neuropathic pain

Gabapentin is widely used, often for pain, but it is often not used skillfully. 

This can result in patients getting inadequate symptom relief or stopping the drug unnecessarily because they mistakenly think that they can't tolerate it.

Using gabapentin skillfully is worth learning!

Listen and learn the 8 things that you should know about gabapentin. Your patients will be happier and you'll be happier.

Happy learning!
Dr. Chiaramonte
www.integrativepalliative.com/training 

My book Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is out! If you're a physician, clinician, or have a loved one with dementia, cancer or other serious illness or an aging parent this book is for you.

My book has launched! Order your copy of Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself, and buy one for a friend. www.copingcourageously.com

Creating Integrative Palliative Solutions for Hospices and Clinicians Who Care for People With Serious Illness

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Imagine living with excruciating pain that prevents you from walking or doing the things most of us take for granted. We all experience pain, and 50 million people cope with chronic, debilitating pain. The market for pain therapies is estimated at $74 billion. And yet, investment in new pain and addiction treatments is falling short of what is needed, according to a new BIO report, which shows a 44% decrease in clinical drug programs for pain over the past five years. Our guests on this episode talk about the challenges of living with and treating pain, as well as research and development on new, non-addictive and safer pain therapies. 

Imagine living with excruciating pain that prevents you from walking or doing the things most of us take for granted. We all experience pain, and 50 million people cope with chronic, debilitating pain. The market for pain therapies is estimated at $74 billion. And yet, investment in new pain and addiction treatments is falling short of what is needed, according to a new BIO report, which shows a 44% decrease in clinical drug programs for pain over the past five years. Our guests on this episode talk about the challenges of living with and treating pain, as well as research and development on new, non-addictive and safer pain therapies. 

Knowing how to properly apply photobiomodulation is critical to get the results your patients need. Various irradiances of near infrared light have been shown to be beneficial for the treatment of neuropathic pain. Today Dr. Rountree and Kristi discuss a study on the mechanistic basis for beneficial outcomes regarding laser therapy by near infrared light on neuropathic pain. Follow along as they discuss why a combination of high irradiance and low irradiance treatments can be used to not only block pain signals, but to also alter the nerve’s pathology and inflammation to stimulate repair. 

We have begun live-streaming this podcast. Watch the next episode LIVE in two weeks on Facebook!

Studies mentioned in this episode

The Mechanistic Basis for Photobiomodulation Therapy of Neuropathic Pain by Near Infrared Laser Light

YouTube Channel

Laser Therapy Institute

Further Resources:

Success with Laser Therapy Flowchart & Checklist Infographic
Check out these FREE Provider Resources
Read about laser research on the LTI Blog
Learn more about what we offer on the LTI website
Find out how you can Customize your LTI experience
LTI Neuropathy Package

Related Podcast for Patients
Healing at the Speed of Light

From Samantha Catanzano, PharmD, BCPP; Andrew Friedman, MD; and Amanda Zimmerman, PA-C, this episode provides an informational discussion on incorporating interprofessional and multidisciplinary care into the management of patients experiencing pain. Listen as these healthcare professionals go through case examples of patients experiencing chronic pain in the setting of an acute injury, an upcoming surgery requiring medication transition, and a prior substance use disorder. Along with providing their input on these individual cases, the experts conclude with a summary of key takeaways for optimizing interprofessional and multidisciplinary management.

Presenters:

Samantha Catanzano, PharmD, BCPP
Clinical Assistant Professor
Division of Pharmacy Practice
The University of Texas at Austin College of Pharmacy
Board-Certified Psychiatric Pharmacist
Integrated Behavioral Health Department
Austin, Texas

Andrew Friedman, MD
Medical Director, Physical Medicine & Rehabilitation
Virginia Mason Franciscan Health
Director, Spine Clinic & Services
Virginia Mason Health Center
Clinical Associate Professor
University of Washington
Seattle, Washington

Amanda Zimmerman, PA-C
Physician Assistant
West Forsyth Pain Management
Winston-Salem, North Carolina

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see
https://bit.ly/3mgrfb9 for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the FDA.

Provided by Clinical Care Options, LLC, and in partnership with the American Academy of Physical Medicine and Rehabilitation, Practicing Clinicians Exchange, and ProCE.

Link to full program:
https://bit.ly/3mcDHsi

From Samantha Catanzano, PharmD, BCPP, this episode delves into nonopioid options for pain management. Listen as Dr Catanzano provides information on the available nonopioid medications, including valuable details on their indications, mechanisms of action, contraindications, and adverse event profiles. The episode ends with an overview of factors to consider when choosing the best nonopioid pharmacologic agent for a patient.  

Presenter:

Samantha Catanzano, PharmD, BCPP
Clinical Assistant Professor
Division of Pharmacy Practice
The University of Texas at Austin College of Pharmacy
Board-Certified Psychiatric Pharmacist
Integrated Behavioral Health Department
Austin, Texas

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see
https://bit.ly/3mgrfb9 for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the FDA.

Provided by Clinical Care Options, LLC, and in partnership with the American Academy of Physical Medicine and Rehabilitation, Practicing Clinicians Exchange, and ProCE.

Link to full program:
https://bit.ly/3mcDHsi

From Samantha Catanzano, PharmD, BCPP, this episode delves into opioid options for pain management. Listen as Dr Catanzano provides information on the indications and mechanisms of action of opioid medications, including tips for converting dosages among medications, recognizing adverse events, and discussion of short-acting vs long-acting formulations. The episode ends with an overview of factors to consider when choosing the best opioid pharmacologic agent for a patient.  

Presenter:

Samantha Catanzano, PharmD, BCPP
Clinical Assistant Professor
Division of Pharmacy Practice
The University of Texas at Austin College of Pharmacy
Board-Certified Psychiatric Pharmacist
Integrated Behavioral Health Department
Austin, Texas

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see
https://bit.ly/3mgrfb9 for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the FDA.

Provided by Clinical Care Options, LLC, and in partnership with the American Academy of Physical Medicine and Rehabilitation, Practicing Clinicians Exchange, and ProCE.

Link to full program:
https://bit.ly/3mcDHsi

From Erik Shaw, DO, FAAPMR, and the Opioid REMS Education Initiative, an introduction to neuropathic pain and expert insight on differentiating peripheral vs central neuropathic pain and recognizing the signs, symptoms, and pathophysiology of each. This episode also features an interview with a standardized patient who has been experiencing chronic pain due to shingles. Listen as the patient describes the detrimental impact that chronic pain has had on her life and hear how Dr. Shaw develops a plan of action together with her.

Presenter:

Erik Shaw, DO, FAAPMR
Chair
AAPM&R Opioid Task Force
Medical Director
Shepherd Spine and Pain Institute
Atlanta, Georgia

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see
https://bit.ly/3mgrfb9 for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the FDA.

Provided by Clinical Care Options, LLC, and in partnership with the American Academy of Physical Medicine and Rehabilitation, Practicing Clinicians Exchange, and ProCE.

Link to full program:
https://bit.ly/3mcDHsi

From Erik Shaw, DO, FAAPMR, and the Opioid REMS Education Initiative, an introduction to pain and pain management. In this podcast, Dr. Shaw provides an overview of the different types of pain, including their physiology, their psychological burden, and the transition from acute to chronic pain. Also discussed are the various available pain management strategies and the need for a treatment approach that goes beyond medication. Special attention is called to the importance of multidisciplinary care and the education of all members of the healthcare team on pain management.

Listen on to learn more about the multimodal program “Expert Guidance for Effective Management and Appropriate Monitoring of Patients With Pain,” which will cover pain and pain management in depth, including the fundamentals of pain, pharmacologic and nonpharmacologic treatment options, safe opioid use, and how to manage patients with opioid use disorder.

Presenter:

Erik Shaw, DO, FAAPMR
Chair
AAPM&R Opioid Task Force
Medical Director
Shepherd Spine and Pain Institute
Atlanta, Georgia

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see
https://bit.ly/3mgrfb9 for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the FDA.

Provided by Clinical Care Options, LLC, and in partnership with the American Academy of Physical Medicine and Rehabilitation, Practicing Clinicians Exchange, and ProCE.

Link to full program:
https://bit.ly/3mcDHsi

In this episode I cover neuropathic pain.

If you want to follow along with written notes on neuropathic pain go to https://zerotofinals.com/medicine/neurology/neuropathicpain/ or the neurology section in the Zero to Finals medicine book.

This episode covers presentation, diagnosis and management of neuropathic pain. I also discuss complex regional pain syndrome.

The audio in the episode was expertly edited by Harry Watchman.