Keela Herr, PhD, RN, FAAN, AGSF The gold standard for assessing pain is patient self-report. The high prevalence and undertreatment of pain among nursing home residents, however, demand that clinicians are also familiar with techniques to evaluate pain in nonverbal older adults.
Perry G. Fine, MD The American Pain Society and American Academy of Pain Medicine have recently published guidelines to help clinicians appropriately position and prescribe opioids as a treatment option for chronic noncancer pain.
Gabriel Tan, PhD, ABPP Meta-analysis of studies addressing hypnotic analgesia for both clinical and laboratory pain suggest that this modality is highly efficacious compared with standard care or no treatment.
Frank L. Rice, PhD Sodium channels are primary determinants of membrane excitability. Interestingly, recent evidence suggests that keratinocytes in the skin express voltage-gated sodium channels, with increased levels observed in such neuropathic pain conditions as complex regional pain syndrome type 1.
Gabriel Tan, PhD, ABPP Patients living in rural settings or those who are unable to travel due to disability, finances, or other socioeconomic factors may find it difficult to access evidence-based, high-quality pain management services.
Highlights are based on selected presentations from the American Academy of Pain Medicine's 26th Annual Meeting, which took place Feb 3-6, 2010 in San Antonio, Texas.
Alex Cahana, MD, PhD Debra A. Schwinn, MD Clinical trials often fail to represent cohorts observed in general practice, which at times can leave clinicians frustrated with calls for evidence-based medicine.
Howard S. Smith, MD The endogenous antioxidant system consists of a number of proteins (eg, antioxidant enzymes) and small molecules that maintain the reducing environment of the body and prevent potentially damaging reactions initiated by reactive oxygen species.
Eric J. Grigsby, MD Physician extenders in pain medicine generally include physician assistants and nurse practitioners, as well as, at times, clinical nurse specialists, nurse anesthetists, and medical assistants.
Steven Delaronde, MPH, MSW Rates of lumbosacral and cervical injections for the treatment of patients with musculoskeletal pain have increased significantly over the last decade, despite at times conflicting evidence regarding their efficacy.