The Concept of Addiction in Law and Regulatory Policy Related to Pain Management
Aaron M. Gilson, MS, MSSW, PhD
Concerns regarding the potential for opioid misuse and abuse and an inaccurate understanding of the nature of addiction may limit clinicians’ willingness to prescribe these analgesics. Surveys have shown, for instance, that a significant proportion of healthcare practitioners characterize addiction solely by physical dependence or tolerance, and disregard more recent consensus criteria from medical societies.
Research Guideline to Expand the Evidence Base Supporting Long-Term Opioid Therapy for Chronic Noncancer Pain
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.
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.
Methadone Prescribing: Everything You Wanted to Know but Were Afraid to Ask
Ricardo A. Cruciani, MD, PhD
Methadone is a synthetic opioid that is used both as a potent analgesic for chronic pain and as substitution therapy in opioid dependence treatment programs.
Sodium Channel Expression in Keratinocytes: Implications for Neuropathic Pain
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.
Group Cognitive Behavioral Treatment for Low-Back Pain in Primary Care.
Sarah E. Lamb, DPhil
Chronic low-back pain is a debilitating condition that has become increasingly common during the last two decades. The increased prevalence has translated into rising associated costs from health care expenditures, lost wages, and reduced work productivity.
The State of the Opioid Risk Evaluation and Mitigation Strategy Program
Lynn R. Webster, MD
Prescription opioid misuse and abuse is an exponentially growing problem in the United States.
Do Past Pain Events Systematically Impact Pain Ratings of Healthy Subjects or Fibromyalgia Patients?
Roland Staud, MD, FACP, FACR
Some experts have suggested that although visual analogue pain ratings are generally reliable for a given individual, comparisons between subjects may be confounded by differences among individuals in past pain experiences.
Psychiatric Issues in Chronic Pain
Michael R. Clark, MD, MPH, MBA
An individual’s perception and experience of chronic pain result from complex interplay among multiple biological, psychological, and social factors.
Validation of the Clinical Opiate Withdrawal Scale (COWS) against the Clinical Institute Narcotic Assessment (CINA) opioid withdrawal instrument
D. Andrew Tompkins, MD
Opiate withdrawal syndrome refers to a constellation of symptoms that occurs when opioids are discontinued after significant or prolonged use.
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