Opioid Syndrome
Treatment of chronic noncancer pain (CNCP) with high-dose opioids (HDOs) has burgeoned over the past 2 decades in the United States. Characteristic domains and features of the failed CNCP management…
Side Effects of Commonly Prescribed Analgesic Medications
Key points • Analgesics, including opioids, steroidal and nonsteroidal anti-inflammatory drugs, aspirin, acetaminophen, antiepileptics, and serotonin-norepinephrine reuptake inhibitors are medications commonly used to treat many forms of pain. • All…
Spinal Cord Injury Pain
Chronic pain associated with traumatic spinal cord injury (SCI) can be quite challenging to the physiatrist. This highly prevalent condition within the SCI population requires an appropriate evaluative approach including…
Myofascial Pain Syndrome Treatments
Myofascial pain syndrome (MPS) is a regional pain disorder caused by taut bands of muscle fibers in skeletal muscles called myofascial trigger points. MPS is a common disorder, often diagnosed…
Greater Trochanteric Pain Syndrome Diagnosis and Treatment
Lateral hip pain, or greater trochanteric pain syndrome, is a commonly seen condition; in this article, the relevant anatomy, epidemiology, and evaluation strategies of greater trochanteric pain syndrome are reviewed….
Discogenic Low Back Pain
Most lumbar disk herniations improve over time with or without medical treatment. Disk herniations and annular tears may not be symptomatic and are shown to exist in patients without any…
Diagnosis of Myofascial Pain Syndrome
Myofascial pain is one of the most common causes of pain. The diagnosis of myofascial pain syndrome (MPS) is made by muscle palpation. The source of the pain in MPS…
The Failed Back Surgery Syndrome
This article describes the costs and risk factors for failed back surgery syndrome and reviews the diagnosis and treatment strategies commonly used to address this syndrome. The purpose of this…
Carpal Tunnel Syndrome Diagnosis
Key points • Symptoms include numbness, tingling, and/or pain in the ventral-lateral hand, possibly thenar atrophy and weakness, which typically worsens at night. • Positive provocative testing includes Tinel, Phalen,…
Complex Regional Pain Syndrome
This article discusses the diagnostic criteria, clinical course, and complications of complex regional pain syndrome. Multidisciplinary treatment including physical and occupational therapy, psychological evaluation and treatment, pharmacologic management, and more…
