Pain
- Cannabis for peripheral neuropathy: The good, the bad, and the unknown
Even where it is legal, doctors should recommend it only after careful consideration.
- Cannabis for chronic pain: Not a simple solution
Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.
- A physician’s response to observational studies of opioid prescribing
Not long ago, we were told we needed to do better at relieving pain.
- Back pain as a sign of inferior vena cava filter complications
Complications can include filter movement, fracture, occlusion, and penetration.
- How acute pain leads to chronic opioid use
Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.
- Small fibers, large impact
The wide interest in small fi ber neuropathy may reflect our current apparent epidemic of chronic pain.
- Office approach to small fiber neuropathy
A practical approach for identifying an underlying cause is to fi rst screen for common ones.
- What can we do about musculoskeletal pain from bisphosphonates?
The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.
- What inpatient treatments do we have for acute intractable migraine?
Options: volume repletion, antiemetics, antiepileptics, NSAIDs, corticosteroids, and magnesium sulfate. Avoid opioids.
- What you can do for your fibromyalgia patient
Fibromyalgia is a defi ned syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.