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 [...]
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by E. Anthony Overton, DO, Ira D. Kornbluth, MD, Michael F. Saulino, MD, Michele Y. Holding, MD, Mitchell K. Freedman, DO This self-directed learning module highlights strategies for interventional treatments for chronic pain disorders. It is part of the chapter on chronic pain in the Self-Directed Physiatric Education Program for practitioners in physical medicine and [...]
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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 [...]
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Ira D. Kornbluth, MD, Mitchell K. Freedman, DO, Michele Y. Holding, MD, E. Anthony Overton, DO, Michael F. Saulino, MD This self-directed learning module highlights the monitoring of progress and compliance in chronic pain management. It is part of the chapter on chronic pain in the Self-Directed Physiatric Education Program for practitioners in physical medicine [...]
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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 [...]
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by Mitchell K. Freedman, DO, E. Anthony Overton, DO, Michael F. Saulino, MD, Michele Y. Holding, MD, Ira D. Kornbluth, MD This self-directed learning module highlights approaches to the investigation of common cervical and thoracic conditions. It is part of the chapter on chronic pain management in the Self-Directed Physiatric Education Program for practitioners in [...]
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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 [...]
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by Michael Saulino, MD Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA. STUDY DESIGN: Case report. OBJECTIVES: To report a novel management strategy for neuropathic pain management after spinal cord injury. SETTING: Outpatient spinal cord injury (SCI) clinic. METHODS: The patient demonstrated two neuropathic pain syndromes, namely at- and below-level pain. These syndromes [...]
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by Timothy Deer, MD, Elliot S. Krames, MD, Samuel Hassenbusch, MD, PhD, Allen Burton, MD, David Caraway, MD, Stuart Dupen, MD, James Eisenach, MD, Michael Erdek, MD, Eric Grigsby, MD, Phillip Kim, MD, Robert Levy, MD, PhD, Gladstone McDowell, MD, Nagy Mekhail, MD, Sunil Panchal, MD, Joshua Prager, MD, Richard Rauck, MD, Michael Saulino, MD, [...]
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by Timothy Deer, MD, Elliot S. Krames, MD, Samuel Hassenbusch, MD, PhD, Allen Burton, MD, David Caraway, MD, Stuart Dupen, MD, James Eisenach, MD, Michael Erdek, MD, Eric Grigsby, MD, Phillip Kim, MD, Robert Levy, MD, PhD, Gladstone McDowell, MD, Nagy Mekhail, MD, Sunil Panchal, MD, Joshua Prager, MD, Richard Rauck, MD, Michael Saulino, MD, [...]
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by Stuart Rosenblum, MD, PhD; Robert Fisher, MD; David Caraway, MD, PhD; and Michael Saulino, MD Some patients find IT opioid therapy not effective despite a successful trial. I wrote a column on the failure of IT trials to predict success in the March 2007 issue of this journal (Vol 7: Issue 2). Fortunately, physicians [...]
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by Timothy Deer, MD Elliot S. Krames, MD Samuel J. Hassenbusch, MD, PhD Allen Burton, MD David Caraway, MD Stuart Dupen, MD James Eisenach, MD Michael Erdek, MD Eric Grigsby, MD Phillip Kim, MD Robert Levy, MD, PhD Gladstone McDowell, MD Nagy Mekhail, MD Sunil Panchal, MD Joshua Prager, MD Richard Rauck, MD Michael Saulino, [...]
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