Tag Archive | "Pain management"

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The Quandary of Chronic Pain

Posted on 03 May 2012 by Stephanie Gottheil (Meds 2014)

How can we handle a patient in chronic pain? It’s a difficult dilemma. On the one hand, all of our effective analgesics come with long lists of side effects, from constipation to addiction to life-threatening GI bleeds. On the other, we have individuals mired in anger, depression, and hopelessness due to a debilitating symptom.

I spent this past summer studying the medications used by older adults with osteoarthritis, one of the most common conditions that affect us as we age. The average patient was taking 10 medications, which obviously raises concerns about drug interactions and over-prescription. What struck me most, however, was the number of people reporting severe daily pain that were not being treated for it in any capacity. Continue Reading

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