Pain Management

Clinician bias in pain care for children: The emperor and his clothing revisited

April 10, 2012

A recent study shows that clinician bias leads to unequal pain care in children, but clinician avoidance of why this is so is the real problem.
 

The diagnosis and pharmacologic management of low back pain

, Susan Kuntz, PhD March 01, 2012

Low back pain takes a physical, financial, and emotional toll on the patient and imposes 
socioeconomic costs as well. A clear understanding of causes and treatments is essential.
 

Ask a Librarian!—February 2012

, February 14, 2012

This month, our medical librarian-PA team answers questions about pain resources and how to impose search limits on Medline and other databases.
 

Intrathoracic hemorrhage after placement of a subpleural catheter

, Daniel J. Boffa, MD; Frank C. Detterbeck, MD; Anthony W. Kim, MD November 07, 2011

An already uncommon postoperative complication affects two patients in unusual locations and via different mechanisms.
 

Tapentadol for pain; enoxaparin after prosthetic valve replacement

July 15, 2011

This month's topics are the new opioid analgesic tapentadol and using enoxaparin after prosthetic valve surgery.
 

Trigeminal neuralgia: Diagnosis and medical and surgical management

, David Piepgras, MD; Douglas Chyatte, MD; Denise Rizzolo, PhD, PA-C July 06, 2011

Trigeminal neuralgia is an exceedingly painful condition that leaves patients desperate for symptomatic relief. Fortunately, good medical and operative treatments exist.
 

Ask and ye shall receive

April 14, 2011

In my last blog post, I suggested that I needed better evidence, and soon, regarding the risks of chronic opioid therapy. Last week, I heard about a JAMA article, Association Between Opioid Prescribing Patterns and Opioid Overdose-Related Deaths, by Bohnert and colleagues. The article looked like it might be relevant, so I read it.
 

Eliminating health disparities: What works?—March 2011

March 23, 2011

Evidence consistently shows that African Americans receive less effective treatment for pain than their white counterparts. The study discussed in this month's column suggests that an intervention called "perspective-taking" can effectively combat this disparity.
 

Substitutions for propoxyphene; Macrobid versus Macrodantin

February 08, 2011

This month's topics are the difference between Macrobid and Macrodantin and what to use instead of Darvon in patients needing pain management.
 

Where the evidence ends

January 27, 2011

What should we do when the evidence is conflicting or, as in the case of chronic opioid therapy for chronic noncancer pain, does not seem to account for harm?
 

Left flank pain following cardiac catheterization

R. Steve Andrews, RRT; Andres C. Marte-Grau, MD; Rathnakar Sherigar, MD; Jennifer Pitts Hanopole; Urvi R. Shah, MD August 24, 2010

This patient's condition highlights the importance of paying close attention to history and not ruling out a rare complication of a procedure.
 

What's new in military medicine: The ancient art of acupuncture is new again

June 17, 2010

The modern-day equivalent of an ancient pain-relieving technique is helping injured troops without the side effects of narcotics.
 

Pain management: Opioid use in chronic noncancer pain

From CSAC, the Clinical and Scientific Affairs Council of the AAPA March 11, 2010

Concerns about prescribing controlled substances and the potential for addiction should not prevent PAs from adequately managing chronic noncancer pain.
 

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