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Chronic Pain and the People We Love

News
Feb 4, 2019
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A few nights ago, I was talking with my wife about something fairly benign – probably weekend plans or paying the light bill – when she suddenly got a look on her face that I know very well. It was that solemn, glaze-eyed look that says, “I’m so over this.” Like any good spouse would do, I asked, “What’s wrong? Are you ok?” Her eyes snapped to and she gave a slight smile accompanied by the quietly murmured, “I’m fine.” This was obviously not the case so I interpreted her response to mean that something was wrong…

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President’s Message, January 2019

News
Feb 4, 2019
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As we enter this last year of the second decade of the 21st century, clinicians working with patients who experience pain confront the challenge of providing safe and effective pain management while facing numerous barriers to doing so. During the past few years pain management in the US has been dramatically affected by the opioid crisis. This is true for patients and clinicians alike. It is tempting to lament the resultant changes, barriers  and difficulties; however, without appropriate action such lamenting will only deter from working to improve pain management options and care. 

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Cognitive Behavioral Therapy for Chronic Pain

Clinical
Oct 23, 2018
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Individuals living with chronic pain often present with myriad complaints and a decrease in quality of life driven, in many cases, by a lack of adaptive coping skills. Frequently, patients apply conventional wisdom, opting to reduce their activity levels and “resting” as a response to their pain and, in doing so, further reduce their functional capacity and involvement in daily life. …CBT for Chronic Pain (CBT-CP) can help patients to break free from the chronic pain cycle. Evidence suggests that this intervention improves patients’ functioning and quality of life.

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Catastrophizing and the Meaning of Pain: Why It Matters

Clinical
Oct 23, 2018
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The cognitive model is a widely accepted and well published framework for understanding the crucial role that internal thoughts and attitudes play in the daily experience of emotion and behavior. More specifically, the model proposes that over the course of our lifetime, we all develop patterns of thought that influence our understanding of the world around us and the meaning we place on events in our lives. . . Among these dysfunctional patterns is catastrophizing–the tendency to draw erroneous and often irrational conclusions from a situation.

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The Homebound Adolescent Headache Patient

Clinical
Oct 23, 2018
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It is not uncommon for adolescents with severe headaches to be absent from school for long periods of time. Each child is unique, with multiple variables that include: frequency and severity of headaches, response to medication, psychological make-up, history of abuse, resilience and functioning, catastrophizing, stresses and response to stress, family and friends support system, and school support. In addition, family dynamics plays a role. The parents’ psychological condition is also an important factor.  

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Is Compassion Fatigue the Adversary of Compassionate Pain Management?

Clinical
Oct 23, 2018
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Compassion has been discussed as the possible ghost of pain management.  Intrinsic in that possible relationship is the potential ingredient known as compassion fatigue which is described by Sinclair and colleagues (2017) as “a work-related stress response in healthcare providers that is considered a ‘cost of caring’ and a key contributor to the loss of compassion in healthcare.”  The stress response involved in compassion fatigue is believed to evolve while caring for patients, clinicians repeatedly experience, in a secondary manner, the traumatic events and/or suffering of patients.

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Is Compassion the Ghost of Pain Management?

News
Jul 12, 2018
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Historically, the interactions between health care providers and patients involved a therapeutic component that enhanced the beneficial effect of the medications and treatments which were provided. Today, when they sense empathy and compassion from clinicians, patients continue to report greater satisfaction, less anxiety, and feeling safer, with improved outcomes demonstrated. Although compassion clearly is important in health care, it is often misunderstood.

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Atlanta 2018–Our Most Relevant Conference

News
Jul 12, 2018
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Barely a week goes by without at least one, often multiple, mainstream news articles about the practice of pain management. Just the other day, there were a number of stories about a huge federal multi-state crackdown on “rogue prescribing” of opiate pain medications by 76 doctors which led to them being arrested for fraud and a long list of other charges. We also read of a dramatic increase in raids on nationally prominent specialists in opiate dependence who prescribe buprenorphine.

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CGRP Antagonists: Long-term Side Effects

News
Jul 12, 2018
1 Comment

The monoclonal antibodies (mAbs) targeting calcitonin gene-related peptide (CGRP) are a valuable addition to our preventives. However, there are significant conceivable long-term adverse effects associated with them. We will have a better feel for the true risks in 10 years. For each patient, we have to decide whether the benefits outweigh the possible risks. With luck, it may come to pass that the biologics targeting CGRP carry very few long-term risks.

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Personality Disorders: Recognition and Management in a Pain Clinic

Clinical
Apr 9, 2018
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Patients with moderate-to-severe personality disorders (PD) Are frequently seen in medical practices. It is increasingly important to recognize, limit and manage those with aggressive types of PD. Likewise, it is crucial to recognize those who fit the bipolar spectrum. In particular, the mild end of the spectrum is often missed. The clinical stakes for missing bipolar are enormous. This article delves into recognizing and managing patients whose pain treatment is complicated by psychological concerns.

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The Southern Pain Society was incorporated in 1989 and covers the 18 southern states and Puerto Rico. Our mission is to serve people with pain by advancing research and treatment and to increase the knowledge and skill of the regional professional community.

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Southern Pain Society
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Southern Pain Society
P.O. Box 2764
Asheville, North Carolina 28802
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