Internal Medicine - Pain Management News & Articles

What makes MDLinx Internal Medicine different from all the other primary care literature reviews? Our team of medical editors read over 2,000 medical journals every day so you can stay current in less than 5 minutes! They sort, rank and summarize every article that will impact your daily practice. They even mark which articles are available in free full text, which are clinical or evidence-based, and which have MDLinx Exclusive Author Commentary from the people who actually performed the research.

Also on this page you’ll see bonus content from our physician editor, D. Scott Cunningham, MD, PhD, in the form of his top highlights you can’t miss, along with clinical pearls from The Smartest Internist, a quiz competition from the editors of MDLinx Internal Medicine in collaboration with the Cleveland Clinic Center for Continuing Education.

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Articles

Latest (8) Full Text Articles (151) Focus on Anxiety Disorders

Ranked, sorted, and summarized by MDLinx editors from the latest literature

Topics:

201 Acupuncture for Chronic Low Back Pain: A Multicenter, Randomized, Patient-Assessor Blind, Sham-Controlled Clinical Trial Spine, April 3, 2013 Clinical Article

202 Management of Painful Peripheral Diabetic Neuropathy Full Text British Journal of Medical Practitioners, April 2, 2013 Clinical Article

203 Oxcarbazepine for neuropathic pain Cochrane Reviews, April 2, 2013 Review Article Clinical Article

204 Anti-TNF-α treatment for pelvic pain associated with endometriosis Cochrane Reviews, April 2, 2013 Review Article

205 Pain experiences and self-management strategies among middle-aged and older adults with arthritis Journal of Clinical Nursing, April 2, 2013 Clinical Article

206 Phantom Limb Pain: Current and Emerging Treatments Full Text U.S. Pharmacist, April 2, 2013 Clinical Article

207 Cancer pain in Jordan: prevalence and adequacy of treatment International Journal of Palliative Nursing, April 2, 2013 Clinical Article

208 Single dose oral ibuprofen plus codeine for acute postoperative pain in adults Cochrane Reviews, April 1, 2013 Review Article

209 Role of Lumbosacral Retrograde Neuromodulation in the Treatment of Painful Disorders Full Text Pain Physician, April 1, 2013 Review Article Clinical Article

210 Mechanical allodynia in neuropathic pain. Where are the brain representations located? A positron emission tomography (PET) study European Journal of Pain, April 1, 2013 Clinical Article

211 Hypermobility is a risk factor for musculoskeletal pain in adolescence: Findings from a prospective cohort study Arthritis & Rheumatism, April 1, 2013 Clinical Article

212 Opioid use among low back pain patients in primary care: Is opioid prescription associated with disability at 6 month follow-up Pain, April 1, 2013 Clinical Article

213 Test-Retest Reliability, Repeatability, and Sensitivity of an Automated Deformation-Controlled Indentation on Pressure Pain Threshold Measurement Journal of Manipulative and Physiological Therapeutics, April 1, 2013 Clinical Article

214 Complementary and alternative exercise for fibromyalgia: a meta-analysis Full Text Journal of Pain Research, April 1, 2013 Clinical Article

215 Patient Expectations of Benefit from Interventions for Neck Pain and Resulting Influence on Outcomes Journal of Orthopaedic & Sports Physical Therapy, April 1, 2013 Evidence Based Medicine

216 Development and evaluation of a video exercise program for locomotive syndrome in the elderly Modern Rheumatology, April 1, 2013 Clinical Article

217 Daily repetitive transcranial magnetic stimulation of primary motor cortex for neuropathic pain: a randomized, multicenter, double-blind, crossover, sham-controlled trial Pain, March 29, 2013 Clinical Article

218 Caffeine as an Adjuvant Therapy to Opioids in Cancer Pain: A Randomized, Double-Blind, Placebo-Controlled Trial Journal of Pain and Symptom Management, March 29, 2013 Clinical Article

219 Pain treatment in patients infected with human immunodeficiency virus in later stages: pharmacological aspects American Journal of Hospice and Palliative Medicine, March 29, 2013 Clinical Article

220 Efficiacy of Melatonin in Chronic Tension Type Headache Patients and Effects on Anxiety and Depression Full Text Journal of Neurological Sciences (Turkish), March 29, 2013 Clinical Article

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Clinical Pearls in Internal Medicine

Vitamin D deficiency is more common with non-Caucasian patients, and those with lower social support, no insurance, diabetes, lower activity levels, higher parathyroid hormone levels, and higher body mass indexes
Eating an early breakfast and dinner when taking PPIs can lower FSSG scores and improve GERD symptoms. (Factors leading to increased FSSG scores were female gender, inadequate sleep, lack of breakfast, antihypertensive agent non-users and dinner just before bedtime.)
No single method of contraception is contraindicated by age alone, but caution should be exercised with estrogen-containing preparations in obese women over 40

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Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Among 130 patients requiring mechanical ventilation, 107 were vitamin D-deficient (< 20 ng/ml). Of the patients who did not survive, the length of survival was shorter in the vitamin D-deficient patients (15.3 vs. 24.2 days, respectively).

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Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

Researchers at Tel-Aviv University have conducted a study to determine the value of coronary artery calcium (CAC) measurements in cardiovascular risk stratification in patients with T2DM and HTN. The study involved 423 patients enrolled in the International Nifedipine Study: Intervention as Goal for Hypertension Therapy. The patients had baseline CT scans for CAC measurement at baseline and were shown to be free of disease. Follow-up CT scans were performed at 3 and 15 years. Cardiovascular events (CVEs) occurred in 41 of 423 patients at 3 years and 111 of 268 patients at 15 years of follow-up. CVEs occurred in 15% and 52% (CAC+) and 7% and 32% (CAC-) of patients with T2DM at 3 and 15 years of follow-up, respectively. Compared to patients without T2DM and no CAC, the HRs for a CVE were 6.6 and 3.9 in T2DM patients with and without CAC, respectively.

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CAC scores add predictability to Framingham

Researchers at Erasmus University Medical Center in Rotterdam have evaluated 12 measures (N-terminal fragment of prohormone B-type natriuretic peptide levels, von Willebrand factor antigen levels, fibrinogen levels, chronic kidney disease, leukocyte count, C-reactive protein levels, homocysteine levels, uric acid levels, coronary artery calcium [CAC] scores, carotid intima–media thickness, peripheral arterial disease, and pulse wave velocity), in addition to Framingham risk scores for predicting coronary heart disease. Only the CAC was shown to add significantly to the Framingham risk score in predicting coronary heart disease.

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Internal Medicine - Pain Management News & Articles

Articles

Clinical Pearls in Internal Medicine

Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

CAC scores add predictability to Framingham

Most Popular Internal Medicine Articles

Other Topics in Internal Medicine