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

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

Topics:

61 Bee venom acupuncture point injection for central post stroke pain: A preliminary single-blind randomized controlled trial Complementary Therapies in Medicine, May 9, 2013 Clinical Article

62 Interventions for treating pain and disability in adults with complex regional pain syndrome Cochrane Reviews, May 9, 2013 Evidence Based Medicine

63 A history of chronic opioid usage prior to kidney transplantation may be associated with increased mortality risk Kidney International, May 9, 2013 Clinical Article

64 Musculoskeletal problems in Parkinsons disease: Neglected issues Parkinsonism & Related Disorders, May 9, 2013 Clinical Article

65 Physiotherapy for sleep disturbance in people with chronic low back pain: results of a feasibility randomized controlled trial Archives of Physical Medicine and Rehabilitation, May 9, 2013 Clinical Article

66 The patient-physician relationship in patients with chronic low back pain as a predictor of outcomes after rehabilitation Journal of Behavioral Medicine, May 9, 2013 Review Article

67 Reduction of conditioned pain modulation in humans by naltrexone: an exploratory study of the effects of pain catastrophizing Journal of Behavioral Medicine, May 9, 2013 Review Article

68 Primary Exertional Headache: Updates in the Literature Current Pain and Headache Reports, May 9, 2013 Clinical Article

69 Behavioral pain assessment tool for critically ill adults unable to self-report pain American Journal of Critical Care, May 9, 2013 Clinical Article

70 Getting the pain right: how low back pain patients manage and express their pain experiences Disability & Rehabilitation, May 9, 2013 Clinical Article

71 Transcutaneous electrical nerve stimulation and conditioned pain modulation influence the perception of pain in humans European Journal of Pain, May 8, 2013 Clinical Article

72 Percentage of patients with spondyloarthritis in patients referred because of chronic back pain and performance of classification criteria: experience from the Spondyloarthritis Caught Early (SPACE) cohort Rheumatology, May 8, 2013

73 Chronic pain after childbirth Current Opinion in Anesthesiology, May 8, 2013 Clinical Article

74 Pain and Use of Alcohol in Later Life: Prospective Evidence from the Health and Retirement Study Journal of Aging and Health, May 8, 2013 Review Article

75 A psychological view of sexual pain among women: applying the fear-avoidance model Women's Health, May 8, 2013 Review Article

76 Opioid Use for Noncancer Pain and Risk of Fracture in Adults: A Nested Case-Control Study Using the General Practice Research Database American Journal of Epidemiology, May 7, 2013 Clinical Article

77 Pain in outpatients treated for breast cancer: prevalence, pharmacological treatment, and impact on quality of life Cancer Nursing, May 7, 2013 Clinical Article

78 An Update of the Systematic Assessment of Mechanical Lumbar Disc Decompression with Nucleoplasty Full Text Pain Physician, May 6, 2013 Evidence Based Medicine Review Article

79 Intrathecal Infusion Systems for Long-Term Management of Chronic Non-Cancer Pain: An Update of Assessment of Evidence Full Text Pain Physician, May 6, 2013 Evidence Based Medicine Review Article Clinical Article

80 Classification and treatment of men with chronic prostatitis/chronic pelvic pain syndrome using the UPOINT system World Journal of Urology, May 6, 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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Most Popular Internal Medicine Articles

Last month's top read Top Articles of 2012

1 Diagnostic accuracy of nitroglycerine as a 'test of treatment' for cardiac chest pain: a systematic review Emergency Medicine Journal, May 9, 2011 Evidence Based Medicine

2 Kinase inhibitors: a new class of antirheumatic drugs Drug Design, Development and Therapy, September 24, 2012 Free full text

3 Activity of the neuroendocrine axes in patients with polymyalgia rheumatica before and after TNF-alpha blocking etanercept treatment Arthritis Research & Therapy, August 16, 2012 Free full text

4 The cytochrome P450 inhibitor, ketoconazole, inhibits oxidized linoleic acid metabolite-mediated peripheral inflammatory pain Molecular Pain, October 8, 2012 Free full text

Indexed Journals in Internal Medicine: New England Journal of Medicine, The Lancet, Archives of Internal Medicine more

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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