April 2010
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Refractory Chronic Migraine
RCM is often a disabling, debilitating and challenging illness and patients who have
medication overuse headache or psychological comorbidities require a combination of
therapeutic approaches.
by Lawrence Robbins, MD
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Diagnostic and Therapeutic Issues of Neuropathic Pain
The use of laboratory studies and imaging studies in the diagnosis of neuropathic pain
present clinical challenges and, although medications remain the mainstay of therapy, it
is frequently necessary to try multiple different medications and modalities for adequate
treatment.
by Richard M. Donnini, DO
Taking Advantage of the Peripheral Opioid Receptor
Opioids applied in a topical cream that directly target the peripheral opioid receptors
(which grow in inflammatory pain sites to attract natural endorphin compounds for pain
relief and immune enhancement) may have advantages relative to oral opioids.
by Forest Tennant, MD, DrPH
Post-Operative Inguinodynia From Hernia Surgery
Inguinodynia as a hernia post-operative chronic pain syndrome may occur due to an
assortment of causes including mesh shrinkage, inflammation, scarification, as well as
surgical technique.
by Jeffrey B. Mazin, MD, FACS
Traumatic Brain Injury (TBI) Pain Phenomena
The primary focus when helping TBI pain patients should involve understanding the
diagnoses, recognizing pain, assisting with pain relief and providing the opportunity to
improve function.
by Glenna Tolbert, MD
Publisher's Message
Opioid Prescribing and Genetic Metabolic Deficiencies to Be Featured in the May Issue
by Marvin Rosenfeld, Publisher
Fibromyalgia: Physical Medicine and Rehabilitation for Fibromyalgia
Optimal rehabilitation outcomes in a fibromyalgia patient require that the treatment be
tailored to the individual patient's symptoms, examination findings and subject to
periodic testing to allow for adjustment.
by Scott Stoney, MD
Interventional Therapy: Emergency Protocols for the Spinal Injectionist
This second of two articles addresses the fact that emergencies arise so infrequently
that physicians don’t think about or practice emergency protocols in advance and
offers suggestions for being prepared to handle complications during spinal interventional
procedures.
by Richard M. Rosenthal, MD
CRPS: Body Perception Disturbance (BPD) in CRPS
Current and emerging therapeutic approaches including desensitization techniques and
mirror visual feedback, together with the introduction of a new clinical tool for the
early identification of BPD.
by Jenny Lewis, PhD, Dip COT and C. S. McCabe, PhD, RGN
Laser Therapy: Therapeutic Laser in the Management of Arthritis
Applying laser therapy to the arthritis patient by using a combination of application
techniques can provide considerable relief in many cases.
by William J. Kneebone, RN, DC
Ethics and Health Policy: Realizing the "Promise" of Pain Management and
Considerations for Practice, Ethics and Policy
by James Giordano, PhD and Gerhard H÷ver, PhD
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