Experience and Management of Chronic Pain among Patients with Other Complex Chronic Conditions
Sarah L. Krein, PhD, RN
Although chronic pain produces well-documented negative consequences for affected individuals and society as a whole, little is known about the interactions between chronic pain and other comorbid chronic conditions.
PAINClinician Case Study: Ketamine for the Treatment of Complex Regional Pain Syndrome
Joshua P. Prager, MD, MS
Elizabeth was involved in a car accident 12 years ago, resulting in a cracked rib, broken tailbone, sacroiliac injuries to both right and left pelvic regions, and damage to the sciatic nerve. A small break in the right cessmoid bone was unrecognized before a second break in the same area 2 years later prompted additional x-ray imaging.
Pain Quality Predicts Lidocaine Analgesia among Patients with Suspected Neuropathic Pain
Ian R. Carroll, MD, MS
The expression and modulation of voltage-gated sodium channels are known to contribute to various animal models of neuropathic pain.
Translational Pain Research: Achievements and Challenges
Jianren Mao, MD, PhD
Over the last few decades, significant achievements in pain research have led to improvements in clinical pain management.
Treatment Agreements and Urine Drug Testing to Reduce Opioid Misuse in Patients with Chronic Pain
Joanna Starrels, MD, MS
Opioid misuse and the associated public health consequences have increased with the recent expansion of opioid prescribing for chronic pain.
Emerging Ethical Issues in Palliative Care: Grand Rounds from the Dept. of Pain Medicine and Palliative Care, Beth Israel Medical Center
Tia Powell, MD
During catastrophic public health emergencies or disasters, existing surge capacity plans may not allow healthcare providers to continue to follow normal treatment procedures and adhere to usual standards of care.
EFNS guidelines on the pharmacological treatment of neuropathic pain: 2009 revision
Nadine Attal, MD, PhD
Initiated or caused by a primary lesion or dysfunction in the nervous system, neuropathic pain is a manifestation of multiple, heterogeneous disorders.
Usefulness of Prescription Monitoring Programs for Surveillance—Analysis of Schedule II Opioid Prescription Data in Massachusetts, 1996–2006
Nathaniel Katz, MD, MS
Clinicians who treat pain must balance the powerful analgesic profile of opioids with the growing problems of nonmedical use and diversion.
Quantitative Sensory Testing and Mapping of Neuropathic Pain
David Walk, MD
Relatively simply and repeatable methods to quantify the sensory features of neuropathic pain are of critical importance for research and would complement current neurologic, musculoskeletal, and physical exams in the clinical setting.
Pain-Behavioral Assessment Tools in the Nursing Home
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.
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