by David Caraway, MD, PhD; Michael Saulino, MD, PhD; Robert Fisher, MD The 2007 Polyanalgesic Consensus Panel recommends ziconotide as one of three options for first-line intrathecal (IT) monotherapy. As we all know, Medicare and most insurance companies require a trial of IT therapy before one can proceed with implantation of a delivery system. Unlike [...]

by Mitchell K. Freedman, DO, Michael F. Saulino, MD, E. Anthony Overton, DO, Michele Y. Holding, MD, Ira D. Kornbluth, MD This self-directed learning module first reviews the importance of weight management and smoking cessation in the treatment of axial low back pain and then describes the use of medication in complex regional pain syndrome [...]

by Michael F. Saulino, MD, Ira D. Kornbluth, MD, E. Anthony Overton, DO, Michele Y. Holding, MD, Mitchell K. Freedman, DO This self-directed learning module highlights approaches to the investigation of selected lumbar spine conditions. It is part of the chapter on chronic pain management in the Self-Directed Physiatric Education Program for practitioners in physical [...]

by Michele Y. Holding, MD, Michael F. Saulino, MD, E. Anthony Overton, DO, Ira D. Kornbluth, MD, Mitchell K. Freedman, DO This self-directed learning module highlights definitions used in pain management. It is part of the chapter on chronic pain management in the Self-Directed Physiatric Education Program for practitioners in physical medicine and rehabilitation. Terms [...]