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Despite the increasing use of opioid analgesics for chronic pain management, it is unclear whether opioid dose escalation leads to better pain relief during chronic opioid therapy. In this study, we retrospectively analyzed clinical data collected from the Massachusetts General Hospital Center for Pain Medicine over a 7-year period. We examined 1) the impact of opioid dose adjustment (increase or...
Objectives. To collect information on the role of acupuncture in pain management from pain physicians and referral physicians who manage clinical pain conditions.
Methods. The survey was conducted between 2007 and 2008 through nationwide direct mail or e‐mail to 1083 physicians who are currently practicing in the United States. We divided our 16 survey questions into five categories: 1) physician's...
Preclinical studies have suggested that opioid exposure may induce a paradoxical decrease in the nociceptive threshold, commonly referred as opioid-induced hyperalgesia (OIH). While OIH may have implications in acute and chronic pain management, its clinical features remain unclear. Using an office-based quantitative sensory testing (QST) method, we compared pain threshold, pain tolerance, and the...
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