Pain Information: Recent Episodes
H. C. Hansen M.D.
The Pain Information Network is a resource to better understand pain, why we hurt, and what we can do about it. The latest diagnostic, therapeutic, and research is discussed by experts in the field of pain control strategies and treatment.
"Take a few days off"... . Doesn't quite work that way. So I'm into week two, and I talk a little bit about processes of acute pain at this stage, and how we get through the day. Acute pain rarely becomes chronic pain, and that's what we're going to be thinking about here. However, acute pain happens chronically and chronic pain happens acutely. What do I mean by that? Take a listen... .
There are two types of pain, acute pain, and chronic pain- in the broad sense. We can break them down, but there is acute pain, and chronic pain that finds us with our story today. Acute pain happens chronically, and chronic pain happens acutely. We are going to walk through both of these processes, and I will chronicle them real-time. Question. Who is the worst patient? Answer. A physician. Who is the second worst patient. A physician. Well, here we are, a day-to-day portrayal of a traumatic fracture to yours truly, at the proximal head of the humerus, and the adventures that lay ahead. Probably “adventure” is a horrible word, as I’m sure we shall see. I'm going to let you know how we do as a family. That's of course my immediate family, my patient family, dear employees, and those that are affected around the very active individual whom has great difficulty pondering " doc,take it easy"(me). I have responsibilities, to my patients and the community, so I'm going to figure this out. Physician heal thyself. Actually, it takes a team. I am going to be compliant and follow my doctor's orders. We’ll talk it up as we go through the next few weeks, and I'm sure it will be interesting…..
Well. there is a difference. This is one of the most common questions, and problems in the clinic. Let's talk about it.
'Bout right. A new class of bioactive drugs are right around the corner... CBD, Krato, Kava, D8, D10. Yikes!!
Each day pain finds a way to be challenging to all involved. Some glimpses at decision making -real life. The chronic migraine, the medications, the processes, doing the most with the stuff we have....
Basically, there is more than one way to get the relief from pain you need, and deserve. I am quizzed daily about my thoughts about options and alternatives. A brief tour of a few- always open to options....
The Greek God of dreams is Morpheus, which morphed to Morphine. Morphine is the standard which others are compared, and World Health Organization essential agent. A potent opioid, it is a workhorse throughout the World for pain management.C'mon, take a quick tour of this important pain control strategy that millions use each year for relief...
Codeine is known worldwide for its versatility, and availability. An important option for pain, but it does have its misunderstood side, and those quircks...Podcast in a car!
Hydrocodone is a very popular, readily available opioid pain medication....really a big deal in the States. Oxycodone, Hydrocodone, the 2 big hitters in the acute and chronic pain arena, most of us will see these in our lifetime- friends, family, Us! Nice to know a bit about these readily available and useful tools for pain management.
Let’s start with Oxy, a favorite. Good, no, a great drug for mid to awful pain. Pitfalls, the why, the need, all there. So why revisit it? Because 2020 happened, and Oxycodone needs attention….
A pain and addiction management provider addresses real patients, their presentation, decision making and what transpired. Real life events. Real clinic. It's what we see and do....
Central nervous system drug delivery pumps, what they are, and you must know about them.... A world leading expert, Dr. Schultz
Why am I talking fibro. Because it tells a tale that affects us all. We may be testing markers regularly in the future, like we obtain routine blood work. Wouldn't it be ironic if fibro validated commonality in the world of pain, while remaining a silent diagnosis for so long....
Brief tour of my take on support groups. Enter with caution, but many are worthwhile. Pain has a lonely world around it, and the insecurities are abundant. Validation of your situation drops the anxiety. Low dose Naltrexone is discussed- the science makes sense.
Chronic pain from any source is often misunderstood and undertreated. The more you know, the more you know, for yourself or loved ones.
Pain is a subject that is much bespoken, often characterized, poorly presented, and a confusion waiting to happen. It's invisible, and everybody has an opinion. Here's some science.
Pain, addiction, depression (PAD) shares a common denominator and is all about the experience of everyday life for millions of souls. Understanding is part of healing. Here is a bit of that.
The Neuroscience of brain inflammation sure seems to fit the fibro model. Glial cells have a story to tell.
Beginning a series on the diagnosis and treatment of fibromyalgia and widespread pain….
The medical world has changed…and fast. A popular topic, opioids takes a twist…what’s a prodrug?
Finishing up a 3 part series about geriatric pain. A necessary discussion because no one talks about it. Only, astonishingly, 1% of the literature directly reviews this stuff. Guess what... it's the largest population of hurting out there.
The good problem to have is an aging body- the alternative is not so good. This series discusses the complexities of the aging body, pain, and the myths that people encounter about geriatric pain. I believe that a well informed patient that understand their own skin lives a happier and more productive life.....
Let's talk about a nice problem to have...ageing. Really. The alternative is, well, you know. Aging and the aches and pains of life is a real subject,full of subtle variances and treatment needs. Cautions, reassurance, a necessary discussion....
We have 3 crisis- Pain, Opioid, Virus. How will you get and respond to your pain control needs. A start to understanding where and how.....
Talking about the new world... How we approach the daily challenges of access to care, and taking care of you. Where there is adversity, there is advantage.....
This is a podcast from the car. Of course, ending at Publix. Oxytocin, oxycodone, CBD, Autism? Let's see where this goes.....
Podcast from a car. This med has potential for tough pain control states, and may be one of the few drugs with a high risk/reward relationship at a reasonable cost..... check it out
Returning from a great ASIPP/Kentucky/Ohio meeting, I felt the need to talk about CBD. You know, it's everywhere. What does it do, how it works, does it work...Let's talk about it. This is a good start - a primer, on the way home from the airport.
Dr. Jordan, a renowned Neurologist and rearcher talks exosomes, exciting chemotherapy, and the future of important research. I'm really lucky to have him on- I know you'll enjoy this....
I'll scratch at the surface of the new Stimulater technology, and talk about Ponce de Lion....
Depression is a common, oh so common, malady. It is understandable, treatable, real. Let's tak a look....
A primer on drug stuff. Getting you all ready for the heavy metabolism talk you MUST know. It's not the drug you take, it's where the drug takes you.
Get moving. Pain is a description, not an entity. Do more, not less. Short on purpose.....
A unique experience to hear two renowned physicians talk about career moments. You'll never hear this from us, but coaching is where it's at. The level of training and experience is astounding.
2 highly respected Physicians. I admire and repect both. At a great meeting. Georgia Society Of Interventional Pain Physicians. Am a fan!
A reversal agent, opioids don't stand a chance. Or do they... Why we should consider having this drug aroun, and what is Naltrexone?
Well, here it comes. The interference with your paincare and options. Check out how I see it. Maybe I'm right, maybe I'm wrong.
All things in moderation. Let's take a quick look at the drugs so many use. Risk/ Reward? A quick comment on GHB....
A scratch at the surface of these drugs. You gotta know these. Alot of the folks take these.
We try to figure this stuff out. Hallucinogens. It is a huge problem. Pain leads to many bad choices..
Great annual meeting! Thanks all. Geralyn knocked it out of the park, Mordy was a fantastic host, and Todd, a long time friend and mentor, schooled us on stim. Todd is a world renowned expert in pain, author, educator, and thought leader. Literally a world class lot here....
Thanks Carolyn! Great suggestions for a topic or 2. Gabapentin abuse? We are being warned-really. Why we complicate our explaination of procedures. Guilty! Eclipse-o-rama.
Susan is a physician, and really understands how difficult it is to take a referral.... listen on.
A provider of pain control, particularly controlled substances, is challenged with daily decisions about need, use, misuse, and yes, misprescribing. When a referral is sent our way, tough questions arise. After all, we are the specialists, right? We got it from here. Not so fast.... Almost always, a clinicians judgement and experience defines clinical care. It's not always in a textbook.
Top shelf celebrities, candid, informative, and an honor to interview. Informal, regenerative medicine, opioids, access to care.
Heroin has taken a turn for a darker side. Please, please, please, if you know someone, anyone, using, intervene. This new variation of a rising use population knows no boundaries. It just kills. And it's easy to get. What is CBT. Listen and learn about an effective treatment for many disorders. PTSD, addiction, depression/anxiety/pain, etc.
This is a very special guest. A world renowned pain specialist with a gift of communicating.I always try to hear his lectures at the podium. Articulate and knowledgeable. A true leader of our field.
Sandy and I had the honor and priviledge to speak at the American Society of Addiction Medicine annual meeting. Along the way, at a break bread meet/greet, we were humbled to meet 3 , yes 3, awfully smart and experienced addiction medicine providers. We learned alot. Listen.....Thanks Suzanne! Awesome input!
Time. A commodity of value. We are facing a vortex of acceleration. We can't control time, but we can control what it displays. No one does this alone. The addict knows....
A walk through opioids. Part one of a miniseries to better understand these pain treatment choices.
Ramsin is a clinical professor, educator, researcher, great family guy, and a huge influence on pain medicine. He snuck in a special international guest. Yep, the Opioid guidelines circa 2017 Are out- a hugely important document. I can't believe it! Cathy is on! Happy Spring everybody!
We talk about the necessity to find life's treasures. Simple, important. A great group of Doctors talk cool stuff. Hi to my friends at Improve Photography! Great times! Joy, Hector, Monroe, and Susie! Jeff, thank you for your photo skills. All rock!
Author, editor, International educator, master interventionalist, keynote for the annual meeting, and on and on...Dr. Trescot is back!
Opioid induced hyperalgesia, and opioid induced constipation. OIC and OIH. Oh yes, if you take opioids, better listen.
Dr. Racz is one of the original Titans in our field. An international educator, Founder of an international pain society, fully Chaired Professor. I don't know where to stop. One of the most influential leaders in Medicine and the innovator of this important technique. Got back pain? Listen up.
3 terrific doctors talk why they LOVE taking care of those in pain. This month's journal had some interesting articles. Dr. Boswell reviews Drs. Silverman and Staats book. Pain Physician Journal is the best in the world.
A touch more regenerative medicine, Naloxone/Narcan, Common dilemna- why does my move(primer), a new old pain drug that's good.
Dr. Grinstead delivered an inspirational message about pain, addiction, recovery. Must listen, and more in the future, I hope.
Drs. Aaron Colodney, George C. Chang Chien, and Mills Rich of Biorich Medical talk cutting edge medicine.
Need I say more. World class Drs, Poore is Director of the UCSF pain program, and Helm is an old friend. Harvard trained, on the Board of ASIPP. Summary of Stimulation, spinal and beyond. 2 World experts.
This episode introduces you to Dr. Peter Staats and a rising star in pain medicine. Dr. Staats is a well respeccted world authority in pain medicine, and I had the opportunity to unite the student and the master in dialog. Great episode. I thank them both. I will learn from both.
We talk about the foundations of chronic pain. I have a connection to his philosophy, and you'll see. why. A renowned surgeon, author, speaker. A must listen.
Great interview with a thought leader and terrific speaker. We learned a bunch from his presentation at the anual meeting of the Southern Pain Society
A talk about what is relevant. Opioids, what we need to hear, and the deceptions played on hope.
A soft rant about a letter every Doctor and provider received from our Boss, Doc, take the Redemption challenge. Marijuana/Cannabinoids.
We talk about what allergies to medicines, particularly pain medicines, mean. The office visit, and why.Do you need a series of whatever?.... Great Idea, an article of the week.
Dr. Racz is one of the worlds top thought leaders in medicine. A fascinating story. A few words about the loss of his friend, and another pioneer in medicine, Dr. Prithvi Raj
A really new tool to help PTSD, and it is powerful. Interstitial cystitis, bladder pain, vulvodynia? Needs a listen. Abdominal pain to hope.
Folks wanted to know where to find resources for addiction help. Posture and pain link. Doubt it. More talk on opioid management.
Andrea Trescot MD is an Internationally renowned expert and author. She tackled the much needed world of peripheral nerve pathology, and has done so to educate, treat, and improve the landscape of pain care. All in her spare time.....
These medications to help with addiction are misunderstood, maligned, and hard to get. They are also some of the most important medications in medicine....
A slow, thoughtful look at the toughest problem in medicine. The addicted. Anyone. We're all at risk.....
Q and A. A provider asked about gabapentin, and a patient wants to know why she was put on antidepressants for pain.
Just because an individual is taking certain medicines, and needs them, does not mean they're an addict. Let's look at the fundamentals of addiction, some tired definitions, some opinionated thought.
We talk about trigger points, What is maybe allergy vs. side effect, and we all hate paperwork, but it helps.....
Dr. Rafael Miguel is a well known expert and thought leader in pain medicine. Today's topic is depression, a leading co-morbidity in pain medicine. We want to help the whole person.....
I Talk about that horrible Addiction to cigs with a bit of love, talk to your pain doc about epidurals please, and you do do do matter. Pain can be treated.
Dr. Silverman is a champion of proper prescribing of controlled substances. He helped Florida shut down pill mills, And flat saved lives....
I talk to providers and patients. This is a deep look in to the decision making process I, and many, struggle with all day long.
Dr. Falco talks with us today about a minimally invasive spine surgery through a small scope. He is a leader in this exciting technology. Less down time, pain,and cost. Let's take a listen to this educator, author, and experienced operator.....
You and I have suffered through fibromyalgia miracle treatments, profound causes, what I call fibro junk. I don't have all the answers, but I understand the questions. Let's talk about this.
Thank you for your service. You have a unique opportunity to hear from a veteran of 2 tours in Iraq, who also practices here, what his spin on pain is about. I you know what challenges you face. know what challenges we face, he has seen a side I can only guess. Great skills. Saw him in the lab.....
Dr. Hansen interviews a special guest. Dr. Kosac from Eugene Ore. talks about bleeding risks, and what it means to us all. This is why we want to know about ALL your medicine......Fish oil?????
Marvel Hammer is a true intellectual treasure. An R.N., experienced compliance expert. Listen and learn.
I have known Dr. Epter for years. He is a serious expert on your access to care. A Surgery center, Dr. Epter helps us understands how to explain the best type of practice. By the pool!!
The number one complaint a patient- you - visits a physician. Help! Why can't I get help! I hurt!
The Swicegoods And Hansens talk office. Doctors want to provide care, but there's whole lot more to this day....
Dr.s Hansen and special guest Dr. Glaser talk personal injury, the real stuff about Lawyers (good folks), and how to help.
What to do with all those computers and devices in the workplace. Chill, be cool. No problem.... well our employee law attorney just woke us up!
A new podcast. A lawyer, a doctor, and common experiences help all comers in the navigation of business and life. Hey Doc, listen to this!
A prestigious organization, the CDC, has released opioid guidelines. What does this mean? Does it affect your provider or access???? Maybe.
Dr. Dalton is a physiatrist, and a top pain physician, treating the most difficult conditions we encounter. Thanks for your valuable words!!
Providers are conflicted about this subject. Is Marijuana really clinically useful? Usually there is a back story in the practice of medicine, and here it is....
Spinal stenosis is a debilitating, sometimes crippling low, mid, and cervicle condition if not treated properly. Medications... Injections....Surgery? Well check this out!
Well.... What is this. The Center for Disease Control is weighing in on opioid access. Careful! Let's hear from ya. I touch on chronification of pain. What is that?
We how quantum physics defines judgemental people as wrong, and the cat is right. You are the cat. Thank you Shroedinger, you deserve that Nobel thing.
Well, back pain is the most common complaint we see. Let's get this problem figured out. We also talk more opioids. Guess what, the government may be limiting your pain care soon. Yes, it's a problem.
I tackle a couple of questions about cancer. Questions aren't as important as the need for knowledge. Folks need knowledge, and that is the strength of hope. We start here, and grow. Yes, it sounds a bit tough, but knowledge is strength. Anybody that heard the C word needs strength.
Dr. Hansen discusses Myofascial pain and trigger points. Suboxone, and we touch on muscle relavers and opiod induced constipation. Are you allergic to opioids? We poke at it.
Dr. Diwan, of NYC, and previous director of Univ. of Cornell pain training program, talks pain wisdom.
We talk about Chronic Regional Pain Syndrome, like never before. Also, we are excited about developments in the treatment of PTSD
A bit of a side trip. The first WATME podcast. Thought you would like it. Love you all.
We answer a question or 2, talk about the biology of pain a bit, addiction is a hot topic, and a patient with 2 problems. How do we handle that?
Oxycodone is a potent and useful pain medication. It is also potentially a problem. We'll balance the discussion. This is a good pain medication. But......
Drs. Fox and Helm talk pain, and a wish. Dr. Fox is a world leader in pain education and treatment.
Dr. Finklestein grounds us to the every day practice and experiences of the life we all lead. Troubled with pain, or treated for pain, experience matters. He has it.
Dr. Tracey talks about the management of spine fractures. These common fractures are known as compression fractures, wedge fractures etc. Anyway, they hurt. We have a great discussion about the diagnosis and treatment of these problems. We inject cement!!!
Dr. Justiz joins us today from the World Institute of Pain. He is kind enough to present treatment options in the Spanish language.
A once in a blue moon opportunity to sit with some of the world's best - These folks understand.