Marion Lee

TL;DR: Clinicians should suspect OIH when opioid treatment's effect seems to wane in the absence of disease progression, particularly if found in the context of unexplained pain reports or diffuse allodynia unassociated with the original pain, and increased levels of pain with increasing dosages.

TL;DR: A robust agreement which is followed by all parties is essential in initiating and maintaining opioid therapy as such agreements reduce overuse, misuse, abuse, and diversion.

TL;DR: The evidence for the effectiveness of long-term opioids in reducing pain and improving functional status for 6 months or longer is variable and the recommendation is 2A - weak recommendation, high-quality evidence: with benefits closely balanced with risks and burdens.

TL;DR: Evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain are developed to help patients with or without anticoagulant therapy to discontinue or normalize INR.

TL;DR: A systematic review of the literature for clinical studies on efficacy and utility of facet joint interventions in diagnosing and managing facet joint pain found the evidence for diagnosis of lumbar facet jointPain with controlled local anesthetic blocks is Level I or II-1.