Pain

  • Update on medical management of acute hip fracture
    CME article
    Lily Ackermann, MD, ScM, Eric S. Schwenk, MD, Yair Lev, MD and Howard Weitz, MD
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 237-247; DOI: https://doi.org/10.3949/ccjm.88a.20149

    Emphasis is on prompt surgery, multimodal analgesia, and enhanced recovery pathways.

  • Median arcuate ligament syndrome: Incidental finding or real problem?
    Bayarmaa Mandzhieva, MD, Hammad Zafar, MD, Akriti Jain, MD and Manoucher Manoucheri, MD, FACP
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 140-142; DOI: https://doi.org/10.3949/ccjm.88a.20052

    A woman was admitted with pain in the epigastrium and right upper quadrant that radiated to the back, as well as nausea and dry heaves.

  • Median arcuate ligament syndrome: A clinical dilemma
    John H. Rodriguez, MD, FACS
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 143-144; DOI: https://doi.org/10.3949/ccjm.88a.21001

    Patients with chronic abdominal pain can benefit from a multidisciplinary evaluation.

  • Frequently asked questions about managing cancer pain: An update
    CME article
    Renato V. Samala, MD, MHPE, FACP, FAAHPM, Ruth L. Lagman, MD, MPH, MBA, FACP, FAAHPM, Sina Najafi, DO and Flannery Fielding, CNP, MSN
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 183-191; DOI: https://doi.org/10.3949/ccjm.88a.20107

    Pain management can involve pharmacologic and nonpharmacologic therapies.

  • Does this young adult patient need a hip radiograph?
    Christina Stull, MD, MBA and Alejandro Moreno, MBBS, MPH, JD, MACP
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 721-722; DOI: https://doi.org/10.3949/ccjm.87a.20011

    Hip fractures are uncommon in adults under age 50.

  • The role of ISCHEMIA in stable ischemic heart disease
    Nikolaos Spilias, MD, Benjamin Zorach, MD, Kara Denby, MD and Stephen Ellis, MD
    Cleveland Clinic Journal of Medicine July 2020, 87 (7) 401-409; DOI: https://doi.org/10.3949/ccjm.87a.20033

    Decisions regarding treatment of stable ischemic heart disease must remain individualized.

  • Stable coronary artery disease: Intervene or not?
    Vinayak Nagaraja, MBBS, MS, MMed (Clin Epi), FRACP and A. Michael Lincoff, MD
    Cleveland Clinic Journal of Medicine July 2020, 87 (7) 410-415; DOI: https://doi.org/10.3949/ccjm.87a.20048

    Stable coronary artery disease needs a patient-centered approach, and one size does not fit all.

  • Vertebral fractures after denosumab cessation
    Jolan Dupont, MD, Michaël R. Laurent, MD,PhD, Lenore Dedeyne, MSc, Frank P. Luyten, MD,PhD, Evelien Gielen, MD,PhD and Marian Dejaeger, MD,PhD
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 337-338; DOI: https://doi.org/10.3949/ccjm.87a.19152

    The patient had a 6-month history of lumbar and dorsal back pain, initially suspected to be facet arthrosis.

  • Denosumab cessation
    Chad L. Deal, MD
    Cleveland Clinic Journal of Medicine June 2020, 87 (6) 339-341; DOI: https://doi.org/10.3949/ccjm.87a.20040

    Bone loss is rapid if patients miss injections. Clinicians can take extra measures to ensure patients get appropriate treatment.

  • Endoscopic ultrasonography: An inside view
    Endoscopic ultrasonography: An inside view
    C. Roberto Simons-Linares, MD, Praneet Wander, MD, John Vargo, MD and Prabhleen Chahal, MD
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 175-183; DOI: https://doi.org/10.3949/ccjm.87a.19003

    Endoscopic ultrasonography has evolved from a diagnostic tool to a therapeutic procedure for a wide range of conditions.

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