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"This was a very positive

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study. Baudoin
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Gharibo, medical director of pain management at the New York University Hospital for Joint Diseases in New York City. In one -- the Roland-Morris Disability Questionnaire -- about 22 percent of
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people in the intervention group reported a 30 percent or more decrease in pain compared to 14 percent in the usual care group, the study found. He said one of the most important things for patients to overcome is "fear/avoidance." People who
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are in pain become fearful that if
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they participate in activities, they may exacerbate their pain problem, so they begin to avoid activity. For the study, researchers recruited volunteers from three urban and two rural primary care clinics that were part
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of the Portland VA Medical Center. The researchers assessed the patients using numerous pain, disability and depression measurements at baseline and then again a year later. Half of the group was randomly assigned
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to receive the collaborative care intervention, while the other half received standard care. Most of the 401 volunteers were male -- 92 percent -- and the average age was
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61.3 years in the intervention group
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and just over 62 years in the usual-care group.

The good news from the study, said Dobscha, is that "even if you've had years of pain and multiple pain problems, there's hope." Results of the study are published in the issue of the Journal of the American Medical Association. The intervention

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group also
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had a care manager -- in this study, it was a psychologist -- who would periodically contact patients to assess whether or not there had been improvement. So, an intervention
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for someone who had a shorter-term
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pain problem or in a younger population might even work better. -- A team effort may be a better approach to helping people battle chronic pain, new
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research suggests. In a study including more than 400 U.S.

All had chronic musculoskeletal pain that was of moderate or greater intensity.

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Dobscha said this can set the patient
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up for even more pain problems because their muscles become deconditioned, which can then lead to a lower quality of life. And, he pointed out that many of these people had been in pain for 15 years or longer. Dobscha said the
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intervention consisted of clinician and patient education, with
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an emphasis on teaching patients to self-manage their pain. These patients had a level of care that is nearly parallel to a pain care center in a primary care setting," said
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Dr. Veterans, researchers found that a collaborative strategy for chronic pain management -- one that included education for patients in pain and their primary care doctors, as well
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as frequent reevaluation of how the pain plan was working -- provided better relief of pain compared to standard care. Dobscha, acting chief of psychiatry in the mental health and behavioral neurosciences division at the Portland VA Medical Center in Oregon.

Although seemingly modest, such improvements

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can be "meaningful for people with long-standing pain," Dobscha said. This type of collaborative care "can certainly reach out to a much greater number of people, may be more convenient for the patients and can help decrease health care costs," he said. We did this because chronic pain is com especially in the primary care setting, and most treatment is provided by primary care doctors," said the study's lead Hamish K. "We did a randomized trial comparing collaborative care for chronic pain to people getting usual care.

   
















Fioricet is a combination formula of Butalbital, Caffeine and Acetaminophen and is used for treatment for of tension headaches, migraines, muscle contraction headaches and other incidents of pain.

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