to bet that it’s around now that your resolve is starting to fade… Don’t worry, I’m not going to nag! I am going to point out just how difficult it is to stick with a resolution, goal, action, new habit – whatever you call it.
And take a moment, if you’re a health professional. Just stop for a moment and think about the resolution, goal, action, new habit you’ve just set with your last patient. What are the chances that person will stick with that goal for the week?
A...
Source: HealthSkills Weblog - January 6, 2019 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Coping Skills Coping strategies Pain conditions Professional topics them and us goal-setting Motivation resolutions Source Type: blogs
MKSAP: 25-year-old woman with ankylosing spondylitis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman is evaluated during a follow-up visit for an 18-month history of ankylosing spondylitis. She has minimal lower back pain with morning stiffness lasting 20 minutes. She is able to pursue her activities of daily living without any restrictions. […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 5, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Rheumatology Source Type: blogs
Trend: Rethinking (and treating) chronic pain as a brain disease
Can stimulating the brain treat chronic pain? (Science Daily):
“We’ve published numerous brain stimulation papers over several years, and we always learn something important,” said senior author Flavio Frohlich, PhD, director of the Carolina Center for Neurostimulation and associate professor of psychiatry. “But this is the first time we’ve studied chronic pain, and this is the only time all three elements of a study lined up perfectly. We successfully targeted a specific brain region, we enhanced or restored that region’s activity, and we correlated that enhancement with a significant decrease in symptoms...
Source: SharpBrains - December 27, 2018 Category: Neuroscience Authors: SharpBrains Tags: Cognitive Neuroscience Health & Wellness Technology brain-disease brain-stimulation chronic pain disability nonpharmacological Source Type: blogs
On the problem of coping
Coping. Lots of meanings, lots of negative connotations, used widely by health professionals, rejected by others (why would you need coping skills if you can get rid of your pain?).
I’ll bet one of the problems with coping is that we don’t really know what we’re defining. Is coping the result of dealing with something? Or is it the process of dealing with something? Or is it the range of strategies used when dealing with something? What if, after having dealt with the ‘something’ that shook our world, the world doesn’t go back to the way it was? What if ‘coping’ becomes a...
Source: HealthSkills Weblog - December 2, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: 'Pacing' or Quota Assessment Chronic pain Clinical reasoning Coping Skills Coping strategies Motivation Research Science in practice activity patterns flexibility Occupational therapy physiotherapy values Source Type: blogs
How to sleep during pregnancy ? must read
Sleeping in pregnancy! Is it comfortable for you? If you are a stomach sleeper then you have to switch sleep positions to put up your growing girth. Once you are pregnant, getting comfortable at night is no easy achievement. Finally your back is painful; your belly is threatening to take over the bed and your legs are cramping. Overall, you have to understand that which position is the safest as well as best for sleeping during pregnancy.
Sleep During Pregnancy
There are numerous reasons why pregnant ladies might have trouble receiving sufficient sleep, for example getting up regularly to urinate, stomach problems such as ...
Source: Disruptive Women in Health Care - November 30, 2018 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Uncategorized Source Type: blogs
Pain science is not a thing
Today’s post is occasioned by reading several discussions on various forums where the term “pain science” and various adjectives to describe this kind of practice. For those who don’t want to read the rest of my ramblings: no, it’s not a thing, science is an approach to understanding phenomena, and I would have thought all health professionals would use a science-based approach to treatment.
I went on to Google, as you do, to find out when this term began its rise in popularity. Google wasn’t particularly helpful but did show that it’s been around since 2004 at least, and seems to...
Source: HealthSkills Weblog - November 4, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Education Low back pain Pain conditions Professional topics Research Science in practice biopsychosocial interprofessional multidimensional pain management pain science Source Type: blogs
Do I need orthotics? What kind?
Many people come to my office complaining of foot pain from conditions such as bunions, hammertoes, a pinched nerve (neuroma), or heel pain (plantar fasciitis). I perform a thorough evaluation and examination, and together we review the origin, mechanics, and treatment plan for the specific problem or issue. The patient usually asks if they need an orthotic and, if so, which type would be best.
I recommend a foot orthotic if muscles, tendons, ligaments, joints, or bones are not in an optimal functional position and are causing pain, discomfort, and fatigue. Foot orthotics can be made from different materials, and may be ri...
Source: Harvard Health Blog - October 29, 2018 Category: Consumer Health News Authors: James P. Ioli, DPM Tags: Foot Care Health Source Type: blogs
Wait and see … when do we “ escalate ” care for low back pain?
Prompted by reading a paper by Linton, Nicholas and Shaw (in press), today’s post is about various service delivery models for low back pain and not the content of back pain treatment.
Service delivery in New Zealand is assumed to be based on getting most bang for the buck: we have a mainly socialised healthcare system, along with a unique “no fault, 24 hour” insurance model for accidents whether at work or elsewhere, which means market forces existing in other countries are less dominant. There are, however, many other influences on what gets delivered and to whom.
Back to most bang for buck. With a l...
Source: HealthSkills Weblog - October 28, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Interdisciplinary teams Low back pain Professional topics Research Science in practice health systems treatment Source Type: blogs
Surprising New Pain Relief Methods
If you are one of the more than 100 million Americans suffering with chronic pain, you know how desperate you can get searching for relief. For constant or chronic pain, sometimes knowing that you can only get temporary relief from medications sits at the back of your brain and sets up pain anticipation.
Shouldn’t there be a better way, an approach or approaches that don’t rely on pharmaceutical drugs to combat pain? According to new research, there are some new pain relief methods that look very promising to do just that.
Treatment from Strangers Mat Provide Unexpected Pain Relief
It may seem counter-intuitive, yet a...
Source: World of Psychology - October 21, 2018 Category: Psychiatry & Psychology Authors: Suzanne Kane Tags: Chronic Pain Health-related Mental Health and Wellness Mindfulness Psychology Research Treatment Source Type: blogs
