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  Jul/Aug 2009







Interventions for Radiating Upper Extremity and Cervical Facet Pain


Recent developments mean safer and better outcomes of therapy for radiating pain of the neck and shoulders.

by Gabor B. Racz, MD, FIPP, ABIPP and James E. Heavner, DVM, PhD, FIPP (Hon)


Screening Blood Panel to Evaluate New Chronic Pain Patients
Fundamentally, the screening panel recommended here is intended to distinguish a severe, chronic pain patient from a mild or moderate chronic pain patient.
by Forest Tennant, MD, DrPH

Need for More Accurate ER Diagnoses of ACL Injuries
Recognition of ACL injury by emergency room physicians is essential to optimize outcomes through early and appropriate treatment.
by Melissa Ruth Blum, DO and Leonard B. Goldstein, DDS, PhD

Effective Monitoring of Opiates in Chronic Pain Patients
Laboratory testing for patients receiving prescription opioid pain relievers has been recommended by several organizations and governmental agencies to assure patient compliance, safe use to minimize risk, and assist in the identification of possible drug diversion or misuse of the drug.
by Michael Evans, PhD; Scott Kriger, PhD; Joshua Gunn, PhD; and Gene Schwilke

Cytokine Testing in Clinical Pain Practice
While lacking specificity, this emerging test shows potential as a valuable clinical screening tool in helping to rule in or out whole categories when weighing initial evidence for a diagnosis.
by R. Steven Singer, MD


Publisher's Message: We Are Honored

by Marvin Rosenfeld

Headache: Long-Acting Opioids for Refractory Chronic Migraine
Study results for a group of difficult-to-treat migraineurs provide a basis for determining efficacy and guidelines for the use of long-term opioids in this population.
by Lawrence Robbins, MD

Prolotherapy: Neural Therapy and its Role in the Effective Treatment of Chronic Pain
Neural therapy is a powerful treatment that can be quite effective in resolving autonomic nervous system dysfunction and pain, especially in the complex pain patient.
by Gerald R. Harris, DO

Ethics and Health Policy: Ethics, Pain Care, and Obama's Policy Intentions
A View Toward "the Hill"
by Aaron Damiani and James Giordano, PhD

Clinical Report: Spinal Pain And Neuromuscular Deficiency
When inhibited deep core muscles of the spine are the cause of back pain, a neuromuscular re-activation approach can help normalize muscle firing patterns between the local and global musculature and thus alleviate back pain.
by Tiziano Marovino, DPT, DAAPM

Laser Therapy: Thermal Imaging Guided Laser Therapy: Part 1
An innovative method for determining optimal treatment location and effectiveness of laser therapy.
by William J. Kneebone, RN, DC


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