Clinical Breakthroughs

The Washington Academy of Pain Management is a collegial space to share what interventions and innovations you’re using in your practice. When it comes to managing pain and making the improving life for our patients, we’re a hands-on group. These letters are a friendly place to share ideas and advance the practical science of our domain. Please think of these as informal letters to and from your peers.

If you’d like to share any new protocols you’re using, please submit your thoughts and findings. We’re so glad you’re here. Let’s advance the practical science of pain management in Washington State.

Cerebrospinal fluid data: opioids and pain

Why this Data? This poster describes variation in glucose metabolism in 28 patients, identifying individuals with chronic pain which responded to opioids. We don't know yet which cells in the ...
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Cerebrospinal Fluid Data – Fatigue and Autism

Why This Data? This spreadsheet offers sample data from a male patient in his 60s with fatigue and high functioning autism. Serology shows insulin sensitivity and CSF with mitochondrial complex ...
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Cerebrospinal Fluid Data – Anger and Depression

Why This Data? This spreadsheet offers sample data from a female in her 20s with explosive anger and depression responsive to ketamine and rapamycin. Cerebrospinal fluid samples offer an untapped ...
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Cerebrospinal Fluid Data – Fibromyalgia and Bipolar Disorder

Why This Data? This spreadsheet offers sample data from a female patient in her 20s with fibromyalgia and bipolar disorder. Full case is described in "Cerebrospinal fluid metabolomics uniquely identifies ...
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