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Welcome to Pain-Topics.org...
Helping you to make the most of your time on the Internet. The mission of Pain Treatment Topics is to serve as a noncommercial resource for healthcare professionals & their patients, providing open access to clinical news, information, research, and education for a better understanding of evidence-based pain-management practices. Visit the Site Overview for an explanation of the various tabs and sections.
Chronic pain is often associated with depression and many herbal over-the-counter remedies for self-treatment of depression or anxiety contain St. John’s wort. New research suggests that taking this herbal product can incur drug interactions that may reduce effects of oxycodone and many other opioid analgesics. Read more>
Research on the association of vitamin D status with pain conditions continues to accumulate. In this latest study, a multinational European group of researchers found in a large sample of men that having musculoskeletal pain, particularly chronic widespread pain, was significantly influenced by low levels of vitamin D. Learn more>
> Study Supports Tai Chi for Fibromyalgia Pain > Pharmacotherapies for Neuropathic Pain Reviewed > U.S. FDA Delays Opioid REMS Until 2011 > Women Suffer Chronic Pain More Than Men > Monitoring, Counseling Curb Rx-Opioid Misuse > Criteria for Diagnosing Early-Stage RA Published See Table of Contents for ALL Updates> Stay Updated on UPDATES, Register for e-Notifications>
New Pain-Treatment GUIDELINES
From: American College of Foot and Ankle Surgeons. 2010. This revised, 20-page guideline includes algorithms for the diagnosis and treatment of plantar and posterior heel pain, plus other etiologies of heel pain. Treatment recommendations vary, depending on the origin of the pain, but can range from a change in footwear or analgesic therapy to injection modalities or surgery. Learn more> VA/DoD Guideline for the Management of These updated guidelines for use in ambulatory settings discuss all levels of pain management from assessment to patient education, with an emphasis on the proper and safe prescribing of long-term opioid therapy.
Resources for Patients
From: Arthritis Foundation; undated. This website has an easy-to-use pictorial approach for selecting a specific body joint and learning more about the diagnosis and treatment of arthritis. Treatment considerations for each joint vary but can include discussions on drug therapy, conservative measures such as braces, techniques to reduce pain, and surgical procedures. See details>
From: Arthritis Foundation; Undated; Multiple topics. Consumers should know about drugs that have been prescribed or are available over-the-counter for symptoms of arthritis. This resource provides information on effectiveness, side effects, dosing, and special instructions for each medication. See details> Update – What to Do With Leftover Medications? New guidance from the FDA recommends the disposal of almost all opioid medicines via flushing down the toilet. See details>
Latest Continuing Education Postings
Fibromyalgia: Overcoming Barriers to Diagnosis & Treatment From: National Fibromyalgia Association and others, 2010 What Do I Need to Know About Gout? From: Journal of Family Practice, 2010.
Opioid Rx & Safety
PCSS Guidance on Methadone and Drug Interactions From: Physician Clinical Support System for Methadone (PCSS-M); Elinore F. McCance-Katz, MD, PhD; July 2010. Understanding Opioid Metabolism Review describes the basics of opioid analgesic metabolism and the factors influencing it. See details>
Clinical Concepts: Pain Therapies Update - 2010 ACPA Consumer Guide to Pain Medication & Treatment
Document provides current information on pharmacotherapies as well as their potential side effects, and other treatments for pain. Iit is perhaps the most concise and complete document of its kind, which also makes it an excellent reference for all healthcare providers. See details>
Pain & Disability Assessment Tools to Note
Diagnosing FMS Without Counting Tender Points
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This page was last updated 8/29/10 |
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St. John’s Wort May Thwart Opioid Analgesia
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From: American Chronic Pain Association (ACPA), 2010.
Our listing 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.
New approaches have been developed for use in daily practice to establish a diagnosis of fibromyalgia syndrome (FMS) and to measure its severity without the need to count tender points. Such diagnostic criteria also can be used to detect fibromyalgia as a comorbidity in other clinical illnesses, and may be easier for some practitioners to use than traditional ACR criteria. 
Purdue Pharma L.P. has announced that the U.S. Food and Drug Administration (FDA) approved its Butrans™ (buprenorphine) transdermal system for the management of moderate to severe chronic pain. Buprenorphine, previously approved only in parenteral form for analgesia in the U.S., is a unique opioid offering potential benefits for patients needing long-term around-the-clock analgesia. 
Registration for the AAPM (American Academy of Pain Management) 21st Annual Clinical Meeting in Las Vegas, NV, is now available online. This is the only educational conference that truly addresses multimodal and integrative approaches for pain management and attracts healthcare professionals representing diverse disciplines. It is a genuinely unique learning and networking opportunity. 
The goal and vision of PAINWeek 2010 in Las Vegas, NV, is to disseminate knowledge and tools to frontline clinicians who are faced with treating the majority of patients in pain. PAINWeek offers 100+ hours of continuing education. 
American Association for the Treatment of Opioid Dependence (AATOD) conferences attract an eclectic mix of healthcare providers, international stakeholder organizations, government regulators, and patient advocates. A vital focus is on the critical role of medication assisted treatment for opioid dependence and the evidence-based science behind it. This is of special importance for the pain field, as many persons coming into addiction treatment today are dependent on opioid analgesics.
Pain Treatment Topics provides non-commercial information and education on the causes and effective management of pain. To do this, we rely on support in the form of annual educational grants and, through these, we are able to provide all offerings absolutely free and without restriction to site visitors. Learn how your organization can participate in helping to support this website. 
