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Authors: Felipe Muñoz-Leyva, M.D. et al Anesthesiology October 2022, Vol. 137, 459–470. Background An optimal opioid-sparing multimodal analgesic regimen to treat severe pain can enhance recovery after total knee arthroplasty. The hypothesis was that adding five recently described intravenous and regional interventions to multimodal analgesic regimen can further reduce opioid consumption. Methods In a double-blinded fashion, […]
Read MoreAuthor: Kathleen Doheny Practical Pain Management A multimodal approach to therapy may help relieve the chronic pain that some individuals experience months after initial shingles infection. After a bout of shingles, many people recover well and leave the pain of the condition behind. But not all. And for those who don’t, life can get — […]
Read MoreAuthor: Heidi Splete Practical Pain Management Although it may seem counterintuitive, targeted exercise therapy may help reduce movement-evoked pain in adults with musculoskeletal pain, according to the authors of a recent systematic review. Many individuals with musculoskeletal pain complain of pain that occurs specifically during physical activity, wrote Lynn Leemans, PhD, of Vrije Universiteit Brussel, […]
Read MoreAuthors: Bush DA, Barbero E. . Pract Pain Manag. 2022 September/October;22(5). About Opioid Induced Adrenal Insufficiency Opioid induced adrenal insufficiency (OIAI) is a complication of opioid use that is less well known than other known complications of opioid use such as constipation, respiratory depression, and addiction. OIAI however has been shown to be a consequence […]
Read MoreAuthors: Olusanya A, Goree J. Pract Pain Manag. 2022 September/October;22(5). Low Back Pain Continues to Perplex Physicians A perpetual topic of discussion in interventional pain management is the treatment of chronic low back pain. The American Society of Pain and Neuroscience (ASPN) annual meeting, held in July 2022, was no different. Low back pain is […]
Read MoreAuthor: Bennett K. Pract Pain Manag. 2022 September/October;22(5). Justice Department may still pursue cases if they can prove a doctor knowingly or intentionally prescribed controlled substances, including opioids, without evidence of medical necessity. Prescribers should document patient need, treatment plans, and more. While the recent onslaught of Supreme Court decisions has left our divided nation […]
Read MoreAuthor: Goldenberg DL. Pract Pain Manag. 2022 September/October;22(5) As with many chronic, poorly understood illnesses, long COVID and chronic pain do not fit classic biomedical disease models. There is an enormous need for patient-centric, biopsychosocial approaches to assessment and treatment – and care should begin with primary care and PM&R specialists. Long COVID in 2022 […]
Read MoreAuthors: Allan F. Simpao, M.D., M.B.I. et al Anesthesiology October 2022, Vol. 137, 384–386. Children—and their airways—come in all shapes and sizes, and the most seasoned pediatric anesthesiologists can share harrowing stories of patients who were difficult to ventilate or intubate. In 2012, a special interest group in the Society for Pediatric Anesthesia created the Pediatric […]
Read MorePractical Pain Management 2022 September/October;22(5) Studies on brain stimulation for pain began in the 1950s, when researchers looked at its potential for treating pain associated with spinal cord and back injuries. While some findings on the use of brain stimulation for pain have been promising, results have been mixed, and in the US, deep brain […]
Read MoreRadius Anesthesia A “soft drug” is an active compound that can easily be transformed into an inactive metabolite in the body [1]. Anesthesiology requires careful consideration of three axes: safety, effectiveness, and efficiency [2]. In medical practice, the third axis (efficiency) is often less prioritized; however, anesthesia must be readily produced and reversed on demand [3]. “Soft […]
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