
April 2009
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Opioid Antagonists In Pain Management
Available evidence suggests that the opioid antagonists naloxone and naltrexone offer
potential benefits for enhancing opioid analgesia as well as monotherapy for managing
certain challenging pain conditions.
by Stewart B. Leavitt, MA, PhD
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Comorbidity of Musculoskeletal Injury Pain and PTSD
A biopsychosocial approach is best suited for assessment and treatment of traumatic
musculoskeletal pain with concomitant post-traumatic stress disorder (PTSD).
by Margaret M. Perish, MA; Rob A. Haggard, MS, LPC; Amanda Buelow; Jokae Ingram; and Robert J. Gatchel, PhD, ABPP
Amino Acids and Diet in Chronic Pain Management
This first installment of a multi-part series on amino acids and diet outlines their
critical importance in pain practice.
by Julia Ross, MA, MFT and Forest Tennant, MD, DPH
Restoration of Normal Cervical Lordosis
Unlike axial linear traction, expanding ellipsoidal decompression (EED«) successfully
decompresses joints and enhances or restores the lordotic curve.
by C. Norman Shealy, MD, PhD
Tension Headaches
While they are more prevalent in patients, there is often a presumptive migraine
diagnosis due to the severity of pain, a migraine-centric focus, or the cross-over
dental/medical nature of tension headaches themselves.
by Keith A. Yount, DDS, MAGD

Publisher's Message: A Few Thoughts
Electronic Medical RecordsłAn Urgent Message
by Marv Rosenfeld
Clinical Bioethics: Intellectual and Moral Tasks in Intersection, Part 1
Assessing the experience of pain: making the subjective objectively appreciable.
by Jill Kaspar; Mark V. Boswell MD, PhD; and James Giordano, PhD
Head and Neck: Craniofacial Pain of Cardiac Origin
Cardiac-induced referred pain to the craniofacial region may drive a referral to a
dentist and potentially miss the diagnosis of a life-threatening cardiac condition.
by Edwin A. Ernest, III, DMD
Laser Therapy: Clinical Case Study of Low Level Laser Therapy
LLLT accelerated healing and improved symptoms and outcome for second degree scalding
burns on human skin for the subject patient.
by Stephanie A. Leonard, DC, CCFC
Headache: Post-Traumatic Headaches, Migraines, and Sleep Disorders
Most, if not all, post-concussion symptoms are quite treatable and can often make a
dramatic difference in the quality of life for a patient recovering from traumatic brain
injury.
by John Claude Krusz, PhD, MD
HIT Advisor: Take Advantage of the Economic Stimulus Incentive Payments
Having a fully implemented EMR by 2011 that demonstrates 'meaningful use'
qualifies physicians for a phased incentive of $44,000; otherwise, starting in 2015,
lack of an EMR will result in reduced reimbursements.
by Greg Winterkamp
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