
March 2009
Brain Atrophy With Chronic Pain
Recent studies clearly show that chronic pain unto itself causes brain atrophy and
altered neurochemistry and sensory function of the central nervous system.
by Forest Tennant, MD, DrPH
Reducing Pain and Anxiety During Reduction of a Fracture
A reduction of a fractured wristùnormally performed in an emergency
departmentùwas safely and successfully performed by an orthopedic surgeon at a soccer
tournament medical facility with the benefit of psychological techniques and deep
breathing.
by Raymond J. Petras, BE, MA, PhD
Evaluating Function/Impairment of Low Back Pain Using SEMG
Recent advances in the use of surface electromyography (SEMG) have proved useful in the
evaluation of movement, gait, postural, and functional disturbances in low back pain
patients.
by Robert J. Gatchel, PhD, ABPP; Mark D. Ricard, PhD; Emily Brede, RN; and Krista J. Howard, MS
Chronic Pain and Atypical Herpetic Viral Reactivation
Retrospective study suggests that herpetic reactivation may be a more common cause of
unexplained chronic pain syndromes than previously thought and can be effectively treated
with long-term antiviral therapy.
by Sean Maloney, MD; Katherine Taber, PhD; Susan Jensen, MD; Virginia Gil-Rivas, PhD; Paula Goolkasian, PhD; Rickilynn Mancil, MA; Joan Buckler, DPT
Medication-Induced Xerostomia Secondary to Pain Management
Long-term pain management, with its usage of prescriptive medications, may have
serious negative oral health side-effects including significant dental pathology,
soft-tissue problems, and potential loss of dentition.
by William M. Gabriel, DDS; Dovi Prero, BS; Deborah Kheradyar, BS; and David Schames, BA

Publisher's Message
Why Is Pain Management Different?
by Marvin Rosenfeld
Clinical Bioethics: Neuroscience, Neurophilosophy, and Neuroethics of Pain, Pain Care, and Policy (N3P3)
Program, Purpose and Process
by James Giordano, PhD
Fibromyalgia: Acupuncture for Fibromyalgia
Acupuncture may be a useful intervention to manage chronic pain of fibromyalgia.
by Richard E. Harris, PhD
Laser Therapy: Treatment of Scapulohumeral Periarthritis and Post Traumatic Joint Pain
A Review of a Russian Hospital-Based Study using Magneto-Laser Therapy
by William J. Kneebone, RN, CRNA, DC
HIT Advisor: Automate Your Clinic, Part II: Automate Around the Doctor
With the current economic problems, 2009 is the year to automate your clinic to be
profitable or, at the very least, initial steps can be taken to computerize faxes and
paper files without disrupting your own patient focus.
by Greg Winterkamp
Guest Editorial: Treating Chronic Pain by Patient Empowerment
by Thomas J. Purtzer, MD
Guest Editorial: Successful Treatment of Intractable Pain
by Joel S. Hochman, MD
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