Improving the Care of Patients With Chronic Pain
Individualized Assessment and Mechanism-Based Multimodal Treatment
Meeting Slides
Guidelines
2007 American College of Physicians and American Pain Society Guidelines on the Diagnosis and Treatment of Low Back Pain
2010 Department of Veterans Affairs and Department of Defense Guidelines on Opioid Therapy for Chronic Pain
2010 Practice Guidelines from the American Society of Anesthesiologists on Chronic Pain Management
2011 Institute for Clinical Systems Improvement Guidelines for the Assessment and Management of Chronic Pain
Suggested Readings
Mechanism-Based Diagnoses of Musculoskeletal Pain
Key questions that can be used to identify symptoms characteristic of nociceptive, neuropathic, or centrally mediated chronic low back pain
Smart KM, et al. Clin J Pain. 2011;27:655-663.
Brief Pain Inventory-Short Form
A multidimensional pain assessment tool that asks patients to rate pain levels, responses to treatment, and effects on function and quality of life
Cleeland CS, Ryan KM. Ann Acad Med Singapore. 1994;23:129-138.
Physical Exam Overview for Chronic Low Back Pain
A structured approach to the physical exam, motor strength testing, and sensory evaluation for patients presenting with low back pain
Duffy RL. Prim Care. 2010;37:729-741, vi.
Ten Principles of Multidrug Therapy for Chronic Pain
A concise list of general recommendations that can guide clinicians in the prescription of medication combinations for chronic pain
Argoff CE, et al. Curr Pain Headache Rep. 2006;10:34-38.
Pain Anxiety Symptom Scale Short Form 20
A 20-item questionnaire that assesses the patient’s cognitive thoughts, pain-associated fear, physiologic arousal, and escape or avoidance behaviors in an effort to identify maladaptive thoughts or unhelpful behaviors related to chronic pain
McCracken LM, Dhingra L. Pain Res Manag. 2002;7:45-50.
Patient Health Questionnaire-9
A brief tool that can assist in the diagnosis of depression and the selection and monitoring of treatment in patients with chronic pain
Kroenke K, et al. J Gen Intern Med. 2001;16:606-613.
Interactive PresentationScientific Insights Into Nociception and Chronic Pain
Charles E. Argoff, MD
Relevant Resources
Balancing the Benefits and Risk of Opioid-Based Therapy
Responsible Opioid Prescribing to Achieve Individualized Functional Goals
Overcoming Pain and Gastrointestinal Distress to Improve Patient Outcomes
Proactive Diagnosis and Targeted Management
Selecting Patients and Optimizing Long-Term Outcomes
Proactive Diagnosis and Targeted Management
Consensus and Controversies for Responsible Opioid Prescribing
The Role of Nurses in Optimizing Long-term Outcomes
Evolving Best-Practice Strategies to Maximize Efficacy and Safety
A Focus on Patients With Opioid-Induced Constipation
Patient Selection, Treatment Initiation, and Ongoing Monitoring
Engaging With Patients About Opioid-Induced Constipation
The PCP’s Role in Timely Recognition and Referral
Debates and Discussions About Therapeutically Targeting Nerve Growth Factor Signaling
Expanding the Conversation on Opioid-Induced Constipation
Translating Guidelines Into Patient Care
