#7: Become a Fibromyalgia and Chronic Pain Master, Part 2

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 11 May 2016

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

This episode, part 2 of our last episode, is a must listen if you’ve ever felt helpless in the face of fibromyalgia and chronic pain. Keep listening for part 2 of our “curbside” with expert clinician and prominent researcher Dr. Daniel Clauw, from the University of Michigan’s Chronic Pain and Fatigue Research Center. The show is chock full of clinical pearls for the mastery of chronic pain syndromes.

Transcript

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0:00.0	Fibromyalgia, it's real and you can treat it. We'll teach you how on this episode.
0:14.9	Welcome back to part two of our interview with Dr. Daniel Claw, professor of medicine,
0:20.7	psychiatry, and anesthesiology from the University of Michigan. Dr. Claw is a researcher and
0:26.9	clinician who specializes in chronic pain and fibromyalgia. Needless to say, he is an expert on
0:34.4	all things chronic pain. On this part two of our chronic pain slash fibromyalgia episode, Dr. Claw
0:42.0	and I will get deep into the drug and non-drug therapies that work for fibromyalgia and chronic
0:47.7	pain. Dr. Claw and I connected over Skype and there was a little bit of audio technical difficulties.
0:54.5	So I apologize for that but I think the tape is totally passable. I think there's a lot of great
0:59.9	information for our listeners here and without further ado, here is part two of Dr. Claw talking about
1:07.2	chronic pain. What I'd like to do for the next one is just kind of go through, definitely spend
1:13.9	time talking about non-pharmacologic treatment and then go through some of the drugs in detail and
1:19.6	we'll definitely link to that JAMA article that you because you were mentioning how it talks about
1:24.4	how to titrate up medications which I really find that a lot of these conditions,
1:29.7	internists are just not comfortable using these medications or if they haven't done it,
1:35.1	I've become comfortable using a lot of them now but it's just not something that I think is taught
1:40.8	as well as it should be so hopefully we'll be helping that with today's podcast. No, I agree and
1:47.0	I mean all these medications now that we use are used quite a bit differently in this setting
1:54.0	than they were for example in the trials that were originally done for you know these classes
2:00.1	of drugs, whether it's tricyclics, Gamma Patinoid, Saratone, and Narpa Neffern reoptic inhibitors.
2:06.8	And so for example if you are getting any of your information about those drugs from the
2:14.2	companies you know who have those drugs they're telling you for example to give a Gamma Patinoid
2:23.3	like pre-gablin with half the dose in the morning and half the dose at night or
	...

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