PAIN MEDICINE At-A-Glance Table of Contents
Dr. Beth Brianna Hogans, M.D., Ph.DI Pain Basics
1 What is pain, how do we assess it?
2 Nociceptive processing, how does pain occur?
3 What are the major types of pain?
4 How prevalent is pain, what are the common forms?
5 How do we resolve dilemmas in pain?
6 What are the big challenges in pain?
7 Cognitive factors that influence painII Pain Clinical skills 8 Managing pain safely: diagnosis and treatment
9 Gathering the history with a pain narrative
10 Assessing pain in those with communication barriers
11 Examination skills I: Observation and affect
12 Examination skills II: Inspection and manual skills
13 Knowledge, skills, and compassionate practices
14 Counseling and shared decision-making: applying psychological approaches in primary care for pain
15 Communicating with teams of patients with pain
16 Planning therapy: coordinated, comprehensive careIII Pain Pharmacology 17 Basic considerations for pharmacological therapy - balancing mechanisms of drugs and disease
18 Non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen (over-the-counter analgesia)
19 Neuromodulating agents: pain-active anti-depressants and anti-convulsants
20 Opioids - the basics and perioperative pain control
21 Opioids - the details: equianalgesia and safe use
22 Opioids - advanced practice - alternative delivery: IV, PCA, epidural
23 Focal treatments for pain in primary practice: topical, iontophoretic, basic injections, TENS
24 Interventional treatments and surgery for painIV Non-pharm. treatments 25 Activating treatment: Physical/occupational therapy, hydrotherapy, exercise: walking, yoga, chi gong
26 Cognitive therapies: CBT, ACT, reframing
27 Manual therapies: massage: trigger points, acupressure, chiropractic, stretching, inversion
28 Therapies that utilize descending pain pathways: video, music, distraction, acupuncture, meditationV Major pain forms 29 Acute and Chronic pain: the basics
30 Surgical and procedural pain
31 Musculoskeletal pain
32 Orofacial pain
33 Neck Pain, cervical and thoracic spine pain
34 Arm Pain
35 Low back pain
36 Back pain emergencies
37 Radiating leg, buttock, and groin pain
38 Knee pain
39 Foot and ankle pain
40 Headache emergencies
41 Headache - basic diagnosis and management
42 Headache - chronic pain and the acute flare
43 Visceral pain
44 Pelvic pain
45 Exceptional causes of severe, chronic pain: CRPS, fibromyalgia, erythromelalgiaVI Special patient groups and clinical contexts 46 Management of pain with substance abuse
47 Pain at the end of life, opioid rotation
48 Opioids for chronic pain: preventing iatrogenic OUD
49 Tapering opioids in patients with pain
50 Pain in infants, children, and adolescents
51 Pain in older patients
52 Pharmacotherapy in aging, renal & liver dysfunction
53 Pain in pregnancy and the peripeurium
I Sample exam sheet
II Sample pain diary
III Daily stretching guide
IV Patient packet - Your power over pain
Beth B. Hogans is Associate Professor in the Department of Neurology at Johns Hopkins Medical School, and Associate Director for Education in the Geriatric Research Education and Clinical Center at the Veterans Affairs Maryland Health Care System in Maryland, USA. She is board certified in Neurology, Clinical Neurophysiology and Pain (ABPM), and is Chair of the Pain Education Special Interest Group for the International Association for the Study of Pain (IASP).