Pain Management

Adherence starts with understanding: Why health literacy is a system responsibility

On World Adherence Day, the message should be simple but transformative: before we ask patients to follow treatment, we must ensure they truly understand it.

Too frail but not yet palliative: Ontario’s opportunity to lead in home care for older adults

If Ontario wants to help more people age at home, it should apply lessons from home palliative care to frailty right now. It needs to stop treating frailty as an administrative afterthought, and act on what it already knows works.

The hidden cost of dismissal: How we amplify chronic pain in clinical settings

Chronic pain affects more than one in five Canadians. But not all pain is shaped by our bones, muscles and systems. It also is shaped by context.

Sick notes are slowly being banned but much more is needed to reduce administrative burden

Doctors across Canada agree: the crushing paperwork in medicine is unsustainable. Together, we can create a better system that truly supports both patients and the physicians who serve them.

No, women aren’t supposed to hurt: Misconceptions about reproductive health have serious consequences

If Canada is committed to gender equity and universal health coverage, then we must address the fact that young women’s pain too often goes unheard, not because they are silent, but because the world taught them to be.

Tylenol misinformation puts pregnant patients at risk

Casting doubt on Tylenol without solid evidence does not empower pregnant people, it corners them. It adds guilt, stigma and undermines their confidence in making safe decisions for themselves and their babies.

Was my wife’s hospital care an anomaly or the new normal in Ontario?

I had hoped my wife would get timely and dignified care like I'd received in the past. She did not. Was her care an anomaly or is it the way of the future? I don't know but I sure as hell hope it is not the future.

Endometriosis is a national health crisis: Why aren’t we treating it like one?

If we want to build a more equitable and responsive health-care system, one that doesn’t leave millions behind, we must start by acknowledging endometriosis as the national health issue that it is.

Essential exposure: The case for mandatory palliative care clinical rotations

Clinical exposure to palliative care is not afforded the attention it deserves in undergraduate medical curricula. To rob medical learners of such experiences is a travesty.

‘Just a pinch’: Women frustrated as medical community downplays pain of IUD insertion

Thousands of TikTok rants, viral tweets, petitions and peer-reviewed studies have documented the insufficient pain relief offered for IUD insertions. So, what is the response from Canadian medicine to this outcry? Practically nothing.

Expanding access to physiotherapy will help break logjam in primary care

Lack of access to primary care is a constant theme in health-care discussions. Incorporating physiotherapists into primary care teams could help reduce the backlog of patients seeking care for musculoskeletal problems.

There is no quick fix for chronic pain but there is a path forward

Patients need to be at the centre of their own care, and they need to manage their pain for what it is, a chronic disease. The time to reimagine chronic pain care is now – we can’t afford not to and the millions of suffering Canadians can’t afford to wait.

Gummies for pain relief? Using cannabis while on prescription drugs risky for seniors

Despite their widespread use, you may want to think twice before giving grandma cannabis gummies for her knee pain.

Yes, patients and caregivers are experts

Does being a patient make you an expert on your condition? Does formal education and credentials to comprehend a disease outweigh the rigor of experiencing life with the disease? There may be more room for patient-expert buy-in in health care decisions.

Pharmacist prescribers fill important gaps in the Canadian healthcare system

Pharmacist prescribing provides a win-win outcome for patients, health-care professionals and the health-care system as a whole.

Why not educate the person experiencing pain? Improving opioid prescribing for youth in hospital settings

Youth are rarely educated on safe and effective opioid use when they're discharged from hospital. A new set of educational materials made by Solutions for Kids in Pain is hoping to change that.

Reducing opioid use for back, neck and shoulder pain starts with interprofessional collaboration

The COVID-19 pandemic has added fuel to the opioid crisis, particularly in treating chronic back pain. But there are several ways to address musculoskeletal pain that don't require medication.

Finding your energy envelope: Long COVID patients urged to ‘pace’ themselves back to health

For many long COVID patients, returning to activity can cause debilitating "crashes." But symptom management techniques like pacing can offer relief and may even help some patients slowly recover.

The real cost of not adopting universal pharmacare is Canadian lives

Pharmacare has not yet been implemented and the pandemic – and the supply and confidence agreement – only further entrenched Big Pharma’s power in Ottawa. But patients need access to life-saving medications.

Cancer survival rates have significantly improved. Now we must pay attention to rehabilitation

Cancer survivors should not be left to feel like they need to manage their impairments on their own. There are models for cancer centres across Canada that can provide timely and comprehensive rehabilitation services.