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CME Offering: Ethical Issues in the Treatment of Chronic Non-Malignant Pain: A Focus on the Legal Side (Earn .5 CME credits) Activity

CME Offering: Neuropathic Pain Syndromes: New Localized Therapeutic Options
Earn one credit. Monograph


Protecting Your Medical License-a letter from the Pain Practice Liability Association. letter


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18th Annual Clinical Meeting

Pathophysiology of Complex Regional Pain Syndrome —Development of New Treatments, by Robert J. Schwartzman, MD Article

If you are a member of the Academy, you are entitled to many excellent benefits including The Pain Practitioner, our quarterly magazine. If you are not an Academy member, you can subscribe for just $35 a year!
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Pain Program Accreditation (PPA)
Accrediting Your Pain Program?

Click here for more information

Academy Publications and Products
Weiner’s Pain Management: A Practical Guide for Clinicians (7th ed.)

The best selling resource in pain management just got better! This revised edition has been completely updated and includes new chapters, sections, and authors.
Purchase textbook


Recordings of the Academy's 18th Annual Meeting are Now Available! 
Listen to conference presentations in the comfort of your home, office, car, computer, or MP3 player. Individual sessions on CD can be ordered at a cost of $12.00, or purchase the entire conference on CD-ROM with handouts for only $189.00.

Go to lawrencemg.com to place an order or call 1-800-466-1962 x7083.

 

Lawful Prescribing & Prevention of Diversion— A December 2007 CME/CE Teleconference
This live interactive program is brought to you by Alpharma and PharmaCom Group, Inc. More infromation


New Book:
Chronic Pain by
Gary W. Jay, MD
.

Chronic Pain is intended to provide a conceptual framework of understanding for anyone who deals with chronic pain patients. More information

 

                                                                                                      ~January 2008

 

BREAKING NEWS
Pain Studies In The News
Pain Stories In The News
Policy and Law
Prescription Addiction, Diversion, and Abuse
For Your Patients
News From Industry Sources
New Books
SECTIONS
Research Abstracts 
Legislative and Administrative Updates
New Clinical Trials
Advocacy
Lagniappe
Gold Sponsor
This e-newsletter is made possible, in part, by an educational grant from
Endo Pharmaceuticals



Silver Sponsor
This e-newsletter is made possible, in part, by an educational grant from
Purdue Pharma L.P.

                                                                           

 

Breaking News


This section includes a wide variety of pain management stories, arranged by date and type (not significance), which have appeared in the popular media (print, broadcast, and on-line) in the last month. Because of the volume of stories, only the first few are included on the main page. Be sure to click on "More Stories" at the bottom of each front page section.


Pain Studies In The News

Shingles sends 1 million to U.S. doctors each year
January 9, 2008
WASHINGTON (Reuters) - Shingles sends nearly 1 million Americans to their doctors every year seeking relief from the painful symptoms the virus causes, according to U.S. government statistics released on Wednesday.  The average cost for treating shingles is $525 per person or $566 million each year in 2005 dollars. Story

Dual therapy improves endometriosis pain control
January 8, 2008
Hormone suppression and diet therapy can relieve pain in women with endometriosis who undergo conservative therapy. Story

More Pain Studies In The News


Pain Stories In The News

Physicians gain new tool to better manage acute and chronic pain
January 9, 2008
The Federation of State Medical Boards Research and Education Foundation is offering every physician a new handbook to help them better manage patients' acute or chronic pain. Responsible Opioid Prescribing: A Physician's Guide offers real-world explanations and practical strategies that address issues of undertreatment of pain, risk of prescription drug abuse and improved patient care. Story

Chronic facial pain-before pulling that tooth, call your doctor’s office
January 8, 2008
The best way to identify trigeminal neuralgia is with a conversation between the patient and healthcare provider, describing the comprehensive history of symptoms. Once diagnosed, the initial treatment is anti-convulsants such as carbamazepine and gabapentin. Story

More Pain Stories In The News


Policy and Law

Texas Medical Board reviews rules concerning Pain Management
The Texas Medical Board proposes to review Chapter 170, §§170.1 - 170.3, concerning Pain Management, pursuant to the Texas Government Code, §2001.039. The agency’s reason for adopting the rules contained in this chapter continues to exist. Comments on the proposed review may be submitted to Sally Durocher, P.O. Box 2018, Austin, Texas 78768-2018. Comment Deadline: 01/20/2008

Limits on damages for pain are upheld by Ohio Supreme Court: Court affirms 2004 law
In a decision hailed by the business community and decried by trial lawyers, the Ohio Supreme Court yesterday upheld a controversial 2004 state law limiting damages for pain, suffering, and other non-economic damages in product liability and other lawsuits. Story

More Policy and Law Stories In The News


Prescription Addiction, Diversion, and Abuse

Issue of drugs and pain strikes a nerve
January 1, 2008
Washington state became a battlefront in the pain war earlier this year when a group of state agency medical directors, in consultation with practicing pain specialists, issued voluntary guidelines to physicians for prescribing opioids for noncancer pain. The state's chief recommendation is that doctors limit the total opioid dose to the equivalent of 120 milligrams of morphine a day. The dosing guideline is about half the maximum average daily dose of 250 milligrams taken in recent years by injured workers and Medicaid clients with chronic, noncancer pain, according to some sources. Story


For Your Patients

Proper training early can help young pitchers avoid shoulder problems
December 14, 2007
Young pitchers should begin working out in December to help avoid developing shoulder problems during the upcoming season. Most high school athletes go from football to basketball and then start throwing a baseball at full speed.. The problem is that their arms are not in baseball shape, and they open themselves up to serious rotator cuff problems. Story

Choosing Pain Medicine for Osteoarthritis: A Guide for Consumers (Agency for Healthcare Research and Quality)
December 5, 2007
A guide to help consumers work with their doctors or nurses to choose pain-relief medicine for osteoarthritis. This guide is based on a government-funded review of the research about pain-relief medicines for osteoarthritis. It includes over-the-counter medications and some prescription drugs. It also gives information about the trade-offs between pain relief, risks of side-effects, and the price of the medications. Full Text (English)
A guide to help consumers work with their doctors or nurses to choose pain-relief medicine for osteoarthritis. This guide is based on a government-funded review of the research about pain-relief medicines for osteoarthritis. It includes over-the-counter medications and some prescription drugs. It also gives information about the trade-offs between pain relief, risks of side-effects, and the price of the medications. Full Text (Spanish)


News From Industry Sources

Forest and Cypress announce submission of new drug application for milnacipran for the treatment of fibromyalgia syndrome
December 31,2007
Milnacipran is a unique dual-reuptake inhibitor, which preferentially blocks the reuptake of norepinephrine with higher potency than serotonin, two neurotransmitters known to play an essential role in regulating pain and mood. It has been approved for a non-pain condition in over 50 countries Story

Endo announces positive results from interim analysis of RAPINYL phase III clinical trial
December 17, 2007
The data from the Endo Pharmaceuticals study of 61 patients demonstrated that RAPINYL met its primary endpoint, the Sum of Pain Intensity Difference from baseline to 30 minutes (SPID 0-30), and the results were highly statistically significant (p=0.0004). In addition, all the secondary endpoints were met. Statistically significant separation from placebo on mean pain intensity difference was seen as early as 10 minutes. Story

More News From Industry Sources


New Books

Pain and Its Transformations: The Interface of Biology and Culture
Sarah Coakley and Kay Kaufman Shelemay, eds.
Cambridge, MA; Harvard University Press, 2007
This ambitious interdisciplinary book includes not only essays but also discussions among a wide range of specialists. Neuroscientists, psychiatrists, anthropologists, musicologists, and scholars of religion examine the ways that meditation, music, prayer, and ritual can mediate pain, offer a narrative that transcends the sufferer, and give public dignity to private agony. They discuss topics as disparate as the molecular basis of pain, the controversial status of gate control theory, the possible links between the relaxation response and meditative practices in Christianity and Buddhism, and the mediation of pain and intense emotion in music, dance, and ritual. The authors conclude by pondering the place of pain in understanding--or the human failure to understand--good and evil in history.
Table of Contents and Introduction

Index

Responsible Opioid Prescribing: A Physician's Guide
Fishman, Scott M.
Dallas, TX: Federation of State Medical Boards, 2007
Responsible Opioid Prescribing offers physicians effective strategies for reducing the risk of addiction, abuse and diversion of opioids that they prescribe for their patients in pain. This concise handbook translates the Federation of State Medical Board's Model Policy for the Use of Controlled Substances for the Treatment of Pain into pragmatic steps for risk reduction and improved patient care, including.
Table of Contents and Introduction

Index


Research Abstracts Stay up-to-date on the latest research! This section of Currents offers complete abstracts on a wide variety of pain and pain management topics that have been selected from the National Library of Medicine. All Abstracts

Some include:

Bender JL, Hohenadel J, Wong J, et al.
What patients with cancer want to know about pain: a qualitative study. Abstract

Chenot JF, Becker A, Leonhardt C, et al.
Use of complementary alternative medicine for low back pain consulting in general practice: a cohort study. Abstract

Knotkova H, Pappagallo M.
Adjuvant analgesics. Abstract

Kundu A, Berman B.
Acupuncture for pediatric pain and symptom management. Abstract

Lin JJ, Alfandre D, Moore C.
Physician attitudes toward opioid prescribing for patients with persistent noncancer pain. Abstract

Martin AL, McGrath PA, Brown SC, et al.
Anxiety sensitivity, fear of pain and pain-related disability in children and adolescents with chronic pain. Abstract

293 Research Abstracts


Legislative and Administrative Updates

Branch of Government: New Jersey Assembly
Title:
Assembly Bill 4208
Summary:
Designated the Reflex Sympathetic Dystrophy Syndrome Education and Research Program Act to promote public awareness, the value of early detection and treatment, and to promote research.

Sponsor: Panter and Munoz
Latest Action:
12/17/2007: To Governor full text

Branch of Government: Vermont Senate
Title:
Senate Bill 281
Summary:
Proposes to require the Department of Health to provide an annual report on end-of-life care and pain management
Sponsor: Racine
Latest Action: Introduced: 12/26/07
full text


 


New Clinical Trials

Arizona

Cancer Pain
City: Scottsdale
Summary: A study comparing methadone with morphine in the management of moderate to severe cancer pain.

California

Fibromyalgia
City: Stanford
Summary: A research study investigating the effects of low dose naltrexone in fibromyalgia.

Skin and Connective Tissue Diseases
City: Stanford
Summary: A study to determine the safety and efficacy of etanercept (also known as Enbrel) in the treatment of moderate to severe lichen planus.

More New Clinical Trials


 

Advocacy

Foundation pushes for awareness, better pain treatment
Monday, December 17, 2007
The Rev. Penny Njoroge, an oncology chaplain at St. Vincent's East, was recently named state leader of the American Pain Foundation’s Power Over Pain Action Network, a national group formed bring awareness to issues surrounding pain. Story


 

Lagniappe (A little something extra)

Almost half of doctors have prescribed placebos
January 3, 2008
A new study found that almost half of Chicago internists say they have prescribed a placebo to a patient during their years of practice. In addition, the majority of doctors in the study also said they believed in the power of placebos, indicating that doctors do accept a mind-body relationship that can affect health. Story

Tips to prevent adverse drug events in older adults
January 2, 2008
Adverse drug events are more common in older adults because they are prescribed more drugs and are effected differently by these drugs than their younger counterparts. A recent review article summarizes steps that physicians and other healthcare providers can take to avoid overuse, misuse, and underuse of medication in older adults. Story

Vet suspended for not giving pain medication to pet dog
December 17, 2007
For the first time, the Minnesota Board of Veterinary Medicine has suspended the license of a veterinarian for inadequately controlling the pain of his patient - in this case a 9-year-old Labrador retriever named Jazz. Story

 
 

Editorial Team
Edward Duensing, Research
Lennie Duensing
, Editorial

Design
Carol Harper

 

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