Thomas Davis, MD Welcome to 2023! Each new year is a chance to put into perspective the past year, and begin anew with plans to build upon the foundation laid by our predecessors. Harry Gould, MD, our immediate past president, with the help of our board, Lori Postal our executive director, our vendors, sponsors, and […]
(Proposed) World Headache Society’s Definition for Refractory Migraine
- Clinical
- Jan 13, 2023
- 0 Comments
Lawrence Robbins, MD Abstract To expand the current description of refractory migraine, the World Headache Society advocates the use of both simple and complex definitions. Simple would be for the general use of patients and support groups, and complex for research and clinical purposes. These definitions include the roles of preventive and abortive medications, non-medication […]
Refractory Head, Neck, and Facial Pain due to Cervicomedullary-Junction Glioma Relieved with Sphenopalatine Ganglion Blockade
- News
- Jan 13, 2023
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Wilkinson, A.J., Ege, E., Osborne, A., Driver, L., Chai, T. Abstract The management of head, neck, and facial pain due to oncologic origin in patients is difficult and often undertreated. Many patients experience pain refractory to common treatment modalities, both non-interventional and interventional.1, 3 The sphenopalatine ganglion (SPG) is considered to be the autonomic hub […]
Lumbar Epidural Hematoma after Neuraxial Pain Procedure in a Patient with Chronic Low Back Pain from Spondylosis and Myelomatous Lesions
- News
- Jan 13, 2023
- 0 Comments
Wilkinson, AJ; Osborne, AT; Kovitz, CA., Chai, T; Huh BK Abstract The performance of any neuraxial procedure carries an inherent risk of neurologic damage. Bleeding is of great concern in these procedures, as occult spinal epidural hematoma formation in these procedures carries the risk of causing significant neurologic deficits. While the development of spinal epidural […]
President’s Message: Looking Back and Many Thanks
- Policy
- Sep 20, 2022
- 0 Comments
Harry J. Gould, III MD, PhD When I was reminded this time that the deadline for articles for the fall edition of the newsletter was approaching, I realized that my term as President of the Southern Pain Society is rapidly coming to its end. Events that mark milestones in a career, tend to prompt one […]
Evolutionary Medicine: A Focus on Migraine and Psychiatry
- Clinical
- Jul 25, 2022
- 0 Comments
Lawrence Robbins, MD Evolutionary Medicine is a growing, vital, fascinating and relevant area. I use it daily in my practice, to explain to patients (such as the evolutionary reason for anxiety, why we have so much neck and back pain, why we suffer pain and mortality with childbirth etc…) it should be taught in our […]
President’s Message: A Fresh Approach to Pain Education
- News
- Jul 25, 2022
- 0 Comments
Harry J. Gould, III MD, PhD During the past 30 years, we have observed the prescribing habits of physicians swing from a position of avoidance of opioid medications in the late 80’s and early 90’s to a position of liberal and virtually indiscriminate prescribing of opioids in the first decade of this century. This trend […]
President’s Message: When Was That Taught?
- News
- Apr 11, 2022
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Harry J. Gould, III MD, PhD It has been more years than I care to admit since I graduated from medical school. As most of us have realized, with time, advances are made, with experience, skills are refined and as practitioners, we adapt to change and challenge and improve in our ability to care for patients. An unfortunate corollary to the essential fine-tuning of the evolving practitioner, especially in specialty […]
Treatment of Refractory Chronic Migraine With Worm Eggs: A Therapy Rooted in Evolution
- News
- Apr 11, 2022
- 0 Comments
Lawrence Robbins, MD and Hanah Alley, MD (originally published in Medicine Connections, 2021 vol.1, issue 2: a journal of the World Headache Society) Abstract Introduction: This was a small open label study designed to determine efficacy of helminth egg therapy in refractory chronic migraine (RCM) patients. It is probable that the immune system is involved […]
The Bipolar Spectrum In Pain Patients: Recognition and Management
- News
- Jan 13, 2022
- 0 Comments
Olivia Lee and Lawrence Robbins, MD Introduction to Bipolar Disorder The broadening concept of the bipolar spectrum has evolved over the years. We no longer view bipolar primarily as characterized by mania. Bipolar disorder is a chronic psychiatric illness that is broadly categorized in the DSM-V into several subtypes – bipolar I and bipolar II […]
