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Opioid-Use Disorder

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Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
.... This article addresses the question of rating the impairment for an individual with no history of substance use disorder before a work injury, who is prescribed opioids for this injury, and who subsequently develops opioid use disorder (OUD). The Diagnostic and Statistical Manual of Mental Disorders, Fifth...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 3–12.
Published: 01 September 2021
...) Narcotic Opioid Opioid-Use Disorder OUD Independent medical and impairment evaluations often involve a patient who is taking chronic opioids. Therefore, evaluating physicians need to understand the current science pertaining to opioid therapy and how this impacts patients and these assessments...
Newsletter Articles
Guides Newsletter (2011) 16 (2): 1–7.
Published: 01 March 2011
... . 12. Aloisi AM , Aurilio C , Bachiocco V , et al . Endocrine consequences of opioid therapy . Psychoneuroendocrinology . 2009 ; 34 Suppl 1 : S162 - S168 . 13. Teichtahl H , Wang D. Sleep-disordered breathing with chronic opioid use . Expert Opin Drug Saf...
Newsletter Articles
Guides Newsletter (2013) 18 (1): 1–18.
Published: 01 January 2013
... relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness...
Newsletter Articles
Guides Newsletter (2019) 24 (4): 3–14.
Published: 01 July 2019
... of the disorder(s) ▪ If symptoms escalate ▪ If opioid or other medication use continues or increases, especially when exceeding relevant guidelines 66 ▪ If functional status fails to progress ▪ When the claim exceeds the disability duration predicted by available guidelines (To be successful...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 1–3, 8-11.
Published: 01 November 2006
... Med. 2002 ; 44 ( 5 ): 459 – 468 . 20. Mao , J . Opioid-induced abnormal pain sensitivity: implications in clinical opioid therapy . Pain. 2002 ; 100 : 213 – 217 . 21. Glass LS . Occupational Medicine Practice Guidelines, 2nd Ed. Beverly Farms, Mass : American College...
Newsletter Articles
Guides Newsletter (2000) 5 (5): 4–5.
Published: 01 September 2000
... to IMEs, identify strengths and weaknesses, and consider what can be done to improve efficiency and quality. © 2000 American Medical Association. All Rights Reserved. 2000 American Medical Association Spinal cord (dorsal column) stimulation (SCS) and intraspinal opioids (ISO) are treatments...
Newsletter Articles
Guides Newsletter (2017) 22 (6): 3–11.
Published: 01 November 2017
... frequently die of smoking-related complications. 61 Mortality ratios for smokers were elevated for abusers of alcohol (3.57), cocaine (2.40), opioids (4.26), marijuana (3.73), and methamphetamine (2.58). 61 Patients with substance use disorders had a 25 times greater risk of mortality within the first...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 8–13.
Published: 01 May 2021
...-blockers), may be used. Opioids should be avoided. There is no curative therapy, and there is a lack of high-quality evidence for an effective drug regimen. Interventional procedures may be provided independently but are best used to facilitate engagement in functional therapies and to improve quality...
Newsletter Articles
Guides Newsletter (2007) 12 (5): 1–4, 12-16.
Published: 01 September 2007
... J : Opioid-induced abnormal pain sensitivity: implications in clinical opioid therapy . Pain . 2002 ; 100 : 213 – 217 . 47. American College of Occupational and Environmental Medicine : Pain, suffering, and the restoration of function , in Glass LS (ed): Occupational Medicine...
Newsletter Articles
Guides Newsletter (2013) 18 (5): 11–12.
Published: 01 September 2013
... consideration of probable behavioral, personality, or other psychosocial issues. Prescription narcotics are a major obstacle to maximum medical improvement, 2 and the ongoing opioid use is likely contributing to his chronic pain. In those on daily analgesics, the most common cause of cephalgia is medication...
Newsletter Articles
Guides Newsletter (2017) 22 (4): 3–5.
Published: 01 July 2017
..., table, or methodology contained within the entire AMA Guides, Fifth Edition.” 4 Assuming chronic pain is best assessed on a physical basis (typically orthopedic) without considering psychosocial factors, 7 , 8 Considering opioid use as acceptable treatment for chronic pain, 9...
Newsletter Articles
Guides Newsletter (2006) 11 (3): 6–8.
Published: 01 May 2006
... loss (excision of the entire disc), a higher rate of complications, 5 and on average inferior results. Because discectomy warrants a Category III rating, it seems logical to rate a one level ADR as Category IV. Blumenthal et al reported 72% of all patients were still using opioid analgesics...
Newsletter Articles
Guides Newsletter (2008) 13 (4): 6–14.
Published: 01 July 2008
... to the general population. Patients with characterologic traits or disorders may use physical complaints for secondary gain–monetary rewards, avoidance of arrest, solicitation of opioids or benzodiazepines. The concept of secondary gain is difficult, and perhaps at times misused, but certainly...
Newsletter Articles
Guides Newsletter (2014) 19 (5): 3–12.
Published: 01 September 2014
... in the context of abrupt withdrawal, particularly in a person who had a tendency to have seizures. Another medication that can potentially increase the risk of a seizure in this patient's case was tramadol, which is a synthetic opioid similar in potency to codeine. Tramadol has serotonergic and noradrenergic...