An article recently appeared in the July, 2007 issue of "The Journal of Pain." And I found it one of the few scholarly medical articles which appeared as disturbing as it was interesting. Interesting, because the study confirmed what many have assumed for a long time: There is a pervasive abuse of prescription narcotics. ... Read more
Current guidelines on pain management advise that patients at risk for ulcer disease be prescribed either a cox-2 inhibitor such as Celebrex, or a traditional anti-inflammatory (such as Motrin or Naprosyn) in combination with a proton-pump inhibitor (such as Nexium or Prevacid) to protect the stomach lining from the potentially destructive... Read more
The health care professions are all facing an aging and rising tide of baby boomers, and many of these patients are going to be suffering from chronic pain, for a variety of reasons. Unfortunately, the elderly are often untreated or under-treated for pain. Patient and physician should each begin to ask themselves how can... Read more
Many patients express fear of developing chronic knee pain due to repeated physical exercise, in particular running. There is often a fear expressed that that shock to the knee when that foot hits the pavement is slowly and inevitably destroying the cartilage, sentencing the athlete in question to a lifetime of chronic arthritic pain.
Obesity is... Read more
The synthetic opioid methadone has been used for many years to treat opioid (commonly, heroin) dependence. However, it is being used increasingly for patients dealing with moderate to severe pain, and often in the setting of a terminal illness.
And it is an effective drug, with a convenient dosing schedule and a relatively low cost. But it... Read more
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