PAIN MEDICINE At-A-Glance Table of ContentsDr. Beth Brianna Hogans, M.D., Ph.DI Pain Basics1 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 treatment9 Gathering the history with a pain narrative10 Assessing pain in those with communication barriers11 Examination skills I: Observation and affect12 Examination skills II: Inspection and manual skills13 Knowledge, skills, and compassionate practices14 Counseling and shared decision-making: applying psychological approaches in primary care for pain15 Communicating with teams of patients with pain16 Planning therapy: coordinated, comprehensive careIII Pain Pharmacology 17 Basic considerations for pharmacological therapy - balancing mechanisms of drugs ...and disease18 Non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen (over-the-counter analgesia)19 Neuromodulating agents: pain-active anti-depressants and anti-convulsants20 Opioids - the basics and perioperative pain control21 Opioids - the details: equianalgesia and safe use22 Opioids - advanced practice - alternative delivery: IV, PCA, epidural23 Focal treatments for pain in primary practice: topical, iontophoretic, basic injections, TENS24 Interventional treatments and surgery for painIV Non-pharm. treatments 25 Activating treatment: Physical/occupational therapy, hydrotherapy, exercise: walking, yoga, chi gong26 Cognitive therapies: CBT, ACT, reframing27 Manual therapies: massage: trigger points, acupressure, chiropractic, stretching, inversion28 Therapies that utilize descending pain pathways: video, music, distraction, acupuncture, meditationV Major pain forms 29 Acute and Chronic pain: the basics30 Surgical and procedural pain31 Musculoskeletal pain32 Orofacial pain33 Neck Pain, cervical and thoracic spine pain34 Arm Pain35 Low back pain36 Back pain emergencies37 Radiating leg, buttock, and groin pain38 Knee pain39 Foot and ankle pain40 Headache emergencies41 Headache - basic diagnosis and management42 Headache - chronic pain and the acute flare43 Visceral pain44 Pelvic pain45 Exceptional causes of severe, chronic pain: CRPS, fibromyalgia, erythromelalgiaVI Special patient groups and clinical contexts 46 Management of pain with substance abuse47 Pain at the end of life, opioid rotation48 Opioids for chronic pain: preventing iatrogenic OUD49 Tapering opioids in patients with pain50 Pain in infants, children, and adolescents51 Pain in older patients52 Pharmacotherapy in aging, renal & liver dysfunction53 Pain in pregnancy and the peripeuriumAppendicesI Sample exam sheetII Sample pain diaryIII Daily stretching guideIV Patient packet - Your power over painV Glossary