Opioids remain the strongest and most effective analgesics available. The downside is that they are addictive and potentially dangerous. Throughout history, although recognizing the value of opioids in treating serious…
Key points • Although physiatrists are ideally suited to assess chronic pain, they need to perform a careful history and physical examination for accurate assessment. • Specific attention should be…
Clinical research has consistently detected alteration in central pain processing leading to hypersensitivity. Most methods used in humans are reliable and have face validity to detect widespread central hypersensitivity. However,…
James P. Robinson, MD, PhD, Editor Virtaj Singh, MD, Editor This issue of the Physical Medicine and Rehabilitation Clinics of North America deals with strategies for evaluating and treating chronic…
Gregory T. Carter, MD, MS, Consulting Editor Much has happened in the field of chronic pain in the past few decades. Things continue to change, even in the way chronic…
This article is a guideline covering a wide array of cervical conditions seen in the workers’ compensation, as well as the nonworkers’ compensation, population. The guideline is intended to provide…
Proximal median (PMNE) and radial (RNE) nerve entrapment syndromes are uncommon. This article provides an evidenced-based treatment guideline for PMNE and RNE based on the available literature. Arriving at an…
Complex regional pain syndrome can be a debilitating disorder, which, in its earliest stages, can be prevented by aggressive rehabilitation based on reactivation. It is critical to follow international criteria…
Outcomes of surgery for neurogenic thoracic outlet syndrome (NTOS) in workers’ compensation are poor in a majority of patients, partly due to nonspecificity of diagnosis. Most cases have no objective…
