Articles
Plain explanations of what these assessments measure, written for the person having them and for the clinician reading the report.
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Autonomic Function Testing When Symptoms Begin in the Gut
What heart-derived autonomic tests index, why they cannot localize to the enteric nervous system, which patients with gut symptoms to test, and how to pair and document the findings.
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Is There a Vagus Nerve Test? What Can Actually Be Measured
No test reads the vagus nerve where it serves your gut. What heart rate variability and autonomic testing do measure, what they miss, and why labs and body composition belong beside them.
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The Diabetes Prevention Program in Pain and Primary Care
The Diabetes Prevention Program is proven and poorly delivered. Who to refer, the baseline a referral should carry, and why repeat measurement is the retention tool.
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Depression and Insulin Resistance: Screening the Pain Patient
Depression and insulin resistance predict each other, the spread of chronic pain and procedural failure. Who to test, which markers pair with a PHQ-9, and how to document it.
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The Sudomotor Test in Mixed Pain: What It Adds and What It Cannot
Where sudomotor and autonomic testing belong in the neuropathic and mixed pain workup, what a finding changes, and why no test names a nerve or joint generator.
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Nerve Pain After Knee Replacement: What Testing Can and Cannot Show
Burning pain after a successful knee replacement is often a nerve, not the joint. How the examination finds it, and what sudomotor, autonomic and lab testing can and cannot add.
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Comprehensive Pain Assessment: Measuring What the Short Visit Skips
Chronic pain carries high rates of unrecognized prediabetes, sleep apnea and mood disorders. What a comprehensive pain assessment should measure, who to test and how to document it.
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Questions to Ask a Pain Management Doctor About Your Numbers
Star ratings grade the visit, not the workup. The questions to ask a pain doctor about blood sugar, sleep and the pain generator, and the measurements worth requesting.