Jan/Feb 2010
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Genetic Influences on Pain Perception and Treatment
Genomic variations influence basal pain sensitivity and the likelihood of developing chronic pain so it is logical that the future of medicine is to provide more focused treatment based on a person's genetic code.
by Alyson Fincke, DO
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Biopsychosocial Approach to Management of Total Joint Arthroplasty Patients
Preoperative biopsychosocial screening can identify patients at risk for poor post-surgical outcomes and determine whether patients would benefit from additional pre- or post-surgical treatment aimed at increasing physical function or reducing psychosocial distress.
by Krista J. Howard, MS; Mohammed A. Khaleel, MD; Henry B. Ellis, MD; and Robert J.
Use and Effectiveness of Spinal Cord Stimulation
Spinal cord stimulation has been one of the major advances in the efficacious and cost-effective treatment of chronic pain patients with multiple, different pain processes.
by Richard M. Donnini, DO
Hormone Replacements and Treatments in Chronic Pain: Update 2010
When severe pain and stimulation of the pituitary-adrenal-gonadal axis goes unabated
over time, exhaustion of some adrenal compounds may develop and, left untreated, may pose
a combination of problems.
by Forest Tennant, MD, DrPH
Opioid Treatment 10 Year Longevity Survey: Final Report
Patients in this study were found to be functioning quite well after 10 or more years on generally stable opioid dosages, with the vast majority able to care for themselves and even drive.
by Forest Tennant, MD, DrPH
Publisher's Message: Our Tenth Year
by Marvin Rosenfeld, Publisher
CRPS: An Overview of CRPS
A brief overview of some of the principles and components of the evaluation and management of CRPS.
by Peter A. Moskovitz, MD
Headache: Headache in Children and Adolescents
A multidisciplinary approachùa balance of medication with therapy and lifestyle changesùis the most helpful for children with severe headaches to help them return to normal functioning in home, school and social life.
by Joseph Maides, DO and Lawrence Robbins, MD
Ethics and Health Policy: Balancing Evidence, Efficacy and Stakeholder Values in
The task ahead is to integrate a moral vision and ethical roadmap into the development
of unifying guidelines and policies that acknowledge and preserve particular values of
stakeholders, adapt and mobilize market structures in the service of medicine and, in so
doing, strive to uphold the integrity of pain care as a patient-centered endeavor.
by James Giordano, PhD
Prolotherapy: Dextrose Prolotherapy Injections for Chronic Ankle Pain
In this retrospective observational study of chronic unresolved ankle pain, Hackett-Hemwall dextrose prolotherapy helped promote a measurable decrease in the pain and
stiffness of the treated joints and improvement in clinically-relevant parameters.
by Ross A. Hauser, MD; Marion A. Hauser MS, RD; and Joe Cukla, BA, LPN
Interventional Therapy: Thoughts on Interventional Articles for 2010
by Richard Rosenthal, MD
Laser Therapy: Therapeutic Laser in the Treatment of Herpes Zoster
Laser therapy can be easily and economically utilized in the treatment of both acute phase herpes zoster and in chronic post-herpetic neuralgia.
by William J. Kneebone, RN, DC
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