Pain Articles
There are many therapies for treating chronic pain ranging from medications to invasive techniques, including injections and surgery. Often overlooked and underused are the various nonpharmacologic therapies, such as psychotherapy, physical therapy (PT), occupational therapy (OT), and acupuncture (...
A 50-year-old man presents to the emergency department (ED) with midsternal chest discomfort. The pain started at 3:00 AM and was 6/10 in intensity; it was relieved by 2 sublingual nitroglycerin tablets. The patient had another episode of chest pain at 11:00 AM, this time with radiation toward his...
Pain need not be an unbearable fact of life for most adults who now have, or who have been treated for, cancer. Cancer-related pain can usually be effectively controlled.
Fibromyalgia, or for that matter many chronic pain syndromes, are not uncommon in primary care. In the case of fibromyalgia, there is no ideal treatment. Patients with the diagnosis therefore may choose to seek pain relief from non-medical sources. One drug sought after is marijuana. A recent study...
Primary care patients with chest pain comprise a sizeable cohort. Not only do some have a potentially fatal disease (an acute coronary syndrome), but those who do not (most of them, or 85% to 90% of the visits) are often admitted from the emergency department and add needless costs. These patients...
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Pain Videos
Patient Education on Pain
Jeffrey Applebaum of UC Davis, Family Medicine presents an update on the diagnosis and treatment of chronic pain syndromes in the primary care setting.
Chronic Pain - How Acute Pain Becomes Chronic?
Pain that continues after you are healed is chronic pain.
Clinical Guidelines-Pain
- Clinical Guidelines-Pain
This provides a framework to manage all chronic pain conditions, even when the injury is not addressed in the clinical topics section - The Necessity for Early Evaluation and Treatment
A consensus statement from the American Academy of Pain Medicine - Diagnosis and Treatment of Low Back Pain
A joint clinical practice guideline from the American College of Physicians and the American Pain Society. - Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain
Recommendations for the use of chronic opioid therapy (COT) for chronic noncancer pain (CNCP) in both primary care and specialty settings. - Guidelines for interventional Techniques in the Management of Chronic Spinal Pain
Strategies to manage chronic spinal pain and/or its consequences in the general populations and in workers to improve the quality of clinical care. - Public Policy Statement on the
Rights and Responsibilities of Healthcare Professionals
in the use of Opioids for the Treatment of Pain
It is sometimes a difficult medical judgment as to whether opioid therapy is indicated in patients
Migraine and Headache in Children and Adolescents
Pediatric Migraine: Strategies for Maintaining Control
Lifestyle changes that can diminish the frequency and intensity of migraines include maintaining regular sleeping, eating, and exercise habits; staying well hydrated; dealing with stress; and avoiding dietary triggers of migraine.
Controlling Pediatric Migraine—Continued
Many attempts at showing efficacy in triptan trials in children have been unsuccessful because of the very high rate of placebo response.
Headache Secondary to Epidural Abscess
A 14-year-old boy was admitted to our hospital with a headache of 3 weeks’ duration and forehead swelling.
Pediatric Migraine: Clinical Pearls in Diagnosis and Therapy
Although underlying malignancy is uncommon, chronic and severe headache episodes in children are disabling and require intervention.
Pediatric Migraine: Diagnosis—Early Intervention at School
Recurrent headaches that are accompanied by the need to rest during attacks, a family history of migraines, and benign physical findings are migraine until proved otherwise.











