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					<title>Pain-Medicine.Net</title><item>
				<title>Medical Marijuana Now A Reality in Arizona.</title>
				<link>http://pain-medicine.net/blog.html#b9</link>
				<description><![CDATA[<p>Last Thursday was the first day <a href="http://www.yumasun.com/opinion/-69259--.html" target="_blank">for citizens of the state of Arizona in the United States to register for medical marijuana.</a> The benefits of marijuana in a chronic pain context consist of its ability to neutralize pain, anxiety, and insomnia. And in the cases of chronic pain patients with depression and associated impaired appetite, its appetite stimulation effects also become a boon. If one is to partake in marijuana for legitimate medical purposes, then it would be advisable to ingest edible forms rather than smoking anything. Overall, it should be considered a pharmaceutical like any prescribed medication, but only with close medical supervision.</p>]]></description><pubDate>Tue, 19 Apr 2011 00:13:32 -0500</pubDate>
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				<title>Laser Therapy Effective For Heel Pain Among Other Things.</title>
				<link>http://pain-medicine.net/blog.html#b8</link>
				<description><![CDATA[<p>I have become a big fan of the use of lasers for acute and chronic musculoskeletal pain. In particular, Class IV lasers are really starting to demonstrate their benefit for the treatment of pain. <a href="http://triblocal.com/evanston/community/stories/2011/04/breakthrough-laser-therapy-relieves-chronic-heel-pain/" target="_blank">Podiatrists are beginning to use them to treat Plantar Fasciitis of the heel/foot.</a> I am once again impressed by the physiologic effect of lasers on the cells of soft tissue. Ideally the cost of these units will come down, and hopefully insurance will at some point cover their use. But in the meantime, many practitioners, especially physical therapists, include laser therapy as a value-added service without additional charges. So if you are going to see a physical therapist, chiropractor, or podiatrist, ask them if they happen to have a Class IV or &quot;cold&quot; laser.</p>]]></description><pubDate>Mon, 18 Apr 2011 16:27:57 -0500</pubDate>
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				<title>Whole Body Electro-Magnetic Stimulation Holds Promise for Fibromyalgia.</title>
				<link>http://pain-medicine.net/blog.html#b7</link>
				<description><![CDATA[<p>I am a big proponent of physiological treatment measures for chronic pain. And an interesting, developing treatment measure is Whole Body Electromagnetic Stimulation. <a href="http://www.prohealth.com/library/showarticle.cfm?libid=16092" target="_blank">A&nbsp; recent, small study showed benefits for Fibromyalgia pain and insomnia.</a> A hypersensitized nervous system is implicated as the cause of Fibromyalgia, and this concept is the root of most types of chronic pain in my opinion. So a non-invasive treatment such as this holds much promise in the treatment of most chronic pain disorders.</p>]]></description><pubDate>Mon, 18 Apr 2011 14:47:05 -0500</pubDate>
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				<title>TRIGGER POINT THERAPY A SAFE AND EFFECTIVE CHRONIC PAIN TREATMENT</title>
				<link>http://pain-medicine.net/blog.html#b6</link>
				<description><![CDATA[<p>Myofascial trigger points are a factor in a majority of chronic pain disorders, and they are highly treatable. <a href="http://www.independent.com/news/2011/apr/17/trigger-point-therapy/" target="_blank">Here is an excellent interview with a therapist who treats trigger points with manual manipulation.</a> You'll notice that Mr. Harris, the therapist, finds that trigger points are the chief culprit even in the setting of findings in the spine on MRI! In my medical practice, I also perform trigger point injections, which are also quite safe and effective. And, patients can be taught to manipulate trigger points themselves at home. This is a great option for most chronic pain sufferers.</p>]]></description><pubDate>Mon, 18 Apr 2011 11:43:32 -0500</pubDate>
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				<title>YOGA EFFECTIVE FOR FIBROMYALGIA (AND FOR CHRONIC PAIN IN GENERAL)</title>
				<link>http://pain-medicine.net/blog.html#b5</link>
				<description><![CDATA[<p>The principles of yoga have two main facets that make them very effective for the treatment of chronic pain: 1) Flexibility 2) Relaxation. The different poses of yoga serve to stretch muscle groups and reduce the frequency of stiffness, spasm, or even tear. And, the meditation that is part and parcel of yoga helps to relax not only the mind but also to physiologically relax the soft tissue and other systems of the body. It is an essential tool for conquering chronic pain, <a href="http://www.mdnews.com/news/2011_04/national_apr11_yoga-fights-pain" target="_blank">and most recently it was found to be statistically very effective in the treatment of Fibromyalgia.</a> Fibromyalgia is felt to be caused by a hypersensitized nervous system, and this model holds true, in my opinion, for chronic pain in general. So, it only stands to reason that yoga would help to dial down this electrified nervous system.</p>]]></description><pubDate>Sat, 16 Apr 2011 15:00:22 -0500</pubDate>
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				<title>Health Care Reform</title>
				<link>http://pain-medicine.net/blog.html#b3</link>
				<description><![CDATA[<p>Happy New Year everyone! I thought it would be useful to get at least this physician's take on impending health care reform in this country. I find it amusing that many of my medical colleagues have been running for cover from these potential changes to the system. Perhaps they are fearful of not being able to afford that all-important third yacht. Nonetheless, with the Senate's approval of a new plan, to go with the House of Representatives' passage of their plan on November 1st, it appears that change is indeed right around the corner. Let's look at some of the particulars.</p>
<p>First, both plans have agreed to subsidize health insurance for a family of four making up to approximately $88,000 nationally. Both bills would expand Medicaid coverage to cover individuals making up to approximately $30,000 per year. Another useful feature of both plans is the creation of insurance exchanges, whereby small businesses, the self-employed, and the unemployed could purchase less expensive coverage by the pooling of resources. Both plans would limit total out-of-pocket expenses, and they would bar an insurer from charging higher premiums based on gender or medical history. And the most refreshing feature that I've seen so far: insurers would be unable to deny coverage for pre-existing conditions.</p>
<p>Now, all of that having been said, either of these plans will put a giant hole in our collective wallets. The Senate bill would cost $871 billion, while the House bill would reach $1 trillion in cost. While both plans would cost a lot, they differ as to how they would pay for the expanded coverage. The Senate bill would apply a 40% tax to companies that provide so-called &quot;Cadillac&quot;&nbsp;health plans, while the House plan would tax individuals with incomes over $500,000 and families with incomes greater than $1 million. Another negative would involve Medicare. The Senate bill would cut Medicare by approximately $500 billion, and it would increase Medicare taxes on families making over $250,000. Then there's the dreaded public option. The House plan would include a public option, while the Senate plan would create nonprofit private plans overseen by the federal government.</p>
<p>As you can see, this is a real mixed bag. And the two plans will have to be merged to everyone's satisfaction. Is anyone really happy about this potential package? The left has labeled it a failure without the public option. While, some on the right have called it a &quot;monstrosity.&quot; But perhaps it is a good thing that there is such angst over this bill. Our great political machine, with its checks and balances, will churn and crank out this imperfect package. A package that many politicians can live with, but none will gush over. But with a current American health care system that is, in my opinion, truly broken, we need some package, any package, to help fix it. So I, for one, welcome this &quot;monstrosity of a failure.&quot; I welcome it for the millions of un-insured Americans. For the millions who have to make our emergency rooms their primary care clinics. For the hoards of Americans who lose sleep every night as their children go without health coverage. For the many small business owners who can barely afford their overhead, let alone health coverage. This bill has just about completed its due process. It will have survived a highly politically charged process, from town hall meeting shouting matches, to pure partisan voting. It may be bitter medicine, with some side effects, but I say we'd best swallow this pill, because it's just what the doctor ordered. The alternative would just be more bad medicine.</p>
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				<title>Hello &amp;amp; Welcome!</title>
				<link>http://pain-medicine.net/blog.html#b1</link>
				<description><![CDATA[<p>Welcome to my website. Let's talk about medical topics including Pain, Addiction, Weight Management, and more. I encourage you to submit any and all questions, comments, and insights. I'll do my best to address any issues that do not pertain to specifics of a person's case.</p>]]></description><pubDate>Sat, 19 Dec 2009 17:57:58 -0600</pubDate>
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