Milton L Cohen

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Recent studies into the common complaint of chronic neck pain have focused on its anatomical origin, identifying especially the cervical zygapophysial joints. However the pathophysiology of chronic neck pain remains poorly understood. In this psychophysical study, responses to electrocutaneous stimulation in subjects with chronic neck pain were examined. In(More)
Acute whiplash is a heterogeneous disorder that becomes persistent in 40% to 60% of cases. Estimates of recovery have not changed in recent decades. This randomized, single-blind, controlled trial tested whether multidisciplinary individualized treatments for patients with acute whiplash (<4 weeks postinjury) could reduce the incidence of chronicity at 6 mo(More)
OBJECTIVE To identify whether the biopsychosocial framework of illness has overcome the limitations of the biomedical model of disease when applied in the practice of pain medicine. DESIGN Critical review of the literature concerning the application of biopsychosocial models to the praxis of pain medicine and the concepts of living systems. RESULTS The(More)
Refractory cervicobrachial pain (RCBP) is a common syndrome of uncertain pathogenesis, frequently seen in an occupational context. It is characterised by widespread neck, shoulder girdle and arm pain, often of dysaesthetic quality including burning, associated with paraesthesiae, impaired perception of touch, allodynia, hyperalgesia and hyperpathia. Despite(More)
Shoulder internal rotation (IR) is commonly assessed by an indirect method where the hand is placed behind the back and the distance reached by the tip of the extended thumb is recorded. The aim of this study was to assess the validity of measuring active IR range of motion (ROM) by use of the indirect hand-behind-back (HBB) ROM method in subjects with(More)
There has been a recent increase in public and professional concern about the prescription of strong prescription opioids for pain. Despite this concern, research to date has been limited because of a number of factors such as small sample sizes, exclusion of people with complex comorbidities, and studies of short duration. The Pain and Opioids IN Treatment(More)
BACKGROUND Classification of patients with pharmaceutical opioid use disorder and dependence varies depending on which definition is used. We compared how WHO's ICD-10 and proposed ICD-11 and the American Psychiatric Association's DSM-IV and DSM-5 classified individuals in a community-based sample of Australians with chronic non-cancer pain for which(More)
OBJECTIVE Evoked phenomena in clinical neuropathic pain are viewed as a window into the underlying pathophysiology. They are also potential therapeutic targets. This study sought evidence for the effect on such evoked phenomena of currently used agents. DESIGN We reviewed MEDLINE (1966-2006) and EMBASE (1980-2006) to locate all randomized, double-blind,(More)