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Routine physical exercise is an important factor in managing widespread musculoskeletal pain in conditions such as fibromyalgia (FM), but patients may fear that such exertion will worsen pain. Now, results of a pilot study suggest that a combination of cognitive behavioral therapy (CBT) that emphasizes pain coping strategies and a specially tailored exercise program reduces […]
Read MoreOnly a minority of patients with moderate to severe fibromyalgia get pain relief from the antiepileptic pregabalin, but the quality of that pain relief is strong, an updated review of the related literature concludes. “Pregabalin works extraordinarily well in 1 person in 10 who has fibromyalgia and it doesn’t work for the other 9 patients, […]
Read MoreHello. I am Dr Jonathan Kay, the Timothy S. and Elaine L. Peterson Chair in Rheumatology, and professor of medicine at the University of Massachusetts Medical School. Welcome to my Medscape blog. Fibromyalgia is a label that is a challenge for primary care physicians and other physicians alike. Patients present with generalized pain, fatigue, and […]
Read MoreThe frequency of sickle cell-related pain crises (SCPC) is reduced significantly by high-dose SelG1 among patients with sickle cell disease, with or without hydroxyurea treatment, according to a study presented here at the 2016 Annual Meeting of the American Society of Hematology (ASH). SelG1 is a P-selectin inhibitor, said Kenneth I. Ataga, MD, University of […]
Read MoreThe most important thing a health care provider can do is recognize sepsis and septic shock early and take immediate action, according to new guidelines released at the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress. “I think it is important to recognize that sepsis and septic shock are medical emergencies,” said Andrew Rhodes, FRCP, […]
Read MoreSending patients with obstructive sleep apnea (OSA) who are undergoing endoscopic sinus surgery (ESS) to the ICU for intensive monitoring during the first postoperative night improves respiratory complication–related outcomes, a new study has found. Patients with OSA have a higher incidence of postoperative respiratory complications, according to researchers from Jikei University, in Tokyo. Certain procedures, […]
Read MoreNationwide efforts to make health care safer are paying off, according to a report released by the Department of Health and Human Services (HHS). Thanks, in part, to provisions of the Affordable Care Act (ACA), approximately 125,000 fewer patients died due to hospital-acquired conditions (HACs), and more than $28 billion in health care costs were […]
Read MoreCanadian Journal of Anesthesia April 2017, Volume 64, Issue 4, pp 416–427 Authors: David T. Wong Purpose During the process of tracheal intubation, patients are apneic or hypoventilating and are at risk of becoming hypoxemic. This risk is especially high in patients with acute or chronic respiratory failure and accompanying compromised respiratory reserve. To address this concern, apneic oxygenation can be […]
Read MoreA single glucocorticoid injection offers short-term relief of chronic back pain associated with discopathy, according to a study in the Annals of Internal Medicine. But the benefits are not long-lasting. Some 135 patients with daily low back pain of at least 3 months’ duration and active discopathy on magnetic resonance imaging were randomized to receive either […]
Read MoreAuthorizing a second opioid prescription in opioid-naive adults doubles the risk for chronic opioid use, according to an MMWR study. Researchers examined a sample of 1.3 million U.S. adults who were prescribed opioids for the first time between 2006 and 2015. Of these, the probability of continued opioid use 1 year later was 6%, and 3 years […]
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