Chronic Pain: Translating Population-Based Clinical Studies Into Patient-Specific Treatment Strategies (Part 1 of 2)
Translating Evidence to the Clinic: Assessing and Treating Chronic Neuropathic Pain (Part 2 of 2)
- Acute and Post-Operative Pain
- Cancer-related Pain
- Chronic Noncancer Pain
- Comorbid Conditions
- Fibromyalgia
- Headache
- Interventional Modalites
- Low Back Pain
- Medico-Legal-Ethical Issues
- Neuropathic Pain
- Nonopioid Pharmacotherapy
- Nonpharmacologic Treatment
- Opioid Pharmacotherapy
- Osteoarthritis
- Palliative Care
- Risk Management
- Scientific Perspectives
- Special Patient Populations
Continuing Education Activities
The Pain Center of Fairfield
Fairfield, Connecticut
Senior Attending Physician
Department of Medicine, Physical
Medicine, and Rehabilitation
Bridgeport Hospital
Bridgeport, Connecticut
Douglas Schottenstein, MD, opened his own private practice so that he could deliver the highest quality of care in an advanced, self-contained center. He is one of only 200 physicians in the nation who is double-board certified in neurology and interventional pain management.
Dr Schottenstein and his expert staff at NY Spine Medicine treat patients suffering from a variety of acute and chronic painful conditions. Dr Schottenstein performs a variety of diagnostic and therapeutic procedures and surgeries, including epidurals, transforaminal nerve blocks, sympathetic blocks, facet and sacroiliac joint injections, radiofrequency lesioning, provocative discography, annuloplasty, nucleoplasty, spinal cord stimulation, and intrathecal pumps.
Dr Schottenstein received his interventional pain management training at Columbia University/New York Presbyterian Hospital, rated one of the top five hospitals in the nation. He received his neurology training at Emory University, the highest ranked department in the South, and one of the leading programs in the nation.
In addition to leading NY Spine Medicine, Dr Schottenstein is an attending physician at New York Presbyterian-affiliated hospitals, the top-rated hospital system in the region.
Dr Schottenstein is a highly active member of the American Academy of Neurology, the American Society of Anesthesiology, the American Society of Regional Anesthesia, the International Spine Intervention Society, and the American Society of Interventional Pain Physicians.
Continuing Education Activities
NY Spine Medicine
Attending Physician
New York Presbyterian
New York, New York
Ann Fam Med. 2010;8(3):237-44.
PURPOSE:...
The impact of enrollment in a specialized interdisciplinary neuropathic pain clinic
Pain Res Manag. 2011...
The role of core strengthening for chronic low back pain.
PM R. 2011 Jul;3(7):664-70.
Spinal Cord Stimulation Versus Re-operation in Patients With Failed Back Surgery Syndrome: An International Multicenter Randomiz
Joint Bone Spine. 2011 Oct;78(5):466-70....
Pacing as a treatment modality in migraine and tension-type headache.
Neurostimulatory manipulation of cortical signaling is being explored as a potential treatment strategy for chronic pain.
Chronic pain is a complex condition that results from interplay among biologic, psychological, and social factors. Comprehensive, patient-centered treatment plans that emphasize wellness and holistic healing are, therefore, often needed address the full gamut of pain-related disability.
Chronic noncancer pain is a leading cause of disability, resulting in deleterious effects on multiple patient domains (eg, physical, psychological, cognitive, employment, among others).
Sickle cell disease is the most prevalent genetic blood disorder, affecting approximately 72,000 patients in the US and nearly 30 million patients worldwide.
As the population ages, more individuals will be living with chronic pain, resulting in increased morbidity, mortality, and healthcare utilization.
Initially adapted from the field of infectious disease, the Universal Precautions approach to pain management posits that all patients with chronic pain who are being considered for long-term opioid therapy pose some risk of opioid misuse and abuse.
Clinical practice guidelines recommend that clinicians conduct a focused history and physical examination to categorize low back pain into 1 of 3 broad subtypes: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause. Assessment of psychosocial risk factors that predict chronic disabling back pain is critical.
Common and costly, low back pain can be challenging to manage. Clinical practice guidelines on LBP recommend preferred treatment strategies based on reviews of published evidence.
The original fibromyalgia classification criteria from the American College of Rheumatology (ACR) require the presence of chronic widespread pain for at least 3 months duration and pain at ≥11 of 18 tender points in response to digital palpation. Since their introduction, these criteria have often been considered the de facto “gold standard” for the diagnosis of fibromyalgia not only for research but also in the clinic.
Diagnosis and management of headache can be challenging in older patients. New-onset headache is rare in this population and is usually a symptom of another disorder.