Chronic Pain

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1. Understanding of the principles of chronic pain management in the pain clinic setting
2. Assessment of patients with acute and chronic pain
3. Specific conditions not mentioned but probably considered core knowledge
   1. Back pain
   2. Complex Regional Pain Syndromes
   3. Headache
   4. Neuralgia – trigeminal and glossopharyngeal
   5. Post herpetic neuralgia
   6. Central pain including stroke
   7. Post amputaion pain
4. Adjuvant drugs used to manage chronic pain:
   1. Antidepressants
   2. Anticonvulsants
   3. Antiarrhythmics
   4. Other adjuvant medication
5. Principles of neural blockade for pain management:
   1. Peripheral nerve
   2. Plexus
   3. Epidural
   4. Subarachnoid blocks;
   5. Sympathetic blocks including stellate ganglion, coeliac plexus and lumbar plexus blocks
   6. Neurolytic agents and procedures
   7. Implanted catheters and pumps for drug delivery
   8. Spinal Cord Stimulators
6. The role of other treatment modalities;
   1. Physical therapy
   2. Surgery
   3. Psychological approaches
   4. Rehabilitation approaches
   5. Pain management programmes
7. Management of severe pain and associated symptoms in palliative care
8. Basic assessment and management of pain in patients with cancer
9. Principles and ethics of pain research

CEACCP 2005: DECEMBER
Stephen G Oxberry and Karen H Simpson
Pharmacotherapy for cancer pain