The Nurse Practitioner. 47(4):20-30, April 2022.

Fibromyalgia (FM) is a chronic pain disorder commonly encountered by advanced practice registered nurses in primary and specialty care. Knowing how to recognize FM and its multiple pain and nonpain symptoms facilitates diagnosis. We propose a four-step approach to diagnosis that can reduce costly referrals and treatment delays, and describe evidence-based interventions.

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The Nurse Practitioner. 46(9):40-46, September 2021.

Notalgia paresthetica is a perplexing diagnosis in the primary care setting. Chronic itching, paresthesia, or pain causes discomfort in patients who suffer with notalgia paresthetica and it is thought to be a common but underdiagnosed condition. Recognition of this dermatologic condition can lead to reassurance and relief for affected patients.

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The Nurse Practitioner. 46(4):12-19, April 2021.

NPs commonly prescribe pharmaceutical therapies such as opiates, antidepressants, and/or other analgesics to improve the health and well-being of patients experiencing chronic pain. This article provides NPs with pharmacogenetic testing knowledge, such as readiness for clinical implementation, considerations for choosing a testing service, and testing costs for chronic pain management.

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The Nurse Practitioner. 46(3):38-45, March 2021.

Musculoskeletal pain is a common chief complaint in primary care and contributes to disability and a loss of independence. Musculoskeletal pain can be a diagnostic challenge for NPs. A thorough understanding of the pathophysiologic processes involved can help clinicians link clinical manifestations and treatment for musculoskeletal injury causing pain.

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