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Pain Management

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The outcome of a recent case regarding the termination of physicians by an insurance company following a dispute over the necessity of medical services provided has serious implications for physicians and their patients

AMA: Ruling Makes It Easier for Insurers to Terminate Doctors

Court supported insurance company in termination of doctors after dispute over necessity of services
For patients with chronic myofascial paraspinous pain

Psychological Features Impact Myofascial Paraspinous Pain Tx

Anxiety is strongest predictor of trigger point treatment response for patients with chronic pain
Too few members of certain minority groups are pursuing careers in U.S. medicine

Too Few Blacks, Hispanics Pursuing Careers As Physicians

Shortage of minority physicians may affect U.S. patient care, experts say
Epidural corticosteroid injections for radicular low back pain or spinal stenosis may provide some relief for certain patients

Corticosteroid Injections of Little Benefit for Low Back Pain

Any relief is likely temporary, review of 38 studies finds
Women tend to manage their femininity so as to be considered adherent to the unspoken code of the non-gendered worker

Women in Academic Medicine ‘Manage Femininity’ to Succeed

Strategies for this include appearing easy-going or downplaying differences based on gender
A higher

Weekly Leflunomide Effective for Early Rheumatoid Arthritis

Similar benefits seen with weekly 50 mg dose versus daily 10 mg dose
Practices can employ patient and family advisors in order to help them focus on patient-centered care needs

Patient, Family Advisors Can Play Key Role in Practices

Advisors can help practices focus on patient-centered care, rather than assumptions about patient needs
Oral contraceptive exposure is associated with better patient-reported outcomes in early inflammatory arthritis

Oral Contraceptive Use May Moderate Inflammatory Arthritis

OC use linked to better Rheumatoid Arthritis Impact of Disease scores over two years
Strategies can be adopted for improving physician resilience and the ability to handle the challenges presented by patient care

Report Highlights Ways to Improve Physician Resilience

Recommendations include keeping a gratitude journal, enlisting peer support, learning new things
An approach for classifying pain severity developed by the Washington Group on Disability Statistics is effective for assessing self-reported pain among U.S. adults

Classification Details Pain Prevalence Among U.S. Adults

6.4 percent of adults classified as having highest level of pain, based on persistence, bothersomeness