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Pain Management

AAOS 2014: Gastric Bypass Improves Knee Pain & Function

Mar 17, 2014

The Particulars: Elevated BMI has been linked to symptomatic knee osteoarthritis (OA) in previous studies. Data are lacking on the impact of weight loss following gastric bypass surgery (GBS) on knee ...

AAOS 2014: Postoperative “Doctor Shopping” & Narcotic Use in Orthopedic Patients

Mar 17, 2014

The Particulars: Recent studies have shown that prescription drug abuse is on the rise throughout the United States. With this phenomenon has come a rise in “doctor shopping,” the practice of visi...

Managing Painful Diabetic Neuropathy

Feb 21, 2014

Diabetic peripheral neuropathy (DPN) is one of the most common complications associated with diabetes. Recent esti­mates show that DPN affects approximately 50% of people with diabetes in the United ...

Managing Fibromyalgia and Comorbid Depression

Jan 13, 2014

About 50% to 70% of fibromyalgia patients have a lifetime history of depression, many of whom take antidepressants to treat their depression. A common clinical question has been how to manage fibromya...

Managing Pain in Patients With IBD

Dec 23, 2013

Among patients with inflammatory bowel disease (IBD), abdominal pain is a common and frustrating symptom with multifaceted pathophysiology and can be associated with significant emotional suffering, d...

Opioid Backlash Threatens Sickle Cell Care

Dec 19, 2013

The well-meaning push to curb opioid prescribing could worsen healthcare for sickle cell patients. Clinicians tend to undertreat the substantial pain experienced by many sickle cell patients and treat...

Guidelines for Managing Gout

Nov 26, 2013

The incidence of physician-diagnosed gout has risen over the past 20 years and now affects about 8.3 million adults in the United States. Uric acid excess has been identified as the key contributor to...

Is Pain Really The 5th Vital Sign?

Oct 28, 2013

This has been bothering me for many years. No, pain is not the 5th vital sign. It's not a sign at all. Vital signs are the following: heart rate; blood pressure; respiratory rate; temperature. W...

ACEP 13: Automated Pain Tracker Ups Analgesia Use

Oct 17, 2013

The Particulars: Data indicate that pain is one of the leading complaints among ED patients. Patient satisfaction has been shown to improve when greater attention is given to pain assessment. The Auto...

ACEP 13: Opioid Misuse in Discharged ED Patients

Oct 17, 2013

The Particulars: The rate of opioid misuse among discharged ED patients who receive prescriptions for these drugs has not been well defined in previous studies. Little is known about how opioid misuse...

Surgeons Report Two New Approaches to Lessen Postoperative Pain and Reduce Use of Prescription Painkillers

Oct 08, 2013

WASHINGTON, DC—New combinations of postoperative pain treatment decreased both pain and the use of narcotic pain relievers according to two studies presented this week at the 2013 Clinical Congress ...

Predicting Prolonged Opioid Use After Surgery

Sep 05, 2013

Opioid drug use in patients with chronic pain has been linked to psychological distress and substance abuse. Studies suggest that these factors are often more influential than the intensity of pain pa...

Enhancing Management of Lower Back Pain

Aug 13, 2013

About 25% of adults report having low back pain lasting at least 1 whole day in the preceding 3 months. Imaging for acute low back pain is common, with a reported 42% of patients receiving imaging wit...

AAOS 2013: Pediatric Sports and Recreation Injuries Down

Mar 19, 2013

  Bicycle, trampoline and roller sport injuries decline; football and soccer injuries still on the rise New research presented today at the at the 2013 Annual Meeting of the American Academ...

AAOS 2013: Clinical News Highlights - March 19

Mar 19, 2013

Military Personnel Return to Duty Following Severe Injury to the Lower Extremity Return to Duty of Special Operations Personnel after Limb Salvage for High Energy Lower Extremity Trauma Return to ...

Total Knee Arthroplasty Among Medicare Beneficiaries

Feb 19, 2013

Approximately 600,000 total knee arthroplasties (TKA) are performed each year in the United States, costing about $15,000 per procedure. “TKA has been shown to markedly improve health-related qualit...

Updated Guidelines for RA Treatment

Feb 11, 2013

In 2008, the American College of Rheumatology (ACR) issued guidelines for the use of non-biologic and biologic treatments in rheumatoid arthritis (RA). Much has changed in the years since the last rec...

Imaging Use & Atraumatic Headache in the ED

Jan 28, 2013

Atraumatic headache is one of the most common complaints in EDs, but only a small subset of patients who present to the ED with this complaint are found to have life-threatening intracranial pathology...

Examining Chronic Opioid Use in TKA

Jan 27, 2013

Consensus statements on the management of knee osteoarthritis have not thoroughly addressed the use of opioid medications in patients undergoing total knee arthroplasty (TKA). In order to reduce posto...

Guidelines Update: Preventive Treatments for Migraine

Jan 25, 2013

About 38% of people who suffer from migraine could benefit from preventive treatments, but less than one-third currently uses them. Some analyses have shown that migraine attacks can be reduced by mor...

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