Neuropathic Pain 25.9.07
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The document discusses neuropathic pain, defining it and differentiating it from other types of pain. It provides statistics on the prevalence of acute and chronic pain. Neuropathic pain is very common, affects 1 in 7 people in the UK, and has both acute and chronic time courses. It has a massive socioeconomic impact. Treatment involves multiple modalities including pharmacological, physical, and psychological approaches.
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- Neuropathic pain is caused by damage or disease affecting the somatosensory nervous system and is difficult to diagnose due to its subjective nature. It can be central (originating from the central nervous system) or peripheral (originating from the peripheral nervous system) in nature.
- Pathophysiological mechanisms involve hyperactivity of nociceptors leading to secondary changes in neurons processing somatosensory information. Diagnosis involves detailed history, neurological exam, and assessment tools to identify neuropathic features.
- Treatment includes pharmacological interventions like antidepressants, anticonvulsants, opioids, and topical agents as well as physical therapy modalities like exercise, stretching, strengthening, hydrotherapy, graded motor imagery,
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- Common causes include diabetic neuropathy, postherpetic neuralgia, spinal cord injury. Assessment involves history, exam, and tools like LANSS and DN4.
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This document discusses pain management in oncology. It begins by outlining the objectives of understanding cancer pain management principles, categorizing pain, optimizing analgesia, using adjuvant analgesics, and recognizing when interventional therapies could help. It then provides background on cancer prevalence in Ghana and the high rates of pain in cancer patients. The rest of the document details approaches to assessing and treating cancer pain, including pharmacological and non-pharmacological options. It emphasizes a stepwise approach using the WHO analgesic ladder and treating the specific cause and type of cancer pain.
Pain management.pptx
This document provides information on pain management, including types of pain, pain transmission and assessment, analgesic choices and monitoring. It describes nociceptive and neuropathic pain, acute versus chronic pain, and the pain pathway. Non-pharmacological and pharmacological pain management options are discussed, including the WHO analgesic ladder. Adverse effects of opioids are highlighted. The document emphasizes self-reported pain assessment and provides a case study on managing diabetic peripheral neuropathy and osteoarthritis pain.
painmanagement-230429154957-314b998a.pdf
This document provides information on pain management, including:
- Classifying pain based on pathophysiology (e.g. nociceptive, neuropathic) and duration (acute, chronic).
- Describing the pain pathway from tissue injury to signal transmission in the spinal cord and brain.
- Recommending a multimodal approach to pain management including pharmacological and non-pharmacological options.
- Providing guidelines for assessing pain and evaluating analgesic treatments.
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Consuming Acupuncture: Integrating Science & Classical Perspectives
Acupuncture, a therapeutic modality of the 2000+ year traditional Chinese medicine (TCM) toolkit, is getting greater recognition for the management of chronic pain syndromes without the use of narcotic drugs like opioids. Modern scientific perspectives, using both thermodynamics and engineering paradigms, help us think of the body at the systems level. These concepts will help us understand and integrate this whole system of medicine (NIH) in contemporary Western healthcare.
TCM therapeutics, an ancient integrative system of medicine, is best utilized from a systems level perspective that includes Body and Mind.
Please contact the clinic if you would like to hear more about these options at your organization or conference.
Pain management in neurosurgical patients
pain management after craniotomy and spine surgery. as a neuroanesthesiologist it our duty to manage post operative pain. pain in these patient are under treated.
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This document discusses optimizing treatment for pain and identifies appropriate first-line treatments for different types of pain. It outlines the goals of the opioid safety initiative to manage opioid use and side effects. It distinguishes between acute and chronic pain and provides treatment recommendations for common chronic pain conditions like osteoarthritis, neuropathic pain, fibromyalgia, and somatic pain. It also addresses managing opioid side effects, identifying patients at high risk, and special considerations like drug interactions and warnings when prescribing opioids.
ABCDEF bundle: ICU Liberation Bundle
A – Assess, Prevent and Manage Pain
B – Both SATs and SBTs
C – Choice of Sedation
D – Delirium: Assess, Prevent and Manage
E – Early Mobility and Exercise
F – Family Engagement and Empowerment
*www.iculiberation.org
OA.ppt
This document provides guidance on evaluating and managing patients presenting with monoarthritis or polyarthritis. It discusses common causes of monoarthritis including septic, traumatic, and crystal deposition diseases. It also reviews key questions to ask patients and appropriate diagnostic tests. For polyarthritis, it distinguishes between acute and chronic presentations and lists associated diseases. The document then focuses on osteoarthritis, outlining risk factors, symptoms, diagnostic criteria, and pharmacological and non-pharmacological treatment approaches including exercise, weight loss, analgesics, and surgery.
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