• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Is low-dose naltrexone effective in chronic pain management?
J Fam Pract. 2023 Sep;72(7):320-321. doi: 10.12788/jfp.0654.ABSTRACTYES. Low-dose naltrexone is as effective as amitriptyline in the treatment of painful diabetic neuropathy and has a superior safety profile (strength of recommendation [SOR], B; single randomized controlled trial [RCT]). Low-dose naltrexone significantly reduced pain by 32% in inflammatory conditions and 44% in neuropathic conditions (SOR, B; single retrospective cohort study). Doses as low as 5.4 mg were found to reduce pain in 95% of patients with fibromyalgia (SOR, B; single prospective dose-response study).PMID:37729143 | DOI:10.12788/jfp.0654
Source: The Journal of Family Practice - September 20, 2023 Category: Practice Management Authors: Roxanne Radi Harriet Huang Jason Rivera Corey Lyon Kristen DeSanto Source Type: research

Nonpharmacologic treatment of chronic pain: What works?
Abstract Which therapies should you recommend for chronic low back pain, osteoarthritis, or fibromyalgia? This review-with 3 handy tables-summarizes the evidence. PMID: 30110500 [PubMed - in process]
Source: The Journal of Family Practice - August 1, 2018 Category: Practice Management Authors: Lemmon R, Hampton A Tags: J Fam Pract Source Type: research

Chronic pain: How to approach these 3 common conditions.
Abstract Fibromyalgia, osteoarthritis, and low back pain require multimodal, evidence-based treatment plans. Tailoring those plans to the underlying mechanisms of pain is key. PMID: 28249053 [PubMed - in process]
Source: The Journal of Family Practice - February 28, 2017 Category: Practice Management Authors: Schneiderhan J, Orizondo C Tags: J Fam Pract Source Type: research

A new paradigm for pain?
Abstract A new way of thinking about pain that occurs in the absence of a pathophysiologic process or injury may alter our approach to conditions like fibromyalgia. PMID: 27672685 [PubMed - in process]
Source: The Journal of Family Practice - August 31, 2016 Category: Practice Management Authors: Davis B, Vanderah TW Tags: J Fam Pract Source Type: research

Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: a cross-sectional study
Data is lacking on comorbid personality disorders (PD) and fibromyalgia syndrome (FMS) in terms of prevalence, and associated healthcare and societal costs. The main aim of this study was to assess the prevale...
Source: BMC Family Practice - June 1, 2016 Category: Primary Care Authors: Laura Gumà-Uriel, M. Teresa Peñarrubia-María, Marta Cerdà-Lafont, Oriol Cunillera-Puertolas, Jesús Almeda-Ortega, Rita Fernández-Vergel, Javier García-Campayo and Juan V. Luciano Source Type: research

Fibromyalgia · anxiety/depression · urinary retention · Dx?
Abstract A 72-year-old woman came to our internal medicine department clinic for a follow-up appointment for her fibromyalgia. Thirteen months earlier, she had sought care at our facility not only for fibromyalgia, but for insomnia, anxiety, depression, and urinary incontinence. At the time, we prescribed amitriptyline 10 mg/d--for her pain and depression--as well as clonazepam 10 mg/d and paracetamol 650 mg, as needed. PMID: 26546961 [PubMed - in process]
Source: The Journal of Family Practice - September 1, 2015 Category: Practice Management Authors: Roth-Damas P, Sempere-Manuel M, Palop-Larrea V Tags: J Fam Pract Source Type: research

HelpDesk Answers: Do trigger point injections effectively treat fibromyalgia?
Abstract Possibly. Trigger point injections appear effective in reducing pain and increasing pressure thresholds in patients with fibromyalgia and myofascial trigger points. Consensus guidelines suggest that trigger point injections may have a role in the treatment of fibromyalgia. PMID: 26324962 [PubMed - in process]
Source: The Journal of Family Practice - July 1, 2015 Category: Practice Management Authors: White D, Staff T Tags: J Fam Pract Source Type: research

Medically unexplained conditions considered by patients in general practice
Conclusion. Patients frequently considered that they may suffer from UCs. The likelihood of such concerns strongly increased with an increasing symptom load and with the number of life stressors with negative impact on present health. Hence, the number of symptoms may be a strong indicator of whether patients consider their symptoms part of such often controversial multisymptom conditions.
Source: Family Practice - March 21, 2014 Category: Primary Care Authors: Tschudi-Madsen, H., Kjeldsberg, M., Natvig, B., Ihlebaek, C., Straand, J., Bruusgaard, D. Tags: Epidemiology Source Type: research

Chronic Pain Perspectives: Diagnosing fibromyalgia and myofascial pain syndrome: A guide.
Abstract The instruments and physical exam techniques described here will help you to diagnose these 2 common soft-tissue pain conditions. PMID: 24340342 [PubMed - in process]
Source: The Journal of Family Practice - December 1, 2013 Category: Practice Management Authors: Gerwin RD Tags: J Fam Pract Source Type: research

Evidence of prescription of antidepressants for non-psychiatric conditions in primary care: an analysis of guidelines and systematic reviews
Conclusions: Prescription of ADs was found to be beneficial for many non-psychiatric health conditions regularly encountered in PC settings. On the whole, the guidelines were heterogeneous, seemingly due to a lack of trials assessing the role of ADs in treatment strategies.
Source: BMC Family Practice - May 4, 2013 Category: Primary Care Authors: Alain MercierIsabelle Auger-AubinJean-Pierre LebeauMatthieu SchuersPascal BouletJean-Loup HermilPaul Van RoyenLieve Peremans Source Type: research