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This review article highlights current knowledge on the association between low back pain and smoking, with an emphasis on the role of nicotine. By Bilal F. Shanti, MD and Ihsan F. Shanti, MD, PhD An estimated 1 in 5 adults in the United States uses tobacco products every day or some days. This equates to […]
Read MoreEpidural injections of steroids may have only a small effect in preventing or delaying the need for spinal surgery for low back pain when compared to other treatments, according to a review and meta-analysis of several randomized controlled trials (RCT). The results were mixed: Injections reduced the need for surgery in some patients, but this […]
Read MoreA patient whom I’d been treating with opioids for chronic back pain the family claimed they tried to call me to tell me about my patient’s drug addiction but that I’d refused to talk with them. The fact is, I did decline to take the phone call, and it was because the patient hadn’t given […]
Read MoreOrthopedic surgeons are best, and anesthetists worst, at predicting operating theater time, according to orthopedic surgeons from New Zealand. “Our hypothesis going in was that the anesthetic time would be longer than they expected, as surgeons have become very good at predicting the time they require in recent times, potentially as a results of the […]
Read MoreNew Controversies Published in Br J Anaesth. 2014;113(6):906-909 Authors: P. Aldam, N. Levy, G. M. Hall Introduction The prevalence of diabetes mellitus (DM) is increasing rapidly. In 2011, it was estimated that 366 million people worldwide had DM with a projected increase to 522 million by 2030. Diabetes is one of the most common non-communicable […]
Read MoreA 34 year old morbidly obese stiff person syndrome (SPS) patient was scheduled for a permanent catheter placement. SPS is a rare neurologic condition with a suspected autoimmune etiology. SPS most common manifestations are progressive, including severe muscle rigidity or stiffness affecting the spine and lower extremities more than other muscle groups. SPS have superimposed […]
Read MoreA 53-year-old male with peripheral sensorimotor neuropathy suffered an intracerebral hemorrhage resulting in right hemiparesis and hemisensory loss. Three months later, he developed constant and burning pain within the entire right side of his body. He was diagnosed with central pain syndrome and treated with antiepileptics and tricyclic antidepressants. Minimal analgesia was achieved, which was […]
Read MoreUDT is Essential to Medical Care Pain 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 doctor—who understands that uncontrolled chronic pain causes unnecessary suffering and can lead to depression. While treatment of chronic pain […]
Read MoreIn recent weeks, the Centers for Medicare & Medicaid Services (CMS) sent correspondence to a number of members, practitioners and billing companies detailing how the PQRS payment adjustment may affect their covered professional services in 2015. CMS sent these letters to Eligible Professional(s) (or their billing companies and departments) noting of their non-participation in the […]
Read MoreThe use of calcitonin to relieve severe, treatment-refractory phantom limb pain (PLP) is reported. After an above-knee leg amputation, a 29-year-old pregnant woman (at eight weeks gestation) reported severe PLP (consistent scores of 9 or 10 on a 10-point pain severity scale). The pain persisted for more than two weeks and was not relieved by […]
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