One of the most challenging dimensions of contemporary pain medicine is the management of clinically significant pain in patients who present with risk factors for opioid misuse or who have a history of substance use disorder. The competing imperatives of treating pain adequately and avoiding iatrogenic contribution to substance use . . . Read more
Osteoarthritis is the most prevalent joint disease globally and a leading source of pain and functional disability, particularly among older adults. The clinical management of osteoarthritis pain seeks to reduce pain intensity sufficiently to allow participation in physical activity and rehabilitation while minimizing the risks associated with long-term analgesic use. . . . Read more
Effective postoperative pain management is a cornerstone of modern surgical care that directly influences patient recovery, satisfaction, early mobilization, and prevention of chronic postsurgical pain. The shift toward multimodal analgesic approaches in perioperative medicine has created an expanded role for agents that provide meaningful analgesia without the respiratory and cognitive . . . Read more
Chronic low back pain is the leading cause of disability worldwide and represents one of the most significant challenges in modern musculoskeletal medicine. Despite an extensive armamentarium of pharmacological, interventional, and rehabilitative treatments, a substantial proportion of patients continue to experience pain that significantly limits their physical functioning, occupational capacity, . . . Read more
Restless legs syndrome is a neurological sensorimotor disorder characterized by an uncomfortable urge to move the legs, typically accompanied by unpleasant sensations described as crawling, pulling, aching, or electric discharges. The symptoms predominantly occur during periods of rest and inactivity, worsen in the evening and nighttime hours, and are partially . . . Read more
Fibromyalgia is a chronic pain syndrome that presents with widespread musculoskeletal pain, fatigue, sleep disturbance, cognitive difficulties, and a range of somatic symptoms that collectively impose substantial disability. The condition is increasingly understood as a disorder of central pain processing rather than a peripheral inflammatory or structural pathology, with central . . . Read more
Neuropathic pain is a complex and often debilitating condition that arises from damage or dysfunction of the somatosensory nervous system. Unlike nociceptive pain, which signals actual or potential tissue injury through intact peripheral and central pathways, neuropathic pain reflects pathological changes in neural processing that cause the nervous system itself . . . Read more
Acute agitation is a common and challenging clinical presentation encountered across a wide range of hospital settings including emergency departments, general medical wards, intensive care units, and psychiatric inpatient facilities. Characterized by heightened psychomotor activity, verbal or physical aggression, inability to cooperate with care, and potential danger to the patient . . . Read more
Anxiety is a universal human response to the prospect of surgery. The anticipation of pain, loss of control, anesthesia, and the possibility of complications generates psychological distress in virtually all surgical patients, though the severity varies enormously from mild concern to incapacitating fear. Uncontrolled preoperative anxiety has measurable adverse effects . . . Read more
Chemotherapy-induced nausea and vomiting remains one of the most distressing and feared side effects of cancer treatment. Despite remarkable advances in antiemetic pharmacology over the past three decades, a substantial proportion of patients receiving emetogenic chemotherapy regimens continue to experience nausea or vomiting that significantly affects quality of life, treatment . . . Read more