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Pain Management

News, opinions and meeting coverage in pain management.

Podcast: 10th Anniversary for HealthNewsReview.org

Gary Schwitzer reflects on high points, low points, lessons learned

Opioid Crisis: Scrap Pain as 5th Vital Sign?

Groups call on JC and CMS to re-evaluate policies that could lead to opioid overprescribing

10 Questions: Ilona J. Frieden, MD

'The structure of the system itself is the biggest barrier'

Here's Why You Can't Compare Healthcare to the Airline Industry

There are big differences between the two, says Suneel Dhand, MD

Mu-Opioid Antagonist Effective for Drug-Induced Constipation

But questions remain about whether the need is currently unmet

Calling a Doctor by His or Her First Name

It's different without a longstanding relationship, says James C. Salwitz, MD

Denervation Tx Helps Patients With Discogenic Back Pain

Biacuplasty plus conventional treatment provided relief in trial

Zyprexa: Also a Pain Med?

Meta-analysis suggests analgesic effect for antipsychotic drug

Efforts Expand on Abuse-Deterrent Hydrocodone

Hard to abuse -- but what will happen in real world is still unclear

Medical Schools Boost Pain Management Education

In light of opioid epidemic, more schools focus on thoughtful prescribing

Dedicating a Career to Diversity and Disparities

NMA president Edith Mitchell, MD, laments racial gaps in medicine

Will Delay Weaken CDC Opioid Guidance?

Recommendations to limit supply and dosing under fire

Steroid Injections May Ease Jaw Pain in JIA

But relief is seldom complete and some patients get no benefit

RheumNow: The Ill-Conceived Diagnosis of Fibromyalgia

Where fibromyalgia diagnosis can go wrong, and how to get it right

Healthcare System Makes Physicians Hypocrites by Enabling Addiction

Why are doctors avoiding treatment of alcoholics?

Experts Weigh In: Where Do People Want to Die?

The answer is not always obvious

'Failure to Communicate' Drives Misdiagnosis

Electronic medical records also need to be improved, says Mark Graber, MD

Doctors Urged to Practice 'Conservative Diagnosis'

And sharing cell phone numbers is a good idea

Patient Registries See Promise and Challenges Ahead

Physician-driven registries adapt to a changing health system

Clear Health Costs: Having Insurance Doesn't Always Pay

The case of the $1,700 mammogram

Purdue Pulls New OxyContin Application, and Questions Follow

FDA disavows previous requirement for study of abuse-deterrent formulation

Prednisone Offers Modest Relief in Sciatica

Oral steroids are commonly used but without much supporting evidence.

Abandoned Painkiller Makes a Comeback

Here's how the FDA let a widely abused opioid back on the market.

Injecting Opioid Tied to Blood Clotting Disorder

Are most clinicians aware of this side effect of oxymorphone drug abuse?

Allopurinol Doesn't Worsen Acute Gout Attacks

Worries that it might prove unfounded in randomized trial.

What Makes an Opioid Stronger or Weaker Than Morphine?

CDC classification of stronger, weaker, and morphine-equivalent opioids is confusing.

Ultrasound After Steroid Shots Helps Slightly in Managing Knee OA

Changes visualized after intra-articular injections are small and of borderline utility.

Are RA Patients More Sensitive to Pain?

For many RA is complicated by fibromyalgia.

'Generic' Colchicine to Hit Market

May provide some price relief for gout patients.

Separating Spondyloarthritis From Back Pain Still Problematic

Spinal MRI criteria don't help differentiate SpA from nonspecific pain.

FDA Panel Wants Safer Epidural Steroid Shots

Majority votes to end epidural injections with "particulate" steroids.

FDA Advisers Tackle Epidural Steroid Shots

Focus on adverse neurologic effects.

Gout May Protect Against Alzheimer's Disease

Study showed AD incidence higher over 5 years for patients without gout.

Humira Benefits Persist in Spine Disease

Anti-TNF treatment efficacy maintained at 3 years in axial spondyloarthritis.

That's Not Chronic Lyme, It's Cancer

Three case reports demonstrate the risks of "assuming that patients have chronic Lyme disease."

PRP Shows Promise for Hamstring Tears

Hamstring injuries are notoriously slow to heal. Can platelet-rich plasma help?

Excerpt From 'Being Mortal ... '

Ivan Ilyich isn't as foreign to today's medicine as we imagine.

Portenoy Opioid Talk Sparks Controversy

Opioid advocate Russell Portenoy's invitation to an upcoming NIH workshop is under fire.

TCT: PFO No Panacea for Migraine

WASHINGTON -- Percutaneous patent foramen ovale (PFO) closure did not significantly reduce the number of monthly migraine days compared with medical treatment, researchers reported here.

Are Your Patients Using Fake Names?

A case study in the American Journal of Medicine poses a vexing question many healthcare professionals have faced: What should you do when your patients use fraudulent names?

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