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For patients with fibromyalgia, treatment should be individualized and include nonpharmacologic approaches, which are often more effective than drugs, according to an expert in the field. “There is no magic drug against fibromyalgia and, in my opinion, there will never be. Psychotherapists don’t work miracles, but psychotherapy can help and, in a few cases, turn […]
Read MorePublished in Pain Medicine (Oct 2014) Authors: Webster L et al OBJECTIVE To investigate effects of extended-release (ER) hydromorphone dosing time (morning, QAM; evening, QPM) on sleep physiology in patients with chronic low back pain. DESIGN Randomized, double-blind, placebo-controlled, crossover trial. SETTING Clinical research site. PATIENTS Fifteen patients with moderate-to-severe chronic low back pain requiring […]
Read MorePublished in Der Anaesthesist (Oct 2014) Authors: Zech N, et al Anesthetists have an impact on patients and healing processes not only through drugs, interventions and therapy but also significantly by their words and personality. A substantial part of observed side effects is caused by nocebo effects and negative suggestion, i.e. by the doctor and […]
Read MoreBundled billing: the combination of multiple entities’ fees into a single price. What could be wrong with that? A lot, depending on who is doing the bundling. And, in some cases, depending on why they’re doing it. History The concept of bundled billing came out of the hospital world: In order to market for a […]
Read MorePolicy efforts to address the risks of opioid prescribing should focus on office-based settings, as patients receive significantly more painkiller prescriptions for noncancer pain in ambulatory settings than in hospital emergency departments (EDs), according to an analysis of medical expenditures reported by Internal Medicine News. Specifically, the study found that one in 39 opioid prescriptions […]
Read MoreHere are certain measures that can be taken preoperatively to ensure proper pain management for patients being treated for opioid dependence. The use of buprenorphine products to help treat opioid dependence has increased over the last decade. This trend has been paralleled by an increase in the number of surgeries involving patients taking buprenorphine products. […]
Read MorePatients with refractory chronic migraine may also have a high prevalence of comorbidities, including anxiety, depression, bipolar spectrum, and personality disorders. Patients with refractory chronic migraine (RCM) experience a great deal of disability related to their chronic headaches. Significant abuse in childhood, whether sexual, physical, or emotional, may predispose a person to the development of […]
Read MoreFewer patients are filling prescriptions for opioid painkillers — but those who are filling them are filling more prescriptions with more days of medication per prescription — according to a report by Express Scripts, a pharmacy benefits company. The company examined pharmacy claims for 6.8 million Americans who filled at least one opioid prescription for […]
Read MoreUDT is Essential to Medical Care Primary care and family practice physicians are at the forefront of providing diverse patient populations with quality medical care that improves lives. Chronic pain is one of the leading reasons why patients visit their PCP or family doctor—who understands that uncontrolled chronic pain causes unnecessary suffering and can lead […]
Read MoreProfessor Francois Clergue, director of anesthesia of the University Hospitals of Geneva, challenged attendees of the European Society of Anaesthesiology (ESA) annual meeting here to extend their demonstrated success in improving anesthesia safety to address the entire perioperative period. The goal: Reduce postoperative mortality by 20%. Dr. Clergue, delivering the Sir Robert Macintosh Lecture, discussed […]
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