October 2007
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Central Role of Dopamine in Fibromyalgia
A review of the evidence that fibromyalgia is associated with a disruption of
dopaminergic neurotransmission together with a discussion of its therapeutic implications.
by Patrick B. Wood, MD
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Combined Phrenic Nerve Palsy and Cervical Facet Joint Pain
Pain management challenge in diagnosing and treating a rare case of PNP in combination
with cervical facet joint pain in a diabetic patient.
by Connie Ecklund, RN, MSN, APNP, BC and Mazin Ellias, MD, FRCA
Mistakes Made by Chronic Pain Patients
A guide for chronic pain patients to help them avoid pitfalls and mistakes and become
part of the team in helping to restore a better quality of life for themselves.
by Ron Lechnyr, PhD, DSW and Terri Lechnyr, PhD, LCSW
Publisher's Message
Two New Board Members
by Marvin Rosenfeld
Electromedicine: CES in the Treatment of Insomnia: A Review and Meta-analysis
Cranial Electrotherapy Stimulation (CES) is an effective, established treatment for
insomnia that avoids polypharmacy interactions for pain patients taking medications while
simultaneously reducing anxiety, depression, and pain.
by Daniel L. Kirsch, PhD, DAAPM, FAIS and Marshall F. Gilula, MD
Interventional Therapy: A Clinical Guide To Weaning Off Intrathecal Opioids
This clinical guide was developed to help clinicians wean patients from intrathecal
opioid therapy.
by Stuart Rosenblum, MD, PhD; Robert Fisher, MD; David Caraway, MD, PhD; and Michael
Laser Therapy: Low Level Laser Therapy
Effects at the cellular level increase ATP energy and DNA synthesis and benefit acute
and chronic musculoskeletal aches and pains, chronic inflammation, acute soft-tissue
injuries, as well as other conditions.
by Dan Murphy, DC, DABCO
Prolotherapy: Dextrose Prolotherapy for Unresolved Neck Pain
An observational study of patients with unresolved neck pain who were treated with
dextrose prolotherapy at an outpatient charity clinic in rural Illinois.
by Ross A. Hauser, MD and Marion A. Hauser, MS, RD
Imaging: Three Dimensional Imaging of the Foot
The use of force plate technology provides new insight into potential sources of foot
and/or leg pain by providing pathoanatomical visualization of foot pressure patterns, foot
velocity, and motion characteristics.
by Tiziano Marovino, DPT, FAAPM
Clinical Bioethics: The "Promise" of Pain Medicine: Profession, Oaths, and the Probity of Practice
by James Giordano, PhD and Paul J. Hutchison, MA
Head and Neck: Patulous Eustachian Tube, Part 2
Often unrecognized, the symptoms of patulous eustachian tube may, and often do, mimic
other ear conditions.
by Edwin A. Ernest, III, DMD
Pharmacotherapy: Avoiding the Pitfalls of Opioid Reversal with Naloxone
With its wide margin of safety, low cost, and multiple routes of administration,
naloxone is an ideal antidote for opioid toxicity but it should only be used to reverse
respiratory depression while closely monitoring the patient.
by Elizabeth J. Scharman, PharmD
HIT Advisor: HIT Advisor: Using EMRs to Make Your Patient "Triage" and Clinical Flow More
by Greg Winterkamp
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