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Pain General

Is Pain Really The 5th Vital Sign?

Oct 28, 2013

This has been bothering me for many years. No, pain is not the 5th vital sign. It's not a sign at all. Vital signs are the following: heart rate; blood pressure; respiratory rate; temperature. W...

ACEP 13: Automated Pain Tracker Ups Analgesia Use

Oct 17, 2013

The Particulars: Data indicate that pain is one of the leading complaints among ED patients. Patient satisfaction has been shown to improve when greater attention is given to pain assessment. The Auto...

ACEP 13: Opioid Misuse in Discharged ED Patients

Oct 17, 2013

The Particulars: The rate of opioid misuse among discharged ED patients who receive prescriptions for these drugs has not been well defined in previous studies. Little is known about how opioid misuse...

Surgeons Report Two New Approaches to Lessen Postoperative Pain and Reduce Use of Prescription Painkillers

Oct 08, 2013

WASHINGTON, DC—New combinations of postoperative pain treatment decreased both pain and the use of narcotic pain relievers according to two studies presented this week at the 2013 Clinical Congress ...

Predicting Prolonged Opioid Use After Surgery

Sep 05, 2013

Opioid drug use in patients with chronic pain has been linked to psychological distress and substance abuse. Studies suggest that these factors are often more influential than the intensity of pain pa...

Enhancing Management of Lower Back Pain

Aug 13, 2013

About 25% of adults report having low back pain lasting at least 1 whole day in the preceding 3 months. Imaging for acute low back pain is common, with a reported 42% of patients receiving imaging wit...

AAOS 2013: Pediatric Sports and Recreation Injuries Down

Mar 19, 2013

  Bicycle, trampoline and roller sport injuries decline; football and soccer injuries still on the rise New research presented today at the at the 2013 Annual Meeting of the American Academ...

AAOS 2013: Clinical News Highlights - March 19

Mar 19, 2013

Military Personnel Return to Duty Following Severe Injury to the Lower Extremity Return to Duty of Special Operations Personnel after Limb Salvage for High Energy Lower Extremity Trauma Return to ...

Total Knee Arthroplasty Among Medicare Beneficiaries

Feb 19, 2013

Approximately 600,000 total knee arthroplasties (TKA) are performed each year in the United States, costing about $15,000 per procedure. “TKA has been shown to markedly improve health-related qualit...

Updated Guidelines for RA Treatment

Feb 11, 2013

In 2008, the American College of Rheumatology (ACR) issued guidelines for the use of non-biologic and biologic treatments in rheumatoid arthritis (RA). Much has changed in the years since the last rec...

Imaging Use & Atraumatic Headache in the ED

Jan 28, 2013

Atraumatic headache is one of the most common complaints in EDs, but only a small subset of patients who present to the ED with this complaint are found to have life-threatening intracranial pathology...

Examining Chronic Opioid Use in TKA

Jan 27, 2013

Consensus statements on the management of knee osteoarthritis have not thoroughly addressed the use of opioid medications in patients undergoing total knee arthroplasty (TKA). In order to reduce posto...

Guidelines Update: Preventive Treatments for Migraine

Jan 25, 2013

About 38% of people who suffer from migraine could benefit from preventive treatments, but less than one-third currently uses them. Some analyses have shown that migraine attacks can be reduced by mor...

Assessing Self-Management for Lower Back Pain

Jan 17, 2013

Self-management of lower back pain appears to have only small effects on pain and disability, according to findings from a systematic review. Analyses of 13 trials found little improvement in pain and...

A Guideline Update for Managing Acute Pain in Perioperative Settings

Jan 14, 2013

Pain management is a critical component medical care for patients undergoing surgery, but studies suggest that up to 70% of individuals undergoing surgery complain of moderate-to-severe pain after the...

Migraine Prevalence, Celiac Disease, & IBD

Jan 03, 2013

When compared with healthy controls, patients with celiac disease, gluten sensitivity (GS), and inflammatory bowel disease (IBD) appear to have a higher prevalence of migraine. Investigators from New ...

Updating Osteoarthritis Treatment Recommendations

Dec 26, 2012

To help clinicians manage the increasing number of patients with osteoarthritis (OA), the American College of Rheumatology (ACR) revised its guidelines for using non-pharmacologic and pharmacologic th...

Rotator Cuff Repair: Analyzing Trends

Dec 18, 2012

Arthroscopic and open repair of rotator cuff tears have been established in published research to have comparable clinical results, with each having distinct advantages and disadvantages. Some studies...

Evaluating Online Scoliosis Info

Dec 06, 2012

An exploration of the top 100 websites from searches of “scoliosis” using the five most commonly used search engines suggests that the overall quality of information on the condition appears to be...

Goal Setting for Older Adults With Diabetes

Nov 27, 2012

To successfully manage type 2 diabetes in older adults, clinicians must recognize and understand the unique challenges these individuals face. While the benefits of tight glycemic control in older adu...

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