Monday, 16 Sep 2019


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07 Mar 2019 Social A study of 2,369 patients with fibromyalgia showed the mean time from initial complaint to diagnosis was 6.42 years. Comorbidity, younger patient, and older physician age were associated with longer time to diagnosis.
25 Feb 2019 Social Among 548 pts referred to academic pain center & treated for back pain, 42% met fibromyalgia criteria. FM+ pts were more likely to be younger, unemployed, w/ greater pain severity, more neuropathic pain, depression, anxiety & lower physical function
07 Feb 2019 Social Study of 497 rheumatology clinic pts shows 24% met fibromyalgia criteria, while 21% had a ICD-10 Dx of FM. Clinicians and criteria agreement was only fair (κ = 0.41). MD failed to Dx identify 60 criteria (+) pts & wrongly dx 43 criteria‐negative pts
05 Feb 2019 News Pain Drives the Use of Medical Marijuana
05 Feb 2019 News Compounded Pain Creams - Expensive Placebos?
07 Jan 2019 News Opioids Double Rates of Suicides and Overdoses
28 Dec 2018 Social To order ANA test in FM or "pain AllOver" pts is wrong; to order more subserologies(dsDNA,RNP,Sm) should be criminal
18 Dec 2018 Social Clinical pain severity & disability in OA is higher amongst African Americans vs Whites. Metanalysis of 61 articles shows higher pain severity in AA using the WOMAC (0.57; 95%CI: 0.54, 0.61) & non-WOMAC studies (0.35; 95%CI: 0.23, 0.47). Journal of Pain.
17 Dec 2018 News Cryotherapy Never FDA Approved
06 Dec 2018 Social An interesting read in JAMA - how a patient developed his own "tool kit" to manage fibromyalgia - cannibis, exercise, diet, massage, PT, CBT. A story of serendipity, inadequate insurance coverage & woefulness of current pain management
03 Dec 2018 Social Depression worsens back pain; increases healthcare costs. Medicare claims study 73,000 found 6,739 with back pain & 20% of these (1310) had depression. Annual healthcare costs substantially higher in LBP pts w/ depression ($13,153 vs $7,477, P < 0.001).
28 Nov 2018 News Post-Approval Exploratory Trials with Pregabalin Often Fail
09 Nov 2018 News Intensive Patient Education Does Not Improve Low Back Pain Care
07 Nov 2018 News Guidelines for Patellofemoral Pain
30 Oct 2018 Slide of the day Common Causes of Nonarticular Pain
26 Oct 2018 Social RT @DanielHSolomon: Persistent Opioid Use Among Injured Workers’ Compensation Claimants
25 Oct 2018 ACR Video Dr. David Borenstein: Pain
24 Oct 2018 Social RT @samwhittle: This enjoyable #ACR18 #fibromyalgia session is an appropriate time for a couple of periodic reminders: 1. Pain is an outpu…
23 Oct 2018 Social RT @samwhittle: #ACR18 Neil Basu from Aberdeen showing some lovely functional brain imaging data that implies that #fibromyalgia symptoms i…
23 Oct 2018 Social RT @DrBhana: Dr. Spiegal: Virtual Reality for reduction of acute pain, significant reduction compared to controls, NNT = 4, better than opi…