University of Washington

Department of Rehabilitation Medicine

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Neuromodulatory approaches for chronic pain management: Research findings and clinical implications


Jensen, M. P., Sherlin, L. H., Hakimian, S., & Fregni, F



Publication Info:

Expert Review of Neurotherapeutics, 9(2):271-277


The proper management of acute pain has been identified as a primary indicator of quality assurance in US trauma centers. Nearly half of all trauma patients are injured while intoxicated and 75% of these patients have chronic alcohol problems. The management of pain caused by injuries in patients with alcohol problems poses unique challenges. Biases exist regarding the crosstolerance effects of ethanol and opioids and the pain thresholds of patients with substance abuse histories. The purpose of this review is to examine some of the factors that inform our decisions of how to manage acute pain in this population and to review the empirical evidence that exists.

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