Publications by authors named "Paul Kreis"
An increase in the prescribing of opioids over the past several years often has been perceived as the primary reason for the increase in the nonmedical use of prescription opioids. Determining the prevalence of this illicit use has been difficult, because of varied methodologies and terminologies that are used to estimate the number of people directly contributing to or affected by this burden. Despite these discrepancies, the findings from several nationally recognized surveys have demonstrated that the prevalence of nonmedical prescription opioid use is indeed significant and has been increasing in recent years.
View Article and Find Full Text PDFBackground: Lead migration of spinal cord stimulators (SCS) is a significant problem, and experience suggests that anchoring sutures directly around the SCS lead may reduce migration. Such practices have been limited by concerns about potential damage to the lead and impairment of performance.
Objective: This study sought to determine the extent of overt damage following maximal tension from tying sutures directly around SCS leads.
Objective: This report describes a case where pulsed radiofrequency lesioning (RFL) of the greater occipital nerve (GON) offered a valuable and safe treatment for the management of greater occipital neuralgia. The case is considered in relation to a review of the medical literature on greater occipital neuralgia and RFL interventions.
Case Report: A 62-year-old man with a 43-year history of left suboccipital pain underwent pulsed RFL of the left GON (20-millisecond bursts at intervals of 0.
Opioid contracts are widely used but not well studied. Despite the widespread use of the opioid contract or agreement, there is no standard approach. Some studies have found both considerable variability between opioid contracts as well as consistent core themes.
View Article and Find Full Text PDF