Pain Management

Nov 01, 2021 Issue
Anticonvulsants, SNRIs, and Rubefacients Are Best Initial Choices for Chronic Pain Caused by Diabetic Neuropathy or Postherpetic Neuralgia [POEMs]

Given the balance of benefits and harms, there is moderately good evidence for anticonvulsants (pregabalin [Lyrica] and gabapentin [Neurontin] were similarly effective and well tolerated) and serotonin-norepinephrine reuptake inhibitors (SNRIs; with duloxetine [Cymbalta] and venlafaxine being simila...

Jul 01, 2021 Issue
Complex Regional Pain Syndrome [Article]

Complex regional pain syndrome (CRPS) is a rare, chronic pain disorder. It is challenging for patients and physicians because it leads to significant morbidity due to chronic pain that may last for years. CRPS typically develops four to six weeks after direct trauma, such as an injury or surgery, an...

Jul 01, 2021 Issue
Pharmacologic Therapy for Acute Pain [Article]

Pharmacologic management of acute pain should be tailored for each patient, including a review of treatment expectations and a plan for the time course of prescriptions. Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line treatment options for most patients with acute mild...

May 1, 2021 Issue
Nonopioid Pharmacologic Treatments for Chronic Pain [Implementing AHRQ Effective Health Care Reviews]

What are the effects of nonopioid drugs on pain, function, and quality of life in patients with specific types of chronic pain, and what are the adverse events related to these drugs?

Apr 1, 2021 Issue
Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic [POEMs]

Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief with surgery compared with no surgery.

Feb 1, 2021 Issue
Chronic Pelvic Pain in Women: ACOG Updates Recommendations [Practice Guidelines]

The American College of Obstetricians and Gynecologists has new recommendations for managing chronic pelvic pain.

Jan 15, 2021 Issue
Short-Term Low Back Pain Relief with Placebo [POEMs]

Over three weeks, patients with long-term low back pain who knowingly took placebo twice a day reported less pain and disability than those continuing with treatment as usual.

Jan 15, 2021 Issue
Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology and Arthritis Foundation [Practice Guidelines]

The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

Dec 1, 2020 Issue
Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from AAFP and ACP [Practice Guidelines]

The American Academy of Family Physicians and the American College of Physicians have published guidelines based on a systematic review and network meta-analysis of 207 studies involving 32,959 patients that evaluated treatments for acute musculoskeletal pain other than low back pain.

Dec 1, 2020 Issue
Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians [Editorials]

Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, musculoskeletal ...

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