Fundamentals of Pain Medicine

Introduction" Part I: Symptoms and Conditions 1. Musculoskeletal Pain: Common Causes Pain in the Shoulder - Bursitis - Arthritis (Glenohumeral and Acromioclavicular) - Rotator Cuff Injury - Adhesive Capsulitis Pain in the Elbow - Tendinitis o Tennis Elbow (Lateral Epicondylitis) o Golfers Elbow (Medial Epicondylitis) - Olecranon Bursitis - Traumatic Arthritis Pain in the Neck (Cervical Spine) Pain in the Low Back (Lumbar Spine) - Muscles and Ligaments - Vertebral Bodies - Facet Joints - Vertebral Disc Pain in the Hip - Arthritis - Ischemic (Avascular) Necrosis of the Hip - Fractures Pain in the Buttock - The Sacroiliac Joint (SI joint) - Greater Trochanteric Bursitis - Ischiogluteal Bursitis Pain in the Knees - Osteoarthritis of the Knee Joint - Meniscal Tear - Patellofemoral Arthritis - Patellar Tendonitis - Osteochondritis Case Studies 2. Neuropathic pain In the Face: Trigeminal Neuralgia In the Thumb, Index, and Middle Finger: Carpal Tunnel Syndrome In the Thoracic Region: Postherpetic Neuralgia In the Back or Neck and Down the Leg or Arm: Radicular Pain Down the Legs or Arms: Spinal Canal Stenosis On the Top and Lateral Aspect of the Mid-Thigh: Lateral Femoral Cutaneous Neuropathy (Meralgia Paresthetica) In the Feet or Hands: Peripheral Neuropathy In a Stump and Phantom Limb Pain Postsurgical Neuropathic Pain Syndromes: - Post-Thoracotomy Pain Syndrome Postsurgical Pelvic Nerve Entrapment: The Iliohypogastric Nerve, Ilioinguinal Nerve, and Genitofemoral Nerve Case Studies 3. Cancer Pain History and Exam - Metastatic Bone Pain - Visceral Pain - Neuropathic Pain Related to Cancer - Intracranial Primary or Metastatic Tumor Pain, Headache - Spinal Cord Compression - Pain caused by surgery for cancer - Preexisting painful conditions Treatment Case Study 4. Abdominal Pain Visceral Abdominal Pain Somatic Abdominal Pain Referred pain History and Exam Treatment Case Studies 5. Pelvic Pain History and Exam - Visceral Pelvic Pain - Somatic Pelvic Pain - Neuropathic Pelvic Pain Treatment - Medications - Injections - Surgery Case Study 6. Podiatric Pain, Foot and Ankle Plantar fasciitis Hallux valgus (bunion) Mortons neuroma Tarsal tunnel syndrome Diabetic peripheral neuropathy History and Exam Treatment Case Studies 7. Miscellaneous Pain Disorders that Affect Multiple Areas of the Body: Complex Regional Pain Syndrome (CRPS, formerly known as Reflex Sympathetic Dystrophy), Fibromyalgia, and Sickle Cell Pain Complex Regional Pain Syndrome (CRPS, Formerly Known as Reflex Sympathetic Dystrophy) - History and Exam - Treatment - Case Study Fibromyalgia - History and Exam - Treatment - Case Study Sickle Cell Pain - History and Exam - Treatment - Case Study 8. Postoperative Pain Management History and Exam Treatment Case Studies Part II: Noninterventional Treatments 9. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) When to Use How to Use When Not to Use and Potential Side Effects Case Study 10. Acetaminophen (Tylenol) When to Use How to Use When Not to Use and Potential Side Effects Case Study 11. Topical Pain Medications When to Use How to Use When Not to Use and Potential Side Effects Case Study 12. Muscle Relaxants When to Use How to Use When Not to Use and Potential Side Effects Case Study 13. Antidepressant Medications Used for Neuropathic Pain When to Use How to Use When Not to Use and Potential Side Effects Case Study 14. Antiseizure Medications Used for Neuropathic Pain When to Use How to Use When Not to Use and Potential Complications Case Study 15. Opioids When to Use How to Use - Hospital setting: Intravenous Opioids - Hospital or outpatient setting: Short-acting oral narcotics - Outpatient setting, chronic pain: Long-acting oral narcotics - Long-Acting (Time-Release) Opioid Medication Choices - Breakthrough Pa