The piece by Jung and Reidenberg presents updated information on U.S. Drug Enforcement Administration (DEA) activities against physicians that we have heard reported on multiple occasions over years as pain professionals, both attending and speaking at conferences. Often presented by active or retired members of law enforcement, such data were nearly believable enough to be taken at face value ...

Pain is usually the natural consequence of tissue injury resulting in approximately forty million medical appointments per year. In general, as the healing process commences, the pain and tenderness associated with the injury will resolve. Unfortunately some individuals experience pain without an obvious injury or suffer protracted pain that persists for months or years after the initial insult...

The Center for pain Studies of the Rehabilitation Institute of Chicago(fomerly known as the Low Back and Pain Clinic)has developed a multidisciplinary program for the management of chronic pain. Typically patients present a variety of chronic pain syndromes, most frequently low back pain, which have not responded to previous treatment including surgery, physical therapy, medication, vogue thera...

We describe a patient with Wellens' syndrome. In view of the large area of myocardium at risk, the importance of recognizing the significance of this ECG pattern is of critical importance for the emergency physician, especially those involved in the evaluation of patients at emergency department chest pain centers. Wellens' syndrome, the criteria for diagnosis, and a discussion of its implicati...

BACKGROUND Clinical and cadaveric studies have implicated that sub-failure cervical instability likely occurs in a subset of whiplash injury patients. Cadaveric studies have suggested that female specimens suffer from more ligamentous stretch injury than males when exposed to simulated rear end crash vectors. However, these findings have never been tested in an in-vivo clinical setting. DESIG...

A 64-year-old woman visited our pain clinic with the pain of right lateral side of thigh for one year. Her pain always started from knee and was radiated to buttock area when symptom was severe. She showed significant tenderness at knee lateral side and local tightness at lateral thigh. Magnetic resonance image of the knee was performed and we could identify high signal intensity of iliotibial ...

BACKGROUND The concept of attachment is relevant for the onset and development of chronic pain. Insecure attachment styles negatively affect therapeutic outcome. Insecurely attached patients seem to be less able to sustain positive effects of a multimodal treatment program. However, it has never been tested before if an attachment-oriented approach can improve treatment results of insecurely at...