
Apr 2005
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Opioid Blood Levels in Chronic Pain Management
Determination of opioid levels in the blood is emerging as an important tool for
ensuring the safety, effectiveness and integrity of opioid analgesic therapy in the
treatment of chronic pain.
by Lawrence M. Probes, MD
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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
Urinary Drug Testing In Pain Management
Urinary drug testing (UDT) as a means to assure compliance and monitoring of proper
medication use is becoming commonplace in the clinical practice of pain management.
by Orlando G. Florete Jr., MD
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
Pelvic Floor Dysfunction: A Treatment Update
New treatment modalities take advantage of the maturing relationship between pelvic
floor dysfunction and chronic pelvic pain.
by Matthew E. Karlovsky, MD and Robert M. Moldwin, MD
Hormone Treatments in Chronic and Intractable Pain
An emerging practice.
by Forest Tennant MD, DrPH

Editor's Memo
Power in the Blood
by Forest A. Tennant, MD, DrPH
Publisher';s Message
Primary Care Physicians: Pain Management Gatekeepers, Providers or Both?
by Marvin L. Rosenfeld
Technology Review
Intervertebral Differential Dynamics Therapy
by C. Norman Shealy, MD, PhD
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