Exercise Therapy for Chronic Pain
The benefit of exercise for pain control likely comes from the impact of exercise on the endogenous opioid system and on central pain modulatory systems. Patients with some chronic pain…
Injections for Chronic Pain
Although interventional procedures should be used cautiously in the setting of chronic pain, there is a role for a variety of injections to facilitate a patient’s overall rehabilitation program. There…
Opioid Therapy in Chronic Pain
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…
Chronic Pain Assessment
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…
Central Hypersensitivity in Chronic Musculoskeletal Pain
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,…
Chronic Pain
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…
Chronic Pain
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…
Diagnosis and Treatment of Cervical Radiculopathy and Myelopathy
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…
Diagnosis and Treatment of Work-Related Proximal Median and Radial Nerve Entrapment
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…
