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Physicians focus on stopping pain epidemic
Date:2/16/2008

ain under certain clinical conditions, which is referred to as opioid-induced pain. According to Mao, opioid analgesics can activate the cellular mechanisms responsible for pathological pain. He says there is a cross-talk between mechanisms of pain and opioid-induced pain, and opioid-induced pain can contribute to chronic pain conditions.

Opioid-induced pain is an unwanted adverse consequence from opioid therapy, which hampers the opioid analgesic effect for chronic pain management, remarks Mao. Rational use of opioid analgesics may minimize the impact of opioid-induced pain and improve clinical outcomes of opioid therapy. More clinical and preclinical studies are needed to understand the mechanisms of opioid-induced pain and to guide clinical use of opioid analgesics.

Friday, Feb. 15:

8-9 a.m. Motion Preservation: A Paradigm Shift in Spine Surgery, Paul Anderson, MD

Motion sparing treatment of the spine is rapidly gaining interest. Anderson says that the early results for disc arthroplasty, interspinous process device and dynamic stabilization are encouraging; however, long-term results are lacking and further research is needed.

The rationale for motion preservation technology is to avoid fusion thereby decreasing the likelihood of adjacent segment degeneration will allow earlier return to activities, maintain viscoelastic properties of the motion segment, reduce surgical morbidity, and decrease postoperative bracing requirements, Anderson explains.

Anderson says that the short-term outcomes of lumbar and cervical arthroplasty are comparable to fusion, while interspinous process distraction has been shown to have significantly better results than epidural steroid injections in spinal stenosis patients.

Motion sparing technology offers hope that reduced secondary diseases as a result of altered mechanics from surgery will be avoided. Additionally these techniques may be associated with s
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Contact: Amy Jenkins
amy@jenkinspr.com
312-836-0613
American Academy of Pain Medicine
Source:Eurekalert

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