For the pain physician, Urine Drug Testing (UDT) is not a tool for "catching" patients; it is a...
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The Use of CBD for Chronic Pain: Exploring Different Versions and Their Implications
Chronic pain affects millions of individuals globally, presenting a significant challenge to their overall well-being and quality of life. In recent years, the utilization of cannabidiol (CBD) as a potential remedy for managing chronic pain has sparked substantial...
Spondylosis vs Spondylolysis, and spondylolisthesis
Spondy - latin for spine so these terms relate to the spine losis - a chronic problem - think of arthritis or degenerative changes Lolysis a breaking - this denotes a fracture of the pars intraarticularis or a break in the bony hoola hoop that surrounds...
Pathophysiology of Diabetic Neuropathy
Diabetic neuropathy - bilateral and symmetric - think stocking and gloves - should have bilateral slowing and lower amplitudes on NCS and spontaneous potentials including positive sharp waves (notes PSWs are inverted than what you would expect) on EMG/NCS...
Membrane Stabilizing Medications
Neuropathic pain pain caused by dysfunction or lesion of the nervous system. After tissue injury there is a decreased activation threshold of A delta and C fibers. There is also an increase in ion channels. This leads to increased excitability of sensory nerves and...
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Toxicology and Urine Drug Testing (UDT)
For the pain physician, Urine Drug Testing (UDT) is not a tool for "catching" patients; it is a...
Adjuvant Medications—Alpha-2 Agonists and Steroids
In the pharmacological management of pain, "adjuvant" medications are those primarily indicated...
Topical Analgesics—Lidocaine, Capsaicin, and Compounded Creams
In the modern landscape of pain management, topical analgesics have transitioned from "ancillary"...