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  April 2009







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


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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