algorithm for chronic pain
Post on 15-Nov-2014
2.320 Views
Preview:
DESCRIPTION
TRANSCRIPT
ALGORITHM FOR CHRONIC PAINJames A. Haley Veterans Hospital, Tampa, Florida
CHRONIC PAIN PATIENTS(persistent pain > 3 months)
Negative NeurologicalDeficits
Positive NeurologicalDeficits
Conservative Treatment(By PC or Specialty Clinic: bed
Rest, NSAIDS, traction, etc.)
PM&RS(Physical modalities,
On call m-f 9-4; ext. 6089)•Motor weakness•Objective sensory (dermatomal)•Bowel/Bladder dysfunction•Must be new pain if + for previous surgery
NEUROSURGERY
MRI and NEUROLOGY *
Conservative Treatment(rest, NSAIDS, traction, etc.)
Not better
Consult to CHRONIC PAIN CLINICS(2CW, M-F 9-12, 1-4)
ANESTHESIOLGY(Nerve blocks for RSD, neuropathic pain,trigger points, neuromas, radiculopathy,
complex acute pain problems, etc.)
PSYCHOLOGY(evaluation, coping skills training,
biofeedback, relaxation, etc.. On-siteACS area M-F 8-4:30)
NOTES:*Send to Neurology if headache or TMJ. Send to Neurology or Oncology if cancer pain.
NOTES:*Send to Neurology if headache or TMJ. Send to Neurology or Oncology if cancer pain.
Not better
top related