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This section of Pain Treatment Topics brings together, analyzes, and discusses the various elements that play vital roles in effective clinical pain management. Included here are interviews and commentary, survey results, clinical tools, and other helpful resources. However, Pain Treatment Topics does not provide medical advice, diagnosis, or treatment recommendations for particular patients and professional discretion in the clinical application of these resources is advised. See also, Site Policies.
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Current Comments
This section provides commentary on a variety of important subjects from experts in the pain management and/or addiction treatment fields. The viewpoints and opinions expressed are those of the authors, and do not necessarily reflect those of Pain Treatment Topics, our sponsors, or affiliate organizations.
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The OIH Paradox: Can Opioids Make Pain Worse?
By: Peggy Compton, RN, PhD, Pain Treatment Topics, August 2008.
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Using Objective Signs of Severe Pain to Guide Opioid Prescribing
By: Forest Tennant, MD, DrPH, Pain Treatment Topics, June 2008.
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Opioid-Induced Sexual Dysfunction: Causes, Diagnosis, & Treatment
By: Stephen Colameco, MD, MEd, Pain Treatment Topics, April 2008.
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Should Opioid Abusers Be Discharged From Opioid-Analgesic Therapy?
By: Peggy Compton, RN, PhD, Pain Treatment Topics, January 2008.
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Howard Hughes & Pseudoaddiction
[A saga of intractable pain.]
By: Forest Tennant, MD, DrPH. By permission from Practical Pain Management. 2007(Jul/Aug);7(6). See details...>
Chronic Pain Conundrums in Primary-Care Practice
By: Penelope P. Ziegler, MD, FASAM, Pain Treatment Topics, July 2007. See details...>
Maximizing Safety with Methadone & Other Opioids
By: Lynn R. Webster, MD, FACPM, FASAM, Pain Treatment Topics, July 2007. See details...>
Overcoming Opiophobia & Doing Opioids Right
By: Forest Tennant, MD, DrPH; Pain Treatment Topics, May 2007.
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INNOVATIONS in Pain Treatment
Understandings of pain and its clinical management are constantly changing. Resources in this section report on new clinical treatments for pain as well as new applications of existing therapies. Pharmacologic and nonpharmacologic treatments are explored and, when possible, recommendations for their application in daily clinical practice are provided. These topics would be of interest and importance for all healthcare providers and their patients.
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Vitamin D for Chronic Pain [Journal Article]
By: Stewart B. Leavitt, MA, PhD, Practical Pain Management, 2008(Jul/Aug);8(6):24-42.
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VITAMIN D – A 'New' Therapy for Chronic Pain
By: Stewart B. Leavitt, MA, PhD, Pain Treatment Topics, June 2008.
Vitamin D – A Neglected ‘Analgesic’ for Musculoskeletal Pain
> Practitioner Briefing (7-pages)
> Full Report (50-pages)
Vitamin D: A Champion of Pain Relief
> Patient Brochure (6-pages)
See details and download all 3 papers...>
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Overview - Pain Management & Treatment
Documents in this section examine pain mechanisms and diagnosis, barriers to effective management, and treatment strategies and planning. Various treatment modalities may be considered, including: pharmacologic, non-pharmacotherapies, surgery, and other interventions. In some cases, criteria for measuring successful outcomes and patient monitoring practices are presented.
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Medications & Chronic Pain: ACPA Supplement 2008
From: American Chronic Pain Association (ACPA); released 2008.
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Which Analgesics Work Best? What Do They Cost?
From: Consumer Reports Best Buy Drugs, 2005-2008. See details...>
Antidepressant Agents for the Treatment of Chronic Pain and Depression
By: Michael W. Jann, PharmD and Julian H. Slade, PharmD. Posted at Medscape, 2008 [from Pharmacotherapy. 2007;27(11):1571-1587].
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Pain Management: The Online Series
From: American Medical Association; 2007. See details...>
Translating Science Into the Art of Acute Pain Management
By: Sharon M. Gordon, DDS, MPH, PhD. Compendium. 2007(May).
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The PainEDU.org Manual: A Pocket Guide to Pain Management
By: Lynette A. Menefee Pujol, PhD, Nathaniel P. Katz, MD, Kevin L. Zacharoff, MD; from Inflexxion, Inc.; 2007 (3rd ed.). See details...>
Neuropathic Pain: A Practical Guide for the Clinician
By: Gilron I, Watson CPN, Cahill CM, et al. Canadian Medical Association Journal; 2006(Aug). See details...>
PAIN: Current Understanding of Assessment,
Management, and Treatments
From: American Pain Society; June 2006. See details...>
Guidelines for the Assessment and Management of Chronic Pain
From: Wisconsin Medical Society, WMJ; 2004. See details...>
For more specific information, also see the Pain Disorders section:
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Pain Assessment Tools
Pain scales and checklists offered in this section are useful for clinically assessing how intensely patients are feeling pain and for monitoring the effectiveness of treatments at different points in time. These essential tools for pain management practice are variously designed for different age groups, as well as individuals who do not speak English and/or cannot verbalize responses.
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DASH – Disabilities of the Arm, Shoulder, & Hand
From: Institute for Work & Health (IWH). Reviewed December 2008.
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Pain Intensity Scales Used by the National Institutes of Health
From: NIH Pain Consortium. Reviewed 2007. See details...>
Pain Rating Scales For Children
From: Texas Children's Cancer Center. See details...>
Multi-Language FACES Pain Rating Scales
Selected websites provide scripts for use with the FACES pain rating scales in a wide variety of languages. See details...>
Multi-Language NUMERICAL Pain Rating Scales
Two websites provide options for downloading a Numerical pain rating scale in 18 languages. See details...>
The Assessment of Pain in Older People
From: Royal College of Physicians of London. October 2007.
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Assessing Pain in Older Adults With Dementia
From: John A. Hartford Institute for Geriatric Nursing and the Alzheimer's Association. Revised 2007. See details...>
Pain Assessment in the Nonverbal Patient
From: American Society for Pain Management Nursing [Pain Management Nursing. 2006(June);7(2):44-52]. See details...>
Neuropathic Pain Scale
From: PainEdu.com. 2006. See details...>
Pain, Suffering, and Spiritual Assessment
From: City of Hope. 2006. See details...>
Psychosocial Pain Assessment
From: City of Hope. See details...>
Brief Pain Inventory (BPI)
From: MD Anderson Cancer Center. See details...>
Special Clinical Tools for Assessing Opioid Risks
Apart from tools for evaluating pain, other properly validated and applied tools can help in assessing current or potential risks of drug abuse, misuse, addiction, or diversion associated with prescribed opioid analgesics.
Go to opioid risk assessment tools …>
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Pain Treatment Topics and its associates do not endorse any medications, products, services, or treatments described, mentioned, or discussed in any of the sources referenced. Nor are any representations made concerning efficacy, appropriateness, or suitability of any such medications, products, services, or treatments.
In view of the possibility of human error or advances in medical knowledge, Pain Treatment Topics and its associates do not warrant the information contained in the above contents is in every respect accurate or complete, and we are not responsible nor liable for any errors or omissions made by the original sources or for results obtained from the use of this information. Also see, Site Policies. |
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