Coordinating Editor's Message  |   December 2007
Improving Management of Pain
Author Notes
  • A member of the JAOA's Editorial Advisory Board since 1998, Dr Goldstein is professor of clinical pharmacology and coordinator of pharmacology in the Department of Neuroscience, Physiology and Pharmacology at the Philadelphia College of Osteopathic Medicine (PCOM). He is also a clinical research associate in the Department of Anesthesiology at Albert Einstein Medical Center in Philadelphia and a lecturer in pharmacology at the University of Pennsylvania School of Dental Medicine. 
  • E-mail: 
Article Information
Pain Management/Palliative Care
Coordinating Editor's Message   |   December 2007
Improving Management of Pain
The Journal of the American Osteopathic Association, December 2007, Vol. 107, ES3. doi:
The Journal of the American Osteopathic Association, December 2007, Vol. 107, ES3. doi:
Despite outstanding educational efforts by many international organizations devoted to improving pain management, not all patients receive adequate care. One cause for under-treatment includes the unfounded fear by physicians who order opioids that addiction to these important medications will automatically develop in their patients who take them. Recently, primary care physicians identified another issue—a need for more information when prescribing opioids.1 
The JAOA's current four-part supplement series is specifically devoted to providing physicians with information on an extremely wide variety of approaches designed to enhance analgesia. These approaches include surgical procedures, osteopathic manipulative medicine, pharmacologic options, and supportive care. 
Members of the clergy, physicians, and medical scientists have contributed to this updated pain management series. All four supplements have been revised to include new evidence-based knowledge and continuing medical education questions. Of special significance is that each article presents illustrative cases that will enhance primary care physicians' understanding of various approaches to treating not only patients who suffer, but also their devoted families and friends who participate in such care. This last supplement in the series features two new contributions by clergy members; they provide excellent insight of terminal patients whose discomfort is not always due to physical pain. 
For the first time, the American Osteopathic Association is publishing JAOA supplements only on-line. Providing information through this electronic medium streamlines the production process and absolutely increases distribution. 
I laud the dedication to this project by our guest supplement editors Karen J. Nichols, DO; Anthony H. Dekker, DO; Katherine E. Galluzzi, DO, and Gregory H. Pharo, DO. 
I thank Gilbert E. D'Alonzo, Jr, DO, AOA editor in chief; Michael Fitzgerald, director of publications, and Karen Bjorkman Stipp, assistant director of publications for JAOA, for helping me move this project from development to final production. Others who contributed to refining and enhancing this project include Leslie M. Huzyk, AOA creative director; Helen Samonte-Shippy, publications coordinator; and Jane M. Reiling, production manager. 
I also appreciate the educational grant provided by Purdue Pharma LP, which enabled the JAOA to provide this valuable series to all healthcare professionals who wish to improve their knowledge of pain management and thus offer their patients an improved quality of life. 
 Dr Goldstein conducts clinical research designed to improve analgesia after surgery and in patients with cancer.
 Dr Goldstein has no conflicts of interest to disclose.
Clark LG, Upshur CC. Family medicine physicians' views of how to improve chronic pain management, J Am Board Fam Med. 2007;20:479-482.