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Pain

Pain

Opioids, imaging, and constipation—try this trio of questions on issues related to pain management.

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There are probably few health care professionals who are unaware of the concerns about the apparent overprescription of opioids. However, we have had only limited information on how good a job physicians may actually be doing in prescribing these medications.

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Low back pain is one of the most common reasons patients seek primary care; 3 new studies confirm what most of them don’t want to hear: less treatment is better than more.

Up to 50% of patients taking opioids for an extended period develop constipation. Patient education and basic prevention can help mitigate the side effect.

Brief exposure to a variety of modifiable factors—physical and psychosocial—increases the risk of back pain.

An estimated 10% to 20% of women experience major depression during pregnancy. Opioids could double that trouble.

Good physical and social functioning may help avert insomnia in older people with musculoskeletal pain.

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