A5039599393- Musculoskeletal pain and rehabilitation
- Pain Management and Placebo Effect
- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Pain Mechanisms and Treatments
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Myofascial pain diagnosis and treatment
- Spine and Intervertebral Disc Pathology
- Botulinum Toxin and Related Neurological Disorders
- Pediatric Pain Management Techniques
- Empathy and Medical Education
- Cardiac, Anesthesia and Surgical Outcomes
- Pain Management and Treatment
- Anesthesia and Pain Management
- Substance Abuse Treatment and Outcomes
- Shoulder Injury and Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Therapeutic Uses of Natural Elements
- Medical and Biological Sciences
- Cannabis and Cannabinoid Research
- Shoulder and Clavicle Injuries
- Psychosomatic Disorders and Their Treatments
- Nerve Injury and Rehabilitation
- Spaceflight effects on biology
UNSW Sydney
2014-2024
Bar-Ilan University
2024
IP Australia
2024
St Vincent's Clinic
2014-2023
St Vincent's Health
2022-2023
St Vincent's Hospital Sydney
1996-2021
St Vincent's Hospital
1986-2015
University of New England
2014
New England College
2014
Clifford Chance
2008
1. Introduction Chronic pain has been recognized as that persists past normal healing time5 and hence lacks the acute warning function of physiological nociception.35 Usually is regarded chronic when it lasts or recurs for more than 3 to 6 months.29 a frequent condition, affecting an estimated 20% people worldwide6,13,14,18 accounting 15% physician visits.25,28 should receive greater attention global health priority because adequate treatment human right, duty any care system provide it.4,13...
BackgroundInterest in the use of cannabis and cannabinoids to treat chronic non-cancer pain is increasing, because their potential reduce opioid dose requirements. We aimed investigate people living with who had been prescribed opioids, including reasons for perceived effectiveness cannabis; associations between amount pain, mental health, use; effect on severity interference over time; opioid-sparing effects cannabis.MethodsThe Pain Opioids IN Treatment study a prospective, national,...
Objective. To address how health professionals may inadvertently contribute to the stigmatization of patients with chronic pain. Setting. Formulation and implementation Australian National Pain Strategy. Design. Review current concepts stereotyping stigma, consideration their relationship empathy, they might impinge upon clinical encounter. Findings. The extinction which we refer as “negative empathy,” can overwhelm professionals, allowing entry negative community stereotypes pain sufferers...
ObjectiveBenzodiazepines (BZDs) are commonly used by chronic pain patients, despite limited evidence of any long-term benefits and concerns regarding adverse events drug interactions, particularly in older patients. This article aims to: describe patterns BZDs use; the demographic, physical, mental health correlates BZD examine if negative outcomes associated with use after controlling for confounders.
There has been a recent increase in public and professional concern about the prescription of strong opioids for pain. Despite this concern, research to date limited because number factors such as small sample sizes, exclusion people with complex comorbidities, studies short duration. The Pain Opioids IN Treatment is 2-year prospective cohort study 1500 prescribed pharmaceutical their chronic This article provides an overview demographic clinical characteristics using baseline data 1514...
There is increasing concern about the appropriateness of prescribing pharmaceutical opioids for chronic non-cancer pain (CNCP), given risks problematic use and dependence. This article examines opioid dose dependence correlates each.Baseline data were obtained from a national sample 1,424 people across Australia (median 58 years, 55% female experiencing median 10 years), who had been prescribed CNCP. Current consumption was estimated in oral morphine equivalent (OME; mg per day), ICD-10...
Low dose corticosteroids are effective in suppressing synovitis rheumatoid arthritis (RA), but there remains concern about their side effects, particularly osteoporosis. To examine the effects of low on bone loss RA mineral density (BMD) was measured lumbar spine and hip for up to two years 15 patients treated with these agents (mean prednis(ol)one 6.6 mg/day). not receiving them, age matched controls. The initial BMD at both skeletal sites significantly reduced patient groups compared mean...
Summary This randomised trial showed that multiprofessional stratified management had no effect beyond usual care in reducing transition rates to chronicity patients with acute whiplash. Acute whiplash is a heterogeneous disorder becomes persistent 40% 60% of cases. Estimates recovery have not changed recent decades. randomized, single-blind, controlled tested whether multidisciplinary individualized treatments for (<4 weeks postinjury) could reduce the incidence at 6 mo by 50% compared...
Recent studies into the common complaint of chronic neck pain have focused on its anatomical origin, identifying especially cervical zygapophysial joints. However pathophysiology remains poorly understood. In this psychophysical study, responses to electrocutaneous stimulation in subjects with were examined. an ascending method limits design. electrical stimuli at 100 Hz variation current from 0 45 mA and pulse width 1000 micros delivered transcutaneously two points 2 cm midline bilaterally...
To assess how well the defined daily dose (DDD) metric reflects opioid utilisation among chronic non-cancer pain patients.Descriptive, cross-sectional study, utilising a 7-day medication diary.Community-based treatment settings, Australia.A sample of 1101 people prescribed opioids for pain.Opioid data was collected via self-completed diary capturing names, strengths and doses each taken in past week. Median calculated opioid. Comparisons were made to World Health Organization's (WHO) DDD...
Abstract The International Classification of Diseases (ICD) and the Diagnostic Statistical Manual (DSM) are routinely used in diagnosing illicit substance use disorders, but for people taking prescribed opioids they remain controversial. In pain medicine, concept “Addiction” is preferred with reduced emphasis on tolerance withdrawal. This article examines prevalence characteristics pharmaceutical opioid dependence/disorder according to ICD, DSM, medicine “Addiction,” among chronic noncancer...