If It Ain’t One Thing

The results of a Kaiser Family Foundation poll was made public a couple of days ago, and it shows that 27 percent of Americans report that they either have been addicted to prescription painkillers, or have a family member or close friend who has dealt with this issue.

Blowing the Bugles for Buccal Buprenorphine

Belbuca. It is indicated for the treatment of chronic pain severe enough to require daily, around-the-clock, long-term opioid treatment, in the patient for whom alternative treatment options are inadequate.

Whither the Weathering of Wuthering Weather

Autumn has begun, the days are shorter, the leaves taking a more prominent place outside the front door. The thought of winter’s approach crosses the mind; and for some of us, the specter of more musculoskeletal pain begins its yearly haunting. But should we believe in the ghosts of chronic pain?

The Obese and the Impulsive

It is important to identify early risk factors for adolescent weight gain that could potentially be targeted in future weight gain prevention programs, as pediatric obesity and weight gain are risk factors for adult obesity and associated complications.

Childhood's End.........of Chronic Pain

Like fibromyalgia in adults, childhood fibromyalgia is a very intensely painful condition, affecting anywhere from 2% to 6% of the population. As it is in adults, it is a chronic pain condition in children. But, instead of medications, the symptoms can be treated with physical and occupational therapy and counseling. Children become well; pain does not become chronic.

It’s Not Your Mother’s Aspirin

Of course, there are concerns surrounding the worried not-so-well: those individuals who live off of chocolate chip cookies, who consider bending over to pick up the morning newspaper their exercise for the day, and who will now think that taking an aspirin a day bestows immortality.

The GPS Approach to Chronic Pain

It would seem that chronic pain that is experienced as a noxious physical stimulant, and is often hand-in-hand with symptoms whose origin lie in the emotional and cognitive parts of the human being, is fueled by neural links between the somatosensory part of the brain and those parts that process and express emotional and cognitive brain outputs.

Dying From Pain Relief

That is, when it comes to depression, NSAIDs might not be helpful, their mechanism of action is not yet fully explained, and, really, most would agree that being diagnosed with a heart attack or stroke would most likely not result in less depression in an already depressed individual.

No, You Don’t Have Chronic Fatigue Syndrome

SEID should not be relegated to the misfit land with those other “diagnoses of exclusion,” but should instead, ideally, be viewed as a diagnosis that is actively made. Maybe the SEID patient will now not only start to be diagnosed, but also heard.

Ashley Graham's Curves versus James Brown's Moves

We, men and women, boys and girls, should not feel compelled to strive for perfection, but we should care about our bodies. My concern is that the embracing of curves will be a substitute for taking care of oneself, for fighting the sedentary life that seems to envelop so many of us, and for not giving up on the effort it takes to exercise.

A Choice Between Chronic Pain and Dementia?

Dementia is a much-feared condition. Patients want to know what medications that might increase the risk of this condition should be avoided.

Chronic Fatigue Syndrome Versus Myalgic Encephalomyelitis

Whether one is considering CFS, ME, or CFS/ME, the challenges seem daunting, whether it be in the diagnosis or the treatment of these conditions. These challenges seem beyond daunting when one stops to consider that we are still waiting, in 2015, for the right name for the CFS/ME phenomenon.

Implanting Weight Loss

How times have changed. Some 40 years ago we watched a couple of prime time television shows about a bionic man and woman. The devices built into those television heroes allowed for super-human running speeds and the ability to jump heights unheard of. Today, we have different goals for our bionic men and women: Maybe one less pancake, one less bag of chips.

Inheriting Suicide

According to the current psychiatric literature, adoption, twin, and family studies have established that suicidal behavior is familial. Disturbingly, what is passed down from generation to generation is suicide or suicide attempts, and not just suicidal ideation. Photo: Google.

Smiling Again with Laughing Gas

And so, maybe it is time to look at what we already have: Although ketamine has gained interest in recent years as a rapidly acting potential therapy for treatment refractory depression, researchers say an even better option may lie in another well-known agent with a similar mechanism of action ― nitrous oxide, better known as laughing gas. (Image from Google.)

High Definition Dupe

We supposedly know how full of misinformation the internet can be. But is it time to turn a jaundiced eye away from Dr. Oz? Are we being snookered in HD?

Why Do You Gain Weight When You Exercise?

You begin a rigorous exercise program because it could not hurt to lose a little weight and, as I tell my patients, such exercise can improve many things, including chronic pain. But then you find you are gaining weight. Is it time to raise the white flag and buy that cookies-of-the-month club subscription?

Before the Veteran, Before the Pain

And the weekly supermarket ad encouraged me to remember our vets in print just a font size or two larger than the words “serving suggestion” under the adjacent photo of a garnished rib-eye steak—for sale at a Veterans Day low price.

Five Facts Regarding Sleep Terrors and Nightmares

Disrupted sleep is the fuel that keeps the fire of chronic pain roaring. Dreams, sometimes of the frightening variety, can keep us from a sound sleep. But there are other terrors lurking in the dark of the bedroom. We are often told the unknown can cause fear; maybe a little learning about why our EEGs go bump in the night can assuage at least a little of that fear:

The Ghost of Pregnancies Past

For centuries, theologians have grappled with that line in Exodus 20:5, which states: “For I, the Lord your God, am a jealous God, visiting the iniquity of the fathers on the children to the third and fourth generations of those who hate Me.” From a genetic viewpoint, the iniquity of the fathers might occasionally miss its target, only to hit that innocent bystander, Mom.

Damned If You Do, Dead If You Don’t

If heroin use increases, death from heroin increases (as does the spread of HIV and viral hepatitis). And we should all wonder what the crackdown on prescription opioid abuse is accomplishing.

Why You Are Demented?

Those who took low-dose benzodiazepines, or who took only occasional high dosages, did not have their Alzheimer's risk increase for the five years they were studied after having been initiated on these agents. In contrast, those who frequently took long-acting benzodiazepines, or who took any such drugs regularly over several months, suffered a more disturbing fate.

Old Drugs, New Worries

Nonsteroidal anti-inflammatory drugs (NSAIDs) approximately double the risk for venous thromboembolism (VTE), including deep venous thrombosis and pulmonary embolism, according to an article published last month in the journal Rheumatology.

The Fatty and Not the Fat

We have all heard about the literal and figurative impact the obesity epidemic has on the weight-bearing joints: early and relentless degenerative arthritis as our knees and hips struggle against that out-of-range Body Mass Index, cartilage deteriorating along with the will power to try another diet, worsening knee pain making exercise less desirable and less feasible.

Why Mexican-Americans Do Better Than Others Academically

It is more about the way families view their horizons, the most successful with extraordinarily high expectations for those horizons. If the heights expected are not attainable, the disappointment may be as emotionally draining as being yelled at during piano lessons. (Photo from "Time" magazine.)

I’m Feeling It

Although prior research has not unequivocally specified these pathways at the anatomical level, some evidence, both theoretical and empirical, suggest that emotional reactions influence the experience of disease and non-disease-related pains. Other studies suggest that treatments directed at negative emotional responses reduce suffering associated with pain.

Pee-Shy: When You Don’t Go When You Gotta Go

For many experts, paruresis is most easily defined as an inability to urinate in public restrooms, particularly when other persons are present or may enter the room, that is often associated with considerable avoidance behavior, and is therefore best classified as social phobia behavior. (Photo; GooglePlay)

Biopsychosocial Chronic Pain

The degree of chronic pain suffered is varied, and does not always correlate with the changes seen on x-ray, or even MRI. Psychosocial factors are consistently associated with the symptomatology of OA: Pain and restricted function are associated with more depressive symptoms, and the existence of depression has predicted which patients might worsen over time.

The Good, the Bad, and the Ugly of Working With Chronic Pain

If you have chronic pain and are in the workforce, you should make every attempt to settle into an occupation that isn't too physically demanding and allows you to work at your own pace. Research into these issues has been performed, and the results have allowed for a rough approximation of the good, the bad, and the ugly in the job market.

I Feel Your Central—or Maybe Peripheral—Pain

A patient may meet criteria for the diagnosis of fibromyalgia, but many fibromyalgia patients meet criteria for other functional somatic syndromes, not to mention a variety of psychological afflictions. It could be that chronic pain patients do not improve as quickly as we (and they) would like.