Clinical Documentation Improvement (CDI): Initiating a Program for Your Practice

Source: Emily Hill, PA, AAPM Coding Consultant Date: July 11, 2018 CDI has been described as the process of improving healthcare records to ensure improved patient outcomes, data quality, and accurate reimbursement. Hist...
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Acupuncture Reduces Joint Pain Due to Breast Cancer Treatment

Source: New York Presbyterian Researchers at Columbia University Irving Medical Center and New York-Presbyterian found that acupuncture was associated with a statistically significant drop in joint pain among women takin...
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Brain Imaging: A Promising Biomarker for Pain

Source: Biomedical Journal of Scientific & Technical Research Abstract: Clinicians and researchers have the problem of objectively assessing the intensity and characteristics of pain. Furthermore, the widespread use ...
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The Hurt Blocker: Mike Hildebrand’s Groundbreaking Research on Chronic Pain

Hildebrand, a Neuroscience professor at Carleton, is trying to figure out, with the help of some graduate students, what's happening in the spinal cord to perpetuate chronic pain. Full story...
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Non-Opioid Drug Relieves Pain in Mice, Targets Immune Cells

Source: University of Washington, St. Louis Faced with the epidemic of opioid addiction, researchers have been charged with finding other strategies to treat pain. Their efforts largely have focused on nerve cells that t...
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Opioid Epidemic Responses Overlook Gender

Source: Yale University In a commentary published in The Lancet , Women's Health Research at Yale Director Carolyn M. Mazure, and Yale Program in Addiction Medicine Director David A. Fiellin, M.D., called for researchers...
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Migraine Prevention Drugs Demonstrate Net Health Benefit

Source: Institute for Clinical and Economic Review The Institute for Clinical and Economic Review released a final evidence report on three calcitonin gene-related peptide (CGRP) inhibitors for prevention of migraine. Pa...
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Study: Men with Migraine May Have Higher Estrogen Levels

Source: American Academy of Neurology (AAN) While it has been known that estrogen plays a role in migraine for women, new research shows that the female sex hormone may also play a role in migraine for men, according to ...
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Clinical Studies Show Impact of Migraine across Various Stages of Women's Lives

Source: American Headache Society At the American Headache Society (AHS)'s 60th Annual Scientific Meeting, leading migraine experts are presenting five clinical studies that deepen the understanding of the effects of epi...
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The Effect of Incomplete Death Certificates on Estimates of Unintentional Opioid-Related Overdose Deaths in the United States, 1999-2015

Source: Public Health Reports Abstract: Objectives: A complete and accurate count of the number of opioid-related overdose deaths is essential to properly allocate resources. We determined the rate of unintentional overd...
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Injured Athletes Can Benefit from Using Mindfulness

Source: University of Kent, U.K. A new study of injured athletes carried out by the University found they can benefit from using mindfulness as part of the sport rehabilitation process to improve their pain tolerance and...
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Activating Two Receptors Along Chemical Pathways May Provide Pain Relief at a Lower Opioid Dose

Source: Johns Hopkins Medicine A team of researchers at Johns Hopkins have found that activating nerve cell receptors along two chemical pathways — one that has previously been linked to how the brain senses "itch" — may...
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In Vivo Brain GPCR Signaling Elucidated by Phosphoproteomics

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Aging Back Clinics

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Spinal Manipulation and Exercise for Low Back Pain in Adolescents: A Randomized Trial

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Rutgers Co-Author Available for Interviews on Study Showing High Risk of Dying Among Survivors of Opioid Overdoses

Source: Rutgers University-New Brunswick Rutgers Professor Stephen Crystal, who co-authored a pioneering study showing that U.S. survivors of opioid overdoses are highly likely to die within a year from drug use–related ...
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Overdose Risk Quintuples with Opioid and Benzodiazepine Use

Source: Health Sciences at the University of Pittsburgh In the first 90 days of concurrent opioid and benzodiazepine use, the risk of opioid-related overdose increases five-fold compared to opioid-only use among Medicare...
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New ‘E-Dermis’ Brings Sense of Touch, Pain to Prosthetic Hands

Source: Johns Hopkins University Amputees often experience the sensation of a "phantom limb"—a feeling that a missing body part is still there. That sensory illusion is closer to becoming a reality thanks to a team of en...
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RUC Survey of CPT Codes for Injection of Somatic Nerves

Source: Emily Hill, PA, AAPM Coding Consultant Date: June 20, 2018 Next week we will be contacting a random selection of members to participate in an important AMA/Specialty Society Relative Value Scale Update Committee ...
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Notice of Intent to Restrict the Marketing and Advertising of Opioids

[Source: Health Canada] Prescription opioids can help Canadians who need them to manage pain. However, over-prescription of opioids has contributed to Canada's current opioid crisis. To help address this issue, Health Ca...
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Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association with Mortality: A Cohort Study

Source: Annals of Internal Medicine Abstract: Background: Opioid overdose survivors have an increased risk for death. Whether use of medications for opioid use disorder (MOUD) after overdose is associated with mortality ...
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Inhibition of Somatosensory Mechanotransduction by Annexin A6

Source: Science Signaling Abstract: Mechanically activated, slowly adapting currents in sensory neurons have been linked to noxious mechanosensation. The conotoxin NMB-1 (noxious mechanosensation blocker-1) blocks such c...
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Pilot Study to Compare Topical Voriconazole to Placebo as a Pain Reducing Agent

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Study with Implications for Opioid Crisis Finds Opioids Raise Risk of Fracture Nonunion

Source: Louisiana State University Health Sciences Center Dr. Robert Zura, Professor and Chair of Orthopaedic Surgery at LSU Health New Orleans School of Medicine, was part of a research team reporting that not only may ...
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Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011–2015

Source: Journal of General Internal Medicine Abstract: Background: Potentially inappropriate prescribing (PIP) may contribute to opioid overdose. Key Results: All six types of PIP were associated with higher adjusted haz...
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Structure of the µ-Opioid Receptor-Gi Protein Complex

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Effect of Restricting the Legal Supply of Prescription Opioids on Buying Through Online Illicit Marketplaces: Interrupted Time Series Analysis

Source: BMJ Abstract: Objective: To examine the effect on the trade in opioids through online illicit markets ("cryptomarkets") of the US Drug Enforcement Administration's ruling in 2014 to reschedule hydrocodone combina...
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The Burden of Opioid-Related Mortality in the United States

Source: JAMA Abstract: Importance: Opioid prescribing and overdose are leading public health problems in North America, yet the precise public health burden has not been quantified. Conclusions and Relevance: Premature d...
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What Is CDI and How Does It Impact You?

Source: Emily Hill, PA, AAPM Coding Consultant Date: June 6, 2018 CDI (Clinical Documentation Improvement) has been described as the process of improving healthcare records to ensure improved patient outcomes, data quali...
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Transcranial DCS May Boost Mood in Chronic Low Back Pain

Source: Medscape Full story (login required)...  
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D-cycloserine for the Treatment of Chronic, Refractory Low Back Pain

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Health Care Utilization and Overall Costs Based on Opioid Dependence in Patients Undergoing Surgery for Degenerative Spondylolisthesis

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ICER Report Supports Cost Effectiveness of CGRP Inhibitors

Source: Institute for Clinical and Economic Review (ICER) A recently released Institute for Clinical and Economic Review (ICER) evidence report assessing the comparative clinical effectiveness and value of three calciton...
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Research Finds Pain Expectation Is Pain Reality for Children

Source: UC Riverside Research yields some advice on how to, and how not to, coach children before vaccinations. Full story...  

The Brain Is Able to Anticipate Painful Movements Following Injury

Source: The Physiological Society When people are injured, how does the brain adapt the body's movements to help avoid pain? New research published in The Journal of Physiology investigates this question. Full story... &...
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Single Injection Alleviates Chemotherapy Pain for Months in Mice

Source: University of California San Diego School of Medicine Researchers at University of California San Diego School of Medicine have found a new way to block a root cause of pain. The key is a naturally occurring prot...
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Four Factors Predict Chronic Opioid Use, Suggests Study by WVU Researchers

Source: West Virginia University Four factors increase the odds that a patient will wind up on chronic opioid therapy, suggests research conducted by a team of researchers led by Nilanjana Dwibedi, assistant professor in...
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Dextromethorphan in Fibromyalgia (DXM)

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Cortisone Shots for Neck Pain

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Association of Opioid-Related Adverse Drug Events with Clinical and Cost Outcomes among Surgical Patients in a Large Integrated Health Care Delivery System

​ Source: JAMA Surgery Abstract: Importance: Opioids are commonly used for pain control during and after invasive procedures. However, opioid-related adverse drug events (ORADEs) are common and have been associated with ...
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Inpatient Opioid Use and Insufficient Weaning Pre-Discharge May Increase Outpatient Opioid Prescriptions

Source: American Thoracic Society According to the University of Pittsburgh School of Medicine scientists who conducted the study, theirs is the first large-scale evaluation of the impact of in-hospital opioid prescribin...
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Osteopathic Manipulative Treatment including Specific Diaphragm Techniques Improves Pain and Disability in Chronic Non-Specific Low Back Pain: A Randomized Trial

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Effect of Fremanezumab Compared With Placebo for Prevention of Episodic Migraine: A Randomized Clinical Trial

Source: JAMA Abstract: Importance: Fremanezumab, a fully humanized monoclonal antibody that targets calcitonin gene-related peptide, may be effective for treating episodic migraine. Conclusions and Relevance: Among patie...
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Clinical Practice Guidelines for Neck and Low Back Pain in Outpatient Physical Therapy

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Less is More When it Comes to Prescription Opioids for Hospital Patients, Study Finds

Source: Yale School of Medicine In a pilot study published in JAMA Internal Medicine , Yale researchers significantly reduced doses of opioid painkillers given to hospital patients. By delivering the opioids with a shot ...
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Top-Down Descending Facilitation of Spinal Sensory Excitatory Transmission from the Anterior Cingulate Cortex

Source: Nature Communications Abstract: Spinal sensory transmission is under descending biphasic modulation, and descending facilitation is believed to contribute to chronic pain. Descending modulation from the brainstem...
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Development and Course of Chronic Pain Over 4 Years in the General Population: The HUNT Pain Study

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Acetaminophen Versus IV Hydromorphone for Pain in the Elderly in the ED

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Drosophila Insulin Receptor Regulates the Persistence of Injury-Induced Nociceptive Sensitization

Source: Disease Models & Mechanisms Diabetes-associated nociceptive hypersensitivity affects diabetic patients with hard-to-treat chronic pain. Because multiple tissues are affected by systemic alterations in insulin...
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Body’s 'Natural Opioids' Affect Brain Cells Much Differently than Morphine

Source: University of California, San Francisco A new study led by UC San Francisco scientists shows that brain cells, or neurons, react differently to opioid substances created inside the body – the endorphins responsib...
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