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Cleveland Clinic Journal of Medicine

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Pain

  • You have access
    Cannabis for peripheral neuropathy: The good, the bad, and the unknown
    Vania Modesto-Lowe, MD, MPH, Rachel Bojka, MS, PA-C and Camille Alvarado, DO, MPH
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 943-949; DOI: https://doi.org/10.3949/ccjm.85a.17115

    Even where it is legal, doctors should recommend it only after careful consideration.

  • You have access
    Cannabis for chronic pain: Not a simple solution
    Xavier F. Jimenez, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 950-952; DOI: https://doi.org/10.3949/ccjm.85a.18089

    Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.

  • You have access
    A physician’s response to observational studies of opioid prescribing
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 824-825; DOI: https://doi.org/10.3949/ccjm.85b.11018

    Not long ago, we were told we needed to do better at relieving pain.

  • You have access
    Back pain as a sign of inferior vena cava filter complications
    Michael Lause, BS, Alisha Kamboj, BS, Ryan Schwieterman, MD and Vijay Duggirala, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 835-836; DOI: https://doi.org/10.3949/ccjm.85a.18046

    Complications can include filter movement, fracture, occlusion, and penetration.

  • You have access
    How acute pain leads to chronic opioid use
    Charles Reznikoff, MD, FACP
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 837-841; DOI: https://doi.org/10.3949/ccjm.85a.18038

    Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.

  • You have access
    Small fibers, large impact
    Brian f. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 731-732; DOI: https://doi.org/10.3949/ccjm.85b.10018

    The wide interest in small fi ber neuropathy may reflect our current apparent epidemic of chronic pain.

  • You have access
    Office approach to small fiber neuropathy
    Jinny O. Tavee, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 801-812; DOI: https://doi.org/10.3949/ccjm.85a.17124

    A practical approach for identifying an underlying cause is to fi rst screen for common ones.

  • You have access
    What can we do about musculoskeletal pain from bisphosphonates?
    Sian Yik Lim, MD and Marcy B. Bolster, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 675-678; DOI: https://doi.org/10.3949/ccjm.85a.18005

    The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.

  • You have access
    What inpatient treatments do we have for acute intractable migraine?
    Ashhar S. Ali, DO and Mark Stillman, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 514-516; DOI: https://doi.org/10.3949/ccjm.85a.17049

    Options: volume repletion, antiemetics, antiepileptics, NSAIDs, corticosteroids, and magnesium sulfate. Avoid opioids.

  • You have access
    What you can do for your fibromyalgia patient
    Carmen E. Gota, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 367-376; DOI: https://doi.org/10.3949/ccjm.85gr.18002

    Fibromyalgia is a defi ned syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.

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