Treatment of Chronic Pain Conditions

Timothy R. Deer, MD The Center for Pain Relief Charleston, WV Jason E. Pope, MD Summit Pain Alliance Santa Rosa, CA

The Basics:  I. Background Focus.- Chapter 1 Chronic Pain.- Chapter 2 Mechanisms of Chronic Pain.- Chapter 3 Overview of Chronic Pain.- The Basics:  II. Anatomy.- Chapter 4 Anatomy of the Spine.- Chapter 5 Peripheral Pathways and Anatomy of the Peripheral Nerve.- Evaluation and Assessment: III. History and Physical.- Chapter 6 Evaluation of Headache.- Chapter 7 Cervical Spine History & Physical.- Chapter 8 History and Physical Examination of the Thoracic Spine.- Chapter 9 Lumbar Spine History and Physical.- Chapter 10 Upper Extremity Physical Examination.- Chapter 11 Lower Extremity Physical Examination.- Chapter 12 History and Physical Examination for Neuropathy.- Chapter 13 History and Physical Exam: Systemic Rheumatologic Disorders.- Evaluation and Assessment: IV. Imaging and EMG/NCV.- Chapter 14 Indications /Interpretation for Advanced Imaging: MRI and CT.- Chapter 15 Indications for/Interpretation of Electrodiagnostic Testing.- Evaluation and Assessment: V. Surgical Referral.- Chapter 16 Indications for Surgery for Low Back Pain.- Conservative Treatment: VI. Medical Conservative Care.- Chapter 17 Spectrum of Pain Care.- Chapter 18 Chronic Pain Rehabilitative Programs.- Chapter 19 Physical Therapy in the Management of Chronic Pain.- Chapter 20 Opioid Medications for Chronic Non-Cancer Pain.- Chapter 21 Non-Steroidal Anti-Inflammatory Drugs (NSAIDS).- Chapter 22 Anticonvulsants.- Chapter 23 Antidepressants.- Chapter 24 Antispasmodics.- Chapter 25 Steroids.- Conservative Treatment: VII. Interventional Conservative Care.- Chapter 26 Radiologic Safety in Interventional Spine and Pain Medicine.- Chapter 27 Interventional Conservative Care: Trigger Points.- Chapter 28 Knee Injection.- Chapter 29 Interventional Conservative Care: Ankle injection.- Chapter 30 Hip Injections.- Chapter 31 Occipital Nerve Block.- Chapter 32 Trigeminal Nerve Block.- Chapter 33 Sphenopalatine Ganglion.- Chapter 34 Auriculo-temporal Nerve Block.- Chapter 35 GlossopharyngealNeuralgia.- Chapter 36 Atlanto-Occipital and Atlanto-Axial Joint Injections.- Chapter 37 Facet Medial Branch Block.- Chapter 38 Facet Medial Branch Ablation.- Chapter 39 Epidural Analgesia in Chronic Pain Management.- Chapter 40 Stellate Ganglion Blockade.- Chapter 41 Celiac Plexus Block.- Chapter 42 Lumbar Sympathetic Block.- Chapter 43 Superior Hypogastric Plexus Blockade.- Chapter 44 Ganglion Impar Block.- Chapter 45 Vertebral Augmentation.- Chapter 46 Discography.- Chapter 47 Management of Iatrogenic Emergencies in Interventional Pain Management.- Chapter 48 Regenerative Medicine.- Chapter 49 Sacroiliac Joint Dysfunction.- Chapter 50 Platelet Rich Plasma.- Advanced Pain Care Therapies: VIII. Intrathecal Drug Delivery.- Chapter 51 Intrathecal Drug Delivery Indications.- Chapter 52 Intrathecal Drug Delivery Trialing Strategies.- Chapter 53 Intrathecal Drug Delivery: Available Technologies.- Chapter 54 Intrathecal drug delivery Implantation.- Chapter 55 Intrathecal Drug Delivery: Maintenance.- Chapter 56 PACC Guideline Statements.- Advanced Pain Care Therapies: IX. Spinal cord stimulation.- Chapter 57 Spinal Cord Stimulation Indications.- Chapter 58 Anatomy for Traditional Spinal Cord Stimulation and Barolat Map.- Chapter 59 Spinal Cord Stimulation Trial.- Chapter 60 Spinal Cord Stimulation Permanent Implant.- Chapter 61 Spinal Cord Stimulation Maintenance.- Chapter 62 Spinal Cord Stimulation Surgical Paddle Placement.- Chapter 63 Innovative Central Neuromodulation Targets for Pain.- Advanced Pain Care Therapies: X.Peripheral nerve stimulation.- Chapter 64 Peripheral Nerve Stimulation (PNS):  Indications.- Chapter 65 Peripheral Nerve Stimulation (PNS):  Trial.- Chapter 66 Peripheral Nerve Stimulation (PNS):  Permanent.- Chapter 67 Peripheral Nerve Stimulation (PNS):  Maintenance.- Chapter 68 Peripheral Nerve Stimulation (PNS): New Therapies.- Advanced Pain Care Therapies: XI. Minimally Invasive Lumbar Decompression.- Chapter 69 Percutaneous Image-Guided Lumbar Decompression (PILD) Indications.- Chapter 70 Percutaneous Image-guided Lumbar Decompression Procedure.- Chapter 71 Percutaneous Image-Guided Lumbar Decompression (PILD): Follow-up and Risk Management.- Selected Chronic Pain Disease XII.- Chapter 72 Complex Regional Pain Syndrome CRPS: type I and type II.- Chapter 73 Failed Surgery Syndrome.- Chapter 74 Radiculopathy.- Chapter 75 Facet Arthropathy.- Chapter 76 Discogenic Pain.- Chapter 77 Sacroillitis and Sacroiliac Joint Dysfunction.- Chapter 78 Piriformis Muscle Syndrome.- Chapter 79 Migraine/Headache.- Chapter 80 Occipital Neuralgia.- Chapter 81 Cancer Pain.- Chapter 82 Cancer Pain.- Chapter 83 Phantom Limb Pain.- Chapter 84 Ultrasound Guidance in Interventional Pain Medicine.- Chapter 85 Central Post-Stroke Pain Syndrome.- Chapter 86 History and Physical Evaluation of Headache.- Business of Pain Medication.  XIII. Practice Types.- Chapter 87 Office Based Pain Management Practices.- Chapter 88 The Business of Pain Medicine.- Chapter 89 Office Based and Surgery Center.- Chapter 90 Contract Considerations.- Business of Pain Medication.  XIV. Risk Mitigation.- Chapter 91 Drug Divergence and Vigilance.- Business of Pain Medication.  XV. Research.- Chapter 92 Informed Consent.- Pain Care and Patient Advocacy/Future Needs XVI.- Chapter 93 Technology and Application Advancement.- Chapter 94 Society Engagement.- Chapter 95 Pain Care Advocacy.- Chapter 96 Physician Extenders.- Chapter 97 Current Procedural Terminology.- Chapter 98 Practice Responsibilities Surrounding Opioid Prescribing.- Chapter 99 Sample Pull Sheet for Surgical Implant Procedures.- Appendix 1 Permanent Implant-Targeted Drug Delivery: Procedure Preference Card.- Appendix 2 Spinal Cord Stimulator – Permanent Implant: Procedure Preference Card.