Clinics in podiatric medicine and surgery
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Clin Podiatr Med Surg · Jul 2008
ReviewPost-operative pain management using patient-controlled analgesia.
Patient-controlled analgesia is an effective form of postoperative pain management for select lower extremity orthopedic procedures in the in-patient setting. The goal of this article is to present an introduction to the prescription and management of patient-controlled analgesia in the acute, postoperative setting. The surgeon should have a thorough understanding of this intervention as it relates to pain control and overall patient care.
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Multidisciplinary pain management clinics provide the standard of care for the diagnosis, evaluation, and treatment of patients who have chronic pain. Primary care physicians are encouraged to maintain an active role in the care of patients after referral to these pain centers, often for long-term opiate therapy or complex regional pain syndrome. Insights into the role of pain management clinics after referral are discussed in this article.
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The podiatric physician often encounters complex painful neuropathies in daily practice. Diabetic neuropathy is one form of chronic neuropathic pain dealt with on a regular basis. The goal of this article is to review the pathophysiology, diagnosis, and treatment options of this complaint. Medical and surgical interventions are discussed, with a clinical emphasis on patient selection and prevention.