This document provides a summary and table of contents for a report on pain management. The report contains guidelines for evaluating and managing pain, including non-pharmacological and pharmacological approaches. It discusses topics like opioid therapy, cancer pain, and rehabilitation programs. The table of contents lists these topics in two parts - the first on general pain evaluation and management, the second on guidelines for musculoskeletal pain conditions and procedures.

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Pain Management 2nd edition
Published on February 2009
Report Summary
Guidelines for pain evaluation/management tools and strategies. Anesthesia, orthopedic and rheumatology outpatient/inpatient tests
& procedures - evidence-based review criteria. References, resources, web links.
Table of Content
Contents List
Part I Pain Evaluation and Management
Pain management introduction
Washington State Pain Management Guidelines
Classification of Pain, Pain measurement/scoring
Barriers to adequate pain control
Pre-emptive, multimodal or balanced analgesia/pain management
Behavioral Therapy Aspects of Pain Management
Palliative or 'End-of-life' care/Cancer pain
Placebo use
JCAHO standards
Diabetic peripheral neuropathy
Surgical pain management - Conscious sedation (P & P); Post-op wound irrigation with local anesthetics; Opioid-related adverse
events in surgical patients: increased LOS
Patient satisfaction
Pain Management Issues
Drugs for pain that are often used inappropriately/abused - guidelines
Opioid contracts
Pain Management 2nd edition Page 1/8

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Pain Rehabilitation Programs
Pain Clinics or Centers
Chronic/Persistent Pain Programs ' coverage
Chronic/Persistent Pain Programs ' Inpatient
Pain Rehabilitation, Outpatient
Outpatient Hospital Pain Rehabilitation Programs, Medicare NCD
Exit Criteria from chronic pain programs
Dental pain management ' after hours care
Headaches
Pain Management in Long Term Care; Care plan, links
Pain Management in the Emergency Department
Case Management
Pain Management Notes
Pharmacologic/Non-pharmacologic Pain Management
Initial oral mild to moderate pain management
Prescribing Guideline ' California model guideline
Medical Marijuana
Opioid therapy
Methadone
Cancer Pain Management
Breakthrough pain
Topical NSAIDs for chronic musculoskeletal pain
Neuralgic/Neuropathic Pain
Pharmacologic Challenges for Sympathetically Maintained Pain
Continuous Epidural Analgesia for the treatment of Complex Regional Pain Syndrome (CRPS)/Reflex SympatheticDystrophy (RSD)
Pain Management 2nd edition Page 2/8

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Coanalgesic drug therapy to manage specific pain syndromes (Table)
Cognitive behavioral therapy
Physical therapy for regional pain syndromes
Cryoanalgesia and Cold Laser Therapy
Pulsed Radiofrequency for Pain Management
Trigger Point Injections
Induced Lesions of Nerve Tracts, Medicare NCD
PCA by proxy ' JCAHO sentinel alert
Pain management patient self-evaluation tools
Speak Up: What You Should Know About Pain Management - patient brochure from the Joint Commission
Pharmacy tables - drugs, eqianalgesic calculations
Addiction
Diversion
Complementary and Alternative Medicine; Approaches to pain management
Acupuncture
Biofeedback
Bioelectromagnetic therapy
Guided imagery
Manual/massage therapies
Naturopathy
Relaxation therapy
Transcendental meditation
Resources - CAM
Legal issues related to pain management ' California Medical Board policy statement and guideline
References/suggested reading by topic related to Pain Management
References/suggested reading by topic related to CAM
CAM web sites
Anesthesiology Pain Management Services
Pain Management 2nd edition Page 3/8

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Anesthesia services - General Coverage Policy; Office-based anesthesia; Dental Anesthesia; Safe sedation of children; Pain
Management; Intrathecal/subarachnoid injections; Epidural injections for pain; Continuous epidural analgesia; Cryoanalgesia and
Cold Laser (low-energy or low-level) Therapy for wound healing, pain therapy, and other disorders;
Electrical stimulators: Introduction; Dorsal column stimulators/Spinal cord stimulatrs; Chronic pain; Angina; Neuromuscular electrical
stimulation (NMES); Electrical stimulators for levator syndrome; Transcutaneous electrical nerve stimulation (TENS); ReliefBand;
Interferential/Inferential current stimulation/'Sympathetic therapy'; Percutaneous electrical nerve stimulation (PENS)/Peripheral
Neuromodulation; Peripheral electrical nerve stimulation, implanted; Pulsed electrical stimulation/Signal therapy; H-wave stimulation
for the treatment of diabetic neuropathy
Facet Joint Injections/Median Branch Nerve Blocks; Facet Denervation, Facet Denervation: Neurotomy, Facet Rhizotomy, or Articular
Rhizolysis; Facet Denervation: Percutaneous Radiofrequency; Celiac plexus nerve blocks; Paravertebral Nerve Blocks; Percutaneous
alcohol injections for the ablation of intractable pain; Anesthesiology Notes.
Resources - Pain Management
Pain Management Organization web links: CAM, Pain, and Palliative/End-of-Life Care
Consent and Agreement Forms for long-term controlled substance/opioid therapy
Informed Consents for Long-term Narcotic Use - example
Opioid Contract ' UC Davis form
Pain Publications for Patients and Their Families
Palliative Care Leadership Centers
Model Policy for the Use of Controlled Substances for the Treatment of Pain. Federation of State Medical Boardsof the United States,
Inc. 2004
Pain Management Provider Credentialing
Pain Management Notes
Part II Skeletal Muscular System Guidelines
· Knee
ü Arthroscopy, knee
ü Total Knee Replacement
ü Hyaluronidase, intra-articular injections for osteoarthritis, knee
ü Knee, general references
· Back and Neck Pain ' Evaluation and Procedures
ü Low back pain (Acute, 'slow to recover')
ü Anti-depressant drug therapy for low back pain
ü Machines to test and treat low back pain
Pain Management 2nd edition Page 4/8

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ü Algorithm for back pain evaluation
ü Chymopapain Chemonucleolysis
ü Endoscopic Anterior Spinal Surgery
ü Epidural injection of steroids for back pain
ü Facet Joint Injections/Nerve Blocks
ü Facet Denervation, Facet Neurotomy, Facet Rhizotomy, or Articular Rhizolysis
ü Hypertonic saline for the treatment of epidural adhesions, adhesive arachnoiditis, or failed back syndrome
ü Intradiscal electrothermal therapy (IDET)
ü Laminectomy
ü Magnets for the treatment of chronic low back pain
ü Meniscectomy
ü Microdiscectomy, Percutaneous Lumbar Discectomy
ü Percutaneous vertebroplasty
ü Spinal Instability ' Pedicle screw fixation
ü Spinal stenosis
ü Trigger Point Injections
ü Cervical Pain, acute
ü Chiropractic Medicine
· Spinal manipulation under anesthesia
ü Bone stimulators, electric and low-intensity ultrasound
· Distraction osteosynthesis, Ilizarov method
· Olecranon bursa aspiration
· Total Hip Replacement (arthroplasty); Primary, excluding hip fracture;
· Injection, tendon sheath, ligament, or trigger points or ganglion cyst
· Arthrocentesis ' Joints; Aspiration/Injection Ganglion Cyst
· Kyphoplasty
· Ultrasound therapy for calcific tendinitis of the shoulder
Pain Management 2nd edition Page 5/8

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· Fibromyalgia
· Rheumatology links
· Post-work Injury Evaluation and Work Hardening
· 'Prehab'
Web Sites ' Skeletal-Muscular System-related
References ' General - for skeletal-muscular pain management
Pain Management 2nd edition Page 6/8

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