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Epidemiology of low back pain.
This review will discuss the epidemiology of low back pain, with emphasis on frequency, causes, and consequences ofLow back pain; the influence of age, gender, morphologic characteristics, and genetics; and the Influence of occupational, mechanical, social, habitual, and psychological factors. Expand
A comprehensive review of opioid-induced hyperalgesia.
Clinicians should suspect OIH when opioid treatment's effect seems to wane in the absence of disease progression, particularly if found in the context of unexplained pain reports or diffuse allodynia unassociated with the original pain, and increased levels of pain with increasing dosages. Expand
Opioid epidemic in the United States.
The obstacles that must be surmounted are primarily inappropriate prescribing patterns, which are largely based on a lack of knowledge, perceived safety, and inaccurate belief of undertreatment of pain. Expand
Therapeutic use, abuse, and nonmedical use of opioids: a ten-year perspective.
An updated 10-year perspective on therapeutic use, abuse, and non-medical use of opioids and their consequences is provided. Expand
Therapeutic opioids: a ten-year perspective on the complexities and complications of the escalating use, abuse, and nonmedical use of opioids.
Therapeutic opioid use has increased substantially, specifically of Schedule II drugs, and patients on long-term opioid use have been shown to increase the overall cost of healthcare, disability, rates of surgery, and late opioid use. Expand
Comprehensive review of epidemiology, scope, and impact of spinal pain.
This section of the American Society of Interventional Pain Physicians (ASIPP)/Evidence-Based Medicine (EBM) guidelines evaluates the epidemiology, scope, and impact of spinal pain and its relevance to health care interventions. Expand
An Invited Review
From Pain Management Center of Paducah, Paducah, Kentucky, and Pain Diagnostic Associates, Niagara, Wisconsin. Address Correspondence: Laxmaiah Manchikanti, MD, 2831 Lone Oak Road, Paducah, KentuckyExpand
Opioids in the management of chronic non-cancer pain: an update of American Society of the Interventional Pain Physicians' (ASIPP) Guidelines.
The evidence for the effectiveness of long-term opioids in reducing pain and improving functional status for 6 months or longer is variable and the recommendation is 2A - weak recommendation, high-quality evidence: with benefits closely balanced with risks and burdens. Expand
An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations.
Evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain are developed to help patients with or without anticoagulant therapy to discontinue or normalize INR. Expand
Epidural steroids in the management of chronic spinal pain: a systematic review.
There is moderate evidence for interlaminar epidurals in the cervical spine and limited evidence in the lumbar spine for long-term relief in managing chronic pain of lumbr radiculopathy and postlumbar laminectomy syndrome. Expand