Practical Chronic Pain Management

Tariq Malik, MD Department of Anesthesia and Critical Care University of Chicago Chicago, IL 60637 USA

1. ABC of evaluation of patient in chronic pain2. 40-old female with chronic recurrent headache ( migraine)3. 35-yr-old male with recurrent one-sided headache ( cluster headache)4. 35-yr-old female with chronic face pain ( atypical facial pain)5. 75-yr old female with frequent fleeting face pain ( Trigeminal Neuralgia)6. A patient with chronic pain in the back of the head ( occipital neuralgia)7. 35-yr old man with neck pain since the car accident ( whiplash injury)8. 45-yr old man with neck pain of insidious onset ( myofascial pain)9. 75-yr old man with neck pain ( cervical spondylosis)10. 65-yr old male with neck pain ( cervical facet disease)11. 35-yr old female with neck and right arm pain since the fall ( cervical radicular pain)12. 50-yr old female with chronic pain over the TMJ13. 45-yr old patient with persistent shoulder pain (rotator cuff injury)14. 75-yr old male with chronic shoulder pain (shoulder arthritis)15. 35-yr old male with persistent pain after hand injury16. 75-yr old female with hand grip weakness (carpal tunnel syndrome)17. 55-yr old female with little finger numbness and pain after surgery (ulnar neuropathy)18. 75-yr old male with wrist pain ( wrist arthritis)19. 21-yr old male with chronic chest wall pain 20. 45-yr old female with persistent pain after mastectomy21. 75-yr old female with persistent pain after shingles22. 18-yr old female with chronic abdominal pain (functional abdominal pain)23. 35-yr old male with chronic abdominal pain ( chronic pancreatitis)24. 45-yr old female with chronic pelvic pain 25. 65-yr old male with pelvic pain ( interstitial cystitis)26. 35-yr old male with persistent pain after inguinal hernia repair27. 65-yr old with hip pain28. 75-yr old with knee pain29. 55-yr old male with pain after above knee amputation30. 35-yr old male with chronic sole pain31. 33-yr old with persistent back pain32. 45-yr old with leg pain and numbness33. 65-yr old male with leg pain on walking34. 70-yr old male with low back pain35. 40-yr old female with gluteal pain36. 75-yr old female with mid-thoracic pain37. 45-yr old male with buttock pain on sitting38. 25-yr old cyclist with persistent perineal pain39. 55-yr old male with recurrent pain after back surgery40. 55-yr old diabetic female with feet pain41. 50-yr old male with abdominal pain after recurrence of tumor42. 35-yr old female with whole body pain43. 55-yr old male with worsening pain despite increasing opioid dosing44. 65-yr male with poor cancer pain control despite intrathecal pump 45. 38-yr old female with baclofen pump and increasing stiffness46. 60-yr old female with hand and feet pain after chemotherapy in the past47. 35-yr old opioid tolerant patient with uncontrolled pain after surgery