Pain Management

Opioid use in middle-aged adults

Opioid use in middle-aged adults

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Clinicians are in the unique position to educate and counsel middle-aged adults about their opioid use and influence strategies needed to provide effective pain control.

When patients need services that don't exist

When patients need services that don't exist

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It can be difficult to care for complex patients when they need services that do not exist.

Pain during IUD insertion reduced with lidocaine nerve block

Pain during IUD insertion reduced with lidocaine nerve block

A 1% paracervical nerve block may be useful for reducing patient-reported pain during IUD insertion.

Opioids and naloxone for pain management

Opioids and naloxone for pain management

Co-prescribing naloxone and opioids in primary care is recommended for patients who have a high risk for opioid overdose.

Effects of cannabis treatment in adult patients with PTSD

Effects of cannabis treatment in adult patients with PTSD

Researchers found that cannabis may alleviate neuropathic pain, but is not associated with benefit for adults with PTSD.

The role of prescription habits in the opioid epidemic

The role of prescription habits in the opioid epidemic

Current surgical and prescribing practices may have a hand in exacerbating the nation's burgeoning opioid epidemic.

Clinicians may be overprescribing gabapentinoids for pain

Clinicians may be overprescribing gabapentinoids for pain

Gabapentinoids may be overprescribed, in part as a response to the opioid epidemic.

NASEM report outlines strategy to combat opioid epidemic

NASEM report outlines strategy to combat opioid epidemic

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The FDA commissioned the report to provide an update on current evidence on research, care, and education in the pain field, and to identify actionable measures for the FDA to more adequately address the ongoing opioid epidemic.

CDC: Opioid prescription rate remains high, inconsistent in the United States

CDC: Opioid prescription rate remains high, inconsistent in the United States

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However, the number of opioids prescribed decreased between 2010 and 2015.

Majority of opioid prescriptions are written for patients with mental disorders

Majority of opioid prescriptions are written for patients with mental disorders

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Among the nearly 40 million Americans who have a mental health condition, about 19% use prescription opioids.

Opioids often prescribed to back pain patients with depression

Opioids often prescribed to back pain patients with depression

Researchers found that back pain patients are also more likely to get higher doses of opioids.

Use of ketamine for pain management and treatment of depression

Use of ketamine for pain management and treatment of depression

Ketamine may alleviate depression, pain, and adverse effects associated with opioid treatment.

Opioid use before TKA causes less pain relief

Opioid use before TKA causes less pain relief

Clinicians should consider limiting pre-TKA opioid prescriptions to optimize the benefits of TKA.

PA programs may need more focus on opioid prescribing practices

PA programs may need more focus on opioid prescribing practices

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Many PA students and practicing PAs did not feel that their PA program adequately trained them to screen for opioid abuse.

Corticosteroids for sore throat: a mixed bag of results

Corticosteroids for sore throat: a mixed bag of results

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Oral corticosteroids could be an alternative symptomatic treatment for acute sore throat, which is a significant burden in primary care and a source of inappropriate antibiotic prescribing.

Mindfulness-based stress reduction may improve low back pain

Mindfulness-based stress reduction may improve low back pain

Mindfulness-based stress reduction was associated with short-term benefits for pain intensity and physical functioning.

Recommended dose of IV acetaminophen may be insufficient for multiple-trauma patients

Recommended dose of IV acetaminophen may be insufficient for multiple-trauma patients

Administration of acetaminophen at the recommended dosage yields serum concentrations below 10 µg/mL due to increased elimination.

Surgery patients may have higher risk of opioid addiction

Surgery patients may have higher risk of opioid addiction

Researchers found that some surgery patients may face a higher risk of becoming dependent on opioids.

CDC's opioid guideline prompts clinician concerns

CDC's opioid guideline prompts clinician concerns

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The recently released CDC guidelines on opioid prescribing remain a topic of debate.

Radiofrequency treatment effective for refractory chronic joint pain

Radiofrequency treatment effective for refractory chronic joint pain

Radiofrequency treatment is an effective option for treating refractory chronic knee, hip, and shoulder joint pain.

Perioperative care for acute pain management

Perioperative care for acute pain management

Patients with chronic pain who are hospitalized have a higher risk of morbidity and mortality, longer lengths of stay, and more frequent readmissions than patients without chronic pain.

Glucocorticoid injection offers relief for lower back pain

Glucocorticoid injection offers relief for lower back pain

At 1 month after the intervention, the percentage of responders was higher in the GC IDI group than the control group.

Opioid and benzodiazepine combination use significantly increases overdose risk

Opioid and benzodiazepine combination use significantly increases overdose risk

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The drug combination significantly contributes to the overall population risk of opioid overdose.

Opioids for chronic pain: a new clinical guideline from the VA and Department of Defense

Opioids for chronic pain: a new clinical guideline from the VA and Department of Defense

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The Veterans Administration and Department of Defense issue a clinical practice guideline regarding opioid therapy for chronic pain in veterans.

Noninvasive treatment for low back pain: a new clinical guideline from ACP

Noninvasive treatment for low back pain: a new clinical guideline from ACP

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The ACP has released 3 recommendations for the treatment of patients with acute, subacute, and chronic low back pain.

Intravenous lidocaine safe for reducing pain in ICU patients

Intravenous lidocaine safe for reducing pain in ICU patients

Intravenous lidocaine is safe for reducing pain in patients in the ICU with varying degrees of organ dysfunction.

American Chronic Pain Association issues toolkit for clinicians

American Chronic Pain Association issues toolkit for clinicians

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The toolkit will provide healthcare professionals with adequate tools to manage their patients' pain.

Increased naloxone prices could affect rates of opioid-related mortality

Increased naloxone prices could affect rates of opioid-related mortality

Researchers identify strategies that could ensure access to naloxone.

Virtual reality game may help relieve phantom limb pain

Virtual reality game may help relieve phantom limb pain

Recent data suggests that a virtual reality game could reduce pain by as much as one-half.

Outpatient program may be effective for pain self-management

Outpatient program may be effective for pain self-management

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A program based on cognitive behavioral therapy and physical exercise could improve pain self-management in patients with complex pain.

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