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Index of Articles
by Volume/Issue
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Vol. 8, No. 6
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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
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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
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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
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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
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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
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Publisher's Message
Did You Miss The Cover?by Marvin Rosenfeld
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Clinical Bioethics: Chronic Pain and Substance Abuse
Spectrum Effects and Ethical Considerationsby James Giordano, PhD and Rachel Wurzman, MS
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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
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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
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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
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HIT Advisor: IT Consultantsù Whom Should You Trust?
by Greg Winterkamp
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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
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Vol. 8, No. 5
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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
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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
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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
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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
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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
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Publisher's Message
A Salute to Our Supporters
by Marvin Rosenfeld, Publisher
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Clinical Bioethics: Confidentiality, Choice, and The Question Of Autonomy
by James Giordano, PhD and Nisha Dogra, MD, PhD
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Head and Neck: Temporal Arteritis and Temporal Tendonitis Co-morbidity
by Edwin A. Ernest III, DMD
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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
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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
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Vol. 8, No. 4
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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
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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
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Commonsense Opioid-Risk Management in Chronic Non-Cancer Pain
A Clinician's Perspective by James D. Toombs, MD
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Personality Disorders and the Bipolar Spectrum
Recognition and management in a pain clinic setting. by Lawrence Robbins, MD and Patricia Goldfein
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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
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Publisher's Message
The Tennant Blood Study Revisitedby Marvin Rosenfeld
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Clinical Bioethics: Technology in Pain Medicine
Research, Practice, and the Influence of the Marketby James Giordano, PhD
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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
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HIT Advisor: The Differences Between Document Imaging, Document Management, Practice
by Greg Winterkamp
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Vol. 8, No. 2
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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
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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
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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
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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
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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
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Publisher's Message
A Precaution and a Meetingby Marvin Rosenfeld
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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
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Clinical Bioethics: Culture and the Ethics of Patient-Centered Pain Care
by James Giordano, PhD and Joan C. Engebretson, DrPH
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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
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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.
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HIT Advisor: Compliant Documentation
by Ted A. Arkfeld, DC, MS, CICE, CPC
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Laser Therapy: Maximizing Tertiary Effects of LLLT
The tertiary effects of phototherapy—namely, immune system stimulation, increases
in endorphin production, and lymphatic stimulation—help to attain optimal clinical
outcomes.by William J Kneebone, DC, CNC, DIHom, FIAMA, DIACT
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News Profile: Daniel L. Kirsch, PhD
Daniel L. Kirsch, PhD, DAAPM, FAIS Selected as Recipient of the 2008 Richard S. Weiner
Pain Education Award
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Obituary: Harvey Rose, MD
Crusader for the Family Physician's Right to Treat Painby Forest Tennant, MD, DrPH
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Vol. 8, No. 1
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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
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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
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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
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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
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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
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Role of SR Opioids in Treating Chronic Pain
A Practical Guide by Jennifer P. Schneider, MD
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Publisher's Message
A New CRPS Departmentby Marvin Rosenfeld
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Clinical Bioethics
Grappling With the Ethics of Practical Pain Managementby James Giordano, PhD
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Head and Neck
Adenoid Cystic Carcinoma of the Parotid Gland by Edwin A. Ernest, III, DMD
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HIT Advisor
Evaluation and Management Codes Drive Medical Necessityby Ted A. Arkfeld, DC, MS, CICE, CPC
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Vol. 7, No. 9
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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
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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
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Placebos in Pain Management
A chronic pain patient’s personal perspective on the power of placebos in
mitigating chronic pain. by Mark Collen
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Publisher's Message
The Best Patient Is An Informed Patientby Marvin Rosenfeld
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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
reducing—or halting—oral and intrathecal narcotic pain medications.by Michael J. Eastman, BA, PA-C and Steven P. Johnson, MD
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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
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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
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Clinical Bioethics: The Good Patient
Responsibilities and Obligations of the Patient-Physician Relationshipby James Giordano, PhD
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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
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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
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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
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HIT Advisor: Compliant Billing, Coding and Documentation for Interventional Pain
by Ted A. Arkfeld, DC, MS, CICE, CPC
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Vol. 7, No. 8
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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
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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
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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
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Publisher's Message
Two New Board Membersby Marvin Rosenfeld
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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
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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
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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
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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
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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
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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
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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
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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
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HIT Advisor: HIT Advisor: Using EMRs to Make Your Patient "Triage" and Clinical Flow More
by Greg Winterkamp
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Vol. 7, 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
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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
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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
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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
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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
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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
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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
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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
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Publisher's Message
Interview with Sheri Gavinski, ICPCDby Marvin Rosenfeld
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APS Response to the Washington State Guidelines
by Judith A. Paice, PhD, RN
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Clinical Bioethics
Rational, Emotive, Ethical Approaches To Bio-Psychosocial Pain Careby James Giordano, PhD and Joan Walter, JD, PA-C
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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
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Head and Neck Pain
Patulous Eustachian Tube, Part 1by Edwin A. Ernest III, DMD
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HIT Advisor
Get Better Connected To Your Patients Over the Internet by Greg Winterkamp
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Vol. 7, 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
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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
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Publisher's Message
Washington State Guidelines Revisitedby Marv Rosenfeld, Publisher
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Viewpoint: The OxyContin« Controversy
The Unwarranted Attacks on Doctors, Pharmaceutical Companies, and Opioids Must Stopby Forest Tennant, MD, DrPH
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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
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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
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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
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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
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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
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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
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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
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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
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HIT Advisor
Are You Ready For Pain Management EMR Evidence-Based Guidance Systems?by Greg Winterkamp
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Vol. 7, No. 5
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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
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Urine And Blood Tests
Why and when to use each test in pain treatment. by Forest Tennant, MD, DrPH
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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
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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
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Viewpoint:
The OxyContin Controversyby Joseph Shurman, MD
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Clinical Bioethics: Pain Research
The Relationship of Knowing and Doingby James Giordano, PhD and Julia Pedroni, PhD
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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
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Interventional Therapy
SCS Treatment Of Painful Diabetic Peripheral Neuropathyby Ani C. Khodavirdi, PhD and Francis McDonnell, MD
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Interventional Therapy: Trialing for Intrathecal Therapy
Comments and Considerationsby Daniel M. Doleys, PhD and Thomas J. Krauss, DO
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Fibromyalgia
Guidelines for Beneficial Group Exercise for Fibromyalgia by Janice H. Hoffman, BA, CES
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Imaging
Cardiac CT ù A Work In Progress by Tiziano Marovino, DPT, FAAPM
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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
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Pharmacotherapy
Walking the Tightrope of Appropriate Pain Managementby Raylene M. Rospond, PharmD, FCCP, BCPS
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HIT Advisor
Are You Really Utilizing Your EMRby Ted Arkfeld, MS, DC, DABFE, CICE, CPC
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Vol. 7, No. 4
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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
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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
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Publisher's Message
A Pain Management Forumby Marvin Rosenfeld
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Viewpoint
Methadone Perspectivesby Forest Tennant, MD, DrPH and Joseph Shurman, MD
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Clinical Bioethics
Invoking the Placebo Effectby James Giordano, PhD
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Electromedicine
CES in the Treatment of Depressionby Daniel L. Kirsch, PhD, DAAPM, FAIS , and Marshall F. Gilula, MD
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Fibromyalgia
Fibromyalgia Patient Insightsby Lynne Matallana, MA
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Head and Neck Pain
Cervical-Medullary Meningioma by Edwin A. Ernest III, DMD
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Imaging
Multidimensional Ultrasonographyby Tiziano Marovino, DPT, FAAPM
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Interventional Therapy
Sedation Levels for Intraspinal Injectionsby Lynn R. Webster, MD, FACPM, FASAM
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Laser Therapy
Deep Penetration Therapeutic Laser by William J. Kneebone, RN, CRNA, DC, CNC, DIHom, FIAMA, DIACT
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Prolotherapy
Prolotherapy For Low Back Painby Donna Alderman, DO
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HIT Advisor
Pen Tabletsby Greg Winterkamp
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Vol. 7, No. 3
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Viewpoint
Methadone Deaths and Warningsby Forest Tennant, MD, DrPH
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National Campaign Seeks Zero Prescription Overdose Deaths
Public Service Announcementby www.zerodeaths.org
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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
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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
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Publisher's Message
Reader Response Sparks Changesby Marvin Rosenfeld
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Head and Neck Pain
TMJ Quick Screening Exam by Edwin A. Ernest III, DMD
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Imaging
Dual Modality Imaging by Tiziano Marovino, DPT, FAAPM
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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
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Laser Therapy
Phototherapy Applications, Part 2: Occupational Injuries by Douglas Johnson, ATC, CLS
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HIT Advisor
The Difference Between EMR Hype and Realityby Greg Winterkamp
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Clinical Bioethics
Chronic Pain and Spiritualityby James Giordano, PhD
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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
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Vol. 7, No. 2
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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
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Viewpoint
Moderated by Forest Tennant, MD, DrPH and Joseph Shurman, MDby Joseph Shurman, MD
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Clinical Bioethics
A Big Picture: Neurogenesis, Pain, and the Reality and Ethics of Pain Medicineby James Giordano, PhDJames Giordano, PhD
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Electromedicine
CES in the Treatment of Anxiety Disorders by Daniel L. Kirsch, PhD, DAAPM, FAIS and Marshall F. Gilula, MD
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Fibromyalgia
Sleep Disturbances in Fibromyalgia
by Carol A. Landis, DNSc, RN, FAAN
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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
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Interventional Therapy
Are Intrathecal Therapy Trials Necessary?by Lynn R. Webster, MD, FACPM, FASAM
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Laser Therapy
Phototherapy Applications In Sports Medicine by Douglas Johnson, ATC, CLS
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Pharmacotherapy
Using Methadone Effectively and Safely as Analgesic
by Thomas C. Mercurio, BS, PharmD Candidate and Mary Lynn McPherson, PharmD, BCPS
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HIT Advisor: Interoperability, Part 3
Understanding where you are in the Evolution of Computerization
by Greg Winterkamp
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Vol. 7, No. 1
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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
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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)
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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
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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
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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
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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
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Publisher's Message
Restructuring Practical Pain Managementby Marvin Rosenfeld
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Guest Editorial
The Continuing Need for Pain Education by B. Eliot Cole, MD, MPA
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Head and Neck Pain
Neuralgic Pain of the Temporomandibular Jointby Edwin A. Ernest III, DMD, and E. George Salter, PhD
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Electromedicine
Electromedical Treatment of Headachesby Daniel L. Kirsch, PhD, DAAPM, FAIS
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Clinical Bioethics
Resolutions: Examining the Past, Present and Future of Pain Managementby James Giordano, PhD
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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
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HIT Advisor
InteroperabilityùPart 2by Greg Winterkamp
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Vol. 6, No. 8
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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
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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
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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
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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
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Editor's Memo
Neurogenesis: A Goal of Chronic Pain Treatmentby Forest A. Tennant, MD, DrPH
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Publisher's Message
Fibromyalgia Departmentby Marvin Rosenfeld
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Head and Neck Pain
Hyoid Bone Syndromeby Edwin A. Ernest III, DMD, and E. George Salter, PhD
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Pharmacotherapy
Practical Use of Analgesics for Pain Managementby Charles D. Ponte, PharmD
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Electromedicine
Electromedical Treatment of Headachesby Daniel L. Kirsch, PhD, DAAPM, FAIS
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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
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Imaging
Mobile MRI: Imaging on Wheels by Tiziano Marovino, DPT, FAAPM
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HIT Advisor
Interoperability, Part 1by Greg Winterkamp
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Vol. 6, No. 7
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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
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Observational Study of Dural Punctures
A retrospective review of the rate of dural punctures as a complication of lumbar
epidural steroid injection—with and without guiding fluoroscopy. by Anthony H. Guarino, MD
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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
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Guest Editorial
Low Level Laser Therapy: A Clinician's Viewby Bernard E. Filner, MD
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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
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Editor's Memo
Share The Care—Not Just The Riskby Forest A. Tennant, MD, DrPH
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Publisher's Message
Writing for Departments and Announcing Our New Imaging Department by Marvin Rosenfeld
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Pharmacotherapy
An Overview of Sleep Medicationsby Chris Terpening, PhD, PharmD
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Head and Neck Pain
Ernest Syndrome and Insertion of the SML at the Mandible by Edwin A. Ernest, III, DMD
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Interventional Therapy
Treating Sports Related Injury and Pain with Light Therapy by Joseph Hsin, MD and Jon Weston, MBA
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Electromedicine
Microcurrent Electrical Therapy (MET): A Tutorialby Daniel L. Kirsch, PhD, DAAPM, FAIS
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Clinical Bioethics
Pain as Disease and Illness: Part Twoby James Giordano, PhD
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HIT Advisor
So Many Electronic Medical Record Systems, So Costly! by Greg Winterkamp
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Vol. 6, No. 6
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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
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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
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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
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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
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Editor's Memo
The First Order Of Business: Pulse Rate And Blood Pressure by Forest A. Tennant, MD, DrPH
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Publisher's Message
The Results Are Inby Marvin Rosenfeld
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Pharmacotherapy
Contemporary Pharmacologyby Charles D. Ponte, PharmD, CDE, BCPS, BC-ADM
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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
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Interventional Therapy
When Should Spinal Cord Stimulation (SCS) be Considered?by Lynn Webster, MD
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Electromedicine: Cranial Electrotherapy Stimulation in the Treatment of Fibromyalgia
by Daniel L. Kirsch, PhD, DAAPM, FAIS
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Laser Therapy: Choosing and Using a Low Level Laser in Pain Management
by Larry Lytle, DDS, PhD
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Clinical Bioethics
Understanding Pain as Disease and Illness - Part 1by James Giordano, PhD
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HIT Advisor
How Regional Health Information Organizations Will Impact Practices by Greg Winterkamp
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Vol. 6, No. 5
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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
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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
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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
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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.
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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
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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
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Editor's Memo
Tailor-Made Medications Are Critical For Chronic Pain Treatmentby Forest A. Tennant, MD, DrPH
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Publisher's Message
Improvement With Your Help by Marvin L. Rosenfeld
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Guest Editorial
Guidelines for Opioid Management of Painby J. S. Hochman, MD
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Interventional Therapy
Interventional Therapies in the Continuum of Careby Lynn Webster, MD
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Electromedicine
Why Electromedicine?by Daniel L. Kirsch, PhD, DAAPM, FAIS
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Laser Therapy
Determining Which Low Level Laser to Use by Larry Lytle, DDS, PhD
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Clinical Bioethics
by James Giordano, PhD
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HIT Advisor
by Greg Winterkamp
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Vol. 6, No. 4
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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
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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
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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
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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
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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
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Non-Pharmacologic Therapy for Chronic Opioid-Dependent Sickle Cell Pain
Study results confirm the efficacy of Benson’s Relaxation Response in reducing
pain and medication in this patient population.by Adam Poster
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Osteoarthritis of The Knee
Pain Management options for alleviating pain and increasing mobility for patients with
this disease.by Edward H. Miller, MD
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Editor's Memo
The Underutilization of Intrathecal Treatment by Forest A. Tennant, MD, DrPH
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Publisher's Message
Departmentalizing the Wisdom of Our Authors by Marvin L. Rosenfeld
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Guest Editorial
Tumblin’ Dice — Why Does Random Matter? by James Patrick Murphy, MD
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Laser Therapy
Introducing Low Level Laser Therapy to Pain Managementby Larry Lytle, DDS, PhD
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Clinical Bioethics
Moral Virtue and the Pain Physicianby James Giordano, PhD
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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
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Vol. 6, 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
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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
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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
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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
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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
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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
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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
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Editor's Memo
Opioid Malabsorption—Can You Stomach This?by Forest A. Tennant, MD, DrPH
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Publisher's Message
And the Winner Is... by Marvin L. Rosenfeld
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Guest Editorial
Sedation Safety and Comfort by Robert J. Rogers, MD, FACP, Diplomat ABA and ABIM
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Clinical Bioethics
On Knowing by James Giordano, PhD
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HIT Advisor
Workflow & Clinical Decision Making, Part Iby Greg Winterkamp
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Vol. 6, No. 2
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Assessment and Treatment of Chronic Pain
A physician’s guide to a biopsychosocial approach. by John Mark Disorbio, Ed.D., Daniel Bruns, Psy.D, and Giancarlo Barolat, MD
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Tennant Blood Study—Summary Report
Opioid blood levels in high dose, chronic pain patients. by Forest Tennant
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Oxycodone to Morphine Rotation
The author describes one opioid rotational procedure found to be effective.by Mazin Ellias MD, FRCA
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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
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Office-based Treatment of Opioid Dependence
New hope for patients with concomitant pain and addiction issues.by John Allen, MS, CRNA
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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
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Editor's Memo
Pain Treatment—The Great Stabilizer by Forest A. Tennant, MD, DrPH
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Publisher's Message
How About You? by Marvin L. Rosenfeld
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Guest Editorial
Focus on Urine Drug Monitoring by Joseph Shurman, MD and Ronald C. Backer, PhD
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Clinical Bioethics
Pain Care at the End of Life by James Giordano, PhD
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Guest Editorial
Clinical Drug Testing for Pain Medicine by Frank A. Fornari, PhD
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Health Information Technology Advisor
Inter Office Communicationby Greg Winterkamp
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Vol 6, No. 1
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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
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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
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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
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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
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Tennant Blood Study — First Update
Collaborative blood level survey of effective opioid administration in opioid-tolerant
chronic pain patients.by Forest Tennant, MD, DrPH
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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
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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
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Editor's Memo
Practical Science Meets the Art of Pain Medicineby Forest A. Tennant, MD, DrPH
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Publisher's Message
Our Positionsby Marvin L. Rosenfeld
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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 Ma’Ayteh, MA, and John Constantine, BS
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Health Information Technology Advisor
HIT Advisor: Tips Towards an Effective Paperless System: Can You Afford It?by Greg Winterkamp
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Bioethics
Pain Medicine, Morality, and the Marketplace: Time for a Changeby James Giordano, PhD
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Guest Editorial
The Dimensions of Painby William M. Lamers, Jr., MD
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Vol. 5, No. 7
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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
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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
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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
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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
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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
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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
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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
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Editor's Memo
Control or Cure: Tell It Like It Is by Forest A. Tennant, MD, DrPH
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