Essentials of Pain Medicine

Professor Emeritus of Anesthesiology Associate Chair for Academic Affairs and Promotions Northwestern University Feinberg School of Medicine Chicago, Illinois Professor of Anesthesiology, Critical Care Medicine, and Neurology Director of Pain Research Division of Pain Medicine Johns Hopkins University School of Medicine Baltimore, Maryland Chief, Pain Medicine Director, Pain Operations Professor, Anesthesiology & Critical Care Medicine, Neurology, Physical Medicine & Rehabilitation, Psychiatry and Behavioral Services Johns Hopkins School of Medicine Baltimore, Maryland Director of Pain Research Walter Reed National Military Medical Center Bethesda, Maryland Professor of Anesthesiology and Physical Medicine & Rehabilitation Uniformed Services University of the Health Sciences Bethesda, Maryland

Section 1: Basic Considerations

1. Anatomy and Physiology of the Pain Signaling Process 2. Neurochemistry of Somatosensory and Pain Processing 3. Taxonomy: Definition of Pain Terms and Chronic Pain Syndromes

Section 2: Clinical Evaluation and Diagnostic Examinations

4. Physical Examination of the Patient with Pain 5. Pain Assessment 6. Psychological Evaluation and Testing 7. Diagnostic and Statistical Manual of Mental Disorders and Pain Management 8. Neurophysiologic Testing for Pain 9. Anatomy, Imaging and Common Pain-Generating Degenerative Pathologies of the Spine 10. Determination of Disability

Section 3: Perioperative Pain Management

11. Preventive Analgesia 12. Perioperative Nonopioid Infusions for Postoperative Pain Management 13. Patient-Controlled Analgesia 14. Intrathecal Opioid Injections for Postoperative Pain 15. Epidural Opioids for Postoperative Pain 16. Continuous Peripheral Nerve Blocks 17. Pediatric Postoperative Pain 18. Chronic Pain After Surgery

Section 4: Chronic Pain Syndromes

19. Migraine Headache and the Trigeminal Autonomic Cephalalgias (TAC) 20. Tension-Type Headache, Chronic Tension-Type Headache, and Other Chronic Headache Types 21. Postmeningeal Puncture Headache and Spontaneous Intracranial Hypotension 22. Cervicogenic Headache 23. Orofacial Pain 24. Overview of Low Back Pain Disorders 25. Myofascial Pain Syndrome 26. Fibromyalgia and Centralized Pain States 27. Complex Regional Pain Syndrome 28. Herpes Zoster and Postherpetic Neuralgia 29. Postamputation Pain 30. Central Pain States 31. Pelvic Pain 32. Painful Peripheral Neuropathies 33. Entrapment Neuropathies

Section 5: Cancer Pain and Pain in Special Situations

34. Approach to Management of Cancer Pain 35. Management of Pain at End of Life 36. Pain Management in the Emergency Department 37. Chronic Pain Management in Children and Adolescents 38. Sickle Cell Pain 39. Pain Management During Pregnancy and Lactation 40. Pain Control in the Critically Ill Patient 41. Geriatric Pain

Section 6: Pharmacology and Pharmacologic Modalities

42. Major Opioids and Pain Management 43. Opioids Used for Mild to Moderate Pain 44. The Prescription Drug Abuse Epidemic and Emerging Prescribing Guidelines 45. Legal and Regulatory Issues in Pain Management 46. Urine Drug Testing 47. Substance Use Disorders and Detoxification 48. Psychopharmacology for Pain Medicine 49. Membrane Stabilizers 50. Recommendations for Pharmacological Therapy of Neuropathic Pain 51. Nonopioid Analgesics: NSAIDs, COX-2 Inhibitors, and Acetaminophen 52. Intravenous Infusions for Refractory Cancer and Chronic Pain States 53. Pharmacologic Management of Myofascial Pain 54. Pharmacologic Management of CRPS 55. Pharmacology for the Interventional Pain Physician 56. Role of Cannabinoids in Pain Management

Section 7: Therapeutic Interventions

57. Ablative Neurosurgical Procedures for Treatment of Chronic Pain 58. Physical Medicine and Rehabilitation Approaches to Pain Management 59. Psychological Interventions for Chronic Pain 60. Acupuncture 61. Tai Chi and Chronic Pain

Section 8: Interventional Techniques for Pain Management

62. Interlaminar Epidural Steroid Injections for Lumbosacral Radicular Pain 63. Transforaminal Epidural Steroid Injections and Selective Nerve Root Blocks 64. ANTI TNF - ? Drugs and DMARDs for Low Back Pain                     65. Facet Syndrome 66. Sacroiliac Joint Syndrome 67. Piriformis Syndrome 68. Pulsed Radiofrequency, Water-Cooled Radiofrequency, and Cryoneurolysis 69. Discography 70. Vertebroplasty and Kyphoplasty 71. Neurolytic Sympathetic Blocks 72. Central and Peripheral Neurolysis 73. Spinal Cord Stimulation 74. Peripheral Nerve Stimulation 75. Dorsal Root Ganglion Stimulation 76. Implanted Drug Delivery Systems for the Control of Chronic Pain 77. Fluoroscopy and Radiation Safety 78. Efficacy of Interventional Procedures for Neuropathic Pain

Section 9: Other Nerve Blocks in Pain Medicine

79. Ultrasound-Guided Procedures for Pain Management 80. Deep Muscle Injections: Piriformis, Scalene Muscle, Iliposoas Injections 81. Ultrasound-Guided Musculoskeletal Injections--Shoulder, Hip, and Knee 82. Head and Neck Blocks 83. Truncal Blocks: Intercostal, Paravertebral, Interpleural, Tap, Suprascapular, Ilioinguinal, and Iliohypogastric Nerve Blocks 84. Sympathetic Blocks: Stellate Ganglion, Lumbar Sympathetic Blocks, and Visceral Sympathetic Blocks -- Fluoroscopy and Ultrasound-Guided 85. Interventional Pain Procedures in Patients on Anticoagulants 86. Interventional Pain Procedures and the Risk of Infection