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

Topics:

101 When Opioids Fail in Chronic Pain Management: The Role for Buprenorphine and Hospitalization American Journal of Therapeutics, May 2, 2013 Clinical Article

102 Ketamine Decreases Postoperative Pain Scores in Patients Taking Opioids for Chronic Pain: Results of a Prospective, Randomized, Double-Blind Study Pain Medicine, May 1, 2013 Clinical Article

103 Effect of Single-Session Repetitive Transcranial Magnetic Stimulation Applied Over the Hand Versus Leg Motor Area on Pain After Spinal Cord Injury Neurorehabilitation and Neural Repair, May 1, 2013 Review Article

104 Body awareness: differentiating between sensitivity to and monitoring of bodily signals Journal of Behavioral Medicine, May 1, 2013 Review Article

105 Duration of remission phase of 36 Korean patients with glossopharyngeal neuralgia Full Text Korean Journal of Anesthesiology, May 1, 2013 Review Article

106 Chronic Pain Syndromes After Ischemic Stroke Stroke, April 30, 2013 Clinical Article

107 Influence of patient-controlled epidural analgesia versus patient-controlled intravenous analgesia on postoperative pain control and recovery after gastrectomy for gastric cancer: a prospective randomized trial Gastric Cancer, April 30, 2013 Clinical Article

108 Core Competencies for Pain Management: Results of an Interprofessional Consensus Summit Pain Medicine, April 30, 2013 Review Article Clinical Article

109 Electroencephalography and analgesics British Journal of Clinical Pharmacology, April 30, 2013 Review Article

110 Prevalence of claims-based recurrent low back pain in a Canadian population: A secondary analysis of an administrative database Full Text BMC Musculoskeletal Disorders, April 30, 2013

111 Ice anaesthesia in procedural dermatology Australasian Journal of Dermatology, April 30, 2013 Clinical Article

112 Pain and thyroid hormones Neurological Sciences, April 30, 2013 Clinical Article

113 Alcoholic Drinks as Triggers in Primary Headaches Pain Medicine, April 29, 2013 Review Article

114 Anger regulation style, anger arousal and acute pain sensitivity: evidence for an endogenous opioid triggering model Journal of Behavioral Medicine, April 29, 2013 Review Article

115 What is the best treatment of drug-resistant trigeminal neuralgia in patients affected by multiple sclerosis- A literature analysis of surgical procedures Clinical Neurology and Neurosurgery, April 29, 2013 Clinical Article

116 Chronic tension-type headache is associated with impaired motor learning Cephalalgia, April 26, 2013 Clinical Article

117 Primary Care Utilization among Veterans with Chronic Musculoskeletal Pain: A Retrospective Chart Review Pain Medicine, April 26, 2013 Review Article

118 The influence of self-reported leisure time physical activity and the body mass index on recovery from persistent back pain among men and women: a population-based cohort study Full Text BMC Public Health, April 26, 2013 Clinical Article

119 Ezogabine (KCNQ2/3 channel opener) prevents delayed activation of meningeal nociceptors if given before but not after the occurrence of cortical spreading depression Epilepsy & Behavior, April 26, 2013 Review Article

120 On the relationship between pain intensity and postural sway in patients with non-specific neck pain Journal of Back and Musculoskeletal Rehabilitation, April 26, 2013 Evidence Based Medicine

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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