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Updated Sep. 3, 2010

 
 
 
 
 
COLUMNS:  GUEST EDITORIAL
Botox Is Best To Quash Chronic Migraine
GUEST EDITORIAL | ISSUE: MAY, 2008
Although we have yet to see large, double-blind, placebo-controlled studies proving its efficacy, Botox is in my opinion the best prophylactic treatment for chronic migraines.
Frontline Failure: PCPs Often Unarmed Against Pain
GUEST EDITORIAL | ISSUE: MARCH, 2008
Unfortunately, improved education of pain medicine has often not reached the “soldiers in the trenches”—the primary care physicians (PCPs) who typically are the first clinicians to see patients with chronic pain.
Smoking and Aberrant Drug-Taking Behavior
PRN | ISSUE: AUGUST, 2007
Although pain clinicians are well aware of the importance of smoking cessation for the general health and well-being of their patients, the significance of smoking in the context of pain management is often underappreciated.
Psychiatry and Chronic Pain
PRN | ISSUE: JUNE, 2007
Over the years, psychiatrists have been criticized for their approach to patients. Psychiatry has been described as stigmatizing patients, bound by dogmatic theory and attempting to reduce all problems of mental life into a biological abnormality and the subsequent need for psychopharmacology. Psychiatry continues to follow the theory of Cartesian dualism (i.e., the mind and the body are distinct substances but interact with each other) and has gotten into trouble by failing to provide a complete evaluation of the individual patient. However, there is plenty of blame to go around.
Guest Editorial: Evidence-Based Medicine
Part 2: The Interpretation of Evidence Grades
PRN | ISSUE: APRIL, 2007
As described in Part 1 of this column, the fundamentals of evidence-based medicine (EBM)—ask a question, seek and appraise the best available evidence, apply the results and monitor the changes—have exerted a profoundly heuristic and pragmatic influence on medicine. Pain practitioners should appreciate that for evidence-based trials, specific questions have already been subjected to the synthesis of evidence, the results of which may directly influence practice.
Guest Editorial: Evidence-Based Medicine
Part I: A Framework for Understanding Clinical Trials of Analgesic Therapies
PRN | ISSUE: FEBRUARY, 2007
In science, knowledge is advanced through the processes of observation and experimentation, the results of which are published in tens of thousands of professional journals every year. Clinicians must try to stay current with the literature, appropriately interpret the papers they read and apply the ever-changing scientific findings to therapeutic decision making. With human knowledge doubling every five to 10 years, this has become an exceedingly daunting task.
Guest Editorial: Pain Treatment and a Public Health Crisis
Frederick W. Burgess, MD, PhD
PRN | ISSUE: DECEMBER, 2006
The history of medicine is a fascinating tale of magical and superstitious beliefs progressing to the discovery and use of natural products, then eventually evolving into the scientifically based methodology of diagnosis and pharmacologic treatments. Although many of the early remedies applied to patient care were eventually proven ineffective, or even toxic, one drug class has emerged as a consistent and reliable remedy—opioids. No other drug class has proved as effective and durable in the treatment of pain.
Guest Editorial: Extended-Release Tramadol for Management of Chronic Pain
PRN | ISSUE: OCTOBER, 2006
Whose Pain Is It Anyway?
PRN | ISSUE: APRIL, 2006
As physicians, we take an oath to relieve pain and suffering. Still, chronic pain remains significantly undertreated, despite recent biotechnologic, pharmacologic and pharmacogenomic breakthroughs.
Aging, Pain, and Palliative Care
PRN | ISSUE: FEBRUARY, 2006
People are living longer, with life expectancies for American women and men currently estimated at 79.9 and 74.2 years, respectively, compared with 51.1 and 48.3 years in 1900. Women and men reaching the age of 65 years are expected to live an additional 17.0 and 16.1 years, respectively.
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