Pain Management Information Center Archive

News NASEM report outlines strategy to combat opioid epidemic

NASEM report outlines strategy to combat opioid epidemic

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.

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

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

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

News Majority of opioid prescriptions are written for patients with mental disorders

Majority of opioid prescriptions are written for patients with mental disorders

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

Healthday 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.

News 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.

Healthday 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.

News PA programs may need more focus on opioid prescribing practices

PA programs may need more focus on opioid prescribing practices

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

News Corticosteroids for sore throat: a mixed bag of results

Corticosteroids for sore throat: a mixed bag of results

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.

Healthday 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.

Healthday 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.

Healthday 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.

News CDC's opioid guideline prompts clinician concerns

CDC's opioid guideline prompts clinician concerns

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

News 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.

News 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.

Healthday 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.

News Opioid and benzodiazepine combination use significantly increases overdose risk

Opioid and benzodiazepine combination use significantly increases overdose risk

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

News 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

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

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

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

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

Healthday 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.

News American Chronic Pain Association issues toolkit for clinicians

American Chronic Pain Association issues toolkit for clinicians

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

Healthday 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.

Healthday 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.

News Outpatient program may be effective for pain self-management

Outpatient program may be effective for pain self-management

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

News FDA approves new drug for postmenopausal pain during sex

FDA approves new drug for postmenopausal pain during sex

Intrarosa provides an additional treatment option for women with dyspareunia caused by vulvar and vaginal atrophy.

Blog Post Lidocaine patches as an alternative pain solution

Lidocaine patches as an alternative pain solution

Lidocaine patches may be effective for patients who are in pain but are looking to avoid drugs that could be addictive.

Healthday Quality improvement intervention helps pain management for seniors in the ER

Quality improvement intervention helps pain management for seniors in the ER

Researchers conducted an examination in patients over 65 years with moderate-to-severe pain in an academic emergency department.

Healthday More than half of US citizens have a chronic health condition

More than half of US citizens have a chronic health condition

Conditions such as chronic disease, mental illness, or substance abuse commonly overlap with each other and with poverty, which contributes to poor health.

News Barriers remain in patients' acceptance of naloxone use in primary care

Barriers remain in patients' acceptance of naloxone use in primary care

Patients would like more thorough conversations with their primary care physician over the use of naloxone.

News Comparing treatments for pediatric migraines

Comparing treatments for pediatric migraines

No significant differences were observed among treatments for pediatric migraines.

Healthday Treatment costs lower with pregabalin vs gabapentin for peripheral neuropathic pain

Treatment costs lower with pregabalin vs gabapentin for peripheral neuropathic pain

The average total cost was lower for pregabalin treatment due to lower use of concomitant medications, fewer primary care visits, and fewer sick days.

Healthday Pain relief during labor may lower risk of postpartum depression

Pain relief during labor may lower risk of postpartum depression

Women who received epidural pain relief during labor had lower scores on the Edinburgh Postnatal Depression Scale.

Healthday Placebo treatments may help patients with chronic lower back pain

Placebo treatments may help patients with chronic lower back pain

Patients who knew they were taking a placebo pill still experienced less lower back pain.

News Complementary health approaches frequently used for musculoskeletal pain disorders

Complementary health approaches frequently used for musculoskeletal pain disorders

Data from the CDC's National Health Statistics Reports show that more than half of adults in the United States have a musculoskeletal pain disorder.

News Nonmedical use of prescription opioids in adolescence leads to substance use disorder symptoms in adulthood

Nonmedical use of prescription opioids in adolescence leads to substance use disorder symptoms in adulthood

Using medical or nonmedical prescribed opioids in adolescence may lead to alcohol, drug, and mental health disorders in adulthood.

Feature Genetic vascular anomaly

Genetic vascular anomaly

A young Caucasian woman presented with complaints of years regarding pain in her feet but did not know the cause.

News Massage therapy may be beneficial for surgical pain

Massage therapy may be beneficial for surgical pain

Massage therapy appears to be efficacious for reducing pain and anxiety in patients who are about to undergo or are recovering from surgical procedures.

Healthday New treatments relieve pain for patients with cervical disc herniation

New treatments relieve pain for patients with cervical disc herniation

Patients who suffer from cervical disc herniation can find relieve in percutaneous nucleoplasty (PCN) and pulsed radio frequency (PRF).

News The FDA approves first drug for Duchenne muscular dystrophy

The FDA approves first drug for Duchenne muscular dystrophy

Data showed an increase in dystrophin production that could predict clinical benefit among patients with DMD.

Healthday Neuropathic pain is reduced by pregabalin

Neuropathic pain is reduced by pregabalin

Pregabalin significantly improves pain irrespective of the time since pain onset.

News Using neuroimaging in chronic pain management

Using neuroimaging in chronic pain management

Developments in functional, structural, and neurochemical imaging could help predict individuals with acute pain who are likely to progress to chronic pain.

News Oxycodone/naloxone may be beneficial for managing pain after total knee replacement

Oxycodone/naloxone may be beneficial for managing pain after total knee replacement

Oxycodone/naloxone may provide effective analgesia and improve patients' ability to participate in physiotherapy.

Feature Suboxone and methadone—our readers weigh in on the pros and cons

Suboxone and methadone—our readers weigh in on the pros and cons

Research has shown that use of suboxone and methadone, in conjunction with counseling, can be effective addiction treatment.

News New guideline for managing kidney stones is released

New guideline for managing kidney stones is released

Guideline from the American Urological Association has been revised to incorporate the management of patients with staghorn renal stones.

Healthday Prescribing practices influence opioid dependency

Prescribing practices influence opioid dependency

Patients provided with at least 2 refills were 2.25 times more likely to develop an opioid dependency.

News Sedentary behavior linked to chronic pain in children

Sedentary behavior linked to chronic pain in children

Prepubertal children who regularly engage in sedentary behavior have an increased likelihood of experiencing various pain conditions.

Healthday Metamizole may be an acceptable alternative to NSAIDs

Metamizole may be an acceptable alternative to NSAIDs

Metamizole should be considered in patients with contraindications to NSAIDs.

News ASCO issues guidelines for chronic pain in patients with a history of adult cancer

ASCO issues guidelines for chronic pain in patients with a history of adult cancer

Screening for pain at every visit is recommended, and management and treatment options are specified.

Feature Alternative treatment options for chronic pain

Alternative treatment options for chronic pain

Ice is among alternative recommendations for treatment of chronic pain.

Healthday Appendicitis an important differential diagnosis in the elderly

Appendicitis an important differential diagnosis in the elderly

Older adults presenting with abdominal pain should be screened for appendicitis.

News Chronic visceral pain management

Chronic visceral pain management

Pain management specialists may have an important role to play in the treatment of patients with chronic visceral pain.

News State restrictions not associated with reduced opioid misuse among disabled adults

State restrictions not associated with reduced opioid misuse among disabled adults

The adoption of various state laws did not affect rates of opioid prescription or strength of dose.

Healthday Chest pain in ER patients rarely life threatening

Chest pain in ER patients rarely life threatening

Only 5.5% of ER patients are diagnosed with 1 of 6 life threatening conditions.

News Parental management of child's postoperative pain

Parental management of child's postoperative pain

Despite being well-informed, many parents struggled to manage their child's postoperative pain.

News Long-acting opioid therapy linked to increased mortality risk

Long-acting opioid therapy linked to increased mortality risk

Patients with chronic, noncancer pain who were treated with long-acting opioid therapy had a 1.6 times greater risk of death.

News New opioid use common post-hospital discharge among Medicare beneficiaries

New opioid use common post-hospital discharge among Medicare beneficiaries

After an acute hospitalization, many Medicare beneficiaries submit pharmacy claims for opioid prescriptions.

News Smartphone app helps circumvent unnecessary testing for chest pain in ED patients

Smartphone app helps circumvent unnecessary testing for chest pain in ED patients

The HEART pathway app provides doctors in the ED with a digital application an already proven method of assessment.

Healthday Naloxone coprescription reduces opioid-related ER visits

Naloxone coprescription reduces opioid-related ER visits

Patients on opioids for chronic pain who were coprescribed naloxone had 47% fewer opioid-related ER visits.

News Many patients lack knowledge about NSAIDs and their risks

Many patients lack knowledge about NSAIDs and their risks

Despite the widespread use of NSAIDs to treat pain, many patients lack knowledge about these medications and their risks.

Healthday IV lidocaine plus amitriptyline has no impact in fibromyalgia

IV lidocaine plus amitriptyline has no impact in fibromyalgia

No difference was recorded between patients treated with lidocaine plus amitriptyline versus patients treated with acetaminophen and tramadol.

News For chronic low back pain, opioids only moderately effective

For chronic low back pain, opioids only moderately effective

For patients with chronic low back pain, opioids may provide some short-term relief but are unlikely to be effective within recommended doses.

News Acceptance and commitment therapy effectively treats chronic pain

Acceptance and commitment therapy effectively treats chronic pain

Acceptance and commitment therapy can have positive outcomes in adults with chronic pain.

News Chronic pain management in veterans

Chronic pain management in veterans

Chronic pain in veterans has been linked to mental health conditions and high use of healthcare resources.

Healthday Cannabinoids may provide moderate benefit for rheumatic conditions

Cannabinoids may provide moderate benefit for rheumatic conditions

Researchers found no serious adverse events related to treatment with cannabinoids.

News FDA approves buprenorphine implant for opioid dependence

FDA approves buprenorphine implant for opioid dependence

Probuphine is the first buprenorphine implant approved for the maintenance treatment of opioid dependence.

News Probiotics improve clinical, metabolic status in rheumatoid arthritis

Probiotics improve clinical, metabolic status in rheumatoid arthritis

After 8 weeks, patients with rheumatoid arthritis who took probiotics showed improvements in disease activity and metabolic health.

News Migraine medications not linked to stroke risk

Migraine medications not linked to stroke risk

For patients with basilar or hemiplegic migraines, two common migraine medications do not increase the risk of stroke and cardiovascular events.

News Effective strategies to prescribe opioids, provide pain relief in hospital settings urgently needed

Effective strategies to prescribe opioids, provide pain relief in hospital settings urgently needed

Clinicians in hospital settings need strategies in place to safely provide opioid pain relief to hospitalized patients.

Healthday Benefit of spinal manipulation not clinically meaningful

Benefit of spinal manipulation not clinically meaningful

Spinal manipulation patients experienced statistically, but not clinically significant, reductions in pain and disability.

Feature Slippery elm: an effective anti-inflammatory agent

Slippery elm: an effective anti-inflammatory agent

Slippery elm may be beneficial for patients with GI complaints.

Feature Readers weigh in on non-narcotic treatment options for patients with musculoskeletal pain

Readers weigh in on non-narcotic treatment options for patients with musculoskeletal pain


Readers provide more suggestions for treating musculoskeletal pain.

Feature Osteoarthritis: conservative treatment options

Osteoarthritis: conservative treatment options

Osteoarthritis is one of the most common problems encountered in primary care, and conservative treatment can improve patients' quality of life.

Feature Non-narcotic analgesics for musculoskeletal pain

Non-narcotic analgesics for musculoskeletal pain

Which non-narcotic analgesics are best for treating musculoskeletal pain?

Opinion Collaborating on interventional pain management in primary care

Collaborating on interventional pain management in primary care

Interventional pain specialists can work together with primary care providers to provide the best care for patients managing chronic pain.

Feature Pharmacotherapy options for noncancer pain: an efficacy review

Pharmacotherapy options for noncancer pain: an efficacy review

Although opioids are often prescribed for noncancer pain, a new review shows that they are no more effective than acetaminophen or NSAIDs.

News Mindfulness, CBT can reduce chronic low back pain

Mindfulness, CBT can reduce chronic low back pain

Mindfulness-based stress reduction and cognitive behavior therapy may be useful to improve chronic low back pain.

Blog Post As opioid prescription rates decrease, overdose deaths remain the same: Is this progress?

As opioid prescription rates decrease, overdose deaths remain the same: Is this progress?

A national push to decrease opioid prescription rates has not led to a net decrease in overdose deaths. Has progress been made?

News CDC releases guideline for prescribing opioids for chronic pain in primary care

CDC releases guideline for prescribing opioids for chronic pain in primary care

The CDC's new guideline regarding opioid therapy for chronic pain focuses on balancing potential benefits and harms to the patient.

News Monitoring program improves chronic pain management in primary care

Monitoring program improves chronic pain management in primary care

Patient monitoring and pain specialist support can help primary care practitioners better manage their patients taking opioids for chronic pain.

News Drug combos not more effective than naproxen alone for acute low back pain

Drug combos not more effective than naproxen alone for acute low back pain

When compared to naproxen alone, the combination of either cyclobenzaprine or oxycodone/acetaminophene plus naproxen does not as effectively improve acute, nontraumatic lower back pain.

News Alternative therapies may be beneficial for patients with chronic neck pain

Alternative therapies may be beneficial for patients with chronic neck pain

Trial results show that patients with chronic neck pain benefit from acupuncture and Alexander Technique treatment in conjunction with their usual pain management.

Blog Post Oxycontin for 11-year-olds? I'm okay with it

Oxycontin for 11-year-olds? I'm okay with it

The FDA approval of a pediatric indication for Oxycontin creates a safer situation for terminally ill children.

Healthday OxyContin approved for children aged 11 and older

OxyContin approved for children aged 11 and older

The FDA has approved a pediatric indication for OxyContin in patients as young as 11 years.

Feature Intra-articular injections
 for severe osteoarthritis

Intra-articular injections
 for severe osteoarthritis


For patients with severe osteoarthritis, dangling their legs can help with intra-articular injections.

Feature Generic "caine" is effective 
for wound care

Generic "caine" is effective 
for wound care


Most pharmacies have a generic, affordable "caine" medication to relieve pain in wound care.

News Prednisone improves function in acute radiculopathy

Prednisone improves function in acute radiculopathy

Oral prednisone can improve 
functional status in patients 
with acute radiculopathy due to a herniated disk but does not improve pain.

News Buprenorphine may benefit patients with opioid dependence

Buprenorphine may benefit patients with opioid dependence

Emergency-department initiated buprenorphine treatment may increase addiction treatment 
and decrease opioid use in patients with opioid dependence
.

Feature Integrative and OTC treatment of headache

Integrative and OTC treatment of headache

Headache is one of the most common complaints in outpatient practice. There are 10 things that clinicians need to know to help treat their patients with headache.

Healthday Patients with chronic pain do not discuss use of alternative therapies with clinicians

Patients with chronic pain do not discuss use of alternative therapies with clinicians

A significant number of pain patients who use alternative therapies have not discussed them with their clinicians.

Feature Referral misses 
drug-seeking 
behavior

Referral misses 
drug-seeking 
behavior

A patient overdoses when communication breaks down between clinicians.

Feature Understanding Dupuytren disease

Understanding Dupuytren disease

Needle aponeurotomy and collagenase Clostridium histolyticum are both viable options for treating patients with Dupuytren disease.

Feature Reflex sympathetic dystrophy

Reflex sympathetic dystrophy

A man with worsening pain in his right arm is diagnosed with reflex sympathetic dystrophy.

Healthday Work disability more common with arthritis

Work disability more common with arthritis

Patients with chronic arthritis were 15.8% more likely to have work disability.

Healthday Resistance Training Improved Sexual Function, Other Markers For Women With PCOS

Resistance Training Improved Sexual Function, Other Markers For Women With PCOS

Significant improvements in total FSFI score and in desire, excitement, lubrication domains.

Healthday Opioids improve breathlessness in patients with chronic obstructive pulmonary disease

Opioids improve breathlessness in patients with chronic obstructive pulmonary disease

Opioids had no impact on exercise capacity, however.

Healthday Is it time to reconsider acetaminophen for back pain?

Is it time to reconsider acetaminophen for back pain?

Acetaminophen provided a small benefit in the reduction of pain and disability in patients with osteoarthritis of the hip or knee and provided no benefit in reducing pain in patients with lower back pain.

Blog Post Celebrating the kindness of patients

Celebrating the kindness of patients

Patients who remain cheerful, despite personal drama, deserved to be recognized for the effort they put in.

Healthday Low back pain risk increases with distraction, fatigue

Low back pain risk increases with distraction, fatigue

The risk of back pain was highest between 7 a.m. and noon.

Healthday Discuss pain self-management strategies with patients with HIV

Discuss pain self-management strategies with patients with HIV

Some HIV-positive patients may be employing harmful self-management strategies to cope with chronic pain.

Blog Post Managing pain in pregnant patients

Managing pain in pregnant patients

It is irresponsible and unprofessional to assume that once a patient is pregnant, her pain management is the responsibility of the obstetric team.

Opinion Tips for reducing needlestick pain in children

Tips for reducing needlestick pain in children

Primary-care providers should try to ease pediatric patients' anxiety about needles by preparing them for what to expect.

Sign Up for Free e-newsletters