Pain Management and Palliative Care

Dr. Kimberly A. Sackheim New York University Langone Medical Center Interventional Pain Management Department of Rehabilitation Medicine New York, NY USA.

I. Evaluation of the Pain Patient.- Physiology of Pain.- Obtaining a Pain History.- Physical Exam: Approach to the Pain Patient.- Diagnostic Imaging.- Painful Surgical Referrals and Emergencies.- Urine Toxicology Screen.- Opioid Overdose and Withdrawal.- Detoxification From Opiates and Benzodiazepines.- Discharging the Non-Compliant Patient.- II. Medication Management for the Pain Patient.- Non-steroidal Anti-inflammatory Drugs (NSAIDs).- Muscle Relaxants and Antispasticity Medications.- Neuropathic Antidepressant Medications.- Neuropathic Anticonvulsant Medications.- Opioid Medications.- Topical Analgesic Medications.- III. Clinical Care for the Pain Patient.- Headache.- Facial Pain.- Post Herpetic Neuralgia.- Joint Pain.- Post-Amputation Pain.- Spinal Pain.- Chronic Pelvic and Abdominal Pain.- Neuropathic pain.- Complex Regional Pain Syndrome (CRPS).- Fibromyalgia.- Sickle Cell Disease.- Cancer Pain.- Palliative Care.- Hospice Medicine.- IV. Pain Management in Patients with Special Circumstances.- Pain Management in Patients with Renal Impairment.- Pain Management in Patients with Hepatic Impairment.- Pain Management During Pregnancy and Breast Feeding.- Pain Management in Geriatric Patients.- Acute Post-Surgical Pain and PCA Management.- V. Interventional Management for the Pain Patient.- Hematologic-altering Medications and Spinal Injections.- Injections in Patient’s with Bleeding Risks and Comorbid Conditions.- Spinal Procedure Injectables.- Radiation Safety and Monitoring.- Cervical Injections.- Thoracic Injections.- Lumbar Injections.- Sacral Injections.- Sympathetic Block Injections.- Neuromodulation.- Intrathecal Drug Delivery Systems.- Joint, Tendon and Nerve Injections.- Regenerative Injection Therapy.- Injection Complications and Management.