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  September 2008







Functional Restoration and Complex Regional Pain Syndrome


The functional restoration modelùutilizing a carefully selected combination of therapies including medications, interventions, rehabilitation therapies, and psychological treatment approachesùmay provide the best hope for treating CRPS.

by Steven D. Feinberg, MD and Rachel M. Feinberg, PT, DPT


Omega-3 Fatty Acids and Neuropathic Pain
Case studies demonstrate that oral intake of omega-3 polyunsaturated fatty acids from pharmaceutical-grade fish oils supplements results in pain and functional improvement in patients with neuropathic pain.
by Gordon D. Ko, MD, FRCPC; Leigh Arseneau, BSc, ND; Nathaniel Nowacki, BA; Serge Mrkoboda, BSc

Osteopathic Manipulative Medicine for Lower Back Pain
OMM can be a useful tool in the diagnostic and therapeutic management of various mechanical low back disorders.
by Wolfgang Gilliar, DO, FAAPMR; and Leonard B. Goldstein, DDS, PhD

Guest Editorial: A Decade of Pain Wasting Away
Have improvements in state policies translated into improved patient access to effective pain relief?
by Kathryn L. Hahn, PharmD, DAAPM

Practical Application of Neuropostural Evaluations
The P.A.N.E. Process: Basic Principles and the First Three Tests
by John L. Beck, MD

Longitudinal Study of Long-term Opioid Patients
A 10- and 20-year follow-up of severe, chronic pain patients treated with daily opioids indicates that some chronic pain patients greatly benefit from long-term opioid therapy.
by Forest Tennant, MD, DrPH

Cervical Myofascial Trigger Points in Headache Disorders
Two case reports illustrate the utility of recognition and treatment of TrPs in headache patients.
by Jeffrey Nelson, MD; CTsar Fernßndez-de-las-Pe±as, PT, PhD; and David G. Simons, MD


Publisher's Message: Response to "Putting the Pain Patient in His Place"
In the July/August issue, I commented on the dilemma for pain management regarding the proper placement of pain patients. Among the responses was the following very thoughtful dissertation by Dr. Jennifer Schneider, an esteemed member of our Editorial Advisory Board.
by Marvin Rosenfeld

Head and Neck: Hamular Process Bursitis
Often misdiagnosed as otitis media or Eagle's syndrome, this relatively unknown disorder presents as soft palate pain, throat pain, ipsilateral maxillary pain, ear pain and difficulty and pain with swallowing.
by Wesley E. Shankland II, DDS, MS

Clinical Bioethics: Pain Care for a Global CommunityùPart 2
Ethics and Economics in Intersection
by James Giordano, PhD; Michael E. Schatman, PhD; and Roland Benedikter, PhD, DPhil

Laser Therapy: Class IV Therapy Lasers Maximize Primary Biostimulative Effects
This new class of therapeutic lasers of laser therapy delivers higher-powered penetrating infra-red energy to deeper target sites, as well as shortening treatment times for wide area applications.
by Phillip Harrington, DC and Julian Vickers, DC

HIT Advisor: Cell Phone Impact on Your Pain Practice
Taking advantage of fast-emerging cell phone technology to interface with your computer system will offer many efficiencies and benefits for your pain practice.
by Greg Winterkamp


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