Predicting Drug Efficacy in Chronic Low Back Pain by Quantitative Sensory Tests

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FDA Clears Vagus Nerve Stimulator for Migraine Pain

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Tamper-Resistant Opioids No Panacea for Opioid Crisis

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Length of Opioid Prescription, Number of Refills Spell Highest Risk for Misuse After Surgery

Source: Beth Israel Deaconess Medical Center With opioid overdoses now a leading cause of nonintentional death in the United States, data show most of these deaths can be traced back to an initial prescription opioid. A new study led by investigators at Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical School (HMS) sheds light on the...
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Default Setting in Electronic Medical Records 'Nudged' Emergency Department Physicians to Limit Opioid Prescriptions to 10 Tablets

Source: University of Pennsylvania School of Medicine For patients who have never been prescribed opioids, larger numbers of tablets given with the initial prescription is associated with long-term use and more tablets leftover that could be diverted for misuse or abuse. Implementing a default option for a lower quantity of tablets in the electroni...
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Postsurgical Prescriptions for Opioid Naive Patients and Association with Overdose and Misuse: Retrospective Cohort Study

Source: BMJ Abstract: Objective: To quantify the effects of varying opioid prescribing patterns after surgery on dependence, overdose, or abuse in an opioid naive population. Conclusions: Each refill and week of opioid prescription is associated with a large increase in opioid misuse among opioid naive patients. The data from this study suggest tha...
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Researchers Devise Decoy Molecule to Block Pain Where It Starts

Source: University of Texas Dallas For anyone who has accidentally injured themselves, Dr. Zachary Campbell not only sympathizes, he's developing new ways to blunt pain. Campbell's team took the approach of blocking the creation of the proteins that set pain in motion. After an injury, instructions provided by the genome — the full set of genetic i...
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Rapid Turnover of Cortical NCAM1 Regulates Synaptic Reorganization after Peripheral Nerve Injury

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Intrathecal Morphine Microdose Method Sensory Changes

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2018 Pain Management Codes Posted on Website

Source: Emily Hill, PA, AAPM Coding Consultant Date: January 10, 2018 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 2018 Relative Value Units (RVUs) for codes commonly reported by Pain Medicine Physicians. The title ...
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Prescription Opioid Use and Satisfaction with Care among Adults with Musculoskeletal Conditions

[Source: Annals of Family Medicine] Abstract: Purpose: In the current payment paradigm, reimbursement is partially based on patient satisfaction scores. We sought to understand the relationship between prescription opioid use and satisfaction with care among adults who have musculoskeletal conditions. Read more...
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Power Transmission and Workload Balancing Policies in Ehealth Mobile Cloud Computing Scenarios: a Real IoT Ehealth Scenario for and Prediction of the Migraine Disease Is Shown

Source: Future Generation Computer Systems Abstract: The Internet of Things (IoT) holds big promises for healthcare, especially in proactive personal eHealth. Prediction of symptomatic crises in chronic diseases in the IoT scenario leads to the deployment of ambulatory monitoring systems. These systems place a major concern in the amount of data to...
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University of Michigan/Wayne State Chronic Pain Study

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Scientists Take a Big Step Toward Building a Better Opioid

Source: University of North Carolina School of Medicine For the first time, scientists at the University of North Carolina School of Medicine and collaborators solved the crystal structure of the activated kappa opioid receptor bound to a morphine derivative. They then created a new drug-like compound that activates only that receptor, a key step i...
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Gabapentinoid Use in the United States 2002 through 2015 (Research Letter)

Source: JAMA Internal Medicine Gabapentin and pregabalin are the 2 clinically used medications in the gabapentinoid drug class. Pregabalin and gabapentin have both been approved by the US Food and Drug Administration for treatment of partial seizures and postherpetic neuralgia. Gabapentin enacarbil has also been approved for restless legs syndrome,...
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Reduction of Opioid Use and Improvement in Chronic Pain in Opioid-Experienced Patients After Topical Analgesic Treatment: An Exploratory Analysis

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The Appropriate Use of Opioids in the Treatment of Refractory Restless Legs Syndrome

Source: Mayo Clinic Proceedings Abstract: Restless legs syndrome (RLS) is a distinct disorder, differing from chronic pain in many ways. Refractory RLS is characterized by unresponsiveness to dopamine agonists or alpha-2-delta ligands due to inadequate efficacy, augmentation, or adverse effects. This may result in severely impaired quality of life,...
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AMA House of Delegates Adopts AAPM Resolution on Future of Pain Care

  Action planned to discuss and organize medicine's response to the public health crisis of pain   (and opioid addiction) CHICAGO—A Future of Pain Care resolution, introduced by the American Academy of Pain Medicine (AAPM) to the American Medical Association (AMA) House of Delegates during its June 2017 Annual Meeting, highlight...
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Intensive Outpatient Pain Management Shown as Cost-Effective Method for Treating High Utilizer Chronic Pain Patients

March 16, 2017, ORLANDO, Fla. – High utilizers of medical services account for disproportionate healthcare costs, with up to 21% of expenditures spent treating the top 1% of patients (Jiang et al, Characteristics of Hospital Stays for Super-Utilizers by Payer, 2012. Agency for Healthcare Research and Quality H-CUP Nov 2014), and chro...
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Stem Cell Transplantation Produces Remarkable Therapeutic Effects on Neuropathic Pain in Animal Models

March 16, 2017, ORLANDO, Fla. – Chronic pain from nerve injury is common and often debilitating. Current treatment options for neuropathic pain include physical, cognitive, behavioral, pharmacological, interventional, and surgical therapies. Unfortunately, none of these therapies is particularly effective, according to Jianguo Cheng,...
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Simulation and Immersive Learning Shown to Successfully Teach Safe Opioid Prescribing in a Medical School Setting

  March 16, 2017, ORLANDO, Fla. – Negative consequences from opioid prescribing stem in part  from a lack of education and skills training in all levels of medical education. A 2011 study that  assessed U.S. and Canadian medical school curricula concluded that pain education for North  American medical school students is limited...
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Novel Naloxone Device Offers Hope to Community Organizations Grappling with Drug Overdose Epidemic

March 16, 2017, ORLANDO, Fla. – Deaths from drug overdose have increased sharply in the past decade, an unfortunate trend that is associated with overdoes of prescription opioid pain relievers more than tripling from 1983 to 2013 (Mack MMWR Suppl . 2013;62(3):161-3). The drug naloxone has been established as a safe and effective medi...
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Interdisciplinary Chronic Pain Rehabilitation Program Shown as Successful Method for Treating Older Adults with Chronic Pain

  March 16, 2017, ORLANDO, Fla. – Up to half of older adults (aged 60 years or more) report  experiencing chronic pain. A study presented today at the American Academy of Pain  Medicine's 33rd Annual Meeting as a scientific poster abstract considered the utility of  interdisciplinary chronic rehabilitation programs in treating t...
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American Academy of Pain Medicine Endorses First Comprehensive National Pain Strategy

March 28, 2016, CHICAGO, Ill – The Board of Directors of the American Academy of Pain  Medicine (AAPM) enthusiastically endorses the National Pain Strategy (NPS) issued earlier this  month by the US Department of Health and Human Services. "For AAPM to issue such a formal  endorsement is unusual," said AAPM President Daniel B. Carr, ...
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CHOIR Results Demonstrate Shortest Path Between Primary Care and Pain Medicine for the Most Complex Patients

Feb. 18, 2016, PALM SPRINGS, Calif. –- The care of complex patients with pain exhibits a closer connection between primary care and the specialty of pain medicine than that seen with less complex patients, Stanford researchers reported today. Results presented in a scientific poster at the 32nd Annual Meeting of the American Academy of Pain Me...
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Intradiscal Biacuplasty Sustains Long-term Superiority Over Conservative Treatment for Discogenic Low-Back Pain

Feb. 18, 2016, PALM SPRINGS, Calif. – Patients treated with intradiscal biacuplasty (IDB) for discogenic back pain maintained benefits a year later, and those who crossed over to IDB treatment mid-study reported similar gains, study investigators reported. The results were presented today in a scientific poster at the 32nd Annual Meeting of th...
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More Evidence of the Power of Mesenchymal Stem Cell Transplant to Block Opioid-Induced Hyperalgesia and Tolerance

Feb. 18, 2016, PALM SPRINGS, Calif. – Cleveland Clinic researchers have found new evidence that modulating neuroinflammation with stem cell transplants may prove to be an effective strategy to treat both opioid tolerance (OT) and opioid-induced hyperalgesia (OIH). The latest results in this line of inquiry, which may have the potential to tran...
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Sphenopalatine Ganglion Block is Found Fast, Effective and Safe for Postdural Puncture Headache in Obstetric Patients

Feb. 18, 2016, PALM SPRINGS, Calif. – New research suggests that sphenopalatine ganglion block (SPGB) relieves disabling headache from dural puncture faster than the usual care of epidural blood patch (EBP) and lacks the potential for rare but profound complications that can accompany EBP. A non-invasive treatment with minimal side effects, SP...
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Stanford Researchers Tout Successful CHOIR Rollout as Example of Private-Public Partnership That Works

Feb. 18, 2016, PALM SPRINGS, Calif. –- In an example of a successful private-public partnership, the creators of a technologically advanced national registry to collect data on the experience of pain sufferers and their responses to treatment are reporting significant growth across the globe. The results are on view today in a scientific poste...
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Study Shows Epidural Steroid Injections Associated With Lower Outpatient Costs in Low-Back Pain

Feb. 18, 2016, PALM SPRINGS, Calif. – Epidural steroid injections (ESIs) may help lower health care spending in patients with low-back pain, with most of the savings coming in outpatient care, new research suggests. Patients who received ESIs showed a much sharper decline in health care spending compared to controls who did not, according to r...
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Study Suggests Multimodal Pain Care Leads to Shorter Hospital Stays, Lower Opioid Doses After Surgery

Feb. 18, 2016, PALM SPRINGS, Calif. –- Pain care for patients already taking opioids can be improved by bringing together multiple non-opioid treatment modalities during hospitalization, a prospective pilot study showed. Patients so treated were less likely to be readmitted to the hospital within 60 days, according to results reported in a sci...
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Two Routes of Administration Outperform Systemic Steroid Alone, Extend Pain Control of Intercostal Nerve Blocks: Controlled Trial

Feb. 18, 2016, PALM SPRINGS, Calif. – Researchers interested in prolonging the effect of an intercostal nerve block (INB) to ease post operative pain were able to do so through administering dexamethasone by two separate routes. The resulting superior pain control suggests that perineural and systemic steroids provide analgesia by two separate...
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Bleeding Complications Rare in Interventional Pain Procedures, Retrospective Study Shows

Feb. 18, 2016, PALM SPRINGS, Calif. – Recent findings support the safety of common interventional pain procedures, even in the presence of aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs). Mayo Clinic researchers reported results in a poster on view today at the 32nd Annual Meeting of the American Academy of Pain Medicine.  I...
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Four Pain Fellowship Programs Receive Fellowship Excellence Awards from the American Academy of Pain Medicine at its 32nd Annual Meeting, Palm Springs, CA

Palm Springs, CA—The American Academy of Pain Medicine (AAPM) is pleased to announce the recipients of its 2016 Pain Medicine Fellowship Excellence Awards. The awards recognize Pain Medicine Fellowship Programs that provide an exceptional learning experience, preparing fellows to deliver the highest standard of care to patients with pain....
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Top Pain Physicians, Researchers Are Honored with AAPM 2016 Awards and Presidential Commendations

February 18, 2016, PALM SPRINGS, Calif. -- The American Academy of Pain Medicine (AAPM) is pleased to announce its Pain Medicine 2016 Awards and Presidential Commendations for exceptional service to the Academy and/or the field of Pain Medicine. Recipients will be honored on Saturday, February 20, 2016 at the AAPM's Annual Meeting in Palm...
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Pain Physicians from AAPM Welcome Primary Care to “Big Tent”

The critical role of primary care physicians and clinicians in pain prevention and treatment will be apparent throughout many of the educational sessions at the American Academy of Pain Medicine's (AAPM's) Annual Meeting, beginning Thursday, at the Palm Springs Convention Center in Palm Springs, Calif. The meeting co-chairs promise top-flight ...
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The AAPM Annual Meeting offers education and networking opportunities for all members of the pain care team.

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