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Index of Articles
by Title
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High Dosage Opioid Management
The criteria for optimal opioid dosing for a specific patient must be
clinically-adequate pain control and functional improvement while avoiding cognitive
impairment and respiratory depression.by J.S. Hochman MD (PPM Jan/Feb 2005: Vol. 5, No. 1)
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Opiophobia Past and Present
The one drug class that has the optimum profile to manage severe, unremitting,
intractable pain opioids is often shunned. by Bruce R. Moldovan, JD (PPM Jan/Feb 2005: Vol. 5, No. 1)
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10th World Congress on Pain
The International Society for the Study of Pain (IASP) holds its 10th World Congress in
San Diego.by Marvin Rosenfeld (PPM Jul/Aug 2002: Vol. 2, No. 4)
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A Case For Intractable Pain Centers - Part 1
A crisis due to the scarcity of intractable pain (IP) centers is leaving suffering
patients with no place to turn.by Marvin Rosenfeld (PPM Sep/Oct 2004: Vol. 4, No. 5)
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A Conceptual Model of Pain
The practicing physicians guide to the causative mechanisms of pain and how to
translate these basic principles into diagnoses and treatments.by James Woessner, MD, PhD (PPM Sep/Oct 2002: Vol. 2, No. 5)
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A Conceptual Model of Pain: Treatment ModalitiesPart 3
Part three of this series discusses treatment modalities available to the practitioner
upon correctly characterizing the source(s) of pain.by James Woessner, MD, PhD (PPM Jan/Feb 2003: Vol. 3, No. 1)
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A Global View of Evolving Pain Treatment Modalities: An Historical Perspective
The former head of the largest pain clinic in Central Europe offers observations on
multi-disciplinary treatment modalities evolving over the past 25 years.by Fritz L. Jenkner, MD, FICS, FNYCS (PPM Jul/Aug 2002: Vol. 2, No. 4)
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A Good Night's Rest
Sleeping can sometimes be a nightmare for patients experiencing pain.by Donna Werner (PPM Mar/Apr 2001: Vol. 1, No. 2)
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A Muscular Approach to Headache
Muscular dysfunction of head muscles may result in headache due to muscle over-exertion
and fatigue.by G.E. Sella, MD, MSc, MPH, PhD (HC) DAAPM (PPM April 2006: Vol. 6, No. 3)
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A Practical Guide for the Use of Opioids in Chronic Pain
With proper knowledge, safeguards, structure and record keeping in place, primary care
physicians may find a personal comfort level in prescribing opioids to chronic pain
patients who legitimately require them. by Jennifer P. Schneider, MD (PPM Nov/Dec 2009: Vol. 9, No. 9)
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AAPM Exhibitors
AAPM Annual Meeting- San Antonio, TX, September 9-12, 2004 (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Accidentally Speaking
Car accident survivors are a driving force behind the increase in soft tissue injuries
seen by pain clinicians.by Christopher Brown, DDS, MPS (PPM Sep/Oct 2001: Vol. 1, No. 5)
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Accurate Diagnosis
Sonograms are useful tools in the detection of stenosing tenosynovitis and other conditions.by Robert L. Bard, MD (PPM Nov/Dec 2001: Vol. 1, No. 6)
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Acupuncture for Pain Relief
Indications and contra-indications for the use of acupuncture in the treatment of
cranio-cervical and temporomandibular dysfunctions.by Leonard B. Goldstein, DDS, PhD, LAc, DABPM, DABFM, FICD (PPM May/Jun 2002: Vol. 2, No. 3)
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Adhesive Arachnoiditis: A Continuing Challenge
Poorly understood and often misdiagnosed, adhesive arachnoiditis continues to be a
cause of severe, unremitting pain.by Sarah Alexandra Andreae-Jones (Smith), MB, BS (PPM Mar/Apr 2004: Vol. 4, No. 2)
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Adjunctive Psychiatric Pain Management Treatment
The psychiatric /psychological modality is a crucial component of comprehensive
treatment for chronic pain. by Sarah M. Whitman, MD (PPM October 2009: Vol. 9, No. 8)
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Adjuvant Analgesia for Management of Chronic Pain
An updated review of traditional adjuvant analgesics, psychotropic agents, other newer
medications, and non-pharmacological adjuvant modalities for pain.by Bilal F. Shanti, MD, Gabriel Tan, PhD, Ihsan F. Shanti, MD, PhD (PPM April 2006: Vol. 6, No. 3)
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Amino Acids and Diet in Chronic Pain Management
This first installment of a multi-part series on amino acids and diet outlines their
critical importance in pain practice. by Julia Ross, MA, MFT and Forest Tennant, MD, DPH (PPM April 2009: Vol. 9, No. 3)
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Announcement from the Publisher
by Marvin Rosenfeld (PPM Mar/Apr 2002: Vol. 2, No. 2)
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Anomalous Opiate Detection in Compliance Monitoring
There are multiple variables outside of laboratory testing to consider when
interpreting a patient's test results and deciding whether or not they are compliant
with their medication. by Michael Evans, PhD; Scott Kriger, PhD; Joshua Gunn, PhD; and Eugene Schwilke (PPM September 2009: Vol. 9, No. 7)
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Anticephalgic Photoprotective Premedicated Mask
Report of successful treatment for migraine and/or tension headaches utilizing an
anticephalgic photoprotective mask with a topical medication containing bryonia and rhus
toxicodendron. by Morton I. Hyson, MD (PPM March 2008: Vol. 8, No. 2)
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Antidepressants in Pain Treatment
General guidelines in the selection of an antidepressant as an adjunct to analgesia and
physical therapy in treating pain.by Joel Hochman, MD; A. V. Anderson, MD; and Forest Tennant MD, DrPH (PPM Jan/Feb 2003: Vol. 3, No. 1)
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Application of Spinal Segmental Physiology to Evaluating Chronic Pain
A simple dermatomal screening process is used to help isolate the location of an
offending segment when spinal 'segmental facilitation' is the cause of a chronic
pain disorder. by John L. Beck, MD (PPM May 2009: Vol. 9, No. 4)
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Appropriate Opioid Dosing for Activities of Daily Living
Excess opioid dosage and overprescribing in a chronic pain patient can only be
diagnosed by a physical examination that documents the presence of the classic signs of opioid excess including hypotension, bradycardia, and miosis, among others ù not on the basis of arbitrary upper limits on dosage or opioid combinations. by Forest Tennant, MD, DrPH and Jeffery Reinking, MD (PPM Nov/Dec 2008: Vol. 8, No. 9)
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APS Response to the Washington State Guidelines
by Judith A. Paice, PhD, RN (PPM Sep 2007: Vol. 7, No. 8)
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Assessing Secondary Gain In Chronic Pain Patients
Ongoing assessment and management of secondary gain issues in chronic pain patients is
an important part of the therapeutic process.by Jeff Dersh, PhD; Robert J. Gatchel, PhD, ABPP; and Tom Mayer, MD (PPM May/Jun 2006: Vol. 6, No. 4)
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Assessment and Treatment of Chronic Pain
A physicians guide to a biopsychosocial approach. by John Mark Disorbio, Ed.D., Daniel Bruns, Psy.D, and Giancarlo Barolat, MD (PPM March 2006: Vol. 6, No. 2)
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At-Home Teaching Materials For Chronic Pain
Developing and using at-home teaching materials can leverage in-office visits and
harness the patients own recuperative powers.by David Schechter, MD and Arthur Preston Smith, PhD (PPM May/Jun 2004: Vol. 4, No. 3)
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Atypical Earache Otomandibular Symptoms
With a basic understanding of ear pain-related pathologies and referral patterns, a
physician can provide a quick screening examination for atypical earache.by Keith A. Yount, DDS, FAGD (PPM Nov/Dec 2004: Vol. 4, No. 6)
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Atypical Facial Neuralgias
Persistent burning or lancinating facial pain with no clear etiology may point
to a diagnosis of neuropathic pain.by Soma Sahai-Srivastava, MD and Samir Macwan, MBBS (PPM Nov/Dec 2004: Vol. 4, No. 6)
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Atypical Herpetic Reactivation and Chronic Pediatric Pain
A report of three unexplained, severely-disabling pediatric cases, in otherwise
healthy children, successfully treated with long term anti-viral therapy.by Sean R. Maloney, MD; Susan Jensen, MD; and Katherine H. Taber, PhD (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Balancing Pain Management and Professional Risk
A discussion on how to provide adequate pain relief while avoiding potential legal
complications in prescribing controlled substances.by B. Eliot Cole, MD, MPA (PPM Mar/Apr 2003: Vol. 3, No. 2)
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Bioethics
Pain Medicine, Morality, and the Marketplace: Time for a Changeby James Giordano, PhD (PPM Jan/Feb 2006: Vol 6, No. 1)
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Bioethics and Intractable Pain
Pragmatic and ethical issues in the clinical use of the term Intractable
Pain.by James Giordano, PhD (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Biofeedback Pain Interventions
New biofeedback therapiestogether with modern technologyprovide viable
alternatives in pain management.by Gabriel Tan, PhD, Richard Sherman, PhD, Bilal F. Shanti, MD (PPM May/Jun 2003: Vol. 3, No. 3)
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Blending Prescription Pain Treatments With Alternative Medicine
Certain non-prescription, alternative/complementary measures can be easily,
conveniently, and inexpensively incorporatedùalong with prescription
medicineùinto routine pain practice. by Donald Adema, DO (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Blockades for Sympathetically Maintained Pain (SMP)
A state-of-the-art survey of sympathetic blockades for SMP syndromes presenting in
various parts of the body.by M.Ellias MD,FRCA (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Blocking Out the Pain:
Electric nerve block treatments for sciatic neuritis. by James Woessner, MD, PhD (PPM Mar/Apr 2002: Vol. 2, No. 2)
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Botox Treatment of Chronic Refractory Low Back Pain
Studies indicate that a specific treatment protocol using Botulinum Neurotoxin A can
provide a sustained reduction in chronic, refractory low back pain for about 50% of such
patients.by Bahman Jabbari, MD (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Botulinum Toxin Type-A In Pain Management
A review of of BTX-A including a discussion of its mode of action and case studies illustrating its use in treatment of a variety of pain presentations. by Gordon D. Ko, MD; Ian Finkelstein, MD; Brian Freund, MD, DDS; and Pankaj Dhawan, MD (PPM October 2008: Vol. 8, No. 8)
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Brain Atrophy With Chronic Pain
Recent studies clearly show that chronic pain unto itself causes brain atrophy and
altered neurochemistry and sensory function of the central nervous system. by Forest Tennant, MD, DrPH (PPM March 2009: Vol. 9, No. 2)
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Breaking Down the Barriers of Pain
The final installment of this series reviews prescribing schedule II-III drugs:
practical definitions and strategies.by David Hubbard, MD (PPM Sep/Oct 2001: Vol. 1, No. 5)
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Breaking Down the Barriers of Pain - Neurological Perspectives: Guidelines for the 21st
New clinical approaches for diagnosing musculoskeletal and chronic pain conditions are
discussed in part one of this series. by David R. Hubbard, MD (PPM Jan/Feb 2001: Vol. 1, No. 1)
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Breaking Down the Barriers of Pain Neurological Perspectives: Guidelines for the
Source-of-Pain physical examinations, diagnoses, and treatment options are reviewed in
part two of this series.by David R. Hubbard, MD (PPM Mar/Apr 2001: Vol. 1, No. 2)
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Breaking Down the Barriers of Pain: Neurological Perspectives for the 21st Century -
Part three of this series discusses clinical presentation, exam, and treatment options
for a variety of conditions.by David R. Hubbard, MD (PPM May/Jun 2001: Vol. 1, No. 3)
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Breakthrough Pain in Non-Cancer Patients
An observational study of breakthrough pain in non-cancer patients with chronic low
back pain.by Anthony H. Guarino, MD and Martha E. Cornell, RN, BSN (PPM April 2006: Vol. 6, No. 3)
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Bringing Pain to the Forefront of Treatment
Newly developed guidelines for managing pain add validity to patients' complaints. by Donna Werner (PPM Jan/Feb 2001: Vol. 1, No. 1)
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Burning Mouth Syndrome
The large array of potential pathologies for this condition requires investigative
skill, tenacity, patience, and empathy to differentially diagnose and treat. by Keith A. Yount, DDS, MAGD (PPM Sep 2007: Vol. 7, No. 8)
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Cancer Pain - The Greatest Fear
Appropriate assessment is essential to treatment planning and successful management of
the patient's pain.by Robert C. Young, MD and Terri B. Ades, MS, CS, RN, AOCN (PPM Sep/Oct 2001: Vol. 1, No. 5)
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Cardiovascular Consequences of Severe Acute Pain
Insufficiently-treated severe acute pain has been observed to have multifactorial,
deleterious effects direct and indirect on the cardiovascular system.by John E. Tetzlaff, MD (PPM Mar/Apr 2004: Vol. 4, No. 2)
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Carpal Tunnel Syndrome
Characterized by hand and wrist pain, CTS is a symptomatic distal median nerve
neuropathy at the wrist and is the most commonly encountered entrapment neuropathy.by Howard J. Hoffberg, MD (PPM Nov/Dec 2002: Vol. 2, No. 6)
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Case Presentation of Munchausen Syndrome
Following epidural analgesia in a chronic pain patient, an occurrence of thoracic
epidural abscess led to a finding of Munchausen Syndrome.by Mazin Ellias, MD,FRCA and Yakub Ellias, MD, FRCS0 (PPM April 2006: Vol. 6, No. 3)
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Central Role of Dopamine in Fibromyalgia
A review of the evidence that fibromyalgia is associated with a disruption of
dopaminergic neurotransmission together with a discussion of its therapeutic implications.by Patrick B. Wood, MD (PPM October 2007: Vol. 7, No. 8)
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Cervical Decompression Treatment
Study results confirm positive results from the use of an inflatable device to
decompress cervical vertebrae and relieve cervical pain due to postural abnormalities. by C. Norman Shealy, MD, PhD (PPM April 2007: Vol. 7, No. 3)
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Cervical Myofascial Trigger Points in Headache Disorders
Two case reports illustrate the utility of recognition and treatment of TrPs in
headache patients. by Jeffrey Nelson, MD; CTsar Fernßndez-de-las-Pe±as, PT, PhD; and David G. Simons, MD (PPM September 2008: Vol. 8, No. 7)
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CES - A Practical Protocol for the Treatment of Pain
The final installment of this series covers cranial electrotherapy stimulation as a
means of treating pain patients.by Daniel L. Kirsch, PhD, DAAPM (PPM May/Jun 2001: Vol. 1, No. 3)
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CES in the Treatment of Pain Related Disorders
Cranial electrotherapy stimulation studies demonstrate that this modality is effective,
safe, and easy to use as a stand-alone or complementary, cost effective, non-medication
treatment for the management of painùespecially in chronic pain patients. by Daniel L. Kirsch, PhD, DAAPM, FAIS and Marshall F. Gilula, MD (PPM April 2008: Vol. 8, No. 3)
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Childhood Costochondritis and Biofeedback
A clinical case examination of behavioral treatment using a relaxation model of
biofeedback in treating this rare painful disorder.by Roslyn E. Feierstein, PhD (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Choosing the Right Triptan
Discussion of current triptan options in the treatment of migraine.by Randall Lee Oliver, MD; and April Taylor, RN, BSN (PPM Jan/Feb 2003: Vol. 3, No. 1)
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Chronic Daily Headache
An overview of the four types of chronic headaches: chronic migraine, chronic
tension-type headache, new daily persistent headache, and hemicrania continua. by Bryan Liou and Soma Sahai-Srivastava, MD (PPM May 2008: Vol. 8, No. 4)
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Chronic Insomnia and Pain
Under-reported and under-treated, chronic insomnia coexists with-and
perpetuates-chronic pain.by Randall Lee Oliver, MD; April Taylor, RN, BSN; and Rebecca Oliver (PPM Nov/Dec 2002: Vol. 2, No. 6)
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Chronic Opioid Rules
Prescribing opioids for chronic pain requires set rules, a written plan, periodic
re-evaluation, and vigilance to prevent illegal diversion of controlled substances.by Randall Lee Oliver, MD, and April Taylor, RN, BSN (PPM Mar/Apr 2003: Vol. 3, No. 2)
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Chronic Opioid Treatments
Selected chronic pain patients, treated with opioids in a structured program, can
improve function and maintain employment.by Stephen J. Roman, MD; Gerard A. Malanga, MD; Scott F. Nadler, DO; James P. Mclean; and Scott R. Millis, PhD (PPM Mar/Apr 2002: Vol. 2, No. 2)
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Chronic Overuse Sports Injuries
Practical evaluation and treatment modalities.by Elmer Al Pinzon, MD, MPH; FABPMR, FABPM and Mick Larrabee, PT, MS, SCS, EMT, CSCS (PPM May/Jun 2006: Vol. 6, No. 4)
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Chronic Pain and Atypical Herpetic Viral Reactivation
Retrospective study suggests that herpetic reactivation may be a more common cause of
unexplained chronic pain syndromes than previously thought and can be effectively treated
with long-term antiviral therapy. by Sean Maloney, MD; Katherine Taber, PhD; Susan Jensen, MD; Virginia Gil-Rivas, PhD; Paula Goolkasian, PhD; Rickilynn Mancil, MA; Joan Buckler, DPT (PPM March 2009: Vol. 9, No. 2)
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Chronic Pain and Biopsychosocial Disorders
The BHI 2 Approach to Classification and Assessment.by Daniel Bruns, PsyD and John Mark Disorbio, EdD (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Chronic Pain and Cannabinoids
A survey of current fibromyalgia treatment approaches together with an overview and
case studies of a new old treatment approach.by Gordon Ko, MD, CCFP(EM), FRCPC and William Wine, PhD, DSc(toxicology) (PPM May/Jun 2005: Vol. 5, No. 4)
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Chronic Pain and Co-Morbid Brain Injury From IED Trauma
Case presentation of a US veteran of Operation Iraqi Freedom following injuries from two consecutive Improvised Explosive Devices (IEDs). by Mordecai N. Potash, MD (PPM June 2007: Vol. 7, No. 5)
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Chronic Pain and Male Sexual Dysfunction
Chronic pain and some medications required to control it may lead to
sexual dysfunction, depression, and generate a self-reinforcing cycle.by Randall Lee Oliver, MD and April Taylor, RN, BSN, CDE (PPM Sep/Oct 2003: Vol. 3, No. 5)
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Chronic Pain Program in a Primary Care Setting
With a designated pain professional and appropriate safeguards, a pain management
program can be successfully integrated into a multi-physician primary care clinic.by Karel Schram, PA-C, and Wayne Kohn, DO (PPM Sep 2007: Vol. 7, No. 8)
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Chronic Pain, Osteoporosis, and Bone Density Testing
Bone density testing in chronic pain patients can diagnose osteoporosis and identify
those at high risk for fracture, so that appropriate therapy can be initiated to reduce
future fracture risk.by E. Michael Lewiecki, MD, FACP (PPM Nov/Dec 2004: Vol. 4, No. 6)
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Chronic Persistent Pain Can Kill
Case report of a male patient whose death was hastened by chronic pain.by Thomas J. Romano, MD, PhD (PPM Sep 2007: Vol. 7, No. 8)
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Chronic Tension Headache
The use of sEMG biofeedback is effective for the treatment of headaches.by John G. Arena, PhD; Glenda M. Bruno, RN, MS; and Andrew G. Brucks, MS (PPM Sep/Oct 2000: Vol. 0, No. 1)
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Clinical Bioethics
Grappling With the Ethics of Practical Pain Managementby James Giordano, PhD (PPM Jan/Feb 2008: Vol. 8, No. 1)
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Clinical Bioethics
Rational, Emotive, Ethical Approaches To Bio-Psychosocial Pain Careby James Giordano, PhD and Joan Walter, JD, PA-C (PPM Sep 2007: Vol. 7, No. 8)
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Clinical Bioethics
On Knowing by James Giordano, PhD (PPM April 2006: Vol. 6, No. 3)
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Clinical Bioethics
A Big Picture: Neurogenesis, Pain, and the Reality and Ethics of Pain Medicineby James Giordano, PhDJames Giordano, PhD (PPM March 2007: Vol. 7, No. 2)
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Clinical Bioethics
by James Giordano, PhD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Clinical Bioethics
Moral Virtue and the Pain Physicianby James Giordano, PhD (PPM May/Jun 2006: Vol. 6, No. 4)
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Clinical Bioethics
Understanding Pain as Disease and Illness - Part 1by James Giordano, PhD (PPM September 2006: Vol. 6, No. 6)
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Clinical Bioethics
Pain Care at the End of Life by James Giordano, PhD (PPM March 2006: Vol. 6, No. 2)
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Clinical Bioethics
Invoking the Placebo Effectby James Giordano, PhD (PPM May 2007: Vol. 7, No. 4)
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Clinical Bioethics
Chronic Pain and Spiritualityby James Giordano, PhD (PPM April 2007: Vol. 7, No. 3)
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Clinical Bioethics
Resolutions: Examining the Past, Present and Future of Pain Managementby James Giordano, PhD (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Clinical Bioethics
On the Role of Primary Care Within a System of Integrative Multi-Disciplinary Pain
Managementby James Giordano, PhD; Pierre LeRoy, MD; and Uday Uthaman, MD (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Clinical Bioethics
Pain as Disease and Illness: Part Twoby James Giordano, PhD (PPM October 2006: Vol. 6, No. 7)
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Clinical Bioethics: An Open Letter to the President-Elect
Pain Care and the Promise of What Lies Ahead by James Giordano, PhD (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Clinical Bioethics: Chronic Pain and Substance Abuse
Spectrum Effects and Ethical Considerationsby James Giordano, PhD and Rachel Wurzman, MS (PPM June 2008: Vol. 8, No. 5)
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Clinical Bioethics: Confidentiality, Choice, and The Question Of Autonomy
by James Giordano, PhD and Nisha Dogra, MD, PhD (PPM May 2008: Vol. 8, No. 4)
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Clinical Bioethics: Culture and the Ethics of Patient-Centered Pain Care
by James Giordano, PhD and Joan C. Engebretson, DrPH (PPM March 2008: Vol. 8, No. 2)
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Clinical Bioethics: Intellectual and Moral Tasks in Intersection, Part 1
Assessing the experience of pain: making the subjective objectively appreciable.by Jill Kaspar; Mark V. Boswell MD, PhD; and James Giordano, PhD (PPM April 2009: Vol. 9, No. 3)
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Clinical Bioethics: Intellectual and Moral Tasks in Intersection: Part 2
Information, Consent, Autonomy, and Agencyby Mark V. Boswell, MD, PhD; Jill Kaspar; and James Giordano, PhD (PPM May 2009: Vol. 9, No. 4)
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Clinical Bioethics: Neuroscience, Neurophilosophy, and Neuroethics of Pain, Pain Care, and Policy (N3P3)
Program, Purpose and Processby James Giordano, PhD (PPM March 2009: Vol. 9, No. 2)
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Clinical Bioethics: Pain and Psychopathology in Military Wounded
How Etiology, Epidemiology Sustain an Ethics of Treatment by James Giordano, PhD and Joan Walter, JD, PA-C (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Clinical Bioethics: Pain Care for a Global Community
The Importance of a Philosophy of Medicineby Francesca Marin, PhD and James Giordano, PhD (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Clinical Bioethics: Pain Care for a Global CommunityùPart 2
Ethics and Economics in Intersectionby James Giordano, PhD; Michael E. Schatman, PhD; and Roland Benedikter, PhD, DPhil (PPM September 2008: Vol. 8, No. 7)
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Clinical Bioethics: Pain Research
The Relationship of Knowing and Doingby James Giordano, PhD and Julia Pedroni, PhD (PPM June 2007: Vol. 7, No. 5)
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Clinical Bioethics: Technology in Pain Medicine
Research, Practice, and the Influence of the Marketby James Giordano, PhD (PPM April 2008: Vol. 8, No. 3)
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Clinical Bioethics: The "Promise" of Pain Medicine: Profession, Oaths, and the Probity of Practice
by James Giordano, PhD and Paul J. Hutchison, MA (PPM October 2007: Vol. 7, No. 8)
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Clinical Bioethics: The Good Patient
Responsibilities and Obligations of the Patient-Physician Relationshipby James Giordano, PhD (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Clinical Bioethics: Toward a Neuroethics of Pain Medicine
Pain medicine must continue to progress to meet the challenges posed by advances in
scientific understanding and technology and ever-widening philosophical and ethical issues
and imperatives arising from them.by James Giordano, PhD (PPM October 2008: Vol. 8, No. 8)
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Clinical Bioethics: What a Decade of the Mind Affords the Decade of Pain Control and Research
by James Giordano, PhD (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Clinical Pearls for Treating Headache Patients
Years of observations in evaluating and treating migraineurs provides insights into the
complexities of this patient population.by Dr. Lawrence Robbins, MD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Clinical Report: Computerized Dynamometry in Impairment Evaluations
Isokinetic computerized dynamometry provides objective, reproducible, and valid
measurements in clinical decision making regarding return to sport, return to work, and
impairment and disability assessments.by Tiziano Marovino, DPT, DAAPM (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Clinical Report: Neuromuscular Training In Pain Management
Re-activation of the deep local stabilizing muscles of the spine has been demonstrated
to be an essential part of rehabilitation for the musculoskeletal system and, in
particular, mechanical spine pain.by Tiziano Marovino, DPT, DAAPM (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Clinical Report: Non-Surgical Spinal Decompression (NSSD)
In the presence of overt, symptomatic disc disease, preliminary results of NSSD suggest
a stronger therapeutic effect than conventional traction and may offer a non-surgical
alternative to some patients.by Tiziano Marovino, DPT, DAAPM (PPM September 2009: Vol. 9, No. 7)
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Clinical Report: Spinal Pain And Neuromuscular Deficiency
When inhibited deep core muscles of the spine are the cause of back pain, a
neuromuscular re-activation approach can help normalize muscle firing patterns between the
local and global musculature and thus alleviate back pain.
by Tiziano Marovino, DPT, DAAPM (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Clinical Report: Trigger Point Ablation and TMJ Syndrome
A self-management approach to eradicating trigger points contributing to TMJ disorder
or facial pain.
by Tiziano Marovino, DPT, DAAPM (PPM Jan/Feb 2009: Vol. 9, No. 1)
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CME Accredited Monograph: Opioid Risk Management
Dispelling the Myths and Integrating Clinical Strategies to Protect Your Practiceby Herbert D. Kleber, MD; Howard A. Heit, MD; and Bruce Nicholson, MD (PPM March 2009: Vol. 9, No. 2)
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Coexistent Headache and Chronic Pain
The combination of headache and chronic pain in a patient presents challenges to both
headache and pain management clinicians due to the lack of overlap between the two
specialties.by R. Steven Singer, MD (PPM Nov/Dec 2003: Vol. 3, No. 6)
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Co-existing Psychological Factors
The patient's personality and emotional state may adversely affect the use of
medication such as opioids and treatment outcomes.by Moti Peleg, DSW, and Charles Carluccio, MD (PPM Sep/Oct 2004: Vol. 4, No. 5)
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Cold Lasers in Pain Management
Low energy laser therapy has been shown at appropriate dosimetry, wavelength,
duration, and site-specific application to reduce tissue pain/tenderness, normalize
circulation patterns in tissue trauma, and increase collagen formation in wounds.by Tiziano Marovino, PT, DPT, MSc, BA, BHSc, BRLS, Dip.PT, FAAPM (PPM Sep/Oct 2004: Vol. 4, No. 5)
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Combined Phrenic Nerve Palsy and Cervical Facet Joint Pain
Pain management challenge in diagnosing and treating a rare case of PNP in combination
with cervical facet joint pain in a diabetic patient. by Connie Ecklund, RN, MSN, APNP, BC and Mazin Ellias, MD, FRCA (PPM October 2007: Vol. 7, No. 8)
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Commentary from the Editor in Chief Emeritus
The Washington Opioid Dosage Restriction ù Assault on Care or Necessity?by Forest Tennant, MD (PPM June 2007: Vol. 7, No. 5)
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Commentary: Dr. Forest Tennant Speaks Out
Are We Losing Our Way?by Forest Tennant, MD, DrPH (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Commentary: The Experience of Pain
Health, health care, evidence-based medicine and the metrics paradoxby Peter Moskovitz, MD (PPM October 2009: Vol. 9, No. 8)
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Commonsense Opioid-Risk Management in Chronic Non-Cancer Pain
A Clinician's Perspective by James D. Toombs, MD (PPM April 2008: Vol. 8, No. 3)
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Co-Morbid States Are the Rule, Not the Exception, in Pain Practice
Depression, anxiety, coping, somatization, sleeplessness, and hypochondriasis are
prevalent in the chronic pain population and, left untreated, are associated with greater
risk for poor outcomes.by Murray H. Rosenthal, DO, FAPA (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Comorbidity of Musculoskeletal Injury Pain and PTSD
A biopsychosocial approach is best suited for assessment and treatment of traumatic
musculoskeletal pain with concomitant post-traumatic stress disorder (PTSD).by Margaret M. Perish, MA; Rob A. Haggard, MS, LPC; Amanda Buelow; Jokae Ingram; and Robert J. Gatchel, PhD, ABPP (PPM April 2009: Vol. 9, No. 3)
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Complex Interplay of Participants in Opioid Therapy
An historical and contemporary view of societal, medical, manufacturer, payer, and legal interactions affecting the prescription and use of opioids for pain management.
by Dana Bernstein, PhD, MS; Anna W. Stowell, PhD; Rob Haggard, BS, MS Degree Candidate; Whitney Worzer, BA, MS Degree Candi (PPM March 2007: Vol. 7, No. 2)
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Complex Regional Pain Syndrome (CRPS): Right Unilateral Electroconvulsive Therapy
Results and implications of this increasingly utilized option for the treatment of
refractory CRPS.by Franklin Michaels, Jr. (PPM March 2008: Vol. 8, No. 2)
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Complications of Uncontrolled, Persistent Pain
Persistent, unremitting pain may adversely affect the body's endocrine, cardiovascular,
immune, neurologic and musculo-skeletal systems and require aggressive treatment of the
pain as well as the resulting complications.by Forest Tennant MD, DrPH (PPM Jan/Feb 2004: Vol. 4, No. 1)
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Conceptual Model of Pain: Measurement & Diagnosis - Part 2
Part two of this series discusses the measurement and evaluation of patient data as an
integral part of pain diagnosis.by James Woessner, MD, PhD (PPM Nov/Dec 2002: Vol. 2, No. 6)
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Considerations in Treating Intractable Pain
Intractable Pain (IP) patients not only present unique factors that differentiate them
from other patient groups, but also each individuals background, personality, coping
skills, etc. requires additional adaptation.by J. S. Hochman, MD (PPM March 2005: Vol. 5, No. 2)
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Continuous Lumbar Epidural Infusion of Steroid
Administering a continuous lumbar epidural infusion of corticosteroid and normal saline
via an indwelling epidural catheter/infusion pump over a 3-day period offers a
minimally-invasive option for treatment of lumbar radiculopathy.by Michael Shapiro, MD (PPM September 2009: Vol. 9, No. 7)
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Corticosteroid Use in Pain Management
The basic properties, reactions and applications of corticosteroid use should be
reviewed prior to treating patients.by Ted A. Lennard, MD (PPM Sep/Oct 2000: Vol. 0, No. 1)
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Critical Transition From Short- to Long-Acting Opioid Therapy
While most pain patients are initially treated with short-acting opioids, severe
unremitting pain involving biological manifestations requires transitioning to long-acting
opioidsùbut not on the basis of equivalency tables. Instead, long-acting opioids
should be carefully phased in at low dosages while keeping the short-acting opioid regimen
in place until it can be safely curtailed.by Forest Tennant, MD, DrPH (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Cytokine Testing in Clinical Pain Practice
While lacking specificity, this emerging test shows potential as a valuable clinical
screening tool in helping to rule in or out whole categories when weighing initial
evidence for a diagnosis. by R. Steven Singer, MD (PPM Jul/Aug 2009: Vol. 9, No. 6)
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DEA Enforcement Versus Pain Practice
Aggressive DEA action against drug abuse and diversion ensnares some legitimate
prescribers.by Kathryn Foxhall (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Deep Cervical Muscle Dysfunction and Head/Neck/Face Pain
Myofascial stretching, self-mobilization, and muscle strengthening of the deep neck
flexors may ameliorate forward head posture, cervicogenic headache, and tension-type
headaches. by Leonard B. Goldstein, DDS, PhD and Howard W. Makofsky, PT, DHSc, OCS (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Deep Cervical Muscle Dysfunction and Head/Neck/Face Pain, Part 2
Deep cervical flexor strength and endurance training may be useful in the management of
symptoms related to mechanical impairment of the neck. by Howard W. Makofsky, PT, DHSc and Leonard B. Goldstein, DDS, PhD (PPM October 2009: Vol. 9, No. 8)
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Dental Consequences of Pain Management
Pain and its associated issues can contribute to oral bacterial growth and inflammatory
processes which, in turn, affects systemic health conditions.by Robert Reed, DDS, QME; David Schames, BA; Y. Dov Prero, BA, MEd; and Deborah Kheradyar, BS (PPM May 2009: Vol. 9, No. 4)
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Diabetic Neuropathy Study
Under-consumption or lack of critical nutrients in the diets of diabetics may be
implicated in diabetic complications including neuropathy. by Mark Gostine, MD; Larry Pawl, MD; Michael David, DPM; and William Decker, DPM (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Diagnosing and Managing Interstitial Cystitis
New research suggests interstitial cystitis (IC), a painful bladder disorder, is quite
prevalent in the general population.by Matt T. Rosenberg, MD; Matthew A. Hazzard, BA; and Charles W. Butrick, MD (PPM Jan/Feb 2005: Vol. 5, No. 1)
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Diagnosing Diffuse Aches and Pains
A clinical approach to differentially diagnosing the patient who reports that it
hurts all over.by Mazin Ellias, MD, FRCA (PPM Sep/Oct 2004: Vol. 4, No. 5)
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Diagnosis and Management of Generalized Vulvodynia
The prevalence of generalized vulvodynia may have been historically under-recognized by
the medical profession.by Elizabeth Gunther Stewart, MD (PPM May/Jun 2004: Vol. 4, No. 3)
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Diagnosis of Low Back Pain
Physical, hands-on examination can yield useful information for a differential
diagnosis.by Rudolph J. Maier, MD (PPM June 2009: Vol. 9, No. 5)
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Diagnostic Technology: Non-surgical Decompression Treatment for Carpal Tunnel Syndrome
An orthosis worn at nightùproviding a slow and sustained stretch on the tight
aponeurotic structures adding tension to the carpal tunnelùmay avoid surgery and
subsequent physical therapy.by Tiziano Marovino, DPT (PPM October 2008: Vol. 8, No. 8)
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Disordered Sacroiliac Joint Pain
The partial displacement or dislocation of the sacroiliac joint is a poorly understood and seldom diagnosed condition that may be responsible for a number of back pain or upper body painful conditions.
by Laurence E. Badgley, MD (PPM September 2009: Vol. 9, No. 7)
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Distinguishing Intractable Pain Patients from Drug Addicts
A comparison of intractable pain patients characteristics to those found in drug
addicts shows how to discern the difference-both to give the IP patient due care and
minimize drug abuse and diversion.by Joel S. Hochman, MD (PPM May/Jun 2003: Vol. 3, No. 3)
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Distraction Techniques for Lumbar Pain
Inter-vertebral decompression utilizing distraction techniques widens
disk spaces, lowers intradiscal pressure and promotes disk recovery.by Alan E. Ottenstein, MD (PPM Mar/Apr 2003: Vol. 3, No. 2)
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Do Topical Herbal Agents Provide Pain Relief?
A pilot study of chronic pain patients with fibromyalgia demonstrated a positive
response to topical herbal agents.by Gordon D. Ko, MD, CCFP(EM), FRCPC, Annie Hum, MD, CAFCI, and George Traitses, DC (PPM Jan/Feb 2006: Vol 6, No. 1)
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Dramatically Disturbed Patients in Interdisciplinary Pain Programs
The dramatic personality disorders of the Cluster B type which can
wreak havoc in an interdisciplinary pain treatment program present clinics with a
dilemma in handling these troublesome patients.by Michael Schatman, PhD (PPM Mar/Apr 2004: Vol. 4, No. 2)
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Dysfunction and Rehabilitation of the Shoulder
Considerations of muscular relationships in pain management based on Surface
Electromyographic (SEMG) Studies. by Gabriel E. Sella, MD (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Editor's Memo
Who Will Treat the Tough Case?
Wanted: A physician in every community who will
treat the case that no one else will take!by Forest A. Tennant, MD, DrPH (PPM Mar/Apr 2004: Vol. 4, No. 2)
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Editor's Memo
Self-Administered Opioid Injections: The Good, the Bad and the Ugly
by Forest A. Tennant, MD, DrPH (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Editor's Memo
Inadvertent Harm by Forest A. Tennant, MD, DrPH (PPM Nov/Dec 2004: Vol. 4, No. 6)
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Editor's Memo
Opioids Are Not Just The Gold Standardby Forest A. Tennant, MD, DrPH (PPM Sep/Oct 2004: Vol. 4, No. 5)
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Editor's Memo
Time To Be More Aggressive by Forest A. Tennant, MD, DrPH (PPM May/Jun 2003: Vol. 3, No. 3)
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Editor's Memo
Pain Treatment Challengesby Forest A. Tennant MD DrPH (PPM Mar/Apr 2003: Vol. 3, No. 2)
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Editor's Memo
Chronic Pain: A Disease Requiring Preventionby Forest A. Tennant, MD, DrPH (PPM Jul/Aug 2003: Vol. 3, No. 4)
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Editor's Memo
Is There a Hormone in Your Future?by Forest A. Tennant, MD, DrPH (PPM Sep/Oct 2003: Vol. 3, No. 5)
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Editor's Memo
Over-prescribing and Over-medicatingby Forest A. Tennant, MD, DrPH (PPM March 2005: Vol. 5, No. 2)
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Editor's Memo
Primary Care Physicians and Schedule II, Long-Acting Opioidsby Forest A. Tennant, MD, DrPH (PPM Jan/Feb 2005: Vol. 5, No. 1)
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Editor's Memo
Power in the Bloodby Forest A. Tennant, MD, DrPH (PPM Apr 2005: Vol. 5, No. 3)
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Editor's Memo
Are Generic Opioids Cutting the Mustard?by Forest A. Tennant, MD, DrPH (PPM Jul/Aug 2005: Vol. 5, No. 5)
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Editor's Memo
One Way Doesnt Fit Allby Forest A. Tennant, MD, DrPH (PPM May/Jun 2005: Vol. 5, No. 4)
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Editor's Memo
Control or Cure: Tell It Like It Is by Forest A. Tennant, MD, DrPH (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Editor's Memo
Have a Heart: The cardiovascular consequences of uncontrolled painby Forest A. Tennant, MD, DrPH (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Editor's Memo
Practical Science Meets the Art of Pain Medicineby Forest A. Tennant, MD, DrPH (PPM Jan/Feb 2006: Vol 6, No. 1)
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Editor's Memo
Pain TreatmentThe Great Stabilizer by Forest A. Tennant, MD, DrPH (PPM March 2006: Vol. 6, No. 2)
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Editor's Memo
Opioid MalabsorptionCan You Stomach This?by Forest A. Tennant, MD, DrPH (PPM April 2006: Vol. 6, No. 3)
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Editor's Memo
Tailor-Made Medications Are Critical For Chronic Pain Treatmentby Forest A. Tennant, MD, DrPH (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Editor's Memo
The Underutilization of Intrathecal Treatment by Forest A. Tennant, MD, DrPH (PPM May/Jun 2006: Vol. 6, No. 4)
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Editor's Memo
The First Order Of Business: Pulse Rate And Blood Pressure by Forest A. Tennant, MD, DrPH (PPM September 2006: Vol. 6, No. 6)
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Editor's Memo
Share The CareNot Just The Riskby Forest A. Tennant, MD, DrPH (PPM October 2006: Vol. 6, No. 7)
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Editor's Memo
Neurogenesis: A Goal of Chronic Pain Treatmentby Forest A. Tennant, MD, DrPH (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Education And Exercise Program For Chronic Pain Patients
Y-Pep, a Canadian community-based program for chronic pain patients, provides hope,
improves physical function, pain tolerance, and coping skills. by C. King-VanVlack, BSc, MSc, PhD; et al (PPM Sep 2007: Vol. 7, No. 8)
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Effective Approaches
In this study, patients with sever chronic pain undergo treatment at an atypical multidisciplinary clinic.by Scott L. Worsham, MEd, MBA and Ron R. Ziegler, PhD (PPM Jan/Feb 2002: Vol. 2, No. 1)
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Effective Approaches: Study Questionnaires
Questionnaires employed in the study Effective Approaches: Multidisciplinary Pain
Management from the Jan/Feb 2002 issue.by Scott L. Worsham, MEd and Ron R. Ziegler, PhD (PPM Mar/Apr 2002: Vol. 2, No. 2)
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Effective Monitoring of Opiates in Chronic Pain Patients
Laboratory testing for patients receiving prescription opioid pain relievers has been
recommended by several organizations and governmental agencies to assure patient
compliance, safe use to minimize risk, and assist in the identification of possible drug
diversion or misuse of the drug. by Michael Evans, PhD; Scott Kriger, PhD; Joshua Gunn, PhD; and Gene Schwilke (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Effective Non-Drug Treatment Of Depression
A review of the evolution in electrical and photo stimulation for effectively treating
depression in chronic pain patients.by C. Norman Shealy, MD, PhD (PPM Jul/Aug 2005: Vol. 5, No. 5)
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Electroanalgesic Nerve Block
Theory and case reports on an advanced generation electroanalgesic medical device (EAD)
in reducing or mitigating acute and/or chronic intractable pain conditions.by Robert H. Odell, Jr., MD, PhD, Richard Sorgnard, PhD, and Hans Ulrich May, MD (PPM April 2006: Vol. 6, No. 3)
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Electromedicine
Why Electromedicine?by Daniel L. Kirsch, PhD, DAAPM, FAIS (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Electromedicine
Electromedical Treatment of Headachesby Daniel L. Kirsch, PhD, DAAPM, FAIS (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Electromedicine
Electromedical Treatment of Headachesby Daniel L. Kirsch, PhD, DAAPM, FAIS (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Electromedicine
Microcurrent Electrical Therapy (MET): A Tutorialby Daniel L. Kirsch, PhD, DAAPM, FAIS (PPM October 2006: Vol. 6, No. 7)
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Electromedicine
CES in the Treatment of Anxiety Disorders, Part 2by Daniel L. Kirsch, PhD, DAAPM, FAIS , and Marshall F. Gilula, MD (PPM April 2007: Vol. 7, No. 3)
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Electromedicine
CES in the Treatment of Depressionby Daniel L. Kirsch, PhD, DAAPM, FAIS , and Marshall F. Gilula, MD (PPM May 2007: Vol. 7, No. 4)
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Electromedicine
CES in the Treatment of Anxiety Disorders by Daniel L. Kirsch, PhD, DAAPM, FAIS and Marshall F. Gilula, MD (PPM March 2007: Vol. 7, No. 2)
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Electromedicine: CES for Mild Traumatic Brain Injury
Based on the consistently robust results of cranial electrotherapy stimulation (CES)
seen throughout this preliminary data, the use of this safe and effective electromedical
modality as an adjunct to medical and psychological interventions for mild traumatic brain
injury patients should be considered. by Daniel L. Kirsch, PhD, FAIS (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Electromedicine: CES in the Treatment of Addictions: A Review and Meta-Analysis
Addictions are serious and poorly understood problems that may involve prescribed or
illicit drugs, alcohol, or compulsive behavioral patterns involving sex, gambling, eating
or "surfing the net." Cranial electrotherapy stimulation (CES) has been shown in
15 studies to quickly, safely and effectively reduce the physical withdrawal,
psychological cravings and co-morbid anxiety, insomnia and depression in people suffering
from addictive disorders.by Daniel L. Kirsch, PhD, DAAPM, FAIS and Marshall F. Gilula, MD (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Electromedicine: CES in the Treatment of Depression, Part 2
This second article, of a two-part series on the efficacy of Cranial Electrotherapy
Stimulation (CES) in treating depression, reviews the results of meta-analysis conducted
on CES studies.by Daniel L. Kirsch, PhD, DAAPM, FAIS , and Marshall F. Gilula, MD (PPM June 2007: Vol. 7, No. 5)
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Electromedicine: CES in the Treatment of Insomnia: A Review and Meta-analysis
Cranial Electrotherapy Stimulation (CES) is an effective, established treatment for
insomnia that avoids polypharmacy interactions for pain patients taking medications while
simultaneously reducing anxiety, depression, and pain.by Daniel L. Kirsch, PhD, DAAPM, FAIS and Marshall F. Gilula, MD (PPM October 2007: Vol. 7, No. 8)
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Electromedicine: Cranial Electrotherapy Stimulation in the Treatment of Fibromyalgia
by Daniel L. Kirsch, PhD, DAAPM, FAIS (PPM September 2006: Vol. 6, No. 6)
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Electromedicine: Cumulative Response from Cranial Electrotherapy Stimulation for Chronic Pain
Results from five CES sessionsùadministered over the course of treatment to 525 consecutive chronic pain patientsùconfirmed that an initial decrease in pain after
the first session was typically followed by further decreases in pain from the cumulative effects of this modality.by Jerry T. Holubec, DO (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Electromedicine: Use of TENS In Pain Management
Recent advances in transcutaneous electrical nerve stimulation (TENS) have shed new
light on the efficacy as well as the mechanism of action and provide a solid foundation
for clinical utilization and subsequent research.by James D. Pomonis, PhD, and Joseph R. Shurman, MD (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Electromyography (EMG) and Musculoskeletal Pain
A synopsis of the clinical applications and complementarities between two predominant
motor testing modalities for musculoskeletal dysfunction: needle and surface EMG.
by Gabriel E. Sella, MD, MPH, MSc, PhD (HC) (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Emergency Department Protocols (complete article)
Improving pain management in the ED provides better treatment options for patients.by Kenny Stein, MD (PPM Sep/Oct 2001: Vol. 1, No. 5)
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Emerging Role of NPs and PAs in Pain Management
Nurse Practitioners and Physician Assistants offer the best hope for dealing with the
resistance of Primary Care Physicians to provide appropriate pain management for chronic
pain patients. by Jennifer Schneider, MD (PPM June 2008: Vol. 8, No. 5)
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Epidural Indomethacin Alternative in Adult Onset Diabetics
Study confirms hyperglycemia resulting from epidural corticosteroid injections in
diabetic patients with recurrent post-laminectomy radiculopathy and assesses indomethacin
as a suitable alternative to corticosteroids.by J. Antonio Aldrete, MD, MS, and Uriah Guevara, MD (PPM March 2006: Vol. 6, No. 2)
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Ethics and Health Policy: Anticipating Biotechnological Trends in Pain Care
Precautionary Purpose and Processby James Giordano, PhD and Dennis K. McBride, PhD, MPA (PPM September 2009: Vol. 9, No. 7)
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Ethics and Health Policy: Ethics, Pain Care, and Obama's Policy Intentions
A View Toward "the Hill"by Aaron Damiani and James Giordano, PhD (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Ethics and Health Policy: Neuroethics at the Close of the Decade of Pain Control and Research
Changing Views from the Cave to the Crestby James Giordano, PhD (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Ethics and Health Policy: Pain Care of Severely Neurally-Compromised Patients
Practical and Ethical Considerationsby Anita Gupta, PharmD, DO and James Giordano, PhD (PPM October 2009: Vol. 9, No. 8)
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Ethics and Policy: Ethics, Education, and Policy: Relationship and Mutual Reliance
by James Giordano, PhD (PPM June 2009: Vol. 9, No. 5)
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Evaluating Function/Impairment of Low Back Pain Using SEMG
Recent advances in the use of surface electromyography (SEMG) have proved useful in the
evaluation of movement, gait, postural, and functional disturbances in low back pain
patients. by Robert J. Gatchel, PhD, ABPP; Mark D. Ricard, PhD; Emily Brede, RN; and Krista J. Howard, MS (PPM March 2009: Vol. 9, No. 2)
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Evaluating Pain Intervention Effectiveness and Compliance
Innovative ways to identify patients with severe, chronic pain and assess effective pain control by various standardized, objective measures to monitor clinical progress.by Forest Tennant, MD, DrPH (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Eye Screening and Intractable Pain Management
How to interpret and use eye signs to help prescribe opioids for intractable pain. by Forest Tennant, MD, DrPH (PPM June 2008: Vol. 8, No. 5)
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Facility Profile
SpineKnoxville Adopts a Unique Approach (PPM Sep/Oct 2003: Vol. 3, No. 5)
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Facility Profile: Casa Palmera
Casa Palmera has become a model center for the treatment of comorbid chronic pain,
substance dependence, eating disorders, and emotional trauma by bringing together the best
of Eastern and Western medicine with neuroscience.by Joseph Shurman, MD; David Bergman, MD, DLFAPA; George Koob, PhD; Michael Lardon, MD; and Phyllis Meagher, MBA (PPM May 2009: Vol. 9, No. 4)
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Facing Reimbursement Challenges (complete article)
Delivering solid, validated evidence of treatment can be achieved by utilizing an
outcomes measurement system.by Scott Raven (PPM Jul/Aug 2001: Vol. 1, No. 4)
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Failed Back Surgery Syndrome
Back surgery is an important treatment option yet a significant percentage have a poor
outcome and may require either additional surgery, interdisciplinary treatment, or
implantable devices to manage ensuing pain.by Robert J. Gatchel, PhD, ABPP; Brandy Miller, PhD Candidate; and Leland Lou, MD (PPM May/Jun 2004: Vol. 4, No. 3)
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Family Dynamics and Chronic Pain
Accompanying depression and anxiety impacts a chronic pain patients family
dynamics and requires a multidisciplinary, holistic approach to address associated issues.by Randall Lee Oliver, MD; April Taylor RN, BSN; and James P. Schroeder, LCSW, LMFT (PPM May/Jun 2003: Vol. 3, No. 3)
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Fibromyalgia
Fibromyalgia Patient Insightsby Lynne Matallana, MA (PPM May 2007: Vol. 7, No. 4)
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Fibromyalgia
Fibromyalgia in Older Adultsby Kim Dupree Jones, PhD; Casey R. Shillam, RN; Rebecca Lee Ross, RN;Dianne G. Adams, MPH (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Fibromyalgia
Sleep Disturbances in Fibromyalgia
by Carol A. Landis, DNSc, RN, FAAN (PPM March 2007: Vol. 7, No. 2)
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Fibromyalgia
Guidelines for Beneficial Group Exercise for Fibromyalgia by Janice H. Hoffman, BA, CES (PPM June 2007: Vol. 7, No. 5)
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Fibromyalgia and Myofascial Pain Syndromes
A practical approach to the differential diagnosis and treatment of fibromyalgia and
myofascial pain syndromes.by Edwin D. Dunteman, MD MS (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Fibromyalgia Syndrome & Surface Electromyography
Dynamic functional capacity and movement assessment via sEMG is a viable tool in
treating patients with FMS. by Darice M. Putterman, PT, CAAAPM, CTIACA (PPM Sep/Oct 2000: Vol. 0, No. 1)
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Fibromyalgia: Acupuncture for Fibromyalgia
Acupuncture may be a useful intervention to manage chronic pain of fibromyalgia.by Richard E. Harris, PhD (PPM March 2009: Vol. 9, No. 2)
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Fibromyalgia: Adult Growth Hormone Deficiency in Fibromyalgia
Growth hormone deficiency was found in many fibromyalgia patients in a community rheumatology practice.by Thomas J. Romano, MD, PhD (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Fibromyalgia: Duloxetine: A New Indication for the Treatment of Fibromyalgia
Duloxetine (Cymbalta«, Eli Lilly ) joins pregabalin (Lyrica«, Pfizer, Inc.)
as the second drug to gain approval by the FDA for the treatment of fibromyalgia. by Melissa Olivadoti, PhD (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Fibromyalgia: Fibromyalgia Medical Education
The National Fibromyalgia Association offers two new healthcare professional programs.by Rae Marie Gleason, Executive Director of the NFA (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Fibromyalgia: Milnacipran: A New Treatment Option for Fibromyalgia
by Philip J. Mease, MD (PPM May 2009: Vol. 9, No. 4)
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Fibromyalgia: New Hope And New Pharmaceuticals
While few therapies have proven effective in the past, recent pharmacologic advances
provide new hope for this difficult-to-treat disorder.by Andrew J. Holman, MD (PPM September 2006: Vol. 6, No. 6)
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Fibromyalgia: Pregabalin for the Treatment of Fibromyalgia
The approval of pregabalin (Lyrica«) for the treatment of fibromyalgia by the Food and
Drug Administration marks a welcome advance.by Patrick B. Wood, MD (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Fibromyalgia: Proposed Models of Fibromyalgia Sub-Types
A proposed framework for sub-types within the greater 'fibromyalgia construct' addresses the heterogeneous fibromyalgia population and moves toward a
rational, mechanistic approach to therapy. by Patrick B. Wood, MD (PPM June 2008: Vol. 8, No. 5)
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Fifteen Minute Headache Evaluation
With reasonable planning and preparationby both the physician and the
patientan adequate headache evaluation is possible in a short visit.by R. Steven Singer, MD (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Fingerprints and HIPAA Compliance
Computerized documentation and fingerprint biometrics can help you become HIPAA
compliant, while freeing up your time to be more productive.by Greg Winterkamp (PPM Sep/Oct 2002: Vol. 2, No. 5)
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First Line Treatment of Musculoskeletal and Neuropathic Pain
Initial treatment of musculoskeletal and neuropathic pain can be more effective by
incorporating combination pharmacologic alternatives as adjuncts to oral or parenteral
analgesic medication.by Mark F. Rottenberg, MD, MS (PPM Jul/Aug 2005: Vol. 5, No. 5)
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From Research To Practical Application
Long Term Testosterone Treatment (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Functional Restoration and Complex Regional Pain Syndrome
The functional restoration modelùutilizing a carefully selected combination of
therapies including medications, interventions, rehabilitation therapies, and
psychological treatment approachesùmay provide the best hope for treating CRPS. by Steven D. Feinberg, MD and Rachel M. Feinberg, PT, DPT (PPM September 2008: Vol. 8, No. 7)
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Gastrointestinal Adverse Effects of Opioids
A review of the pathophysiology of opioid-related gastrointestinal effects together
with treatment options. by Mamie H. Dong, MD, Joseph R. Pisegna, MD, Jonathan D. Kaunitz, MD (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Getting Back on Track
Acupuncture is a complementary treatment strategy that can be employed alone or in
conjunction with other modalities to treat lumbar pain.by John P. Kohler, MD; Elizabeth Mandel; and Ding Lian Jin, MD (PPM Jul/Aug 2001: Vol. 1, No. 4)
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Getting Off the Pain Roller Coaster
Identifying the psychological aspects of pain can lead patients on the right track to recovery.by Barry W. Weiss, PhD and Lillie Weiss, PhD (PPM Nov/Dec 2001: Vol. 1, No. 6)
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Getting to the Point
Myofascial soft-tissue techniques can release trigger points and help patients better manage their pain.by Ron Lechnyr, PhD, DSW (PPM Nov/Dec 2001: Vol. 1, No. 6)
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Guest Editorial
Taking the Hurt Out of Pain
Pharmacists play an important role in helping to manage pain.by Charles D. Ponte, PharmD, CDE, BCPS, FASHP, FCCP, FAPhA (PPM Jul/Aug 2001: Vol. 1, No. 4)
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Guest Editorial
New Directionsby Martin Fields, MD (PPM May/Jun 2001: Vol. 1, No. 3)
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Guest Editorial
The Pain Relationshipby David E. Bresler, PhD, LAc, Dipl Ac, QME (PPM Jan/Feb 2001: Vol. 1, No. 1)
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Guest Editorial
Physician's Gun Barrel Visionby Richard S. Materson, MD (PPM Mar/Apr 2001: Vol. 1, No. 2)
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Guest Editorial
It's Your Future: Time to Take Chargeby Richard S. Weiner, PhD (PPM Sep/Oct 2000: Vol. 0, No. 1)
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Guest Editorial
Reflex Sympathetic Dystrophy (RSD)by Elena Juris (PPM Sep/Oct 2004: Vol. 4, No. 5)
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Guest Editorial
National Pain Data Bank Minimizes Professional Risk by Alexandra Campbell, PhD, and Scott Raven, PhD (PPM Mar/Apr 2003: Vol. 3, No. 2)
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Guest Editorial
Therapeutic Drug Monitoringby Dr. Michael Evans, PhD, Breain Ma'Ayteh, MA, and John Constantine, BS (PPM Jul/Aug 2005: Vol. 5, No. 5)
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Guest Editorial
Group Psychotherapy for Chronic Pain Patients by Sarah M. Whitman, MD (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Guest Editorial
National Council of Pain Organizationsby Pierre L. LeRoy, MD, FACS (PPM March 2005: Vol. 5, No. 2)
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Guest Editorial
Low Level Laser Therapy: A Clinician's Viewby Bernard E. Filner, MD (PPM October 2006: Vol. 6, No. 7)
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Guest Editorial
The Continuing Need for Pain Education by B. Eliot Cole, MD, MPA (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Guest Editorial
Sedation Safety and Comfort by Robert J. Rogers, MD, FACP, Diplomat ABA and ABIM (PPM April 2006: Vol. 6, No. 3)
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Guest Editorial
Clinical Drug Testing for Pain Medicine by Frank A. Fornari, PhD (PPM March 2006: Vol. 6, No. 2)
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Guest Editorial
The Dimensions of Painby William M. Lamers, Jr., MD (PPM Jan/Feb 2006: Vol 6, No. 1)
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Guest Editorial
Focus on Urine Drug Monitoring by Joseph Shurman, MD and Ronald C. Backer, PhD (PPM March 2006: Vol. 6, No. 2)
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Guest Editorial
Guidelines for Opioid Management of Painby J. S. Hochman, MD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Guest Editorial
Tumblin Dice Why Does Random Matter? by James Patrick Murphy, MD (PPM May/Jun 2006: Vol. 6, No. 4)
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Guest Editorial: A Decade of Pain Wasting Away
Have improvements in state policies translated into improved patient access to
effective pain relief? by Kathryn L. Hahn, PharmD, DAAPM (PPM September 2008: Vol. 8, No. 7)
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Guest Editorial: In My Opinion
Thoughts on tolerance, hyperalgesia, and short-acting opioids. by Jennifer P. Schneider, MD (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Guest Editorial: Keeping Prescribers on Board if Certification Becomes Part of REMS
Consequences need to be acknowledged and serious thought given to the full impact that
the FDA's proposed Risk Evaluation and Mitigation Strategies (REMS) plan might have.
by Steven D. Passik, PhD and Kenneth L. Kirsh, PhD (PPM October 2009: Vol. 9, No. 8)
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Guest Editorial: Multidisciplinary Pain Clinics vs. Opioid Treatment For Chronic Pain
Collaborators or antagonists? by Jennifer Schneider, MD (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Guest Editorial: Successful Treatment of Intractable Pain
by Joel S. Hochman, MD (PPM March 2009: Vol. 9, No. 2)
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Guest Editorial: The Multi-Disciplinary Pain Medicine Fellowship
Will it change the practice of pain medicine?
by John E. Tetzlaff, MD (PPM September 2009: Vol. 9, No. 7)
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Guest Editorial: Treating Chronic Pain by Patient Empowerment
by Thomas J. Purtzer, MD (PPM March 2009: Vol. 9, No. 2)
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Hackett-Hemwall Dextrose Prolotherapy for Unresolved Elbow Pain
In this retrospective pilot study at an Outpatient Charity Clinic in Rural Illinois,
Hackett-Hemwall dextrose prolotherapy helped reduce pain and stiffness and clinically
improved the quality of life in people with unresolved elbow pain. by Ross A. Hauser, MD; Marion A. Hauser, MS, RD; and Patricia Holian, RN (PPM October 2009: Vol. 9, No. 8)
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Head and Neck
Adenoid Cystic Carcinoma of the Parotid Gland by Edwin A. Ernest, III, DMD (PPM Jan/Feb 2008: Vol. 8, No. 1)
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Head and Neck Pain
Patulous Eustachian Tube, Part 1by Edwin A. Ernest III, DMD (PPM Sep 2007: Vol. 7, No. 8)
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Head and Neck Pain
Migraine-like Headache of Temporal Tendonitisby Edwin A. Ernest III, DMD; Mario E. Martinez, DMD, MS; David B. Rydzewski, MD; and E. George Salter, PhD (PPM March 2007: Vol. 7, No. 2)
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Head and Neck Pain
Superior Pharyngeal Constrictor Muscle Painby Edwin A. Ernest, III, DMD, FAANaOS; Mark W. Ernest, BA; E. George Salter, PhD (PPM September 2006: Vol. 6, No. 6)
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Head and Neck Pain
Neuralgic Pain of the Temporomandibular Jointby Edwin A. Ernest III, DMD, and E. George Salter, PhD (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Head and Neck Pain
TMJ Quick Screening Exam by Edwin A. Ernest III, DMD (PPM April 2007: Vol. 7, No. 3)
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Head and Neck Pain
Cervical-Medullary Meningioma by Edwin A. Ernest III, DMD (PPM May 2007: Vol. 7, No. 4)
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Head and Neck Pain
Ernest Syndrome and Insertion of the SML at the Mandible by Edwin A. Ernest, III, DMD (PPM October 2006: Vol. 6, No. 7)
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Head and Neck Pain
Hyoid Bone Syndromeby Edwin A. Ernest III, DMD, and E. George Salter, PhD (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Head and Neck Pain: Hand Tremor with Dental Medicine Implications
While many hand tremor cases may be linked to genetic predisposition or other origin,
some hand and body tremors may be trigeminal nerve-related.by Edwin A. Ernest, III, DMD (PPM September 2009: Vol. 9, No. 7)
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Head and Neck: Cervical Disc Disease With Referred Pain to TMJ
A case report of cervical injury from a motor vehicle accident resulting in a cascade
of physical changes over six months and referring pain to the TMJ and face.
by Edwin A. Ernest, III, DMD (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Head and Neck: Craniofacial Pain of Cardiac Origin
Cardiac-induced referred pain to the craniofacial region may drive a referral to a
dentist and potentially miss the diagnosis of a life-threatening cardiac condition.by Edwin A. Ernest, III, DMD (PPM April 2009: Vol. 9, No. 3)
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Head and Neck: Hamular Process Bursitis
Often misdiagnosed as otitis media or Eagle's syndrome, this relatively unknown
disorder presents as soft palate pain, throat pain, ipsilateral maxillary pain, ear pain
and difficulty and pain with swallowing. by Wesley E. Shankland II, DDS, MS (PPM September 2008: Vol. 8, No. 7)
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Head and Neck: Injection Needle Injury of Oral Sensory Nerves
A discussion of inferior alveolar nerve and lingual nerve needle injury from
transdermal and trans-mucosal injections concomitant with ipsilateral temporal tendonitis.by Edwin A. Ernest III, DMD (PPM April 2008: Vol. 8, No. 3)
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Head and Neck: Middle Ear, Eustachian Tube, and Otomandibular/Craniofacial Pain
This case report found that a unique monomodal treatment protocolùutilizing a passive intra-oral applianceùboth verified the diagnosis and provided immediate relief to sympathetically-mediated pain suffered by the patient over the previous ten years.by Gale D. Kloeffler, DDS (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Head and Neck: Orbital-Inner Canthus Headache Due to Medial Temporal Tendonitis
Pain presenting as an intense headache apparently radiating from the inner canthus of
the eye or orbit, but actually referred from medial temporal tendonitis, underlines the
complexity of facial structures.by Edwin A. Ernest, III, DMD (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Head and Neck: Painful Herpetic Reactivation and Degenerative Musculoskeletal Injury
by Edwin A. Ernest, III, DMD (PPM June 2009: Vol. 9, No. 5)
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Head and Neck: Patulous Eustachian Tube, Part 2
Often unrecognized, the symptoms of patulous eustachian tube may, and often do, mimic
other ear conditions.by Edwin A. Ernest, III, DMD (PPM October 2007: Vol. 7, No. 8)
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Head and Neck: Sphenomandibularis Muscle and Retro-Orbital Headache
Patients experiencing retro-orbital headaches that are not adequately managed by drugs
may be an indication of sphenomandibularis referred pain.by Edwin A. Ernest, III, DMD (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Head and Neck: Superior Pharyngeal Constrictor Muscle Dysfunction
Sprain or tendinitis of this large quadrilateral constrictor muscle may present as
soreness, tightness, or pain at the pterygoid plate and may involve palatal muscles and
ear symptoms as well.by Edwin A. Ernest III, DMD (PPM June 2008: Vol. 8, No. 5)
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Head and Neck: Temporal Arteritis and Temporal Tendonitis Co-morbidity
by Edwin A. Ernest III, DMD (PPM May 2008: Vol. 8, No. 4)
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Head and Neck: Temporomandibular Dysfunction and Migraine
TMD often coexists with daily or near-daily headache syndromes but is overlooked by
many physicians in the history and physical examination.by Jeffrey P. Nelson, MD (PPM March 2008: Vol. 8, No. 2)
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Head and Neck: TMJ Derangement and SUNCT Syndrome Co-Morbidity
Case report of signs and symptoms of internal derangement of the temporomandibular
joint (TMJ) co-morbid with short-lasting unilateral neuralgiform headache attacks from
conjunctival injection and tearing (SUNCT) syndrome.by Edwin A. Ernest, III, DMD (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Head and Neck: TMJ Pain and Temporal Tendonitis with Autonomic Features
A case review of a patient who presented with symptoms of trigeminal autonomic
cephalalgia as well as TMJ and temporal tendon-related pain symptoms.by Edwin A. Ernest, III, DMD (PPM October 2008: Vol. 8, No. 8)
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Head Pains
Modern management modalities are vital to treating headaches effectively.by Keith A. Yount, DDS, FAGD (PPM Jan/Feb 2002: Vol. 2, No. 1)
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Head Region Neuropathies
As part of a differential diagnosis of pain associated with tooth, gum, tongue, palate,
or face, the potential presence of neuropathies should also be considered before
performing irreversible procedures.by Keith A. Yount, DDS, MAGD (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Headache Relief
Long-acting opioids can help alleviate the pain associated with severe, refractory
chronic daily headaches.by Lawrence Robbins, MD, and Halleh Akbarnia, MD (PPM May/Jun 2001: Vol. 1, No. 3)
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Headache: Chronic Migraine: An Interactive Case History
A step by step guide through the diagnosis of a complex headache patient. by Lawrence Robbins, MD (PPM October 2008: Vol. 8, No. 8)
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Headache: Efficacy of Stimulants in Migraineurs with Comorbidities
Stimulants may be beneficial for chronic migraine patients presenting with various
comorbidities such as attention deficit hyperactivity disorder (ADHD), depression and
fatigue.by Lawrence Robbins, MD and Joseph Maides, DO (PPM September 2009: Vol. 9, No. 7)
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Headache: IV Ketamine Effect on Post-Concussional Migraine
Outpatient intravenous ketamine treatment of CRPS-Type 1 simultaneously eradicated
post-concussional migraine in patient. by Cris M Schade, MD, PhD and John Claude Krusz, PhD, MD (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Headache: Long-Acting Opioids for Refractory Chronic Migraine
Study results for a group of difficult-to-treat migraineurs provide a basis for
determining efficacy and guidelines for the use of long-term opioids in this population.by Lawrence Robbins, MD (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Headache: Management of Chronic Headache
A review of assessment and treatment of outpatient chronic headache patients along with
a commentary on aggravating and mitigating factors.by Lawrence Robbins, MD (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Headache: Personality Disorders in Migraineurs
With a higher than normal prevalence of moderate or severe personality disorder in this
population, recognizing the disorder allows alteration of both goals and approach.by Lawrence Robbins, MD (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Headache: Post-Traumatic Headaches, Migraines, and Sleep Disorders
Most, if not all, post-concussion symptoms are quite treatable and can often make a
dramatic difference in the quality of life for a patient recovering from traumatic brain
injury.by John Claude Krusz, PhD, MD (PPM April 2009: Vol. 9, No. 3)
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Headache: Preventive Medications for Chronic Daily Headache
A review of long-term continuation rates of daily preventive medications for chronic daily headache (CDH). by Lawrence Robbins, MD and Joseph Maides, DO (PPM June 2009: Vol. 9, No. 5)
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Health Information Technology Advisor
HIT Advisor: Tips Towards an Effective Paperless System: Can You Afford It?by Greg Winterkamp (PPM Jan/Feb 2006: Vol 6, No. 1)
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Health Information Technology Advisor
Inter Office Communicationby Greg Winterkamp (PPM March 2006: Vol. 6, No. 2)
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Health Information Technology Advisor
Audit Your Infrastructure by Greg Winterkamp (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Health Information Technology Advisor
EMR Goals and Commitment by Greg Winterkamp (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Health Information Technology Advisor
Government Mandates for Electronic Medical Records (EMR)by Greg Winterkamp, owner/CEO and founder of Addison Health Systems, Inc. (PPM Jul/Aug 2005: Vol. 5, No. 5)
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Helping Patients Understand the World of Pain Medicine
Patients need to better understand their health care providers' concerns regarding
alcohol, drugs and pain medications, as well as what is expected of them in their role as
patients in order to maximize treatment outcomes.
by Ron Lechnyr, PhD, DSW and Terri Lechnyr, PhD (PPM September 2009: Vol. 9, No. 7)
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HIT Advisor
Workflow & Clinical Decision Making, Part Iby Greg Winterkamp (PPM April 2006: Vol. 6, No. 3)
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HIT Advisor
Evaluation and Management Codes Drive Medical Necessityby Ted A. Arkfeld, DC, MS, CICE, CPC (PPM Jan/Feb 2008: Vol. 8, No. 1)
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HIT Advisor
Get Better Connected To Your Patients Over the Internet by Greg Winterkamp (PPM Sep 2007: Vol. 7, No. 8)
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HIT Advisor
Are You Really Utilizing Your EMRby Ted Arkfeld, MS, DC, DABFE, CICE, CPC (PPM June 2007: Vol. 7, No. 5)
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HIT Advisor
Are You Ready For Pain Management EMR Evidence-Based Guidance Systems?by Greg Winterkamp (PPM Jul/Aug 2007: Vol. 7, No. 6)
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HIT Advisor
How Regional Health Information Organizations Will Impact Practices by Greg Winterkamp (PPM September 2006: Vol. 6, No. 6)
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HIT Advisor
by Greg Winterkamp (PPM Jul/Aug 2006: Vol. 6, No. 5)
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HIT Advisor
InteroperabilityùPart 2by Greg Winterkamp (PPM Jan/Feb 2007: Vol. 7, No. 1)
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HIT Advisor
Interoperability, Part 1by Greg Winterkamp (PPM Nov/Dec 2006: Vol. 6, No. 8)
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HIT Advisor
So Many Electronic Medical Record Systems, So Costly! by Greg Winterkamp (PPM October 2006: Vol. 6, No. 7)
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HIT Advisor
Pen Tabletsby Greg Winterkamp (PPM May 2007: Vol. 7, No. 4)
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HIT Advisor
The Difference Between EMR Hype and Realityby Greg Winterkamp (PPM April 2007: Vol. 7, No. 3)
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HIT Advisor: HIT Advisor: Using EMRs to Make Your Patient "Triage" and Clinical Flow More
by Greg Winterkamp (PPM October 2007: Vol. 7, No. 8)
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HIT Advisor: 2009 Is The Year to Automate Your Clinic - Part 1
With the current economic and political climate, it is clearly time to automate your
clinic and increase profitability in the process.
by Greg Winterkamp (PPM Jan/Feb 2009: Vol. 9, No. 1)
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HIT Advisor: Advances in Fax Technology
Your clinic's manual faxing is obsolete and is costing you many thousands of
dollars per year.by Greg Winterkamp (PPM Nov/Dec 2008: Vol. 8, No. 9)
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HIT Advisor: Automate Your Clinic, Part II: Automate Around the Doctor
With the current economic problems, 2009 is the year to automate your clinic to be
profitable or, at the very least, initial steps can be taken to computerize faxes and
paper files without disrupting your own patient focus. by Greg Winterkamp (PPM March 2009: Vol. 9, No. 2)
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HIT Advisor: Cell Phone Impact on Your Pain Practice
Taking advantage of fast-emerging cell phone technology to interface with your computer
system will offer many efficiencies and benefits for your pain practice.by Greg Winterkamp (PPM September 2008: Vol. 8, No. 7)
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HIT Advisor: Compliant Billing, Coding and Documentation for Interventional Pain
by Ted A. Arkfeld, DC, MS, CICE, CPC (PPM Nov/Dec 2007: Vol. 7, No. 9)
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HIT Advisor: Compliant Documentation
by Ted A. Arkfeld, DC, MS, CICE, CPC (PPM March 2008: Vol. 8, No. 2)
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HIT Advisor: Consistent Documentation Drives Compliance
The importance of having consistent documentation in proving compliant patient care. by Ted A. Arkfeld, DC, MS (PPM October 2008: Vol. 8, No. 8)
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HIT Advisor: EMR Adoption
It is not all about taking advantage of the economic stimulus incentive payments!by Greg Winterkamp (PPM September 2009: Vol. 9, No. 7)
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HIT Advisor: Interoperability, Part 3
Understanding where you are in the Evolution of Computerization
by Greg Winterkamp (PPM March 2007: Vol. 7, No. 2)
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HIT Advisor: IT Consultants - Whom Should You Trust?
by Greg Winterkamp (PPM June 2008: Vol. 8, No. 5)
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HIT Advisor: Take Advantage of the Economic Stimulus Incentive Payments
Having a fully implemented EMR by 2011 that demonstrates 'meaningful use'
qualifies physicians for a phased incentive of $44,000; otherwise, starting in 2015,
lack of an EMR will result in reduced reimbursements.by Greg Winterkamp (PPM April 2009: Vol. 9, No. 3)
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HIT Advisor: The Differences Between Document Imaging, Document Management, Practice
by Greg Winterkamp (PPM April 2008: Vol. 8, No. 3)
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HIT Advisor: Workflow & Clinical Decision Making, Part II
Automated protocols for a structured and systematic approach to patient care
(evidenced based medicine) is inherent in a big push towards integrating
updated, real-time information into EMR systems.by Greg Winterkamp (PPM May/Jun 2006: Vol. 6, No. 4)
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HIT: Dictation Versus EMR-Based Reports
With dictation costs going up, government and third party payers mandating that doctors transition to EMR systems, and ARRA reimbursements for EMR "meaningful use" to
start in 2011, the time for a decision on purchasing an EMR system is closer than you think.by Greg Winterkamp (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Hormone Treatments in Chronic and Intractable Pain
An emerging practice.by Forest Tennant MD, DrPH (PPM Apr 2005: Vol. 5, No. 3)
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Hospice Care Evolution, Part 1
This personal account of the early days of hospice care provides a perspective on
progress to date and lessons learned.by William M. Lamers, Jr., MD (PPM March 2005: Vol. 5, No. 2)
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Hospice Care Practice, Part 2
Hospice and its implications for the physician and patients in dealing with end of life
issues.by Wiliam M. Lamers, Jr., MD (PPM Apr 2005: Vol. 5, No. 3)
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How Expert Testimony Distorts the Standard of Care
During regulatory assaults, a disturbing pattern of conflict exists between expert
testimony offered against pain-treating physicians employing opioid analgesics and the
scientific evidence and medical principles upon which a rational standard of care for pain
management is based.by Frank B. Fisher, MD (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Howard Hughes and Pseudoaddiction
A retrospective case report of this remarkable individual's 30-year survival by
self-medicating his intractable pain with codeine, anti-inflammatories, muscle relaxants,
and stimulantsùnot as a drug-seeker, but as a "relief-seeker."by Forest Tennant, MD, DrPH (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Human Chorionic Gonadotropin In Pain Treatment
HCG has great potential as an adjunct in the treatment of severe, chronic pain
patientsparticularly in those who demonstrate hormonal deficiencies or who show
progressive wasting and deterioration.by Forest Tennant, MD, DrPH (PPM June 2009: Vol. 9, No. 5)
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Iatraddiction: A Diagnostic Term In Lieu of Pseudoaddiction
Iatraddiction more precisely describes the etiology of behaviors currently referred to
as pseudoaddiction.by Abbey Strauss, MSW, MD (PPM Apr 2005: Vol. 5, No. 3)
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Identification and Management of Cardiac-Adrenal-Pain Syndrome
Severe, chronic, under-treated pain may produce cardiac and adrenal complications that,
in some pain patients, can lead to premature death. by Forest Tennant, MD, DrPH (PPM September 2006: Vol. 6, No. 6)
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Identifying Abusers Prior to Initiating Chronic Opioid Therapy
Strategies for prescribing physicians to identify chronic pain patients at high risk
for inappropriate utilization of prescription opioid analgesics. by Michael E. Schatman, PhD (PPM Jan/Feb 2008: Vol. 8, No. 1)
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Identifying Pain-Drug Abusers and Addicts
Characterization and profiling of patients with deviant addictive behaviors helps weed
out abusers from pain practices.by Forest Tennant, MD, DrPH; Laura Herman, RN, NP; Leah Silliman, BS, RN; and Jeffrey Reinking, MD (PPM Nov/Dec 2002: Vol. 2, No. 6)
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Imaging
Cardiac CT ù A Work In Progress by Tiziano Marovino, DPT, FAAPM (PPM June 2007: Vol. 7, No. 5)
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Imaging
Mobile MRI: Imaging on Wheels by Tiziano Marovino, DPT, FAAPM (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Imaging
Dual Modality Imaging by Tiziano Marovino, DPT, FAAPM (PPM April 2007: Vol. 7, No. 3)
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Imaging
Multidimensional Ultrasonographyby Tiziano Marovino, DPT, FAAPM (PPM May 2007: Vol. 7, No. 4)
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Imaging: Osteoporosis Testing: DEXA Method
Patients at risk for painful fractures due to bone loss can benefit from dual energy
x-ray absorptiometry (DEXA) testing that can numerically assess subtle changes in bone
mineral density over time.by Tiziano Marovino, DPT, FAAPM (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Imaging: Three Dimensional Imaging of the Foot
The use of force plate technology provides new insight into potential sources of foot
and/or leg pain by providing pathoanatomical visualization of foot pressure patterns, foot
velocity, and motion characteristics.by Tiziano Marovino, DPT, FAAPM (PPM October 2007: Vol. 7, No. 8)
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Imaging: Unravelling the Mysteries of Myofascial Pain Syndromes
The results of recent studies tend to suggest that Magnetic Resonance Elastrography
(MRE) technology can detect and quantify deep taut bands of soft tissue and accurately
distinguish a symptomatic or pathologic taut band versus a more normal region of
tightness.by Tiziano Marovino, DPT, DAAPM and Jonathan Quinton, BSc, SPT (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Improving Postoperative Pain Outcomes
Multimodal pain management approaches implemented perioperatively may
improve post-operative outcomes and improve overall patient satisfaction.by John A Adesioye, MBChB, MSc and Kwesi A. Edusei, MD (PPM Jan/Feb 2004: Vol. 4, No. 1)
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In Memoriam
Remembering a Leader in Pain Managementby Marvin Rosenfeld (PPM Jul/Aug 2002: Vol. 2, No. 4)
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Infusion Catheter Epidural
Continuous infusion of lumbar epidural corticosteroid effectively reduces inflammation
and pain by bathing the suspect spinal structure over a three day period.by Michael Shapiro, MD (PPM Jan/Feb 2006: Vol 6, No. 1)
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Interpreting the Clinical Significance of Pain Questionnaires
A comparison of effect sizes of commonly used patient self-report pain instruments
provides an objective ranking of such tools. by Whitney Worzer, MS, PhD Candidate; Brian R. Theodore, MS, PhD Candidate; Mark Rogerson, PhD Candidate; and Robert J. Gatchel, PhD, ABPP (PPM March 2008: Vol. 8, No. 2)
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Interventional Therapy
SCS Treatment Of Painful Diabetic Peripheral Neuropathyby Ani C. Khodavirdi, PhD and Francis McDonnell, MD (PPM June 2007: Vol. 7, No. 5)
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Interventional Therapy
When Should Spinal Cord Stimulation (SCS) be Considered?by Lynn Webster, MD (PPM September 2006: Vol. 6, No. 6)
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Interventional Therapy
Interventional Therapies in the Continuum of Careby Lynn Webster, MD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Interventional Therapy
Sedation Levels for Intraspinal Injectionsby Lynn R. Webster, MD, FACPM, FASAM (PPM May 2007: Vol. 7, No. 4)
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Interventional Therapy
Practical Issues of Reimbursement for IT Drug Delivery: The Ziconotide Modelby William Stuart, RPh, and Keri L. Fakata, PharmD (PPM April 2007: Vol. 7, No. 3)
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Interventional Therapy
Are Intrathecal Therapy Trials Necessary?by Lynn R. Webster, MD, FACPM, FASAM (PPM March 2007: Vol. 7, No. 2)
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Interventional Therapy
Treating Sports Related Injury and Pain with Light Therapy by Joseph Hsin, MD and Jon Weston, MBA (PPM October 2006: Vol. 6, No. 7)
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Interventional Therapy Department: Minimally-Invasive Interventional Spine Treatment, Part 1
Flouroscopically-directed spinal injection techniques may improve the efficacy of physical therapy and functional restoration protocols. by Elmer G. Pinzon, MD, MPH (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Interventional Therapy: A Clinical Guide To Weaning Off Intrathecal Opioids
This clinical guide was developed to help clinicians wean patients from intrathecal
opioid therapy.by Stuart Rosenblum, MD, PhD; Robert Fisher, MD; David Caraway, MD, PhD; and Michael (PPM October 2007: Vol. 7, No. 8)
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Interventional Therapy: Intrathecal Therapy Trials With Ziconotide
A trialing protocol before initiation of long-term ziconotide intrathecal therapy is
presented.by David Caraway, MD, PhD; Michael Saulino, MD, PhD; Robert Fisher, MD; Stuart (PPM March 2008: Vol. 8, No. 2)
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Interventional Therapy: Long-term Opioid Therapy and Sleep-Disordered Breathing
by Lynn R. Webster, MD, FACPM, FASAM (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Interventional Therapy: Occipital Nerve Stimulation for Treatment of Migraine
Minimally-invasive electrical nerve stimulation of the greater and/or lesser occipital
nerves may be extremely effective in treating refractory migraine. by James E. Hagen, MSc and Daniel S. Bennett, MD, DABPM (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Interventional Therapy: Trialing for Intrathecal Therapy
Comments and Considerationsby Daniel M. Doleys, PhD and Thomas J. Krauss, DO (PPM June 2007: Vol. 7, No. 5)
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Interventional Therapy: Ziconotide Combination Intrathecal Therapy
Retrospective case studies in intrathecal drug therapy patients with severe chronic
pain demonstrate the safety and efficacy of ziconotide in improving pain management while
reducingor haltingoral and intrathecal narcotic pain medications.by Michael J. Eastman, BA, PA-C and Steven P. Johnson, MD (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Interventions for Radiating Upper Extremity and Cervical Facet Pain
Recent developments mean safer and better outcomes of therapy for radiating pain of the
neck and shoulders. by Gabor B. Racz, MD, FIPP, ABIPP and James E. Heavner, DVM, PhD, FIPP (Hon) (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Intraarticular Mechanisms for Pain Control
Postoperative pain control after surgery of the joint can be obtained through the use
of intraarticular injections.by John E. Tetzlaff, MD (PPM Sep/Oct 2000: Vol. 0, No. 1)
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Intractable Pain
Protocols for a lifetime of pain management for patients suffering constant, incurable,
excrutiating, unrelenting pain.by Forest Tennant, MD, DrPH; John Liu, MD; and Laura Hermann, RN, FNP (PPM May/Jun 2002: Vol. 2, No. 3)
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Intractable Pain Centers Treatment Approach
Correctly identifying and certifying intractable pain patients legitimizes palliative
treatments that may be required to alleviate the debilitating pain and suffering of these
individuals.by Thomas J. Purtzer, MD (PPM Jan/Feb 2005: Vol. 5, No. 1)
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Intradermal BTX-A Reduces Frequency and Severity of Pain for MMD
Intradermal Botulinum Toxin in painful dysfunction of the muscles of mastication (MMD)
suggest an excellent ability of BTX-A to reduce nocioceptive symptoms by mechanism(s)
other than motor inhibition of muscle contraction. by William R, Knoderer MD, DDS and John Claude Krusz, PhD, MD (PPM October 2009: Vol. 9, No. 8)
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Iontophoresis in Pain Management
Iontophoresis has been shown to effectively manage painful symptoms associated with
superficial tissue structures in a wide variety of patients. by Tiziano Marovino, DPT, DAAPM and Claire Graves (PPM March 2008: Vol. 8, No. 2)
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Laser Therapy
Treatment of Chronic Neck Pain Utilizing Low Level Laser Therapy by William J. Kneebone, DC, CNC, DIHom, FIAMA, DIACT (PPM June 2007: Vol. 7, No. 5)
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Laser Therapy
Pain Relief Strategies When Using a Continuous Output GaAlAs Laser by William J. Kneebone, CRNA, DC, CNC, DIHom, FIAMA, DIACT (PPM Sep 2007: Vol. 7, No. 8)
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Laser Therapy
Phototherapy Applications In Sports Medicine by Douglas Johnson, ATC, CLS (PPM March 2007: Vol. 7, No. 2)
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Laser Therapy
Phototherapy Applications, Part 2: Occupational Injuries by Douglas Johnson, ATC, CLS (PPM April 2007: Vol. 7, No. 3)
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Laser Therapy
Deep Penetration Therapeutic Laser by William J. Kneebone, RN, CRNA, DC, CNC, DIHom, FIAMA, DIACT (PPM May 2007: Vol. 7, No. 4)
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Laser Therapy
Introducing Low Level Laser Therapy to Pain Managementby Larry Lytle, DDS, PhD (PPM May/Jun 2006: Vol. 6, No. 4)
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Laser Therapy
Determining Which Low Level Laser to Use by Larry Lytle, DDS, PhD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Laser Therapy: Choosing and Using a Low Level Laser in Pain Management
by Larry Lytle, DDS, PhD (PPM September 2006: Vol. 6, No. 6)
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Laser Therapy: Class IV Therapy Lasers Maximize Primary Biostimulative Effects
This new class of therapeutic lasers of laser therapy delivers higher-powered
penetrating infra-red energy to deeper target sites, as well as shortening treatment times
for wide area applications.by Phillip Harrington, DC and Julian Vickers, DC (PPM September 2008: Vol. 8, No. 7)
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Laser Therapy: Clinical Case Study of Low Level Laser Therapy
LLLT accelerated healing and improved symptoms and outcome for second degree scalding
burns on human skin for the subject patient.by Stephanie A. Leonard, DC, CCFC (PPM April 2009: Vol. 9, No. 3)
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Laser Therapy: Infrared Photo Energy May Reduce Neuropathic Pain
Near infrared light therapy, together with physical therapy, may be able to reduce pain
in neuropathy patients and possibly reduce medication dosage levels of those undergoing
drug therapy.by Thomas J. Burke, PhD (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Laser Therapy: Laser Acupuncture as a Pain Relief Modality
Lasers provide a simple, and effective, non-invasive alternative to needle acupuncture
in treating musculoskeletal pain.by William J. Kneebone, RN, CRNA, DC (PPM May 2008: Vol. 8, No. 4)
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Laser Therapy: Low Level Laser Therapy
Effects at the cellular level increase ATP energy and DNA synthesis and benefit acute
and chronic musculoskeletal aches and pains, chronic inflammation, acute soft-tissue
injuries, as well as other conditions.by Dan Murphy, DC, DABCO (PPM October 2007: Vol. 7, No. 8)
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Laser Therapy: Low Level Laser Therapy (LLLT) - Part 2
A review of seminal works on the theory of non-mechanistic, quantum physics effects of
low level energy on biological systems.by Daniel J. Murphy, DC (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Laser Therapy: Low-Level Laser Therapy for Trigeminal Neuralgia
Case reports on two patients whose unrelenting facial pain and hypersensitivity from
their diagnosed trigeminal neuralgia resolved with low-level laser therapy.by Leonard F. Vernon, DC and Rafael J. Hasbun, MD (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Laser Therapy: Magneto-Laser Therapy of Pulpitis and Vertebra Column Osteochondrosis
A review of a Russian stomatological hospital based study indicated magneto-laser
therapy resulted in greater positive results than traditional pharmacological and
physiotherapeutic treatment.by William J. Kneebone, RN, DC (PPM October 2009: Vol. 9, No. 8)
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Laser Therapy: Maximizing Tertiary Effects of LLLT
The tertiary effects of phototherapynamely, immune system stimulation, increases
in endorphin production, and lymphatic stimulationhelp to attain optimal clinical
outcomes.by William J Kneebone, DC, CNC, DIHom, FIAMA, DIACT (PPM March 2008: Vol. 8, No. 2)
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Laser Therapy: Neuroma Pain of the Foot Successfully Managed with Laser Therapy
Using exclusive laser treatment, a foot neuroma caseùfor a patient that was not
effectively treated by conventional medicineùwas resolved to a pain-free state over
the course of six weeks.by John L. Stump, DC, PhD, EdD (PPM May 2009: Vol. 9, No. 4)
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Laser Therapy: Post-Herpetic Neuralgia Pain And Laser Acupuncture
Background, diagnosis, discussion, and case report of successful management of
post-herpetic neuralgia pain in an elderly patient using laser acupuncture.by John L. Stump, Michael Allen, and Laura Oglesby (PPM June 2008: Vol. 8, No. 5)
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Laser Therapy: Therapeutic Laser Evolution - Part 2
by Douglas Johnson, ATC, CLS, and William J. Kneebone, RN, DC (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Laser Therapy: Therapeutic Laser EvolutionùPart 1
A review of the historical generations of laser technology that leads up to the present.by Douglas Johnson, ATC, CLS (PPM October 2008: Vol. 8, No. 8)
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Laser Therapy: Thermal Imaging Guided Laser Therapy - Part 2
An Innovative Method for Determining Optimal Treatment Location and Effectivenessby William J. Kneebone, RN, DC (PPM September 2009: Vol. 9, No. 7)
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Laser Therapy: Thermal Imaging Guided Laser Therapy: Part 1
An innovative method for determining optimal treatment location and effectiveness of laser therapy.by William J. Kneebone, RN, DC (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Laser Therapy: Treating Shoulder Pain in Hemiplegic and Spinal Cord Injured Patients
by Gabi Zeilig, MD and RTmi Guibert, MD, MSc (PPM Jan/Feb 2009: Vol. 9, No. 1)
-
Laser Therapy: Treatment of Scapulohumeral Periarthritis and Post Traumatic Joint Pain
A Review of a Russian Hospital-Based Study using Magneto-Laser Therapyby William J. Kneebone, RN, CRNA, DC (PPM March 2009: Vol. 9, No. 2)
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Laser-Accelerated Inflammation/ Pain Reduction and Healing
Low Level Laser Therapy (LLLT) precipitates a complex set of physiological interactions
at the cellular level that reduces acute inflammation, reduces pain, and accelerates
tissue healing.by Richard Martin, BS, CLT (PPM Nov/Dec 2003: Vol. 3, No. 6)
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Legal Landscape of Pain Treatment
On overview of the legal, regulatory, and ethical issues relating to pain treatment.by Patricia M. Dunn, CNP (PPM Mar/Apr 2003: Vol. 3, No. 2)
-
Lessons Learned from a Headache TMD Study
A retrospective study of two groups of patients yields some insight into the
relationship of TMD and headaches.by John S DuPont Jr., DDS and Chris Brown,DDS (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Letter to the Editor
(PPM May/Jun 2003: Vol. 3, No. 3)
-
Letter to the Editor
(PPM Jul/Aug 2003: Vol. 3, No. 4)
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Lidoderm Studied for New Applications
While Lidoderm is currently FDA-approved only for the pain associated with postherpetic
neuralgia (PHN), Phase IV studies suggest that Lidoderm has potential utility in a variety
of chronic pain syndromes. (PPM Jul/Aug 2003: Vol. 3, No. 4)
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Longitudinal Study of Long-term Opioid Patients
A 10- and 20-year follow-up of severe, chronic pain patients treated with daily opioids
indicates that some chronic pain patients greatly benefit from long-term opioid therapy.
by Forest Tennant, MD, DrPH (PPM September 2008: Vol. 8, No. 7)
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Long-term Therapy Using Short Acting Opioids for Chronic Non-cancer Pain
A cohort study explores the role of conditioning factors, dosage stability, opioid
agreement violations, patient satisfaction, and the patient's own estimated
improve-ment in overall quality of life. by Daniel M. Doleys, PhD; Donald Cornelius, MD; Sharon Watters; and Marilyn P. Marino, RN (PPM May 2008: Vol. 8, No. 4)
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Lumbar Back Belts in the Workplace
A review of the efficacy of lumbar back belts in the workplace in reducing back
injuries and pain.by Tiziano Marovino, DPT, FAAPM (PPM May/Jun 2005: Vol. 5, No. 4)
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Lumbar Discography & Therapeutic Intradiscal Procedures
Injection techniques play a major role in the management of disorders of the
musculoskeletal system.by Elmer G. Pinzon, MD, MPH (PPM Mar/Apr 2001: Vol. 1, No. 2)
-
Lumbar Spine Rehabilitation
An update on the use of core muscle strengthening and lumbar spinal stabilization for
patients with low back pain or other indications of spinal musculo-skeletal dysfunction.by Elmer G. Pinzon, MD, MPH (PPM Sep/Oct 2003: Vol. 3, No. 5)
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Magnets & Medicine (complete article)
A non-invasive approach to treating pain conditions, magnetic therapy offers
alternative to traditional medicine. by Larry Kopelman, PhD, PT, ND, BCFE, IMD (PPM Sep/Oct 2001: Vol. 1, No. 5)
-
Managing Diabetic Peripheral Neuropathic Pain (DPNP)
A review of the diagnosis, evaluation, and treatment of diabetic peripheral neuropathic
pain.by Ronaldo Go, MD and B. Eliot Cole, MD, MPA (PPM May/Jun 2006: Vol. 6, No. 4)
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Managing Pain in Intensive Care Units
Aggressive pain management for the typically very ill and unstable patients in the ICU
must be individualized based on the circumstances of each patient's pathology and
condition. by Ronald Go, MD, Kathleen Broglio, ANP-CS, ACHPN, and B. Eliot Cole, MD (PPM Sep 2007: Vol. 7, No. 8)
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Massage Therapy and Pain Management
by Brenda L. Griffith (PPM Jan/Feb 2003: Vol. 3, No. 1)
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Mastering Medications
This article discusses adjuvants and their application in managing pain.by B. Eliot Cole, MD, MPA (PPM Jan/Feb 2002: Vol. 2, No. 1)
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Maximizing Safety with Methadone and Other Opioids
Risks associated with opioids can be safely and effectively managed while providing
life-saving analgesia to chronic pain patients. by Lynn R. Webster, MD, FACPM, FASAM (PPM April 2008: Vol. 8, No. 3)
-
Medicare Pushes For Doctor Computerization
Medicare announces mandate to make all doctors electronic in ten years and change the
way doctors get reimbursed in the next few years.by Greg Winterkamp (PPM Nov/Dec 2004: Vol. 4, No. 6)
-
Medication-Induced Xerostomia Secondary to Pain Management
Long-term pain management, with its usage of prescriptive medications, may have
serious negative oral health side-effects including significant dental pathology,
soft-tissue problems, and potential loss of dentition. by William M. Gabriel, DDS; Dovi Prero, BS; Deborah Kheradyar, BS; and David Schames, BA (PPM March 2009: Vol. 9, No. 2)
-
Menstrually-Related Migraine Treatments
An overview of the efficacy of several triptan agents in menstrually-related migraine
(MM), as well as of other treatment modalities that are commonly used in the treatment of
MM.by Stephen D. Silberstein, MD, FACP (PPM May/Jun 2002: Vol. 2, No. 3)
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Message from the Publisher
Call for papers 2005 editorial features (PPM Jul/Aug 2004: Vol. 4, No. 4)
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MET Treatment Protocols
Part two of this series covers basic methodologies of Microcurrent Electrical Therapy.by Daniel L. Kirsch, PhD, DAAPM (PPM Mar/Apr 2001: Vol. 1, No. 2)
-
Microcurrent Electrical Therapy: Mechanisms and Results - Part One
In part one of this series, the efficacy of MET to control pain is reviewed.by Daniel L. Kirsch, PhD, DAAPM (PPM Jan/Feb 2001: Vol. 1, No. 1)
-
Minimally-Invasive Spine Interventions
A technology update of current minimally-invasive treatment options of lumbar
discogenic pathology & internal disc disruption.by Elmer G. Pinzon, MD, MPH (PPM Jan/Feb 2003: Vol. 3, No. 1)
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Minimally-Invasive, Interventional Spine Treatment Part II
Diagnostic and therapeutic intradiscal interventions for pain generated from internal
disc disruption. by Elmer G. Pinzon, MD, MPH (PPM Jan/Feb 2007: Vol. 7, No. 1)
-
Mistakes Made by Chronic Pain Patients
A guide for chronic pain patients to help them avoid pitfalls and mistakes and become
part of the team in helping to restore a better quality of life for themselves. by Ron Lechnyr, PhD, DSW and Terri Lechnyr, PhD, LCSW (PPM October 2007: Vol. 7, No. 8)
-
MPS Treatment Methods
Multidisciplinary approaches are best utilized when caring for myofascial pain syndrome
patients.by Myron Nicholas Senchyshak, DO (PPM Mar/Apr 2001: Vol. 1, No. 2)
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Multidisciplinary Case Report : Share the Risk Pain Management in a Dedicated Facility
First in a series of case reports.by David Bergman, MD, DLFAPA; Joseph Shurman, MD; and Phyllis Meagher, MBA (PPM September 2009: Vol. 9, No. 7)
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Muscle Physiology, Kinetics, Assessment, And Rehabilitation
A review of some basic science, homeostasis, functional specialization, resting and
activity tonus, objective methodology in assessment, and rehabilitation considerations. by Gabriel E. Sella, MD, MPH, MSc, PhD (PPM October 2008: Vol. 8, No. 8)
-
Musculo-Skeletal Diagnostic Ultrasound Imaging
This evolving, first-line imaging test for soft tissue lesions can provide superior
diagnostic accuracy by visualizing internal soft tissue architecture and associated
pathologies.by Tiziano Marovino, DPT, FAAPM (PPM Jan/Feb 2005: Vol. 5, No. 1)
-
Musculoskeletal Ultrasound
A brief overview of diagnostic and therapeutic applications in musculoskeletal
medicine. by Elmer G. Pinzon, MD, MPH and Randy E. Moore, DC, RDMS (PPM June 2009: Vol. 9, No. 5)
-
Myofascial Elements of Low Back Pain
When treating myofascial trigger points (TrPs), contributing musculoskeletal, posture,
and motion factors must be addressed in order to optimize outcomes.by Edwin D. Dunteman, MD, MS (PPM March 2005: Vol. 5, No. 2)
-
National Campaign Seeks Zero Prescription Overdose Deaths
Public Service Announcementby www.zerodeaths.org (PPM April 2007: Vol. 7, No. 3)
-
Need for More Accurate ER Diagnoses of ACL Injuries
Recognition of ACL injury by emergency room physicians is essential to optimize
outcomes through early and appropriate treatment. by Melissa Ruth Blum, DO and Leonard B. Goldstein, DDS, PhD (PPM Jul/Aug 2009: Vol. 9, No. 6)
-
Neurobiological Basis for Chronic Pain
A new paradigm offers a unique perspective and postulates that the fundamental
causation of most chronic pain is neurobiological. by John L. Beck, MD (PPM Jul/Aug 2008: Vol. 8, No. 6)
-
Neurodevelopmental Basis for Chronic Regional Pain Syndrome
A primer on the first level of evaluation in the practical application of neuropostural
evaluations (P.A.N.E. process). by John L. Beck, MD (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Neurological Perspectives: Guidelines for the 21st Century - Part Four: Breaking Down the Barriers of Pain
Part four of this series reviews fibromyalgia and somatoform pain disorder tests and
treatment options.by David R. Hubbard, MD (PPM Jul/Aug 2001: Vol. 1, No. 4)
-
Neuropathic Pain
A discussion of the pathophysiology of neuropathic pain and an overview of the modalities used to alleviate it.by Konstantina Svokos, BS, OMS IV, and Leonard B. Goldstein, DDS, PhD (PPM June 2009: Vol. 9, No. 5)
-
Neurostimulation in Chronic Pain Patients
As a cost-effective intervention, neurostimulation can play an important role in
chronic pain patients failing more conservative treatment approaches.by Leonard B. Goldstein, DDS, PhD and Shelley Gilbert, BS (PPM Sep/Oct 2005: Vol. 5, No. 6)
-
New Daily Persistent Headache
An under-diagnosed disorder, NDPH is characterized by an abrupt onset of a new headache disorder in someone not generally troubled by headache. by R. Steven Singer, MD (PPM May 2008: Vol. 8, No. 4)
-
New Report of a High-Dose Morphine Metabolite
A previously unreported metabolite of high-dose morphine treatment, hydromorphone, has
recently been discovered by a select few laboratories.by Michael Evans, PhD, Andrea Terrell, PhD, DABCC, Robert Foery, PhD, DABCC/TC, Breain MaAyteh, MA, and John Constantine, BS (PPM Jan/Feb 2006: Vol 6, No. 1)
-
News
(PPM May/Jun 2003: Vol. 3, No. 3)
-
News Profile: Daniel L. Kirsch, PhD
Daniel L. Kirsch, PhD, DAAPM, FAIS Selected as Recipient of the 2008 Richard S. Weiner
Pain Education Award (PPM March 2008: Vol. 8, No. 2)
-
Non-Pharmacologic Therapy for Chronic Opioid-Dependent Sickle Cell Pain
Study results confirm the efficacy of Bensons Relaxation Response in reducing
pain and medication in this patient population.by Adam Poster (PPM May/Jun 2006: Vol. 6, No. 4)
-
Obituary: Harvey Rose, MD
Crusader for the Family Physician's Right to Treat Painby Forest Tennant, MD, DrPH (PPM March 2008: Vol. 8, No. 2)
-
Objective Documentation of Spine Pain
Surface Electromyography (SEMG) can provide an inexpensive, noninvasive method of
evaluating and documenting spine pain.by Alex Ambroz, MD and George Gedevanishvili, MD (PPM May/Jun 2004: Vol. 4, No. 3)
-
Objective Musculo-Skeletal Measurement Protocols
Utilizing surface electromyography (SEMG) and systematic, standardized protocols,
clinicians can objectively diagnose and document outcomes in the treatment of
musculo-skeletal pain and disorders.by Gabriel E. Sella, MD, MPH, MSc, PhD (PPM Sep/Oct 2003: Vol. 3, No. 5)
-
Observational Study of Dural Punctures
A retrospective review of the rate of dural punctures as a complication of lumbar
epidural steroid injectionwith and without guiding fluoroscopy. by Anthony H. Guarino, MD (PPM October 2006: Vol. 6, No. 7)
-
Occipital Nerve Block For Cervicogenic Headaches
Cervicogenic headaches often misdiagnosed as sinus headache or ocular
disturbances may be effectively managed by the use of anesthesia to block the
occipital nerve branches.by Steven D. Bender, DDS (PPM Sep/Oct 2004: Vol. 4, No. 5)
-
Office-based Treatment of Opioid Dependence
New hope for patients with concomitant pain and addiction issues.by John Allen, MS, CRNA (PPM March 2006: Vol. 6, No. 2)
-
Omega-3 Fatty Acids and Neuropathic Pain
Case studies demonstrate that oral intake of omega-3 polyunsaturated fatty acids from
pharmaceutical-grade fish oils supplements results in pain and functional improvement in
patients with neuropathic pain. by Gordon D. Ko, MD, FRCPC; Leigh Arseneau, BSc, ND; Nathaniel Nowacki, BA; Serge Mrkoboda, BSc (PPM September 2008: Vol. 8, No. 7)
-
Opioid Antagonists In Pain Management
Available evidence suggests that the opioid antagonists naloxone and naltrexone offer
potential benefits for enhancing opioid analgesia as well as monotherapy for managing
certain challenging pain conditions. by Stewart B. Leavitt, MA, PhD (PPM April 2009: Vol. 9, No. 3)
-
Opioid Blood Levels in Chronic Pain Management
Determination of opioid levels in the blood is emerging as an important tool for
ensuring the safety, effectiveness and integrity of opioid analgesic therapy in the
treatment of chronic pain.by Lawrence M. Probes, MD (PPM Apr 2005: Vol. 5, No. 3)
-
Opioid Rotation - Mechanisms, Concepts, and Benefits
For patients experiencing side effects from opioids, switching the delivery and type of pharmaceutical can often provide relief.by Bilal F. Shanti, MD; Gabriel Tan, PhD; and Salwa A. Shenaq, MD, MBA (PPM Nov/Dec 2001: Vol. 1, No. 6)
-
Opioid Therapy In Chronic Non-Cancer Pain Management
Despite fears fueled by negative press, opioid therapy with proper evaluation
and safeguards is a legitimate, viable, and essential tool in managing severe,
intractable, non-cancer pain.by Michael S. Leong, MD, and Mike Royal, MD (PPM Sep/Oct 2004: Vol. 4, No. 5)
-
Opioid Treatment Longevity Study: Interim Report
by Forest Tennant, MD, DrPH (PPM May 2009: Vol. 9, No. 4)
-
Opioid-induced Sexual Dysfunction
Causes, diagnosis, and treatment of a common but an often undiagnosed problem in
chronic opioid pain patients.by Stephen Colameco, MD, MEd (PPM Nov/Dec 2008: Vol. 8, No. 9)
-
Osteoarthritis of The Knee
Pain Management options for alleviating pain and increasing mobility for patients with
this disease.by Edward H. Miller, MD (PPM May/Jun 2006: Vol. 6, No. 4)
-
Osteoarthritis of the Temporomandibular Joint
Presenting as toothache, earache, headache, difficulty opening the jaw, or simply jaw
pain, osteoarthritis of the temporomandibular joint presents challenges in diagnosis and
management.by Keith Yount, DDS (PPM Jul/Aug 2003: Vol. 3, No. 4)
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Osteopathic Manipulative Medicine for Lower Back Pain
OMM can be a useful tool in the diagnostic and therapeutic management of various
mechanical low back disorders.by Wolfgang Gilliar, DO, FAAPMR; and Leonard B. Goldstein, DDS, PhD (PPM September 2008: Vol. 8, No. 7)
-
Osteopathic Medicine in Pain Management
Osteopathic manipulation is useful as an adjunct to other medical therapies for acute
and chronic pain and plays an important role in algorithms for back pain and other
musculo-skeletal conditions.by Marina G. Protopapas, DO and Tyler C. Cymet, DO (PPM Sep/Oct 2003: Vol. 3, No. 5)
-
Outpatient Interventional Treatments for Migraines and Pain Flare-ups
An outpatient clinic can provide an effective variety of IV
treatmentsùindividually or in combinationùfor definitive control of pain. by John Claude Krusz, PhD, MD (PPM Jan/Feb 2008: Vol. 8, No. 1)
-
Oxycodone to Morphine Rotation
The author describes one opioid rotational procedure found to be effective.by Mazin Ellias MD, FRCA (PPM March 2006: Vol. 6, No. 2)
-
Oxycodone to Oxymorphone Metabolism
Interpreting urine drug tests in pain patients treated with oxycodone requires an
understanding that oxymorphone, although considered a minor metabolite, can sometimes
equal or exceed urine concentrations of oxycodone. by Jennifer Schneider, MD and Ashley Miller (PPM Sep 2007: Vol. 7, No. 8)
-
Pain and Self-Regulation
Humans have an adequate potential for learning self-control of a variety of bodily
functions and the resulting ability is a function of adequate teaching, learning, and
practice over a period of time. by Gabriel E. Sella, MD, MPH, MSc, PhD (HC) (PPM October 2009: Vol. 9, No. 8)
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Pain and the Brain
A synthesis and summary of the current understanding of brain response to pain learned
from functional magnetic resonance imaging (fMRI).by Robert J. Gatchel, PhD, ABPP; Richard C. Robinson, PhD; Yuan B. Peng, MD, PhD; Oscar J. Benitez, PhD Candidate; and Carl E. Noe, MD (PPM June 2008: Vol. 8, No. 5)
-
Pain and the Elderly
Special considerations in the elderly population present practitioners with challenges
in properly assessing and treating these patients for pain.by Patricia M. Dunn, CRNA (PPM May/Jun 2003: Vol. 3, No. 3)
-
Pain Complications and Treatment
by Forest A. Tennant, MD, DrPH (PPM Nov/Dec 2003: Vol. 3, No. 6)
-
Pain Drug Use Policy
State boards of medical examiners are responsible for adopting and enforcing a policy
for the use of controlled substances for the treatment of pain within the limits of
federal controlled substance laws and regulations.by Nick Paolo, Managing Editor (PPM Jul/Aug 2005: Vol. 5, No. 5)
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Pain Education and Pain Educators
With limited opportunities of pain management residencies and fellowships, alternate
means must be employed for practicing physicians to train in the basics of pain
management. by Barry Eliot Cole, MD, MPA (PPM Jan/Feb 2006: Vol 6, No. 1)
-
Pain from Muscular Dysfunction
An introductory view of SEMG methodology in the investigation and rehabilitation of
dysfunctional and painful axial skeleton muscles.by G. E. Sella, MD (PPM May/Jun 2005: Vol. 5, No. 4)
-
Pain Management and Terminal Illness
The prevalence of pain in terminally-ill patients requires that physicians acquire the
skills necessary to provide palliative pain treatment at end of life. by Kathleen Broglio, MN, ANP-BC, ACHPN and B. Eliot Cole, MD, MPA (PPM May 2008: Vol. 8, No. 4)
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Pain Management in a Palliative Care Setting
by Leonard B. Goldstein, DDS, PhD and Scott Falkowitz, BS, OMS III (PPM May 2009: Vol. 9, No. 4)
-
Pain Management in Nursing Homes and Hospice Care
Despite the availability of a wide variety of effective pharmacologic and
non-pharmacologic treatments, understanding of pain remains a significant problem in
nursing homes and hospices.by Leonard B. Goldstein, DDS, PhD and Davina I. Glaser, RN, MS, CHPN (PPM September 2009: Vol. 9, No. 7)
-
Pain Management Pitfalls
Psychological research on intense provider-client interactions yields insight into the
doctor-chronic pain patient relationship. by Ron Lechnyr, PhD, DSW, and Terri A. Lechnyr, MSW, LCSW (PPM Jan/Feb 2005: Vol. 5, No. 1)
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Pain Treatment Does Not Interfere with Diagnosis or Treatment
by Forest A. Tennant, MD, DrPH (PPM Jan/Feb 2004: Vol. 4, No. 1)
-
Pain Treatment in Ambulatory Medical Practice
A primer on the current state of pain treatment and how walk-in medical practices can
cope with the various aspects of a patients pain. by Uday S. Uthaman, MD, FACFP and Pierre L. LeRoy, MD, FACS (PPM May/Jun 2005: Vol. 5, No. 4)
-
Pain, Sports, and Anabolic Steroids
by Forest A. Tennant, MD, DrPH (PPM May/Jun 2004: Vol. 4, No. 3)
-
Paradigm Shift in Cancer Pain Management
Application of an interdisciplinary, psychosocial modelùalong with early
interventionùcan change the focus from palliation of advanced pain complications to
that of preempting chronicity and improving quality of life for cancer patients.by John P. Garofalo, PhD; Robert J. Gatchel, PhD, ABPP; Andrew Baum, PhD (PPM May 2007: Vol. 7, No. 4)
-
Patients Who Require Ultra-High Opioid Doses
The goal of ultra-high dosage therapy is to relieve pain and improve function in those chronic pain patients that are profoundly ill, impaired, and/or bed- or house-bound ù without producing sedation.by Jennifer Schneider, MD; Alfred Anderson, MD; and Forest Tennant MD, Dr PH (PPM September 2009: Vol. 9, No. 7)
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Pediatric Headaches
Initial treatment of pediatric headaches may benefit by using conservative, reversible
modalities for tension headache before resorting to medications for migraine.by Keith A. Yount, DDS, MAGD (PPM Nov/Dec 2006: Vol. 6, No. 8)
-
Pediatric Pain Management
Pharmacological techniques are quite useful for treating pain in children.by Mabel Link, MD and Corrie T. M. Anderson, MD (PPM Jan/Feb 2002: Vol. 2, No. 1)
-
Pelvic Floor Dysfunction: A Treatment Update
New treatment modalities take advantage of the maturing relationship between pelvic
floor dysfunction and chronic pelvic pain. by Matthew E. Karlovsky, MD and Robert M. Moldwin, MD (PPM Apr 2005: Vol. 5, No. 3)
-
Pelvic Floor Tension Myalgia (PFTM)
PFTM is a myofascial diagnosis of exclusion after organic disease has been ruled out
and requires multidisciplinary treatment for optimum outcomes. by Steve J. Wisniewski, MD and Mark H. Winemiller, MD (PPM Nov/Dec 2004: Vol. 4, No. 6)
-
Percutaneous Disc Decompression/ Discectomy - A Case Report
Successful outpatient treatment of symptomatic spinal claudication utilizing a new
minimally-invasive percutaneous decompression/discectomy device.by Bradley D. Vilims, MD; Scott A. Brandt, MD and Robert E. Wright, MD (PPM Jul/Aug 2002: Vol. 2, No. 4)
-
Peripheral Nerve Catheters for Acute Pain Control
A viable modality to control post-surgical acute pain by silencing the nociceptive
signalling between the surgical insult and pain receptors.by John E. Tetzlaff, MD (PPM Jan/Feb 2004: Vol. 4, No. 1)
-
Personality Disorders and the Bipolar Spectrum
Recognition and management in a pain clinic setting. by Lawrence Robbins, MD and Patricia Goldfein (PPM April 2008: Vol. 8, No. 3)
-
Pharmaceutical Therapies
Effective pain relief can be achieved through the newest drugs on the market.by Donna Werner (PPM May/Jun 2001: Vol. 1, No. 3)
-
Pharmaceuticals in the Pipeline
Relieving Pain with Pharmaceuticalsby Donna Werner (PPM Jan/Feb 2001: Vol. 1, No. 1)
-
Pharmaceuticals in the Pipeline - Anti-rheumatic Drugs
A review of the newest anti-rheumatic drugs available on the market.by Donna Werner (PPM Sep/Oct 2000: Vol. 0, No. 1)
-
Pharmacotherapy
Walking the Tightrope of Appropriate Pain Managementby Raylene M. Rospond, PharmD, FCCP, BCPS (PPM June 2007: Vol. 7, No. 5)
-
Pharmacotherapy
Practical Use of Analgesics for Pain Managementby Charles D. Ponte, PharmD (PPM Nov/Dec 2006: Vol. 6, No. 8)
-
Pharmacotherapy
An Overview of Sleep Medicationsby Chris Terpening, PhD, PharmD (PPM October 2006: Vol. 6, No. 7)
-
Pharmacotherapy
Contemporary Pharmacologyby Charles D. Ponte, PharmD, CDE, BCPS, BC-ADM (PPM September 2006: Vol. 6, No. 6)
-
Pharmacotherapy
Using Methadone Effectively and Safely as Analgesic
by Thomas C. Mercurio, BS, PharmD Candidate and Mary Lynn McPherson, PharmD, BCPS (PPM March 2007: Vol. 7, No. 2)
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Pharmacotherapy: Avoiding the Pitfalls of Opioid Reversal with Naloxone
With its wide margin of safety, low cost, and multiple routes of administration,
naloxone is an ideal antidote for opioid toxicity but it should only be used to reverse
respiratory depression while closely monitoring the patient.by Elizabeth J. Scharman, PharmD (PPM October 2007: Vol. 7, No. 8)
-
Pharmacotherapy: Chronic Cancer Pain Management
Appropriate pain assessmentùalong with the proper use of opioid analgesics and the
management of common opioid side effectsùare vital components in an overall treatment
and monitoring plan.by Charles D. Ponte, PharmD (PPM Nov/Dec 2007: Vol. 7, No. 9)
-
Pharmacotherapy: Head to Toe Non-prescription Drug History
A practical approach to assess nonprescription drug history in pain patients in the context of formulating a treatment strategy.
by Charles D. Ponte, PharmD (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Pharmacotherapy: Opioids in Patients With Renal Or Hepatic Dysfunction
The use of opioids in geriatric patients and those with hepatic or renal insufficiency
can present significant challenges for clinicians.by Gina M. Carbonara, PharmD (PPM May 2008: Vol. 8, No. 4)
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Pharmacotherapy: Pain Management in the Elderly
Structured methods help identify and assess pain in older adults while appropriate
analgesic selection and dosing can reduce adverse drug reactions.by David Elliott, PharmD (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Pharmacotherapy: Pharmacologic Management of Opioid-Induced Adverse Effects
When lifestyle changes and non-pharmacological treatments fail, adjuvant drug
therapiesùalong with regular patient assessmentùmay limit the adverse effects of
opioid therapy.by Gina M. Carbonara, PharmD (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Physical Therapy in Pain Management
Physical therapy has evolved as a supportive specialty of medicine and contributes
expertise in multi-modal treatment techniques and therapies that specifically target
painful conditions.by Tiziano Marovino, DPT, FAAPM (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Physiological Consequences of Guided Imagery
What every pain therapist should know about guided imagery. by David E. Bresler, PhD, LAc (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Placebos in Pain Management
A chronic pain patients personal perspective on the power of placebos in
mitigating chronic pain. by Mark Collen (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Platelet Rich Plasma (PRP) Matrix Grafts
PRP application techniques in musculoskeletal medicine utilize the concentrated healing
components of a patient's own bloodùreintroduced into a specific siteùto
regenerate tissue and speed the healing process.by David Crane, MD and Peter A.M. Everts, PhD (PPM Jan/Feb 2008: Vol. 8, No. 1)
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Platelet Rich Plasma (PRP): A Primer
A brief overview of PRP, its constituents, applications, and processing considerations.by Robert E. Marx, DDS, Sherwin V. Kevy, MD, and May S. Jacobson, PhD (PPM March 2008: Vol. 8, No. 2)
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Playing Dual Roles
Gabriel E. Sella, MD, discusses sEMG as the perfect tool for neuromuscular
investigation and re-education.by Gabriel E. Sella, MD (PPM Mar/Apr 2001: Vol. 1, No. 2)
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Post-Dural Puncture Headache Treatment
A case report on the use of a combination sumatriptan and Fioricet protocol in
successful first line treatment of post-dural puncture headache. Complete
references are listed following article abstract.by Ashok K. Saha, M.D., Vidya Vakhariya, M.D., Richard K. Baumgarten, M.D., Usree Kirtania, MS. (PPM Jul/Aug 2003: Vol. 3, No. 4)
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Post-Stroke Pain
A clinical history and physical examination with judicious use of appropriate
diagnostic modalities are mandatory in identifying what is the likely pain in stroke
survivors.by Stephen Yang, MD; Martin Grabois, MD; and Brian Bruel, MD (PPM June 2009: Vol. 9, No. 5)
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Post-Trauma Pain Management: A 'Back to Basics' Approach
Part two of Terrorism's Effect on Chronic Pain Perception discusses the
importance of a natural, simple and integrative approach to chronic pain treatment.by Mark Allen Young, MD, MBA, FACP; Bryan O'Young, MD; H. Hoffberg, MD; Kornhauser, PhD; and Sokal, MD (PPM May/Jun 2002: Vol. 2, No. 3)
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Potential Hazards of Vertebroplasty
Improperly executed intrathecal injection of methyl methacrylate during vertebroplasty
causes neurologic deficit and arachnoiditis.by J. Antonio Aldrete, MD, MS; Maria del Socorro Romero Figueroa, MD; and Rhamsis F. Ghaly, MD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Practical Application of Neuropostural Evaluations
The P.A.N.E. Process: Basic Principles and the First Three Tests by John L. Beck, MD (PPM September 2008: Vol. 8, No. 7)
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Practical Applications of Low Level Laser Therapy
A brief review of some of the basic concepts of low level laser therapy, clinical
indications for its use, and treatment options when applying therapeutic lasers to
patients in pain. by William J. Kneebone, CRNA, DC, CNC, DIHom, FIAMA, DIACT (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Practical Headache Pearls
Extensive experience in evaluating and treating migraineurs yields observations that
can help the practitioner grapple with the complexities of migraine patients.by Lawrence Robbins, MD (PPM Jul/Aug 2002: Vol. 2, No. 4)
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Practice Patterns of Clinicians Treating Vulvar Pain
Expert opinion is an important source of information for clinicians hoping to treat
this condition efficiently and effectively.by Glenn Updike, MD (PPM October 2006: Vol. 6, No. 7)
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Precursor Amino Acid Therapy
A new entry into pain management.by Forest Tennant, MD, DrPH (PPM May 2009: Vol. 9, No. 4)
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Pre-Implant Psychological Evaluations
A follow-up study of patients who have undergone implant of a pain management device. by Terri A. Lechnyr, PhD (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Preventing Post-Dural Puncture Headache
Puncturing the dura membrane in such a way as to leave a self-sealing flap may entirely
eliminate post-procedure spinal fluid leakage that triggers puncture headaches.by Bela I. Hatfalvi, MD (PPM Jul/Aug 2003: Vol. 3, No. 4)
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Product Reviews: Sensory Nerve Testing Instruments
(PPM Sep/Oct 2002: Vol. 2, No. 5)
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Profile In Access To Pain Treatment
Going It Alone: Thomas Purtzer, MD runs a frugal pain practice by referring patients to
independent multi-disciplinary specialties only as needed.by David Rosenfeld (PPM September 2006: Vol. 6, No. 6)
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Prolotherapy
Prolotherapy For Low Back Painby Donna Alderman, DO (PPM May 2007: Vol. 7, No. 4)
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Prolotherapy for Golfing Injuries and Pain
An effective non-surgical treatment option for golf-related injuries, including low
back pain, lateral and medial epicondylitis, wrist ligament injuries, shoulder injuries,
and other musculoskeletal joint pain. by Donna Alderman, DO (PPM June 2008: Vol. 8, No. 5)
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Prolotherapy for Musculoskeletal Pain
A primer for pain management physicians on the mechanism of action and indications for
use. by Donna Alderman, DO (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Prolotherapy: Dextrose Prolotherapy and Pain of Chronic TMJ Dysfunction
Many of the subjective symptoms of pain, stiffness, and crunching sensation in patients
with TMJ dysfunction were reduced greater than 50% in 92% of the prolotherapy patients in
this study.by Ross A. Hauser, MD; Marion A. Hauser, MS, RD; and Krista A. Blakemore, BA (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Prolotherapy: Dextrose Prolotherapy for Recurring Headache and Migraine Pain
This retrospective case series study revealed that Hackett-Hemwall dextrose prolotherapy appears to provide an effective, long-lasting treatment for recurring tension and migraine headache pain and their associated symptoms.by Ross A. Hauser, MD and Heather McCullough, MA (PPM June 2009: Vol. 9, No. 5)
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Prolotherapy: Dextrose Prolotherapy for Unresolved Neck Pain
An observational study of patients with unresolved neck pain who were treated with
dextrose prolotherapy at an outpatient charity clinic in rural Illinois. by Ross A. Hauser, MD and Marion A. Hauser, MS, RD (PPM October 2007: Vol. 7, No. 8)
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Prolotherapy: Dextrose Prolotherapy for Unresolved Wrist Pain
This retrospective observational study of patients with unresolved wrist pain noted
improvements in many quality of life parameters after Hackett-Hemwall dextrose
prolotherapy.by Ross A. Hauser, MD; Marion A. Hauser, MS, RD; and Patricia Holian, RN (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Prolotherapy: Neural Therapy and its Role in the Effective Treatment of Chronic Pain
Neural therapy is a powerful treatment that can be quite effective in resolving autonomic nervous system dysfunction and pain, especially in the complex pain patient.by Gerald R. Harris, DO (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Prolotherapy: Platelet Rich Plasma in Prolotherapy
Case reports on lateral elbow pain, low back pain, and medial knee pain indicate a
remarkable improvement in outcomes after prolotherapy incorporating platelet rich plasma.
by Donna Alderman, DO (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Prolotherapy: Prolotherapy For Knee Pain
A reasonable and conservative approach to knee tendonitis/tendonosis, sprain-strains,
instability, diagnosis of meniscal tear, patellofemoral pain syndrome including
chrondromalacia patellae, degenerative joint disease, and osteoarthritis pain.by Donna Alderman, DO (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Prolotherapy: Prolotherapy for Sacroiliac Joint Laxity
Using the prone posterior iliac glide test, the practitioner can clinically detect
instability of the sacroiliac joint and confirm restoration of stability following
prolotherapy.by Dr. R. C. Sweeting, F.R.C.S.(C), F.R.A.C.S.(ORTH) (PPM May 2009: Vol. 9, No. 4)
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Promising Therapies
Botulinum toxin as a pain treatmentby Richard L. Barbano, MD PhD (PPM Nov/Dec 2004: Vol. 4, No. 6)
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Protecting Pain Physicians from Legal Challenges, Part 1
Sudden, unexpected deaths in opioid-treated chronic pain patients are an unfortunate
occurrence. Nevertheless, pain physicians should be aware of potential causes, take
preventive actions and, if the unforeseen happens, be prepared to defend against legal
challenges. by Forest Tennant, MD, DrPH (PPM March 2008: Vol. 8, No. 2)
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Protecting Pain Physicians from Legal Challenges: Part 2
Practice recommendations to avoid malpractice resulting in deaths, complications, or
undertreatment along with illustrative case examples.by Forest Tennant, MD, DrPH (PPM April 2008: Vol. 8, No. 3)
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Provider-Patient Interactions
Understanding unconscious interpersonal defensive responses in a chronic pain practice
to improve interactions.by Ron Lechnyr, PhD, DSW and Terri Lechnyr, MSW, LCSW (PPM Mar/Apr 2004: Vol. 4, No. 2)
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Providing Valuable Input
Psychological assessments play a major role in the treatment of chronic pain.by Jill Ahrold (PPM Mar/Apr 2001: Vol. 1, No. 2)
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Psychological Dimension of Pain Management
A comprehensive approach to pain management must address the psychological dimension
with special emphasis on the patients own unique psychological response to chronic
pain.by Ron Lechnyr, PhD, DSW and Terri Lechnyr, MSW, LCSW (PPM Jul/Aug 2003: Vol. 3, No. 4)
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Publisher';s Message
Primary Care Physicians: Pain Management Gatekeepers, Providers or Both? by Marvin L. Rosenfeld (PPM Apr 2005: Vol. 5, No. 3)
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Publisher's Commentary: What's Happening in Washington State?
Adoption of a suggested daily limit on opioid dosing sparks controversy.by Marv Rosenfeld, Publisher (PPM June 2007: Vol. 7, No. 5)
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Publisher's Memo
Getting the Most Out of Practical Pain Managementby Marvin Rosenfeld (PPM May/Jun 2001: Vol. 1, No. 3)
-
Publisher's Memo
Pain and the Law by Marvin Rosenfeld (PPM Jul/Aug 2001: Vol. 1, No. 4)
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Publisher's Memo
From the Comfort of Your Home (or Office)by Marvin Rosenfeld (PPM Nov/Dec 2001: Vol. 1, No. 6)
-
Publisher's Memo
Your News Serviceby Marvin Rosenfeld (PPM Sep/Oct 2001: Vol. 1, No. 5)
-
Publisher's Memo
Online Reader Survey: Tell Us What You Think and Win a Prizeby Marvin Rosenfeld (PPM Sep/Oct 2002: Vol. 2, No. 5)
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Publisher's Memo
The Results Are Inby Marvin Rosenfeld (PPM Nov/Dec 2002: Vol. 2, No. 6)
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Publisher's Memo
Covering the Fieldby Marvin Rosenfeld (PPM May/Jun 2002: Vol. 2, No. 3)
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Publisher's Memo
The Right Trackby Marvin Rosenfeld (PPM Jan/Feb 2001: Vol. 1, No. 1)
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Publisher's Memo
The Decade of Pain Control and Researchby Marvin Rosenfeld (PPM Mar/Apr 2001: Vol. 1, No. 2)
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Publisher's Memo
The Future Will Be Brighterby Marvin Rosenfeld (PPM Sep/Oct 2000: Vol. 0, No. 1)
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Publishers' Memo
Continuing your education in 2002by Marvin Rosenfeld, Publisher (PPM Jan/Feb 2002: Vol. 2, No. 1)
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Publisher's Message
Washington State Guidelines Revisitedby Marv Rosenfeld, Publisher (PPM Jul/Aug 2007: Vol. 7, No. 6)
-
Publisher's Message
Interview with Sheri Gavinski, ICPCDby Marvin Rosenfeld (PPM Sep 2007: Vol. 7, No. 8)
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Publisher's Message
Two New Board Membersby Marvin Rosenfeld (PPM October 2007: Vol. 7, No. 8)
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Publisher's Message
The Best Patient Is An Informed Patientby Marvin Rosenfeld (PPM Nov/Dec 2007: Vol. 7, No. 9)
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Publisher's Message
A New CRPS Departmentby Marvin Rosenfeld (PPM Jan/Feb 2008: Vol. 8, No. 1)
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Publisher's Message
A Salute to Our Supporters
by Marvin Rosenfeld, Publisher (PPM May 2008: Vol. 8, No. 4)
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Publisher's Message
The Tennant Blood Study Revisitedby Marvin Rosenfeld (PPM April 2008: Vol. 8, No. 3)
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Publisher's Message
A Precaution and a Meetingby Marvin Rosenfeld (PPM March 2008: Vol. 8, No. 2)
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Publisher's Message
Did You Miss The Cover?by Marvin Rosenfeld (PPM June 2008: Vol. 8, No. 5)
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Publisher's Message
Why Is Pain Management Different?by Marvin Rosenfeld (PPM March 2009: Vol. 9, No. 2)
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Publisher's Message
Heard Through the Grapevine by Marvin Rosenfeld (PPM Jan/Feb 2009: Vol. 9, No. 1)
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Publisher's Message
An Alert to Prescribing Physicians by Marvin L. Rosenfeld (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Publisher's Message
This Year and Nextby Marvin L. Rosenfeld (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Publisher's Message
Is Intractable a Dirty Word? by Marvin L. Rosenfeld (PPM May/Jun 2005: Vol. 5, No. 4)
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Publisher's Message
Force Multiplier by Marvin L. Rosenfeld (PPM Jul/Aug 2005: Vol. 5, No. 5)
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Publisher's Message
Reader Response Sparks Changesby Marvin Rosenfeld (PPM April 2007: Vol. 7, No. 3)
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Publisher's Message
A Pain Management Forumby Marvin Rosenfeld (PPM May 2007: Vol. 7, No. 4)
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Publisher's Message
Restructuring Practical Pain Managementby Marvin Rosenfeld (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Publisher's Message
The Results Are Inby Marvin Rosenfeld (PPM September 2006: Vol. 6, No. 6)
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Publisher's Message
Writing for Departments and Announcing Our New Imaging Department by Marvin Rosenfeld (PPM October 2006: Vol. 6, No. 7)
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Publisher's Message
Fibromyalgia Departmentby Marvin Rosenfeld (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Publisher's Message
Improvement With Your Help by Marvin L. Rosenfeld (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Publisher's Message
Departmentalizing the Wisdom of Our Authors by Marvin L. Rosenfeld (PPM May/Jun 2006: Vol. 6, No. 4)
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Publisher's Message
How About You? by Marvin L. Rosenfeld (PPM March 2006: Vol. 6, No. 2)
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Publisher's Message
Our Positionsby Marvin L. Rosenfeld (PPM Jan/Feb 2006: Vol 6, No. 1)
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Publisher's Message
And the Winner Is... by Marvin L. Rosenfeld (PPM April 2006: Vol. 6, No. 3)
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Publisher's Message: 5th World Congress of the World Institute of Pain
March 13-16, 2009; New York Cityby Marv Rosenfeld (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Publisher's Message: A Few Thoughts
Electronic Medical RecordsùAn Urgent Message by Marv Rosenfeld (PPM April 2009: Vol. 9, No. 3)
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Publisher's Message: A New Service from Practical Pain Management
by Marvin Rosenfeld (PPM June 2009: Vol. 9, No. 5)
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Publisher's Message: Don't Choose Up Sides
by Marvin Rosenfeld (PPM September 2009: Vol. 9, No. 7)
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Publisher's Message: Don't Choose Up Sides
by Marvin Rosenfeld (PPM September 2009: Vol. 9, No. 7)
-
Publisher's Message: How About This?
by Marvin Rosenfeld (PPM October 2009: Vol. 9, No. 8)
-
Publisher's Message: Join Us in Another Important Study
The Tennant Opioid Longevity Studyby Marvin Rosenfeld (PPM October 2008: Vol. 8, No. 8)
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Publisher's Message: Putting the Pain Patient in His Place
by Marv Rosenfeld (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Publisher's Message: Response to "Putting the Pain Patient in His Place"
In the July/August issue, I commented on the dilemma for pain management regarding the
proper placement of pain patients. Among the responses was the following very thoughtful
dissertation by Dr. Jennifer Schneider, an esteemed member of our Editorial Advisory
Board. by Marvin Rosenfeld (PPM September 2008: Vol. 8, No. 7)
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Publisher's Message: Thank You, Dr. Webster
by Marvin Rosenfeld, Publisher (PPM Nov/Dec 2009: Vol. 9, No. 9)
-
Publisher's Message: The PPM Calendar of Articles Is in Work
by Marvin Rosenfeld (PPM May 2009: Vol. 9, No. 4)
-
Publisher's Message: We Are Honored
by Marvin Rosenfeld (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Radiofrequency Neuroablation in Chronic Low Back Pain
This retrospective study of pain outcomes for radiofrequency neuroablation patients
confirms the viability of this modality where conservative, traditional treatments for
chronic low back pain have failed.by Ripu Arora, MD, QME (PPM March 2005: Vol. 5, No. 2)
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Raising the Bar
Demonstrating the quality of service and improving the practice of pain management is
the goal of the National Pain Data Bank/Pain Program Accreditation.by B. Eliot Cole, MD, MPA (PPM Jan/Feb 2001: Vol. 1, No. 1)
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Realistic Pacing of Pain Patients'Activities
Recognizing and avoiding tendencies to rush, multi-task, or otherwise over-exert during
relative lulls in pain helps reduce subsequent pain flare-ups and achieve a more
comfortable and sustainable activity level.by Ron Lechnyr, PhD, DSW and Terri Lechnyr, PhD (PPM June 2008: Vol. 8, No. 5)
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Reducing Pain and Anxiety During Reduction of a Fracture
A reduction of a fractured wristùnormally performed in an emergency
departmentùwas safely and successfully performed by an orthopedic surgeon at a soccer
tournament medical facility with the benefit of psychological techniques and deep
breathing. by Raymond J. Petras, BE, MA, PhD (PPM March 2009: Vol. 9, No. 2)
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Referred Pain vs. Origin of Pain Pathology
Understanding the organic and physiological patterns of referred pain helps identify
the true origin of pathology and inform proper treatment.by James Woessner, MD, PhD (PPM Nov/Dec 2003: Vol. 3, No. 6)
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Relief of Symptoms Associated with Peripheral Neuropathy
Low-level consumption of glutathione-enhancing micronutrients may be beneficial in
relieving symptoms of neuropathy of unknown origin.by Mark Gostine, MD and Larry Pawl, MD (PPM September 2009: Vol. 9, No. 7)
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Restoration of Normal Cervical Lordosis
Unlike axial linear traction, expanding ellipsoidal decompression (EED«) successfully
decompresses joints and enhances or restores the lordotic curve.by C. Norman Shealy, MD, PhD (PPM April 2009: Vol. 9, No. 3)
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Role of Psychology in Pain Management
An overview of the various roles that psychology and psychologists play in pain
management.by Leanne R. Cianfrini, PhD and Daniel M. Doleys, PhD (PPM Jan/Feb 2006: Vol 6, No. 1)
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Role of SR Opioids in Treating Chronic Pain
A Practical Guide by Jennifer P. Schneider, MD (PPM Jan/Feb 2008: Vol. 8, No. 1)
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Safe Analgesic Use in Patients with Renal Dysfunction
General guidelines for appropriate use of analgesics and co-analgesic adjuvants in pain
patients with co-existing renal insufficiency. by Raphael J. Leo, MA, MD (PPM June 2008: Vol. 8, No. 5)
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Screening Blood Panel to Evaluate New Chronic Pain Patients
Fundamentally, the screening panel recommended here is intended to distinguish a
severe, chronic pain patient from a mild or moderate chronic pain patient. by Forest Tennant, MD, DrPH (PPM Jul/Aug 2009: Vol. 9, No. 6)
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Selection Criteria for Intrathecal Opioid Therapy
A survey of the science behind exclusionary psychological assessment finds
that supporting empirical data is virtually non-existent.by Michael E. Schatman, PhD (PPM Jan/Feb 2005: Vol. 5, No. 1)
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Self-Protection Against "Off-Label" Lawsuits
The current medico-legal climate is hampering the long-standing medical prerogative to
prescribe a particular drug for a therapeutic effect deemed beneficial to the patient. by Forest Tennant MD, DrPH (PPM May 2007: Vol. 7, No. 4)
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Share the Risk Model
Originating in San Diego, this practice model is an example of successful collaboration
among doctors to mitigate professional risks while improving care for pain patients.by Joseph Shurman, MD; John Sack, MD; Gloria Shurman, PhD; Bradley Schnierow, MD; and Ceasar Gabriel, BSP (PPM October 2006: Vol. 6, No. 7)
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Simultaneous Use of Opioid and Electromagnetic Treatments
Concurrent therapeutic electromagnetic applications complement opioid treatment and
promote enhanced pain control.by Forest Tennant, MD, DrPH (PPM October 2009: Vol. 9, No. 8)
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Smoking and Aberrant Behavior in Chronic Pain Patients
A narrative review of smoking and aberrant drug-taking behavior in chronic pain
patients together with emerging clinical implications. by Lara K. Dhingra, PhD, and Steven D. Passik, PhD (PPM Sep 2007: Vol. 7, No. 8)
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Smoking and Low Back Pain
A review of research findings regarding the relationship of smoking and low back pain.by Bilal F. Shanti, MD, Gabriel Tan, PhD, and Ihsan F. Shanti, MD, PhD (PPM May/Jun 2006: Vol. 6, No. 4)
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Special Section: Nutritional Supplements in Pain Practice
Restoring the Natural Opioid System With D-Phenylalanine (DPA); and Milk Thistle to Enhance Liver Function and Drug Therapy by Julia Ross, MA, MFT; and By Donald Adema, DO (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Spinal Chord Stimulation
Implantable devices in the epidural space provides selected patients with control in
managing a wide variety of painful disorders.by Tracy Cameron, PhD and Sue Elliott, RN, CNOR (PPM May/Jun 2002: Vol. 2, No. 3)
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Spinal Cord Stimulation
An overview and case study of spinal cord (dorsal column) stimulation in a
spine-centered/orthopaedic clinical practice setting.by Elmer G. Pinzon, MD, MPH (PPM May/Jun 2005: Vol. 5, No. 4)
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Spine-Centered Chronic Pain Scenarios and Treatment Options
Clinical scenarios involving the complex issues surrounding adequate pain relief for
spine-related chronic pain.by Elmer G. Pinzon, MD, MPH (PPM Mar/Apr 2004: Vol. 4, No. 2)
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Spine-Related Pain In Sports Medicine
A brief review of evaluation and treatment strategies for sports-specific disorders.by Elmer G. Pinzon, MD, MPH (PPM Jan/Feb 2008: Vol. 8, No. 1)
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Splenius Capitis Muscle Syndrome
This syndrome typically mimics the respective pain patterns of temporal tendonitis and
migraine headache.by Edwin A. Ernest III, DMD, FAANaOS and Mark W. Ernest, BA. (PPM Jul/Aug 2006: Vol. 6, No. 5)
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State Pain Laws: A Case for Intractable Pain Centers, Part III
State intractable pain laws provide provisions for aggressive pain treatment while
protecting doctors from unwarranted prosecutionprovided that strict guidelines are
followed.by Marvin Rosenfeld (PPM March 2005: Vol. 5, No. 2)
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Strength Testing in Pain Assessment
Quantitative, objective measurement of muscle strength in the extremities is suggested
as a means of improving the validity and reliability of strength measurements in pain
assessment.by Alex Ambroz, MD, MPH; Robert Zucker, MD, MPH; Clara Ambroz, MD, MPH (PPM Nov/Dec 2006: Vol. 6, No. 8)
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Structuring Opioid Therapy
Patient stratification for certain characteristics can minimize the risk of sleep apnea
and respiratory depression.by Lynn R. Webster, MD, FACPM, FASAM (PPM Sep 2007: Vol. 7, No. 8)
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Surviving a Loved One's Chronic Pain
A guide for family and friends of pain patients. by David Kannerstein, PhD and Sarah M. Whitman, MD (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Suspecting and Diagnosing Arachnoiditis
A review of the symptoms noted in a group of patients with arachnoiditis presents an
analysis of clinical observations of this disease.by J. A. Aldrete MD, MS (PPM Jan/Feb 2006: Vol 6, No. 1)
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Targeted Peripheral Analgesics in Chronic Pain Syndromes
New compounding formulations and certain off-label uses of available
analgesicsin topical and transdermal distributionoffer increased potency with
fewer side-effects to other body systems.by Edwin Dunteman, MD, MS (PPM Jul/Aug 2005: Vol. 5, No. 5)
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Taxonomy of Pain Patient Behavior
Perspectives on understanding motivations of patients exhibiting functional overlay and
effectively dealing with the confounding behavioral aspects.by Ron Lechnyr, PhD, DSW and Henry H. Holmes, MD (PPM Sep/Oct 2002: Vol. 2, No. 5)
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Technology Review
Intervertebral Differential Dynamics Therapyby C. Norman Shealy, MD, PhD (PPM Apr 2005: Vol. 5, No. 3)
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Temporal Tendinitis: Migraine Mimic
Diagnosis and treatment of temporal tendonitis, a very common disorder that is often
mistaken for migraine.by Edwin A. Ernest, III, DMD (PPM May/Jun 2006: Vol. 6, No. 4)
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Temporomandibular Joint Referred Pain
This retrospective study examined charts of 455 TMD patients to identify and categorize
sites of referred pain.by John S. DuPont Jr., DDS (PPM March 2005: Vol. 5, No. 2)
-
Tennant Blood Study First Update
Collaborative blood level survey of effective opioid administration in opioid-tolerant
chronic pain patients.by Forest Tennant, MD, DrPH (PPM Jan/Feb 2006: Vol 6, No. 1)
-
Tennant Blood StudySummary Report
Opioid blood levels in high dose, chronic pain patients. by Forest Tennant (PPM March 2006: Vol. 6, No. 2)
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Tennant Blood Study: Preliminary Report
Collaborative blood level survey of effective opioid administration in opioid-tolerant
chronic pain patients.by Forest Tennant, MD, DrPH (PPM Nov/Dec 2005: Vol. 5, No. 7)
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TENS in the Treatment of Primary Dysmenorrhea
Transcutaneous electrical nerve stimulation (TENS) as a treatment modality for
primary dysmenorrhea can act as a pain relief mechanism for women with painful
menstrual cramps.by Howard Smith, MD and Vian Younan, MD (PPM Nov/Dec 2003: Vol. 3, No. 6)
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Tension Headaches
While they are more prevalent in patients, there is often a presumptive migraine
diagnosis due to the severity of pain, a migraine-centric focus, or the cross-over
dental/medical nature of tension headaches themselves.by Keith A. Yount, DDS, MAGD (PPM April 2009: Vol. 9, No. 3)
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Terrorism's Effect on Chronic Pain Perception
by Mark Allen Young, MD, MBA, FACP; Bryan J. O'Young, MD; Steve A. Stiens, MD, MS; H. Hoffberg, MD; D. Cassius, MD; C. Narrow, MD; and S. Kornhauser, PhD (PPM Mar/Apr 2002: Vol. 2, No. 2)
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Testosterone Replacement in Female Chronic Pain Patients
Testosterone assists opioids in crossing the blood brain barrier and helps activate a
number of central receptors and neurochemicals systems. It is a judicious, ethical, and
clinically necessary practice to replace testosterone in female chronic opioid
patientsùsubject to informed consent. by Forest Tennant, MD, DrPH (PPM Nov/Dec 2009: Vol. 9, No. 9)
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Thank You, Dr. Young... Welcome, Dr. Tennant
by Marvin Rosenfeld (PPM Jan/Feb 2003: Vol. 3, No. 1)
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The ABCs of PAIN
Mnemonics in the field of Pain Medicine provide practical and useful devices for mental
checklists.by James Patrick Murphy, MD (PPM March 2005: Vol. 5, No. 2)
-
The ABCs of Pain Clinic Referrals
Some basic, common-sense criteria for referring a patient to a pain treatment clinic.by Jeffrey C. Reinking, MD (PPM Jan/Feb 2004: Vol. 4, No. 1)
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The American Board Of Independent Medical Examiners (ABIME)
Dedicated to the improvement in quality of independent medical examinations.by Mohammad I. Ranavaya, MD, MS, FRCPI, FFOM, CIME, and Thomas A. Beller, MD, CIME (PPM April 2006: Vol. 6, No. 3)
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The Biopsychosocial Approach to Pain Management
The biopsychosocial model has led to the development of the most therapeutic- and
cost-effective interdisciplinary pain management programs and makes it far more likely for
the chronic pain patient to regain function and experience vast improvements in quality of
life. by Robert J. Gatchel, PhD, ABPP; Krista J. Howard, PhD Candidate; and Nancy D. Kishino (PPM May 2008: Vol. 8, No. 4)
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The Demise of Multidisciplinary Pain Management Clinics?
A potential strategy for addressing the conflicting ethos of business-oriented
insurance and corporate healthcare versus the ends and means of right and morally sound
patient care.by Michael E. Schatman, PhD, DAAPM (PPM Jan/Feb 2006: Vol 6, No. 1)
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The Expert Series: The Perfect Treatment and Evaluation Tool
Renowned sEMG expert, Jeffrey R. Cram, PhD, shares his thoughts on biofeedback.by Jeffrey R. Cram, PhD (PPM Jan/Feb 2001: Vol. 1, No. 1)
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The IP Network: A Case for Intractable Pain Centers, Part II
Pain treatment is a multi-disciplinary undertaking that spans multiple specialties and
must form a close-knit network to provide all facets of care for an IP patient.by Forest Tennant, MD DrPH and Marvin Rosenfeld (PPM Nov/Dec 2004: Vol. 4, No. 6)
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The Mind-Body Connection
Frequently pain physicians must treat the depression that often accompanies chronic
pain.by Donna Werner (PPM Jul/Aug 2001: Vol. 1, No. 4)
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The Neural Plasticity Model of Fibromyalgia
The final installment of this series discusses treatment options and outcomes measurements for fibromyalgia.by C.C. Stuart Donaldson, PhD; Gabriel E. Sella, MD, MPH, MSc; and Horst H. Mueller, CPsych (PPM Nov/Dec 2001: Vol. 1, No. 6)
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The Neural Plasticity Model of Fibromyalgia - Theory, Assessment, and Treatment
The third installment of this series discusses sEMG and other treatment options for
fibromyalgia.by C.C. Stuart Donaldson, PhD; Gabriel E. Sella, MD, MPH, MSc; and Horst H. Mueller, Cpsych (PPM Sep/Oct 2001: Vol. 1, No. 5)
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The Neural Plasticity Model of Fibromyalgia - Theory, Assessment, and Treatment
Part two of this series discusses sEMG and EEG as assessment techniques for
fibromyalgia.by C.C. Stuart Donaldson, PhD; Gabriel E. Sella, MD, MPH, MSc; and Horst H. Mueller, CPsych (PPM Jul/Aug 2001: Vol. 1, No. 4)
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The Neural Plasticity Model of Fibromyalgia: Theory, Assessment, and Treatment
Part one of this series presents the basis for understanding fibromyalgia theories.by C.C. Stuart Donaldson, PhD; Gabriel E. Sella, MD, MPH, MSc; and Horst H. Mueller, CPsych (PPM May/Jun 2001: Vol. 1, No. 3)
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The Pain and Sleep Relationship (Complete Article)
CPAP and oral appliances offer hope for many pain patients suffering from sleep
disorders.by John D. Zoidis, MD (PPM Nov/Dec 2001: Vol. 1, No. 6)
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The Pseudo-RSD Pain Patient
A case report of a patient successfully mimicking the signs and symptoms of reflex
sympathetic dystrophy (RSD) together with a review of what is currently known about RSD
presentation, epidemiology, pathophysiology, and a discussion on impairment determination
for RSD sufferers. by Alex Ambroz, MD, MPH; Kelly Peters, MSN; Robert S. Zucker, MD, MPH; and Clara Ambroz, MD, MPH (PPM October 2008: Vol. 8, No. 8)
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The Psychiatric Model of Treating Chronic Pain
Psychiatric illnesses do not need to be present in order for the psychiatric model to
be successfully used in achieving the multidisciplinary goal of biopsychosocial balance.by Abbey Strauss, MSW, MD (PPM March 2006: Vol. 6, No. 2)
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The Role of MMPI-2 In Assessment Of Chronic Pain
MMPI-2 data is best viewed as one of multiple sources of patient information, including
history, social support networks, coping ability, and more.by Robert J. Gatchel, PhD, ABPP (PPM April 2006: Vol. 6, No. 3)
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The Role of Tertiary Gain in Pain Disability
Tertiary gaingains sought or attained from a patients illness by someone
other than the patientcan be a perpetuating factor in illness and disability.by Jeff Dersh, PhD; Robert J. Gatchel, PhD, ABPP; and Nancy Kishino, OTR, CVE (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Therapeutic Laser For Chronic Low Back Pain
Laser therapy offers a safe and effective treatment modality as either primary or
adjunctive therapy.by William J. Kneebone, CRNA, DC, CNC, DIHom, FIAMA, DIACT (PPM Jan/Feb 2007: Vol. 7, No. 1)
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Therapies for Chronic Pain & Fibromyalgia
New therapies, combining complementary/alternative medicine (CAM) approaches and
pharmacotherapy, provide options in treating chronic musculoskeletal pain.by Gordon Ko, MD, CCFP(EM), FRCPC, PhD (PPM March 2005: Vol. 5, No. 2)
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Thermography in Pain Management
A technique for assessing and tracking changes in vascular-related pain syndromes.by Richard A. Sherman, PhD, Gabriel Tan, PhD, Bilal F. Shanti, MD (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Thinking About Pain
Involving patients in treatment with psychologically based pain management can assist
in their relief.by Roderick A. Borrie, PhD (PPM Sep/Oct 2001: Vol. 1, No. 5)
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Tiredness and Chronic Pain Management
Understanding and treating the causes and symptoms of tiredness among chronic pain
sufferers helps clinicians to optimize pain management.by Lawrence M. Probes, MD (PPM Jul/Aug 2005: Vol. 5, No. 5)
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TMD/Facial Pain and Forward Head Posture
Forward head posturewith its attendant craniocervical, neurophysiologic and
arthrokinematic interactionsmay be either a causative or aggravating factor in TMD. by Leonard B. Goldstein, DDS, PhD and Howard W. Makofsky, PT, DHSc, OCS (PPM Jul/Aug 2005: Vol. 5, No. 5)
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TMJ Disorder Mimic: Ernest Syndrome Diagnosis and Treatment
Often accompanied by other orofacial disorders and capable of mimicking other pain
conditions, Ernest Syndrome is often missed or misdiagnosed.by John S. DuPont, Jr., DDS (PPM Jul/Aug 2002: Vol. 2, No. 4)
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TMJ Repositioning
Using a hydrostatic oral appliance can help treat head, face and neck pain.by Leonard B. Goldstein, DDS, PhD (PPM Jan/Feb 2001: Vol. 1, No. 1)
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Topical Use of Morphine
Used as an adjunct in severe chronic pain patients who take systemic opioids, topical
morphine enhances pain relief, decreases pain flares, promotes stretching and walking, and
reduces cost of treatment. by Forest Tennant, MD, DrPH (PPM October 2008: Vol. 8, No. 8)
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Treating Muscular Dysfunction of Lower Limbs
An SEMG view of investigation of muscular dysfunction and rehabilitation of the lower
limb muscles.by G.E. Sella, MD (PPM Nov/Dec 2005: Vol. 5, No. 7)
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Treating Muscular Dysfunction of Upper Limbs
A Surface Electromyography (SEMG) approach to the investigation of muscular dysfunction
and rehabilitation of upper limb muscles.by G.E. Sella, MD, MPH, MSc, PhD (HC) (PPM Sep/Oct 2005: Vol. 5, No. 6)
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Treating Neuropathic Pain In Multiple Sclerosis (MS) Patients
MS patients with neuropathic pain demonstrated improvement using the oral synthetic
cannabinoid nabilone.by Gordon D. Ko, MD, ; William A. Wine, MA, PhD; and Ethan J. Tumarkin, BSc (PPM September 2006: Vol. 6, No. 6)
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Treatment of Acute Pain in the Orthopedic Patient
A review of the mechanisms of acute pain and treatment strategies in orthopedic
patients with special emphasis on pre-emptive analgesia.by John E. Tetzlaff, MD (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Treatment-Resistant Migraines
Alternate strategies may be required for overcoming the treatment resistance of certain
types of migraines. Strategies include rotating triptans, raising the triptan dosage, and
using non-triptan medication.by Randall L. Oliver, MD and April Taylor, RN, BSN (PPM Jan/Feb 2004: Vol. 4, No. 1)
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Trends in Pain Syndrome Diagnostic Technology
Current diagnostic technological devices can help identify numerous disorders of the
peripheral and central nervous system in patients with chronic pain.by Joel Brill, MD, FACG (PPM May/Jun 2004: Vol. 4, No. 3)
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Trigger Point (TP) Low Level Laser Therapy
Case study documents a trapezius TP eradication after three sessions of far infra-red
laser irradiation and confirmed with anatomic before-and-after diagnostic
ultra-sonographs.by Tiziano Marovino, DPT, FAAPM (PPM Nov/Dec 2004: Vol. 4, No. 6)
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Trigger Point Injections: Techniques, Pitfalls, and Alternatives
Tips on practicing good technique for inactivating trigger points while avoiding
pitfalls and minimizing complications. by Bernard E. Filner, MD (PPM Nov/Dec 2008: Vol. 8, No. 9)
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Urinary Drug Testing In Pain Management
Urinary drug testing (UDT) as a means to assure compliance and monitoring of proper
medication use is becoming commonplace in the clinical practice of pain management. by Orlando G. Florete Jr., MD (PPM Apr 2005: Vol. 5, No. 3)
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Urine And Blood Tests
Why and when to use each test in pain treatment. by Forest Tennant, MD, DrPH (PPM June 2007: Vol. 7, No. 5)
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Urine Drug Screening in Everyday Practice
Routine urine testing is more readily accepted by patients when it is implemented as an
integral part of a drug therapy program. by Anthony J. Kozma, DO (PPM April 2007: Vol. 7, No. 3)
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Urine Drug Testing and Monitoring in Pain Management
Scientifically sound urine drug testing can be an effective means to augment
pharmacotherapy and assist with medical/legal aspects of the healthcare environment.by Frank A Fornari, PhD, David M. Siwicki, MD, Gwen B. Bauer, PhD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Urine Drug Tests in a Private Chronic Pain Practice
The likelihood of surprises leads to the recommendation that virtually all patients who
receive chronic opioids should be tested initially, occasionally at random, as well as for
cause. by Jennifer Schneider, MD and Ashley Miller (PPM Jan/Feb 2008: Vol. 8, No. 1)
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Use of Pulsed Radiofrequency in Clinical Practice
A retrospective study showed that PRF is effective as a replacement for both epidural
steroid injections and surgery in the treatment of radicular pain as well as cases of
peripheral nerve damage. by Richard Rosenthal, MD (PPM June 2009: Vol. 9, No. 5)
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Using Topiramate in the Treatment of Migraine
The number one drug used by neurologists for migraine and daily headache, topirimate is
only reluctantly used by primary care physicians. This article is an attempt to demystify
a very effective drug in the physician's migraine armentarium.by R. Steven Singer, MD (PPM October 2006: Vol. 6, No. 7)
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Viewpoint
Methadone Perspectivesby Forest Tennant, MD, DrPH and Joseph Shurman, MD (PPM May 2007: Vol. 7, No. 4)
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Viewpoint
Methadone Deaths and Warningsby Forest Tennant, MD, DrPH (PPM April 2007: Vol. 7, No. 3)
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Viewpoint
Moderated by Forest Tennant, MD, DrPH and Joseph Shurman, MDby Joseph Shurman, MD (PPM March 2007: Vol. 7, No. 2)
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Viewpoint
Ignoring Risk-Benefit Analyses: The Cox II Tragedyby Forest A. Tennant, MD, DrPH (PPM Jan/Feb 2005: Vol. 5, No. 1)
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Viewpoint:
The OxyContin Controversyby Joseph Shurman, MD (PPM June 2007: Vol. 7, No. 5)
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Viewpoint: The OxyContin« Controversy
The Unwarranted Attacks on Doctors, Pharmaceutical Companies, and Opioids Must Stopby Forest Tennant, MD, DrPH (PPM Jul/Aug 2007: Vol. 7, No. 6)
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Vitamin D Deficiencies in Pain Patients
This condition, associated with muscle weakness, myopathy, and consequently
musculoskeletal pain, was found to be prevalent in the patient population studied.by Mark L. Gostine, MD and Fred N. Davis, MD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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Vitamin D for Chronic Pain
According to a comprehensive review of the clinical research evidence, helping certain
patients overcome chronic musculoskeletal pain and fatigue syndromes may be as simple,
well tolerated, and inexpensive as a daily supplement of vitamin D. by Stewart B. Leavitt, MA, PhD (PPM Jul/Aug 2008: Vol. 8, No. 6)
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Whiplash Injuries in Motor Vehicle Accidents
A comprehensive survey of whiplash-related musculoskeletal injuries, diagnoses, and
treatment modalities.by Howard J. Hoffberg, MD (PPM Sep/Oct 2002: Vol. 2, No. 5)
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Women and Chronic Pain
Insights into the physiologic adaptations that predispose women to more frequent,
sustained pain events and increased likelihood of chronic pain.by Keith A. Yount, DDS, FAGD (PPM Jul/Aug 2004: Vol. 4, No. 4)
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Ziconotide for Chronic Severe Pain
The emerging use of Ziconotide shows potential of becoming a powerful non-opioid
analgesic in the pain physicians armamentarium.by Lynn R. Webster, MD and Keri L. Fakata, PharmD (PPM May/Jun 2005: Vol. 5, No. 4)
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