Essentials of Pain Medicine

Professor of Anesthesiology Senior Associate Chair for Academic Affairs Feinberg School of Medicine Northwestern University Chief, Division of Pain Medicine Northwestern Memorial Hospital Chicago, IL

I.BASIC CONSIDERATIONS 1.Anatomy and Physiology of Somatosensory and Pain Processing 2.The Neurochemistry of Somatosensory and Pain Processing 3.Taxonomy: Definition of Pain Terms and Chronic Pain Syndromes II.CLINICAL EVALUATION AND DIAGNOSTIC EXAMINATIONS 4.Physical Examination of the Patient with Pain 5.Pain Assessment 6.Psychologic Evaluation and Testing 7.Neurophysiologic Testing for Pain 8.Anatomy, Imaging and Common Pain Generating Degenerative Pathologies of the Spine 9.Determination of Disability III.PHARMACOLOGY AND PHARMACOLOGIC MODALITIES 10.Opioid Receptors 11.Major Opioids in Pain Management 12.Minor and Short-Acting Opioids 13.Opioid Therapy: Adverse Effects Including Addiction 14.Psychopharmacology for Pain Medicine 15.Membrane Stabilizers 16.Nonsteroidal Antiinflammatory Drugs and COX-2 Selective Inhibitors 17.Muscle Relaxants 18.Drugs for the Interventional Physician: Botulinum Toxin, Steroids, Radiopaque Dye IV.THERAPEUTIC INTERVENTIONS 19.Diagnostic Nerve Blocks 20.Neurosurgical Procedures for Treatment of Intractable Pain 21.Physical Medicine and Rehabilitation Approaches to Pain Management 22.Acupuncture 23.Pyschological Interventions For Chronic Pain 24.Substance Use Disorders and Detoxification V.PERIOPERATIVE PAIN MANAGEMENT 25.Pain Management in the Emergency Department 26.Preemptive Analgesia: Physiology and Clinical Studies 27.Patient-Controlled Analgesia 28.Intrathecal Opioid Injections for Postoperative Pain 29.Epidural Opioids for Postoperative Pain 30.Intraarticular and Intraperitoneal Opioids for Postoperative Pain 31.Pediatric Postoperative Pain 32.Pain Management During Pregnancy and Lactation 33.Pain Management in the Critically Ill Patient VI.CHRONIC PAIN SYNDROMES 34.Classification of Headache Disorders 35.Migraine Headache and Cluster Headache 36.Tension Type Headache, Chronic Tension Headache and Other Chronic Headache Types 37.Postdural Puncture Headache and Spontaneous Intracranial Hypotension 38.Cervicogenic Headache and Orofacial Pain 39.An Overview of Low Back Pain Disorders 40.Interlaminar Epidural Steroid Injections for Lumbosacral Radiculopathy 41.Selective Nerve Root Blocks and Transforaminal Epidural Steroid Injections 42.Facet Joint Pain: Facet Joint Injections and Facet Rhizotomy 43.Pain Originating from the Buttock: Sacroiliac Joint Dysfunction and Piriformis Syndrome 44.Myofascial Pain Syndrome 45.Fibromyalgia 46.Complex Regional Pain Syndrome (CRPS): Terminology and Pathophysiology 47.Complex Regional Pain Syndrome (CRPS): Diagnosis, and Treatment 48.Herpes Zoster and Postherpetic Neuralgia 49.Phantom Pain 50.Central Pain States 51.Visceral Pain and Pelvic Pain 52.Sickle Cell Anemia 53.Diabetic and Other Peripheral Neuropathies 54.Entrapment Neuropathies 55.Chronic Pain Management in Children 56.Geriatric Pain VII.INTERVENTIONAL TECHNIQUES FOR PAIN MANAGEMENT 57.Spinal Cord Stimulation 58.Implanted Drug Delivery Systems for Control of Chronic Pain 59.Discography 60.Intradiscal Techniques: Intradiscal Electrothermal Coagulation (IDET) and Nucleoplasty 61.Osteoporosis and Percutaneous Vertebroplasty 62.Issues in Fluoroscopy: Advantages of Fluoroscopy, Radiation Safety VIII.CANCER PAIN 63.Pharmacologic Management of Cancer Pain 64.Management of Pain at End of Life 65.Visceral Neurolytic Sympathetic Blocks 66.Intrathecal and Epidural Neurolysis: Agents Used for Neurolytic Block IX.LOCAL ANESTHETICS AND NERVE BLOCKADE 67.Local Anesthetics - Clinical Aspects 68.Spinal Anesthesia 69.Epidural Anesthesia 70.Combined Spinal-Epidural Technique 71.Caudal Anesthesia 72.Head and Neck Blocks 73.Brachial Plexus Block: Techniques Above the Clavicle 74.Brachial Plexus Block: Techniques Below the Clavicle 75.Truncal Blocks: Intercostal, Paravertebral, Interpleural, Suprascapular, Ilioinguinal, and Iliohypogastric Nerve Blocks 76.Lumbar Plexus, Femoral, Lateral Femoral Cutaneous, Obturator, Saphenous, and Fascia Iliaca Blocks 77.Sciatic Nerve Block 78.Ankle Block 79.Issues in Peripheral Nerve Blocks: Use of Nerve Stimulators, Multiple Versus Single Injection Techniques, and Use of Adjuvants 80.Peripheral Sympathetic Blocks 81.Complications After Peripheral Nerve Blockade 82.Complications After Neuraxial Blockade 83.Anticoagulants and Neuraxial Injections