Dedication
This issue is dedicated to Dr David Kilmer. Although his time with us was tragically cut short, the knowledge and approach to medicine I gained from his teaching, expertise, and…
Pediatric Rehabilitation
Gregory T. Carter, MD, MS, Consulting Editor In the scope of medicine overall, and even within our own specialty of Physical Medicine and Rehabilitation, children with disabilities represent a unique…
Nonopioid Medications for Pain
Evidence of nonopioid analgesic effectiveness exceeds that for long-term opioids in chronic noncancer pain (CNCP), most with lower risk. Non-drug therapies such as cognitive behavioral therapy and physical activation are…
Complementary Medicine in Chronic Pain Treatment
This article discusses several issues related to therapies that are considered “complementary” or “alternative” to conventional medicine. A definition of “complementary and alternative medicine” (CAM) is considered in the context…
Pain and the Injured Worker
Physicians who treat injured workers with painful conditions face complex challenges that require skills beyond those of a clinician. To address these challenges effectively, physicians need to understand the logic…
Chronic Daily Headache
Chronic daily headache (CDH) is a challenging condition to treat. CDH is often accompanied by significant comorbidities, such as chronic fatigue, depression, anxiety, and insomnia, which further complicate treatment. Unrealistic…
Interdisciplinary Rehabilitation
Interdisciplinary pain rehabilitation programs are infrequently used in the United States in the treatment of chronic pain. Comprehensively addressing the contributors to chronic pain, which include behavioral, psychological, and physical…
Nutrition and Pain
Research is providing compelling evidence for Hippocrates’ oft quoted “Let food be thy medicine.” Despite this, most graduating physicians receive only a few hours of instruction about nutrition and coaching…
Psychiatric and Psychological Perspectives on Chronic Pain
Chronic pain patients often have psychiatric disorders that negatively influence their responses to treatment. Also, many of them have dysfunctional beliefs and coping strategies, even if they do not meet…
