Pain

  • 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.

  • 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.

  • 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.

  • Primary care management of chronic pelvic pain in women

    Rachel Bonnema, MD, MS, MEGAN Mcnamara, MD, MSc, Jennifer Harsh, PhD, LMFT and Elizabeth Hopkins, PT, DPT
    • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 215-223;
    • DOI: https://doi.org/10.3949/ccjm.85a.16038

    • While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.

  • A 67-year-old woman with bilateral hand numbness

    Gregory W. Rutecki, MD, Sohab S. Radwan, MD, Khair M. Hamo and Ayman A. Zayed, MD, MSc, FACE, FACP
    • Cleveland Clinic Journal of Medicine March 2018, 85 (3) 200-208;
    • DOI: https://doi.org/10.3949/ccjm.85a.17026

    • Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.

  • Erythema ab igne

    Thomas Smith III, MD and Vinod E. Nambudiri, MD, MBA
    • Cleveland Clinic Journal of Medicine February 2018, 85 (2) 96-97;
    • DOI: https://doi.org/10.3949/ccjm.85a.17015

    • The patient had been using a heating pad daily, often for several hours at a time, to relieve his back pain.

  • Pseudo-Wellens syndrome after heavy marijuana use

    Michael Lawrenz Ferreras Co, MD, Anshuman Das, MD and Tochukwu Okwuosa, DO
    • Cleveland Clinic Journal of Medicine August 2017, 84 (8) 590-591;
    • DOI: https://doi.org/10.3949/ccjm.84a.16133

    • Acute marijuana intoxication is associated with reversible changes in the P and T waves and ST segments.

  • A rational approach to opioid use disorder in primary care

    Daniel G. Tobin, MD, FACP
    • Cleveland Clinic Journal of Medicine May 2017, 84 (5) 385-387;
    • DOI: https://doi.org/10.3949/ccjm.84a.17030

    • Treating addiction is quickly becoming part of primary care. Clinicians can no longer turn a blind eye toward this problem.

  • Chronic constipation: Update on management

    Umar Hayat, MD, Mohannad Dugum, MD and Samita Garg, MD
    • Cleveland Clinic Journal of Medicine May 2017, 84 (5) 397-408;
    • DOI: https://doi.org/10.3949/ccjm.84a.15141

    • If conservative treatments fail, clinicians can choose from a growing list of new ones.

  • TOC Icon

    Use and misuse of opioid agonists in opioid addiction

    Vania Modesto-Lowe, MD, MPH, Katie Swiezbin, BS, Margaret Chaplin, MD and Gabriela Hoefer
    • Cleveland Clinic Journal of Medicine May 2017, 84 (5) 377-384;
    • DOI: https://doi.org/10.3949/ccjm.84a.16091

    • Methadone and buprenorphine can reduce craving and opioid use but remain misunderstood and underused.

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