Consensus Panel Report Addresses Challenges of Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain

February 15, 2019, CHICAGO – A new report issued by a multidisciplinary consensus panel convened by the American Academy of Pain Medicine Foundation discusses the challenges clinicians have experienced since the 2016 release of the Centers for Disease Control and Prevention (CDC) Guideline for Prescribing Opioids for Chronic Pain . The report also ...
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Congratulations to 2019 AAPM Pain Medicine Fellowship Excellence Award Recipient, UC San Diego

The AAPM Pain Medicine Fellowship Excellence Award recognizes pain medicine fellowship programs within the United States that are accredited by the Accreditation Council for Graduate Medical Education (ACGME), and provide an exceptional learning experience to their fellows, preparing them to deliver the highest standard of care to patients with pai...
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Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States

What is the projected effect of lowering incident nonmedical prescription opioid use on the future trajectory of the opioid overdose crisis in the United States? Read the abstract . 
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Hot Topics in Pain Management Available On Demand

The newest AAPM Education Center on demand course features recordings of talks delivered during the Academy's December 8, 2018, Chicago Hot Topics in Pain Management live meeting. The program includes updates on the latest policies, guidelines, and approaches to pharmacological safety, procedural interventions, and interdisciplinary pain care. Lear...
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The Pain of Sleep Loss: A Brain Characterization in Humans

Sleep loss increases the experience of pain. However, the brain mechanisms underlying altered pain processing following sleep deprivation are unknown. Moreover, it remains unclear whether ecologically modest night-to-night changes in sleep, within an individual, confer consequential day-to-day changes in experienced pain. Here, we demonstrate that ...
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Gender Bias in Pediatric Pain Assessment

Accurate assessment of pain is central to diagnosis and treatment in healthcare, especially in pediatrics. However, few studies have examined potential biases in adult observer ratings of children's pain. Read the abstract . 

Randomized Study of Electronic Health Record Defaults and Comparison Feedback to Effectively Decrease Opioid Prescription Pill Burden (NCT03825549)

In this study, the investigators will evaluate the effect of a health system initiative aiming to change clinician opioid prescribing behaviors using two behavioral economic interventions - default options and social comparison feedback on performance to clinicians. Read the details . 
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National Academy of Medicine (NAM) Webinar: February 13, 4–5 pm ET

The NAM webinar will introduce the Action Collaborative on Countering the U.S. Opioid Epidemic, which comprises government, communities, health systems, provider groups, payers, industry, nonprofits, academia, and more. For more information and to register .

Penn’s ‘Enhanced Recovery’ Protocol Reduces Opioid Use in Spinal Surgery Patients

A new study published in the Journal of Neurosurgery: Spine showed that when an ERAS protocol was employed—which optimizes patients' surgical care before, during, and after surgery, including patient education, post-operative medications, and recovery plans—fewer patients needed pain medications one month after surgery. Full story
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Countdown to AAPM35: Join Fellow Members in Denver March 6-10

AAPM35 is shaping up to be one of AAPM's strongest meetings yet. The education program is packed with 3 hands-on, interactive preconferences featuring pain medicine best practices, medications management, and ultrasound-guided pain interventions – as well as more than 50 AAPM 35th Annual Meeting sessions. As an AAPM member, you receive discounted r...
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Training the Prescriber: An Institutional Effort to Reduce the Amount of Opioids Prescribed Following Lumbar Surgery

A new study shows that an educational program on opiate use and misuse, the role of the orthopedic prescriber, multimodal analgesia, and state laws regarding opioid prescription could change prescriber behavior and result in a lower amount of prescribed opioids after lumbar surgery. Full story .
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Once a Last Resort, This Pain Therapy Is Getting a New Life Amid the Opioid Crisis

Pain specialists, including AAPM Resident Fellow Education SIG Co-Chair Mark Bicket, MD , say neuromodulation is part of the solution to alleviating pain and should be considered earlier in the treatment process, instead of as a last resort. Full story .
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2018 Pain Management Salary Survey Results: Does Your Pay Slay or Is it Just OK?

Full story . 

Parents Worried About Risks, But Still Think Opioids Are Best for Kids’ Pain Relief, Nationwide Survey Shows

A new survey shows that parents remain conflicted about opioids: while more than half express concern their child may be at risk for opioid addiction, nearly two-thirds believe opioids are more effective at managing their child's pain after surgery or a broken bone than non-prescription medication or other alternatives. Full story .
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Recovery Toolkits: Assessment of Pragmatic Behavioral Pain Medicine Delivered In Hospital After Surgery (NCT03828669)

Behavioral pain medicine is largely absent from perioperative pathways, and on post-surgical recovery units. The goal of this project was to develop and implement "Recovery Toolkits", physical branded bags presented to patients after surgery. The "Recovery Toolkits" include a descriptive brochure and orientation to the contents of the bag. "Recover...
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Research Pushes Back on Benefits of Compounded Topical Pain Creams

AAPM Board Member, Steven P. Cohen, MD , along with researchers at Johns Hopkins Medicine and Walter Reed National released the results of a rigorous federally funded study mandated by Congress that showed no statistically significant difference between relief offered by these creams and placebos. Full story .

Chronic Pain Patients: The Baby with the Bathwater?

AAPM longtime member David Nagel, MD , spoke to the New Hampshire Medical Society about unintended consequence of the battle against the opioid epidemic, and the negative impact on chronic pain patients. Full story .

AmeriHealth Applies New Frequency Limits to Trigger Point Injections

AmeriHealth of New Jersey has announced a policy change effective April 1, 2019 limiting the frequency of trigger point injections that will be covered. The revised policy limits the number of injections to a maximum number of ten sessions in a 12-month period. Medicare does not have a national coverage policy for trigger point injections, however ...
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The New York Times Features a Series of Articles on Pain in Children

​Part I: Managing Children's Pain After Surgery Part II: Taking the Pain Out of Children's Shots Part III: Helping Children Conquer Chronic Pain  

Identify AAPM35 Sessions of Interest & Reserve Hotel Rooms by February 1

Three preconference courses featuring pain medicine best practices, medications management, and ultrasound-guided pain interventions – as well as more than 50 AAPM 35th Annual Meeting sessions – make up AAPM35 March 6-10 in Denver. As an AAPM member, you receive discounted registration and access to special on-site benefits, like a Member Lounge an...
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Benefits and Harms of Pregabalin in the Management of Neuropathic Pain: A Rapid Review and Meta-Analysis of Randomized Clinical Trials

Pregabalin has beneficial effects on some symptoms of neuropathic pain. However, its use significantly increases the risk of a number of adverse events and discontinuation due to adverse events. The quality of the evidence from journal publications is low. Read the abstract . 

Association of Pharmaceutical Industry Marketing of Opioid Products with Mortality From Opioid-Related Overdoses

This study identifies the association between direct-to-physician marketing of opioid products by pharmaceutical companies and mortality from prescription opioid overdoses across US counties. Read the abstract . 
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Phosphorylation-Deficient G-Protein-Biased μ-Opioid Receptors Improve Analgesia and Diminish Tolerance but Worsen Opioid Side Effects

Findings identify carboxyl-terminal multisite phosphorylation as key step that drives acute μ-opioid receptor desensitization and long-term tolerance. Read the abstract . 
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Polls for the 2019-20 AAPM Elections Are Open

There is still time to cast your vote before polls for the AAPM 2019-20 Leadership Elections close on Monday, February 4 . Active, voting members were sent an email from AAPM on January 4 with their unique voting link.

Statement from FDA Commissioner Scott Gottlieb, MD, on Unprecedented New Efforts to Support Development of Over-the-Counter Naloxone to Help Reduce Opioid Overdose Deaths

To encourage drug companies to enter the OTC market and increase access to naloxone, the FDA took an unprecedented step of developing a model Drug Facts label (DFL) with easy-to-understand pictograms on how to use the drug. Full story.
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Microglia Promote Increased Pain Behavior Through Enhanced Inflammation in the Spinal Cord During Repeated Social Defeat Stress

Clinical studies indicate that psychosocial stress contributes to adverse chronic pain outcomes in patients, but it is unclear how this is initiated or amplified by stress. Read the abstract . 
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The IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11)

This article describes the current consensus proposal by the International Association for the Study of Pain (IASP) and the International Society of Physical and Rehabilitation Medicine (ISPRM) for a specific set of FPs of chronic pain, which will have to be empirically validated in a next step. Read the abstract . 
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Mindful Action for Pain (NCT03800654)

Chronic pain, defined as persistent or episodic pain that does not resolve with treatment, affects up to 50% of Veterans, costs the nation between $560 and $635 billion dollars annually, and is associated with high rates of disability and low quality of life. According to the Veterans Health Administration (VHA), the goal of pain treatment is to im...
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Study Explores Dangerous Increase in Patients Mixing Opioids, Benzodiazepines or Z-Drugs

A new study found a startling 250 percent increase in Americans taking a dangerous combination of both opioids and benzodiazepines — a group of drugs commonly prescribed for pain, insomnia and anxiety — over a 15-year period. Full story .

Study of Colorado’s Efforts to Reverse Opioid Epidemic

The American Medical Association (AMA), Colorado Medical Society (CMS) and Manatt Health released a report today that shows Colorado has implemented meaningful reforms in response to the opioid epidemic though further steps are needed to save even more lives. Full story.

Dr. Cheng to Chair Opioid Management Summit

AAPM President Jianguo Cheng, MD PhD will chair and present during The 3rd Opioid Management Summit in Washington D.C. February 26-27. The summit will offer hospital and healthcare system clinical leaders an opportunity to discuss initiatives that address the opioid epidemic. Full story .

Effects of Psilocybin in Post-Traumatic Headache (NCT03806985)

The purpose of this study is to investigate the effects of oral psilocybin in post-traumatic headache. Subjects will be randomized to receive placebo, low dose psilocybin, or high dose psilocybin on two separate test days approximately 14 days apart. Subjects will maintain a headache diary prior to, during, and after the treatments in order to docu...
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Rerouting Nerves During Amputation Reduces Phantom Limb Pain Before It Starts

Doctors are pioneering the use of primary targeted muscle reinnervation (TMR) to prevent or reduce debilitating phantom limb and stump pain in amputees. Full story .

What We Don't Know About Chronic Pain

AAPM Member Jonathan D. Mayer, PhD , is interviewed in a Health Affairs podcast titled: What We Don't Know About Chronic Pain . The interview highlights his article in the January issue of Health Affairs , 'Pain Behavior': What My Pain Treatment Got Wrong . Listen to podcast .

Somatosensory Profiles in Individuals With Persistent Musculoskeletal Pain and Inflammatory Bowel Disease (NCT03799471)

This study evaluates nervous system hypersensitivity in individuals with inflammatory bowel disease (IBD) and experiences of ongoing musculoskeletal (MSK) pain. Previous results and current literature suggest that MSK pain in IBD may be influenced by hypersensitivity of the central nervous system, termed central sensitization. However, specific mec...
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Stanford Researchers Discover the Brain Cells that Make Pain Unpleasant

A team of scientists at Stanford University has identified a bundle of brain cells in mice responsible for the latter — that is, the negative emotions of pain. Full story .

National Academy of Medicine Workshop on Prescribing Opioids for Acute Pain

NASEM will host two public workshops to gather information and guide its work in drafting clinical practice guidelines for prescribing opioids for acute pain. Register for the first webinar on February 4th .

Doctors Call California’s Probe of Opioid Deaths a ‘Witch Hunt’

AAPM Board Member Robert E. Wailes, MD contributed this coverage of investigations by the Medical Board of California into doctors who prescribed opioids to patients who suffered fatal overdoses. "What we're finding is that more and more primary care doctors are afraid to prescribe and more of those patients are showing up on our doorsteps." Full s...
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Pain Management Codes Posted

The Coding and Reimbursement Committee has updated the coding information available on the AAPM website. New charts have been posted that include information concerning Medicare's 2019 Relative Value Units (RVUs) for codes commonly reported by Pain Medicine Physicians. The title page provides links to CMS web pages that provide additional informati...
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New Data Show Growing Complexity of Drug Overdose Deaths in America

The report from CDC's MMWR , analyzes the growing number of U.S. drug overdose deaths from 2013 to 2017, and by demographic and geographic characteristics from 2016 to 2017. Full story .  

Pain Management Task Force Calls for Patient-Centered Treatment of Pain

The HHS Pain Management Best Practices Inter-Agency Task Force has released a draft report calling for individualized, patient-centered pain management to improve the lives of millions of individuals who experience acute and chronic pain. Members of the public have 90 days to provide comments on the report's recommendations. The Academy is preparin...
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New, Revised Pain Assessment/ Management Standards for Behavioral Health Care, Home Care, Nursing Care to Be Introduced

Effective July 1, 2019, new and revised pain assessment and management standards will be applicable to Joint Commission-accredited behavioral health care, home care and nursing care center programs. Full story .
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Light Treatment to Improve Symptom Management of Fibromyalgia Syndrome (NCT03794908)

The purpose of this study is to determine the effect a morning light treatment has on improving physical function, pain intensity, and pain sensitivity in people with fibromyalgia syndrome (FMS).  Read the details.

KemPharm Announces FDA Approval of sNDA for Two Additional Strengths of APADAZ®

 KemPharm, Inc. (NASDAQ:KMPH), a specialty pharmaceutical company focused on the discovery and development of proprietary prodrugs, announced today that the U.S. Food and Drug Administration (FDA) has approved a Supplemental New Drug Application (sNDA) for two additional strengths of APADAZ ® , an immediate release (IR) combination of KemPharm...
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Pain Abstracts

Association of Prescribed Opioids with Increased Risk of Community-Acquired Pneumonia Among Patients With and Without HIV What is the association between prescribed opioids and community-acquired pneumonia requiring hospitalization among patients living with and without HIV? Read the abstract. Gene Network Dysregulation in the Trigeminal Ganglia an...
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Arthroscopic Transosseous vs. Anchored Rotator Cuff Repair (NCT03797287)

This study will compare arthroscopic transosseous versus anchored rotator cuff repairs in terms of clinical outcomes, rotator cuff integrity, and cost-effectiveness. With the collection of patient-reported outcomes the health of patients undergoing each rotator cuff repair technique will be assessed. The aims of this study will be achieved through ...
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Managing Children’s Pain after Surgery

The first in a series of columns on pain in children in The New York Times discusses the changes occurring on how pediatric pain is managed. Full story .

New Medications Offer Improved Treatment for Alcohol Use Disorders, Chronic Pain, Mood Disorders

A team of researchers from Purdue University discovered that two peptides, which are naturally metabolic products of Rubisco, a large protein found in many plants like spinach, may aid in the development of new medications for people dealing with addictions. Full story .
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Multimodal Pain Therapy After Hernia Repair (NCT03792295)

This is a randomized, non-blinded study comparing the effects of multimodal pain management (ibuprofen, tylenol, and narcotics/oxycodone as needed) for relief of post-operative pain in patients who undergo hernia repair. Patients who present for elective hernia surgery will be randomized in a 1:1 fashion by pre-operative pain score into a multimoda...
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Rapidly Taking Patients off Opioids Might Not Be a Good Idea, Experts Say

Forcing patients off opioid painkillers could sometimes do more harm than good, international medical experts warn in an open letter published in Pain Medicine to health authorities. Full story . Read the letter .
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NCATS Announces HEAL Design Challenges to Inspire Innovative Opioid Crisis Solutions

  The National Center for Advancing Translational Sciences (NCATS) at the National Institutes of Health (NIH) invites innovators to submit novel design solutions for its ASPIRE (A Specialized Platform for Innovative Research Exploration) Design Challenges. The deadline to submit solutions is May 31.  Full story.
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AAPM President Expresses Disappointment in Senator Wyden’s Letter Discrediting the Work of the HHS Pain Management Best Practices Inter-Agency Task Force

A statement from the American Academy of Pain Medicine The American Academy of Pain Medicine (AAPM) President Jianguo Cheng, MD, PhD, issued a response expressing deep disappointment in Senator Ron Wyden (D-Ore.)'s December 18, 2018 letter to the U.S. Department of Health & Human Services (HHS) Secretary Alex Azar, in an apparent effort to disc...
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U.S. FDA Panel Votes for Prescribing Naloxone with Opioids

An advisory panel to the U.S. Food and Drug Administration recommended prescribing the opioid overdose reversal drug, naloxone, with addictive painkilllers. Full story .

Study of Pennsylvania Commonwealth Efforts to Reverse Opioid Epidemic

The American Medical Association (AMA), Pennsylvania Medical Society (PAMED) and Manatt Health released the first in a series of studies of state responses to the opioid epidemic. Full story .

Alliance Against Opioid Abuse Releases Toolkit for Pharmacists

  Full story .

Pain Abstracts

Medication-Assisted Treatment for Opioid Use Disorder: Proceedings of a Workshop—in Brief. Read the abstract . Identifying the Pathways Required for Coping Behaviours Associated with Sustained Pain. Read the abstract . Inflammatory Back Pain Criteria Perform Well in Subset of Patients with Active Axial Psoriatic Arthritis but Not among Patients wit...
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Study Shows Massage Helps Ease Arthritis Pain, Improve Mobility

Patients with arthritis in their knees experienced significant improvement in pain and mobility after undergoing a weekly, whole-body massage for two months, according to a study led by researchers at Duke Health. Full story .

US: Fears of Prescribing Hurt Chronic Pain Patients

Federal and state government efforts to reduce prescription opioids are inadvertently harming chronic pain patients in the United States, Human Rights Watch said in a new report. Full Story .

Treating America's Pain: Unintended Victims of the Opioid Crackdown

A three-part Fox News Series examines the nation's struggle to address a crippling opioid crisis, and the unintended victims left in its wake: Part 1: The Suicides Part 2: The Doctors Part 3: The Solutions  

Applying for Pain Medicine Fellowship: Insider Tips from Fellowship Program Directors

A panel of three program directors from pain fellowship programs around the country present information for potential applicants on what an accredited pain medicine fellowship program teaches, who can and does apply, the application process, and what program directors look for in a strong applicant. Free for members; $25 nonmembers. Learn more .

NIH Needs Your Innovative Research Ideas Through Our Newly Announced NIH HEAL Initiative Funding Opportunities

NIH leadership from across the agency has been working diligently over the past several months to identify areas of greatest opportunity for research to address the national opioid crisis. They've announced new funding opportunity announcements (FOAs), added to several of the more than 30 FOAs. Full story .

2019 Changes—Don’t Miss Out on Needed Information

by Emily Hill, PA, AAPM Coding Consultant If you missed the AAPM live webinar on December 13, it's not too late to get the information you need for a successful practice in 2019. The webinar titled, Preparing for 2019: Update on Coding and CMS Policy Changes provides an update on the Medicare Physician Fee Schedule and its impact on Pain Medicine p...
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Origins of Pain

Research identifies the nerve-signaling pathway behind the deep, sustained pain that sets in immediately following injury. The findings also shed light on the different pathways that drive reflexive withdrawal to avoid injury and the subsequent pain-coping responses. Full story .

Researchers Collaborating with National Institutes of Health to Develop Nonopioid Drug for Chronic Pain

Researchers are working to develop a drug that can treat certain types of chronic pain without the addictive consequences of opioids. The drug compound, known as ML351, was discovered by researchers from the NIH. Full story .  

AAPM Fights Misapplication of CDC Guideline Through AMA

Your AAPM delegates joined other pain and palliative medicine societies to rally the AMA House of Delegates to adopt a policy opposing the misuse of the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain. Read about this and other recent efforts to advocate for pain medicine through the AMA.  

AAPM Statement on Interventional Pain Procedures and SCS

​A statement from the American Academy of Pain Medicine  While valid concerns have been raised by the International Consortium of Investigative Journalists regarding spinal cord stimulators (SCS), the American Academy of Pain Medicine (AAPM) feels that focusing on these concerns alone does not tell the whole story.  Pain remains one of th...
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AAPM35 Early-Bird Rates & Late Breaking Poster Call

Registration for the AAPM 35th Annual Meeting & Preconferences is live, with early-bird registration rates expiring on January 9. Secure the lowest registration prices by registering now . The AAPM Call for Late-Breaking Abstract Submissions will open in early-January 2019. If you have highly significant, newsworthy research to display at AAPM3...
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Opioids Offer Little Chronic Pain Benefit and Wane Over Time, Study Says

AAPM President Jianguo Cheng, MD PhD contributed to CNN coverage of a new analysis of opioids for chronic noncancer pain, saying it reinforces what's become conventional wisdom for pain specialists. "We're going to try the least risky drug first, so opioids are not a first line treatment in most cases." Full story .  

Report from the AMA Interim Meeting

November 2018, National Harbor, MD Submitted by Robert Wailes, MD, AAPM AMA Delegate The AMA House of Delegates (HOD) met November 10-13 in National Harbor, MD, to discuss many challenging issues and draft new policies intended to shape the practice of medicine in the United States. Topics as diverse as gun control and physician aid in dying were a...
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Benzodiazepines for the Reduction of Distress and Pain During and After Emergency Department Care (NCT03756038)

In this proposal, the investigators will determine if a single dose of oral lorazepam reduces distress, pain severity, and need for opiate analgesics both in the ED and in the acute recovery period after discharge. The investigators will compare the lorazepam arm to a placebo arm. Read the details .

Peripheral Nerve Stimulation for Subacromial Impingement Syndrome (NCT03752619)

Shoulder pain accounts for 16% of all musculoskeletal complaints in the healthy adult population. Subacromial impingement syndrome (SIS) is the most common cause of shoulder pain. Many patients with chronic pain from subacromial impingement syndrome (SIS) will fail treatment efforts and have longstanding pain. This project will evaluate the efficac...
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Digital Behavioral Pain Medicine for Orthopedic Trauma Surgery Patients (NCT03764839)

The primary purpose of this study is to determine the feasibility and preliminary efficacy of a perioperative digital behavioral pain medicine intervention delivered to orthopedic trauma surgery patients (compared to an active control group that receives digital health education). Read the details .  

Changes for Neurostimulator Coding

  by Emily Hill, PA, AAPM Coding Consultant CPT 2019 made significant changes to the codes and guidelines for neurostimulator services. Code 64550 (Application of surface (transcutaneous) neurostimulator (e.g.TENS)) has been deleted. Parenthetical notes direct users to report 97014 for supervision of transcutaneous electrical nerve stimulation...
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Pain Abstracts

Acute Harms Associated with Pregabalin Misuse in Victoria: a 6-year Examination of Ambulance Attendances. Read the abstract . Long-Term Mechanical Function and Integration of an Implanted Tissue-Engineered Intervertebral Disc. Read the abstract . Biological Insights from the Premonitory Symptoms of Migraine. Read the abstract . TLR8 and its Endogen...
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Opioid Prescriptions from Dentists Linked to Youth Addiction Risk

In teenagers and young adults, receiving opioids from dental providers is linked with elevated risk for continued opioid use and abuse, a new study has found.  Full story . Read the abstract .

Minimally Invasive Treatment Provides Relief from Back Pain

The majority of patients were pain free after receiving a new image-guided pulsed radiofrequency treatment for low back pain and sciatica, according to a study. Full story .  

Inspiring Medical Device Innovation to Combat the Opioid Crisis

The FDA's Center for Devices and Radiological Health (CDRH) launched an Innovation Challenge in May 2018 and announced the selected proposals that include therapeutic and diagnostic medical devices intended to treat opioid use disorder, detect and treat overdose, dispense medication and treat pain. Full story .

AAPM Retains Seat in AMA House of Delegates

Thanks to AAPM members like you maintaining membership in the American Medical Association (AMA), the Academy was recently informed that it has been determined eligible for continued representation in the AMA House of Delegates (HOD) for the next five years. This marks the 30th anniversary of AAPM in the AMA HOD.

AAPM Comments on NIH Report on National Efforts to Address the Opioid Crisis

Comments from the American Academy of Pain Medicine  The American Academy of Pain Medicine appreciates the opportunity to provide comments regarding the Roadmap and of the federal action to address not only the national opioid crisis but also the challenges in treatment of pain that are one contributing factor to the crisis.  From an over...
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AAPM Foundation Convenes Migraine Consensus Panel

Experts in the medical, procedural, and complementary and integrative treatment of migraine met on December 1 to begin developing multidisciplinary guidelines for treating adults with frequent migraine, designed to answer questions relevant to clinicians and their patients. The panel was convened by the AAPM Foundation utilizing grants from multipl...
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Opioid Safety Project Webinar Series—Patient and Family Perspectives

AAPM Member Beth Hogans, MD will present a free webinar developed by Telligen QIN-QIO and the American Medical Association on December 12, 12 pm CT. Register .

Preparing for 2019: Update on Coding and CMS Policy Changes Webinar on December 13

AAPM coding and billing expert Emily Hill, PA will present a live webinar on December 13, 12-1 pm CT, designed to preview coding changes going into effect on January 1 related to pain medicine services. Learn more and register .

AAPM35 to Feature State-of-the-Art Advancements in Pain Medicine

The AAPM 35th Annual Meeting & Preconferences at the Colorado Convention Center in Denver, CO, March 6-10, 2019, will bring together members of the pain care team for five days of comprehensive pain education, presentation, discussion, and networking focused on the theme state-of-the-art advancements in pain medicine. Learn more and register .

Hot Topics in Pain Management Makes Local News

AAPM Hot Topics in Pain Management faculty member Magdalena Anitescu, MD appeared on Chicago's WGN News yesterday to discuss treating chronic pain.  View the interview . Dr. Anitescu will present on interventional pain procedures at AAPM's Hot Topics in Pain Managemen t meeting this Saturday in Chicago.  Learn more at painmed.org/chicago ...
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Science to Medicine—Screening for Substance Use in the Pain Management Setting

​ AAPM Immediate Past President Steven Stanos, DO provides tips for screening pain patients for risky substance abuse and what to do if patients screen positive for unhealthy substance use in this NIDAMED online resource. Full story .

Fewer Opioids, More Pay: New Tack on How Doctors Prescribe Them

AAPM President Jianguo Cheng, MD PhD raises concern that Blue Cross Blue Shield Michigan's new plan intended to reduce post-operative opioid prescribing doesn't account for chronic pain patients and may create new problems if physicians have an incentive to reduce pain medication as much as they can. Full story .  

AAPMF Pain Medicine Education Program for Daiichi Sankyo Reps

The AAPM Foundation has launched a pain medicine education program (PMEP) specifically designed for 300 Daiichi Sankyo sales representatives. The course aims to further representatives' knowledge, confidence, and credibility when interacting with pain medicine healthcare providers. Watch for the PMEP emblem on the business cards of DSI representati...
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TENS and Heat for Reducing Back Pain in Humans (NCT03740750)

Lower back pain is one of the most common and most expensive impairments costing time and expense in the work force today. With the effects on cognitive skills and addictive side effects of opioids and other prescription pain killers, there has been increasing interest in alternative medical treatments to relieve pain. Two of these that are commonl...
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Randomized Trial of Telephonic Pain Self-Management to Promote Opioid Tapering (NCT03743402)

In the Pain Self-Management Training for Opioid Taper (PSMOT) study, the effectiveness of a multicomponent intervention will be tested, compared with usual care, on opioid dose and pain outcomes among patients on high dose (≥ 50 mg morphine equivalent dose) long-term opioid therapy in a randomized controlled trial. This intervention will have 4 com...
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Update Regarding Risk of Tissue Overheating Due to Inaccurate Magnetic Resonance Thermometry

Full story .

Use Caution with Implanted Pumps for Intrathecal Administration of Medicines for Pain Management: FDA Safety Communication

Full story .

Pain Abstracts

Association of Opioid Prescribing with Opioid Consumption after Surgery in Michigan. Read the abstract . Knee Pain as a Predictor of Structural Progression Over 4 Years: Data from the Osteoarthritis Initiative, a Prospective Cohort Study. Read the abstract . Migraine with Visual Aura, Incident AF, and Stroke Risk: Is Migraine with Aura an Embolic T...
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Multisociety Research Collaboration—Small Research Group Update

The Multisociety Research Collaboration (MRC) provides a forum for specialty societies to identify critical gaps in the evidence base where additional high-quality research is needed to clarify the role of interventional pain procedures in the treatment of patients with spine conditions. In a recent project, MRC participants identified lumbar trans...
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Pain Can Be a Self-Fulfilling Prophecy

A new brain imaging study finds that expectations about pain intensity can become self-fulfilling prophecies. Surprisingly, those false expectations can persist even when reality repeatedly demonstrates otherwise, the study found. Full story .  
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Can Stimulating the Brain Treat Chronic Pain?

Researchers show they could target one brain region with a weak alternating current of electricity, enhance the naturally occurring brain rhythms of that region, and significantly decrease symptoms associated with chronic lower back pain. Full story .
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West Virginia University First Site to Launch Clinical Trial Utilizing Non-Opioid Micropellet Implant for Chronic Pain

As part of an ongoing commitment to battle opioid addiction, the Rockefeller Neuroscience Institute at West Virginia University marked a major milestone, enrolling the first patient in a randomized clinical trial that will test the effectiveness of an injectable non-opioid, non-steroid micropellet to treat sciatica. Full story .
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Pain Medicine Physician Perspective Represented in AMA House of Delegates

Pain medicine was represented at the recent American Medical Association House of Delegates Interim meeting by delegate Robert Wailes, MD , and alternate delegate Donna Bloodworth, MD . Among topics discussed, delegates spoke against insurers and pharmacists using CDC guidelines to restrict the provision of opioids. See AMA Delegates Back Physician...
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The National Science and Technology Council (NSTC) Seeks Public Comment

The NSTC is seeking public comment on the Draft Report of the Fast Track Action Committee (FTAC) on Health Science and Technology Response to the Opioid Crisis. Comments are requested by December 5. Full story .
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Preparing for 2019: Update on Coding and CMS Policy Changes Webinar on December 13

AAPM's upcoming coding webinar will help prepare your practice for 2019 coding changes. Major CMS initiatives will be reviewed including insight into the impact on current and future reimbursement for pain medicine services. Keep up to date and learn about the new and/or revised CPT and ICD-10 codes and the latest information regarding the CMS Qual...
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Help Fund 2019 Fellows Scholars

As we take time to be thankful and charitable this week, please consider making a contribution to the AAPM Foundation. Your donation will help fund the 2019 Fellows Scholarship Program, which provides funding to promising pain fellows so that they can attend the AAPM Annual Meeting. Make a donation online  or call 847.375.4731.