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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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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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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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Announcement from the Publisher
by Marvin Rosenfeld (PPM Mar/Apr 2002: Vol. 2, No. 2)
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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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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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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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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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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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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. 4)
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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. 5)
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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 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
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
Invoking the Placebo Effectby James Giordano, PhD (PPM May 2007: Vol. 7, No. 4)
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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
Pain Care at the End of Life by James Giordano, PhD (PPM March 2006: Vol. 6, 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
On Knowing by James Giordano, PhD (PPM April 2006: Vol. 6, No. 3)
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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
Chronic Pain and Spiritualityby James Giordano, PhD (PPM April 2007: Vol. 7, 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
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
Understanding Pain as Disease and Illness - Part 1by James Giordano, PhD (PPM September 2006: Vol. 6, No. 6)
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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. 6)
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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. 5)
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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: 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 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. 4)
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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 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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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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Commonsense Opioid-Risk Management in Chronic Non-Cancer Pain
A Clinician's Perspective by James D. Toombs, MD (PPM April 2008: Vol. 8, No. 4)
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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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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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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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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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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
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
Pain TreatmentThe Great Stabilizer by Forest A. Tennant, MD, DrPH (PPM March 2006: Vol. 6, No. 2)
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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
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
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
Neurogenesis: A Goal of Chronic Pain Treatmentby Forest A. Tennant, MD, DrPH (PPM Nov/Dec 2006: Vol. 6, No. 8)
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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
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
Pain Treatment Challengesby Forest A. Tennant MD DrPH (PPM Mar/Apr 2003: Vol. 3, No. 2)
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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
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
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
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
Inadvertent Harm by Forest A. Tennant, MD, DrPH (PPM Nov/Dec 2004: Vol. 4, No. 6)
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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
Over-prescribing and Over-medicatingby Forest A. Tennant, MD, DrPH (PPM March 2005: Vol. 5, No. 2)
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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
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
Power in the Bloodby Forest A. Tennant, MD, DrPH (PPM Apr 2005: Vol. 5, No. 3)
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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 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 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
Electromedical Treatment of Headachesby Daniel L. Kirsch, PhD, DAAPM, FAIS (PPM Jan/Feb 2007: Vol. 7, No. 1)
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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 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 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 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: 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. 6)
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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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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. 6)
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Facility Profile
SpineKnoxville Adopts a Unique Approach (PPM Sep/Oct 2003: Vol. 3, No. 5)
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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
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
Fibromyalgia Patient Insightsby Lynne Matallana, MA (PPM May 2007: Vol. 7, No. 4)
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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
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 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: 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. 6)
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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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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
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
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
Reflex Sympathetic Dystrophy (RSD)by Elena Juris (PPM Sep/Oct 2004: Vol. 4, No. 5)
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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
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
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
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
The Dimensions of Painby William M. Lamers, Jr., MD (PPM Jan/Feb 2006: Vol 6, No. 1)
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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
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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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
Cervical-Medullary Meningioma by Edwin A. Ernest III, DMD (PPM May 2007: Vol. 7, No. 4)
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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
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
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
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
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: 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. 4)
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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: 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. 6)
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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. 5)
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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 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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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
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
EMR Goals and Commitment by Greg Winterkamp (PPM Nov/Dec 2005: Vol. 5, No. 7)
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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
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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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 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
Pen Tabletsby Greg Winterkamp (PPM May 2007: Vol. 7, No. 4)
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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
Workflow & Clinical Decision Making, Part Iby Greg Winterkamp (PPM April 2006: Vol. 6, No. 3)
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HIT Advisor
by Greg Winterkamp (PPM Jul/Aug 2006: Vol. 6, No. 5)
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HIT Advisor
The Difference Between EMR Hype and Realityby Greg Winterkamp (PPM April 2007: Vol. 7, No. 3)
-
HIT Advisor
InteroperabilityùPart 2by Greg Winterkamp (PPM Jan/Feb 2007: Vol. 7, No. 1)
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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
So Many Electronic Medical Record Systems, So Costly! by Greg Winterkamp (PPM October 2006: Vol. 6, No. 7)
-
HIT Advisor
Interoperability, Part 1by Greg Winterkamp (PPM Nov/Dec 2006: Vol. 6, No. 8)
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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: 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: 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 Consultantsù Whom Should You Trust?
by Greg Winterkamp (PPM June 2008: Vol. 8, No. 6)
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HIT Advisor: The Differences Between Document Imaging, Document Management, Practice
by Greg Winterkamp (PPM April 2008: Vol. 8, No. 4)
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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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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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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
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
Mobile MRI: Imaging on Wheels by Tiziano Marovino, DPT, FAAPM (PPM Nov/Dec 2006: Vol. 6, No. 8)
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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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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
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
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
Interventional Therapies in the Continuum of Careby Lynn Webster, MD (PPM Jul/Aug 2006: Vol. 6, No. 5)
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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
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 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: 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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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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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
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
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
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
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: 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: 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. 5)
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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: 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: 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. 6)
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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)
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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 Jul/Aug 2003: Vol. 3, No. 4)
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Letter to the Editor
(PPM May/Jun 2003: Vol. 3, No. 3)
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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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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. 5)
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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)
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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)
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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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