Pain
From the Editor
A physician’s response to observational studies of opioid prescribing
Not long ago, we were told we needed to do better at relieving pain.
The Clinical Picture
Back pain as a sign of inferior vena cava filter complications
Complications can include filter movement, fracture, occlusion, and penetration.
Commentary
How acute pain leads to chronic opioid use
Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.
Reviews
Office approach to small fiber neuropathy
A practical approach for identifying an underlying cause is to first screen for common ones.
From the Editor
Small fibers, large impact
The wide interest in small fiber neuropathy may reflect our current apparent epidemic of chronic pain.
1-Minute Consult
What can we do about musculoskeletal pain from bisphosphonates?
The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.
1-Minute Consult
What inpatient treatments do we have for acute intractable migraine?
Options: volume repletion, antiemetics, antiepileptics, NSAIDs, corticosteroids, and magnesium sulfate. Avoid opioids.
Medical Grand Rounds
What you can do for your fibromyalgia patient
Fibromyalgia is a defined syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.
IM Board Review
A 67-year-old woman with bilateral hand numbness
Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.
Reviews
Primary care management of chronic pelvic pain in women
While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.