ALGORITHM FOR CHRONIC PAIN James A. Haley Veterans Hospital, Tampa, Florida CHRONIC PAIN PATIENTS (persistent pain > 3 mon...
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Algorithm For Chronic Pain

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Algorithm For Chronic Pain

  1. 1. ALGORITHM FOR CHRONIC PAIN James A. Haley Veterans Hospital, Tampa, Florida CHRONIC PAIN PATIENTS (persistent pain > 3 months) Negative Neurological Deficits Positive Neurological Deficits Conservative Treatment (By PC or Specialty Clinic: bed Rest, NSAIDS, traction, etc.) PM&RS (Physical modalities, On call m-f 9-4; ext. 6089) <ul><li>Motor weakness </li></ul><ul><li>Objective sensory (dermatomal) </li></ul><ul><li>Bowel/Bladder dysfunction </li></ul><ul><li>Must be new pain if + for </li></ul><ul><li>previous surgery </li></ul>NEUROSURGERY MRI and NEUROLOGY * Conservative Treatment (rest, NSAIDS, traction, etc.) Not better Consult to CHRONIC PAIN CLINICS (2CW, M-F 9-12, 1-4) ANESTHESIOLGY (Nerve blocks for RSD, neuropathic pain, trigger points, neuromas, radiculopathy, complex acute pain problems, etc.) PSYCHOLOGY (evaluation, coping skills training, biofeedback, relaxation, etc.. On-site ACS area M-F 8-4:30) NOTES: * Send to Neurology if headache or TMJ. Send to Neurology or Oncology if cancer pain. Not better

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