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New Fibromyalgia Assessment Tool
How to Diagnose FMS Without Counting Tender Points
A new, easy-to-use, Symptom Intensity Scale assesses both regional pain and fatigue, and can be used in daily practice to establish a diagnosis of fibromyalgia syndrome and to measure its severity without the need to count tender points. It also can be used to detect fibromyalgia as a comorbidity in other clinical illnesses This tool is easier to use than traditional ACR criteria, and more fully describes fibromyalgia in which fatigue is usually present and often severe. See Details...>
New Section Targets Opioid Emergencies
There have been concerns about overdose fatalities with prescription opioid analgesics. Such emergencies are rarely sudden events; they are usually foretold by signs-symptoms of overmedication, which can be reversed via a relatively inexpensive, safe, and easy-to-administer antidote — naloxone. Along with proper training of patients and their caregivers, naloxone also can be prescribed for home use. Documents in this section address those issues and more…
<> Managing An Opioid Overdose Crisis
<> Emergency Opioid Tapering During A Disaster
<> Naloxone – Drug Information (Labeling Info)
<> Using Naloxone – Fast Facts (Palliative Care)
<> Naloxone for the Reversal of Opioid Adverse Effects
<> Intranasal Naloxone for Acute Opiate Overdose
See Details & Access These Documents…>
Understanding Interventional Pain Medicine
Interventional Approaches to the Management of Spinal Pain [Lower Back]
By: Trescot A. Pain Medicine News (special edition). 2009(June);7(6).
This article provides a summary of evidence-based guidelines from the American Society of Interventional Pain Physicians (ASIPP), with a focus on the treatment of lower back pain. Descriptions of the various tools and techniques employed by interventionists to diagnose and treat these disorders should be of interest to all healthcare providers. See Details...>
Pain & Disability Assessment Tools to Note
Our listings of Pain & Disability Assessment Tools is one of the most frequently visited features. We continually work to make this the most comprehensive offering available anywhere.
A recent posting in this section is…
Tools for Assessing Neuropathic Pain
By: Giorgio Cruccu, Andrea Truini; PLoS Medicine; 2009;6(4).
See Details & Access This Article…>
Recently Posted Pain-Treatment GUIDELINES
Persistent Non-Specific Low Back Pain
From: NICE, National Health Service, UK, 2009.
Recommendations include either structured exercise, manual therapy, acupuncture, or combined physical and psychological treatment. X-rays, therapeutic ultrasound, lumbar supports, or injections of therapeutic substances are not recommended in back pain of 6 weeks to 1 year duration. See Details…>
Pharmacological Management of Persistent Pain
in Older Persons
From: American Geriatrics Society (AGS); 2009.
Based on recent evidence, this new guideline has nearly eliminated using NSAIDs or COX-2 inhibitors in patients 75-years and older. Rather, the panel recommends opioid therapy for elderly patients with moderate-to-severe pain or diminished quality of life due to pain. Overall, 27 recommendations are presented for managing persistent pain in the elderly, who have a tendency to be more frail and suffer from multiple chronic illnesses.. See Details…>
Continuing Education (CME) Courses Posted
Collaborative Opioid Prescribing Education (COPE)
This multifaceted educational program focuses on the complexities of communicating with patients, particularly “problem patients,” regarding opioid analgesia for chronic pain management. Techniques are demonstrated through insightful video case examples and other interactive features. There is important information provided for all healthcare professionals.
See Details…>
Recent Resources for Your Patients
How to Safely Buy Medications Online
The Internet can be a hazardous place to buy medicines unless the source is legitimate and follows high standards for product quality and delivery. These resources list safe Internet pharmacy sites and provide other helpful information...
<> Buying Medicine & Medicinal Products Over the Internet
<> Online Pharmacies You Can Trust
<> Safely Buying Medicine Online
See Details & Access These Sites…>
Latest Pain-Topics e-Briefing Newsletter
This edition of our newsletter takes a hard, evidence-based look at treatment guidelines in the pain management field. It addresses a critical question: When strong recommendations are based on weak evidence are the guidelines still valid for everyday clinical practice? Topics include...
- EDITOR’S NOTEBOOK…
<> Misguided Pain Guidelines? (feature)
> Opioid Rx Guidelines in Search of Evidence
> ECG Screening in Methadone Patients Challenged
> Fibromyalgia Guidelines Inconsistent
- PAIN INNOVATIONS: EVIDENCE REVIEW...
<> Opioid Blockers Aid Pain Relief
- Pain-Topics.org NEWS...
<> Website-Rating Survey Results
Download This Newsletter PDF (470 KB, 12 pp)…>
See All Newsletter Listings...>
Report: Opioid Blockers Boost Pain Relief
Opioid Antagonists, Naloxone & Naltrexone — Aids for Pain Management
By: Stewart B. Leavitt, MA, PhD, Pain Treatment Topics, March 2009.
Opioid antagonists may offer novel and potentially effective approaches for resolving some of the most difficult-to-treat and challenging pain conditions facing healthcare providers and their patients. This 16-page, peer-reviewed, evidence-based report describes naloxone and naltrexone pharmacology and the theoretical foundations of opioid antagonists in pain management.
See Details and Download Report…>
MARCH-MAY 2009 News/Research UPDATES
 In this latest 2009 edition >>
> Most Therapies for Low Back Pain Unhelpful
> Acupuncture – Real or Fake – Works for Back Pain
> Low-Dose Naltrexone Eases Pain, Fatigue of Fibromyalgia
> Patients Hide Use of Complementary & Alternative Medicine
> Tips for Preventing Methadone Analgesia Overdose
> Trial Supports CR-Oxycodone for Herpes Zoster Pain
> Opioids Favored for Pain in Elderly
> Three Treatments for Knee Osteoarthritis Found Ineffective
> Fears Prevent Patients From Controlling RA Pain
> Recent Drug or Device Approvals, Announcements, and Warnings
And, much more... See News/Research Updates...>
Outreach Campaign Targets Methadone Safely
A new program — Follow Directions: How to Use Methadone Safely — was released by a consortium of government agencies. This public awareness campaign is intended to deliver the message to consumers that methadone is a safe and effective treatment for opioid addiction and pain management when taken as directed. Several free items are available: (1) a patient brochure, (2) an information sheet for handout by pharmacies and others, and (3) a poster. See Details…>
SPECIAL ANNOUNCEMENTS 
New Edition – Europad Journal on Addiction
This edition (June 2009) features important articles addressing QTc interval screening in patients prescribed methadone, new approaches in treating opioid-dependent pregnant women, ethical/legal issues surrounding opioid substitution therapy, and more. See Details & Download the Journal…>
Prescriptions in U.S. Must Have AE-Reporting Info
Effective July 1 2009, the U.S. FDA is requiring the following statement to be distributed with all prescription medications: “Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.” Adverse event (AE) reports also can be submitted online to the FDA’s MedWatch program. <Click Here for MedWatch>
Plan Now for Your Continuing Education this Fall
AAPM 20th Annual Clinical Meeting
October 8-11, 2009, Phoenix, AZ – This annual meeting of the American Academy of Pain Management (AAPM) attracts professionals from many fields and offers continuing education credits in 17 different disciplines. Diverse educational opportunities in the field of integrative pain management are offered.
PAINWeek09®
September 9-12, 2009, Las Vegas, NV – This is a unique gathering of multiple pain and primary care organizations presenting educational sessions at a single national conference. The goal of PAINWeek is to disseminate knowledge and tools to frontline clinicians who are faced with treating the majority of patients in pain. Continuing education credits are available for professionals in most major disciplines.
See More Information on These Two Meetings…>
Become a Pain-Topics.org Sponsor
Pain Treatment Topics provides non-commercial information and education on the causes and effective management of pain. To do this, we rely on sponsor support in the form of annual educational grants and, through such support, we are able to provide these offerings absolutely free and without restriction to all site visitors. Learn how your organization, large or small, can participate. Go to Info Page…>
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Thank you, for visiting, and we hope to see you here often.
Stewart B. Leavitt, MA, PhD, Executive Director
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