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  October 2006







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


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

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

Guest Editorial
Low Level Laser Therapy: A Clinician's View
by Bernard E. Filner, MD

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


Editor's Memo
Share The Care—Not Just The Risk
by Forest A. Tennant, MD, DrPH

Publisher's Message
Writing for Departments and Announcing Our New Imaging Department
by Marvin Rosenfeld

Pharmacotherapy
An Overview of Sleep Medications
by Chris Terpening, PhD, PharmD

Head and Neck Pain
Ernest Syndrome and Insertion of the SML at the Mandible
by Edwin A. Ernest, III, DMD

Interventional Therapy
Treating Sports Related Injury and Pain with Light Therapy
by Joseph Hsin, MD and Jon Weston, MBA

Electromedicine
Microcurrent Electrical Therapy (MET): A Tutorial
by Daniel L. Kirsch, PhD, DAAPM, FAIS

Clinical Bioethics
Pain as Disease and Illness: Part Two
by James Giordano, PhD

HIT Advisor
So Many Electronic Medical Record Systems, So Costly!
by Greg Winterkamp


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