The Pain Center Manual

Description

The Pain Center Manual provides practical information that is used on a daily basis in pain practice, including: common medication dosages, dictation templates, ICD-9 code references, and a variety of clinical pearls for patient care and Board review.
The text covers everyday management concerns such as methadone safety issues, prescription writing for controlled substances, neuropathic medication adjuvants to consider in pain management, titration schedule suggestions, and treatment suggestions for a wide spectrum of chronic pain conditions.

Contents

I. Medical Management of Chronic Pain: A. Opioids; B. Narcotic Conversions; C. Methadone; D.P450 Inhibitors; E.QT Prolonging Drugs; F. Urine Drug Toxicity Screens; G. Controlled Substance Rx Writing Skills; H. Common Medications Used in Pain Management; I. Suggested Outpatient Medications; J. Sample Titration Schedules; K. Metabolic Considerations for Medications; L. Medication Safety in Renal Failure, Pregnancy, Geriatrics; M. Interventional Pharmacology; N. Systemic Effects of Local Anesthetics; O. Traditional Neurolytic Spinal Blocks; P. Botox Injections for Migraine; II. Diagnostic Pearls for Pain Medicine: A. How to Present Pain; B. Headaches; C. Cranial Nerve Notes and Pain Boards Association; D. Facial Pain Neuralgias; E. Pelvic Pain Neuralgias; F. Gynecologic Conditions that May Cause or Exacerbate Chronic Pelvic Pain; G. Non-Gynecologic Conditions that May Cause or Exacerbate Chronic Pelvic Pain; H. Radiology Pearls; I. Disc Pathology Pearls; J. Spinal Pain Differential; K. Complex Regional Pain Syndrome Pearls; L. Treatment Considerations for Common Pain Presentations; III. Notes & Templates: A. Initial Consultation Template; B. Follow-up Visit Template; C. Interventional Procedure Templates;IV. Billing and Coding: A. New Patient; B. Follow-Up Patient; V. Scales and Other Reference Materials: A. Regional Landmarks; B. Vertebral Levels; C. Brachial Plexus; D. Lumbosacral Plexus; E. Upper Extremity Innervations; F. Lower Extremity Innervations; G.PM&R/ Neurology Exam Guide; H. Dermatomes; I. Physical Exam Tests & Acronyms; J. Therapy Contraindications; K.P&O Reference; L. Research Critical Appraisal Questions; M. Sample Procedure Log Form; N. Sample Patient Safety Log; O. Pain Scale Reference; P. Resources; VI. Adult Learning in Pain Medicine: A.ACGME Training Standards; B. Reading Assignments; C. Other Suggested Reading Materials; D. Goals and Objectives; E. Suggested Fellow Formal Evaluation Systems; F. Suggested Pain Curriculum Overview; G. Suggested Didactics Program; H. Cognitive Objectives

About the Authors

Danielle Perret, MD, Assistant Clinical Professor, Depts. of Anesthesiology & Perioperative Care and PM&R; The University of California Irvine, Center for Pain Management, Irvine, CA

Eric Chang, MD, Assistant Clinical Professor, Depts. of Anesthisology and Perioperative Care and PM&R; The University of California Irvine, Center for Pain Management, Irvine, CA

Justin Hata, MD, Assistant Clinical Professor, Depts. of Anesthisology and Perioperative Care and PM&R; The University of California Irvine, Center for Pain Management, Irvine, CA

Hamilton Chen, MD, Department of PM&R; The University of California Irvine, Center for Pain Management, Irvine, CA

Bianca Tribuzio, MD, Department of PM&R, The University of California Irvine, Center for Pain Management, Irvine, CA