The Management of Pain from Sickle Cell Disease
Sickle cell disease (SCD) refers to a related group of genetic hemoglobin disorders. Sickle hemoglobin has a single mutation resulting in the replacement of glutamine with valine at the sixth…
The Health Implications of Disparities in Cancer and Pain Care: Unequal Burdens and Unheard Voices
Several federal agencies have acknowledged and set goals toward eliminating racial and ethnic disparities in health (and health care) and promoting health equity. The literature discussing health and health care…
Clinical Trial Design Methodology for Pain Outcome Studies
It is traditionally held that the first comparative clinical trial was performed in 1747 by Dr. James Lind (1716-1794) of the British Royal Navy to identify a treatment for scurvy….
Pain Management at the End of Life
The end stages of chronic, progressive, life-limiting diseases bring a host of difficult symptoms and causes of suffering. There are disease-mediated symptoms, such as pain, dyspnea, fatigue, and loss of…
Ethics of Research in Patients with Pain
Ethics and Science need to shake hands. Dr. RICHARD CLARKE CABOT, 1936 Medical experimentation has a long history. Biblical references suggest that as early as the sixth century bce ,…
Pain Management in the Critically Ill Patient
Pain in the critically ill is poorly understood. Only recently has attention and investigation turned toward the issues of pain assessment and treatment in this patient population, and existing literature…
Radiation Safety and Use of Radiographic Contrast Agents in Pain Medicine
Overview of Radiation Safety Pain practitioners have come to rely on fluoroscopy and, to a lesser but growing extent, on computed tomography (CT) to facilitate image-guided pain treatment techniques. Fluoroscopy…
Joint Injections
Intra-articular (IA) joint and bursa injections are used to treat pain in the joint and surrounding structures. Musculoskeletal system disorders, including osteoarthritis, are some of the most common medical conditions…
Pain Management in the Emergency Department
Emergency physicians provide acute care for an extraordinarily broad range of illnesses and injuries, the majority of which involves some degree of pain. Emergency providers also cause pain in the…
