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As an anesthesiologist, pain medicine specialist, and clinical epidemiologist, my research interests span development of novel psychotherapeutic interventions at the intersection of pain, prescription opioid addiction, and psychology. As an NIH-funded researcher I am working to develop novel interventions (behavioral, medical technology, medical device) to prevent continued pain and opioid use after surgery. My clinical interests include treatment of chronic pelvic pain conditions including painful bladder syndrome/interstitial cystitis, endometriosis, pelvic floor myofascial pain, pudendal neuralgia, peripheral nerve entrapments, pelvic adhesions, vulvodynia, and chronic constipation.
Perioperative Recovery of Opioids Mood and Pain Trial
Low-dose Naltrexone for Bladder Pain Syndrome
Interstitial cystitis/Bladder Pain Syndrome (IC/PBS) is a constellation of symptoms of pelvic
discomfort that includes both bladder-related pain as well as urinary frequency, urgency, and
nocturia in the absence of an identifiable etiology that affects likely more than 5.4 million
patients in the United States. There is a significant overlap in patients with IC/PBS and
those with fibromyalgia and chronic pelvic pain syndrome. Low-dose naltrexone (LDN) has been
shown to be effective for the treatment of chronic pain conditions.
The primary aim of this study is to evaluate if LDN improves pain scores and lower urinary
tract symptoms in patients with IC/PBS. A secondary aim is to show that it has a low adverse
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Motivational Interviewing and Guided Opioid Tapering Support to Promote Postoperative Opioid Cessation
The purpose of this study is to evaluate the relative efficacy of enhanced usual care versus
motivational interviewing and guided opioid tapering support to promote opioid cessation
after total hip or knee replacement surgery.
Perioperative Recovery of Moods, Opioids, and Pain Trial (PROMPT)
The investigators aim to characterize the relationship between changes in emotional distress,
opioid use, and pain throughout surgery and recovery. Additionally, the investigators aim to
compare the effectiveness of post-surgical motivational interviewing and physician-guided
opioid weaning vs. usual care on reducing persistent opioid use. Overall, the proposed
research will advance knowledge regarding the role of psychological factors contributing to
persistent opioid use after surgery.
Stanford is currently not accepting patients for this trial.
For more information, please contact SPECTRUM, .