Archive For The “Chronic Pain in the Young” Category

Chronic Pain in the Young: Cervicogenic Headaches

By | March 31, 2012

Cervicogenic headaches are one of the most common yet under-diagnosed causes of chronic pain in the young that we see at Schlesinger Pain Centers. Patients with absolutely classic signs and symptoms often languish for years in other offices and clinics. Some have even undergone extensive surgical procedures for Arnold-Chiari malformations or other rare conditions, which […]

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Chronic Pain in the Young: Rebound Headaches

By | March 30, 2012

One of the problems in assessing and treating patients with chronic headaches is the fact that by the time they come to see me at Schlesinger Pain Centers many of them will have been started on oral opiates or barbiturates. As I have said before in these blogs, in my opinion these drugs have no […]

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Chronic Pain in the Young: Migraines, A Historical Perspective

By | March 29, 2012

I am old enough to remember treating migraine headaches before the introduction of the triptans. Before the introduction of sumatriptan there was no really effective way to treat a migraine once it had begun. We understood a little bit about the hormonal and dietary triggers of migraine headaches and some work had been done on […]

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Chronic Pain in the Young: Headaches

By | March 28, 2012

If I had to pick a syndrome that best exemplified the problems of chronic pain in the young, it would be chronic headaches. Statistically most chronic headaches will start within a decade of puberty. Furthermore, how these headaches are treated will have a major impact on the rest of the patient’s life. I have seen […]

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Chronic Pain in the Young: Pelvic Pain, Treatment

By | March 26, 2012

  The treatment of chronic pelvic pain in the young is as challenging as anything that I do. Let me start by saying that oral opiates have no place in the treatment of chronic pelvic pain. I can’t tell you how many patients have come to see me at Schlesinger Pain Centers, who once had […]

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Chronic Pain in the Young: Pelvic Pain, Diagnostic Work Up

By | March 25, 2012

By the time most patients with chronic pelvic pain come to see us at Schlesinger Pain Centers much of the diagnostic work up has already been done. X-Rays, CAT Scans, MRI’s and even laparoscopies to rule out structural causes and appropriate cultures to rule out infectious etiologies are obligatory. Once this is done the work […]

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Chronic Pain in the Young: Pelvic Pain, Significance

By | March 24, 2012

While not the largest number of patients we see at Schlesinger Pain Centers by any means the significance of chronic pelvic pain in the young is huge, because with the possible exception of their breasts, no other part of the anatomy impacts as heavily on their sense of identity as the pelvic organs. Young women […]

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Chronic Pain in the Young: Pelvic Pain, Etiology

By | March 23, 2012

  If I had to pick a chronic pain condition afflicting the young that was particularly poorly understood and treated, chronic pelvic pain would be near the top of the list. I am not talking about the simple cases such as ovarian cysts or pelvic infections, but rather of the pain conditions that tend to […]

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Chronic Pain in the Young: Disability

By | March 19, 2012

There is a common misconception in treating teens and young adults with chronic pain that since they have their whole life ahead of them that the timeliness of therapy is not as pressing a concern as it is in older patients. In fact exactly the opposite is true. Older patient’s lives are more settled so […]

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Chronic Pain in the Young: Student Athletics

By | March 16, 2012

Student athletics in today’s world is an oxymoron. It is an allusion back to the days when high school and college students actually had time for studies, sports and a social life. While this may still be theoretically possible in high school, in college from what I hear even the best of athletes barely have […]

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