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 Pain Disorders Spotlight
This section provides access to pain management resources addressing common painful disorders or conditions of special interest and importance. The informational and educational needs of all healthcare providers who treat these disorders are addressed; including physicians, pharmacists, dentists, nurses, nurse practitioners (NPs), physician's assistants (PAs), and others.
 For guidelines, CMEs, and other documents pertaining to each pain disorder, see the details listings page for the respective section below.
 For additional, more general information on pain see "Overview - Pain Management & Tx" under Clinical Concepts. <Click Here>
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Low-Back Pain (LBP)
 Lifetime prevalence of LBP is estimated at 70%, and nearly 20% of adults suffer from back pain in any given year. Acute LBP often is self-limiting; however, back pain is one of the most common reasons for visits to healthcare providers. The documents recommended in this section address this ubiquitous, oftentimes persistent, and difficult to treat condition.
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 Guideline Update: What’s the Best Approach to Acute Low Back Pain
From: Bach SM, Holten KB. Journal of Family Practice; 2009.
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Adult Low Back Pain Guidelines
From: Institute for Clinical Systems Improvement (ICSI); 2008.
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Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline
From: the American College of Physicians and the American Pain Society; by Chou R, et al. Annals of Internal Medicine; 2007.
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Evaluation and Treatment of Acute Low Back Pain
From: American Academy of Family Physicians (AAFP); 2007; 8 pages.
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Clinic on Low-Back Pain in Interdisciplinary Practice (CLIP)
From: Agency for Health & Social Services; Montreal, Canada; 2007.
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Acute Low Back Pain
From: University of Michigan Health System; Revised 2005.
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Evaluation and Treatment of Low Back Pain in Family Practice
By: Rives PA, Douglass AB. Journal of the American Board of Family Medicine; 2004. See details>
European Guidelines for Prevention in Low Back Pain
From: European Commission Working Groups; 2004. See details>
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Headache Pain
 Headache pain is one of the most frequent reasons for healthcare visits. Documents in this section address the various forms of headache, including migraine, cluster, tension-type, sinus-related, and others. An emphasis is on diagnosis and symptom management via approaches incorporating pharmacologic, non-pharmacologic, and/or complementary therapies, as well as other components of comprehensive pain management.
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Headache: Pediatric Perspective
From: eMedicine from WebMD; Updated June 2008. See details...>
How Clinicians Can Detect, Prevent and Treat Medication Overuse Headache
By: Dodick DW, Silberstein SD. Cephalalgia; 2008. See details...>
Migraine-Preventive Medications: Ensuring Their Appropriate Use
From: American Pharmacists Association; 2008. See details...>
Practice Guideline for Diagnosis and Management of Migraine Headaches in Children and Adolescents
From: Medscape; 2007-2008. See details...>
Guidelines for All Healthcare Professionals in the Diagnosis and Management of Migraine, Tension-Type, Cluster and Medication-Overuse Headache
From: British Association for the Study of Headache; 2007. See details...>
Migraine — Special Edition, The Pain Practitioner
From: American Academy of Pain Management; 2007 [Spring]. See details...>
Mind-Body Therapies For Headache
By: Sierpina V, Astin J, Giordano J. American Family Physician; 2007. See details...>
The Differential Diagnosis of Chronic Daily Headaches: An Algorithm-Based Approach
By: Bigal ME, Lipton RB. Journal of Headache Pain; 2007. See details...>
Head Pain — Special Edition, The Pain Practitioner
From: American Academy of Pain Management; 2006 [Fall]. See details...>
Cervicogenic Headache: A Review of Diagnostic and Treatment Strategies
By: Biondi DM. Journal of the American Osteopathic Association; 2005. See details...>
The Patient With Daily Headaches
By: Maizels M. American Family Physician; 2004. See details...>
21st Century Prevention and Management of Migraine Headaches
From: National Institute of Neurological Disorders and Stroke (NINDS); 2001. See details...>
Information for Health Professionals [19 Headache Fact Sheets]
From: American Headache Society. See details...>
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Pain Treatment in Palliative Care
(including Hospice Care)
 Palliative care focuses on patients of all ages with a chronic disorder – whether an illness, condition, or injury – that adversely affects daily functioning or reduces life expectancy. Documents in this section focus on pain and associated symptom management during palliative care via approaches incorporating pharmacologic, nonpharmacologic, and/or complementary therapies, as well as other components of a comprehensive pain management program.
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IAHPC List of Essential Medicines for Palliative Care
From: International Association for Hospice & Palliative Care; 2007.
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Principles of Effective Pain Management at the End of Life
By: Fine PG, Mac Low C. Medscape Today; 2007. See details...>
Pain Management at the End of Life [book]
From: Hospice Foundation of America; 2006. See details...>
EPERC - Pain Topics from the “Fast Facts Index”
From: End of Life/Palliative Education Resource Center; 2005-2007.
See details...>
Methadone, Pain Management, and Palliative Care
By: McPherson ML. Medscape and ASHP; 2006. See details...>
The IAHPC Manual of Palliative Care [book]
By: Doyle D, Woodruff R. International Association for Hospice & Palliative Care; 2nd Edition; 2004. See details...>
Managing Pain in the Dying Patient
By: Whitecar PS, Jonas AP, Clasen ME. American Family Physician; 2000. See details...>
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Cancer-Related Pain
 Pain is one of the most common and often most feared symptoms in patients with cancer. Therefore, effective management of cancer-related pain is both a high priority and an ongoing challenge in clinical practice. Cancer-related pain may be due to active cancer itself, cancer treatments, and/or comorbidities arising from cancer. Documents in this special section focus on cancer pain control and associated symptom management via pharmacotherapies, nonpharmacologic strategies, and/or complementary approaches during cancer care.
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Management of Pain in the Older Person With Cancer
From: Cancernetwork.com; 2008. See details...>
Adult Cancer Pain
From: National Comprehensive Cancer Network; 2007. See details...>
Pediatric Cancer Pain
From: National Comprehensive Cancer Network; 2007. See details...>
Cancer-Related Pain and Its Pharmacologic Management in the Patient With Bone Metastasis
By: Slatkin N. Journal of Supportive Oncology; 2006. See details...>
Pharmacologic Management of Cancer Pain
By: Pharo GH, Zhou L. Journal of the American Osteopathic Assoc.; 2003. See details...>
Management of Cancer Pain in Geriatric Patients
By: Balducci L. Journal of Supportive Oncology; 2003. See details...>
Opioid Rotation in the Management of Refractory Cancer Pain
By: Indelicato RA, Portenoy RK. Journal of Clinical Oncology; 2003.
See details...>
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Fibromyalgia Pain
 Fibromyalgia syndrome (FMS) is a diffuse pain and fatigue disorder for which an exact etiology is remains unknown and medical diagnosis can be challenging. Pain, the cardinal symptom of fibromyalgia, seems to emanate from muscles, tendons, ligaments, bursa, and joints. Fatigue, lethargy, depression, sleep disturbances, and other symptoms also may be present. Documents in this section focus primarily on approaches and strategies that have proven most successful for managing fibromyalgia pain and associated symptoms.
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New Developments in the Diagnosis of Fibromyalgia Syndrome: Say Goodbye to Tender Points?
By: Wilke WS. Cleveland Clinic J Med. 2009:76(6):345-352.
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Fibromyalgia: Psychiatric Drugs Target CNS-Linked Symptoms
By: Stanford SB. Current Psychiatry Online; 2009. See details…>
Fibromyalgia – Special Edition, The Pain Practitioner
From: American Academy of Pain Management; 2008 [Spring].
See details…>
Understanding the Fibromyalgia Syndrome
By: Rao SG, Gendreau JF, Kranzler JD. From Medscape Ob/Gyn & Women’s Health; 2008. See details...>
The Diagnosis and Treatment of Fibromyalgia
By: Horowitz S. Alternative & Complementary Therapies; 2008.
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Fibromyalgia
By: Chakrabarty S, Zoorob R. American Family Physician; 2007.
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EULAR Guidelines for the Treatment of Fibromyalgia Syndrome
By: Barclay L. From Medscape Medical News; 2007. See details...>
A Review of Fibromyalgia and Its Treatment
By: St. Onge EL, Rose RL, Alighanbari V. Drug Topics; 2005.
See details...>
The Fibromyalgia Impact Questionnaire (FIQ)
By: Bennet R. Clin Exp Rheumatol; 2005. See details...>
Management of Fibromyalgia Syndrome
By: Goldenberg DL, Burckhardt C, Crofford L. JAMA; 2004.
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A Review of Fibromyalgia
By: Nampiaparampil DE, Schmerling RH. American Journal of Managed Care; 2004. See details...>
The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia
By: Wolfe F, Smythe HA, Yunus MB, et al. Arthritis and Rheumatism; 1990. See details...>
The Science of Fibromyalgia
From: National Fibromyalgia Association; undated. See details...>
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Pain Treatment in Pediatrics
 Infants and children can and do feel pain comparable to pain in adults. Research into pediatric pain has grown rapidly, and numerous drug and non-drug therapies have been developed and tested in a variety of clinical populations and settings. However, the large number of available interventions may be a source of confusion, and inadequate prevention and relief of pediatric pain are still widespread. This section focuses on the most appropriate, cost effective, and evidence-based interventions, taking into account all components of the child’s pain experience.
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Review for the Generalist: Evaluation of Pediatric Foot and Ankle Pain
By: Houghton KM. Pediatric Rheumatology Online Journal; 2008.
See details...>
Headache: Pediatric Perspective
From: eMedicine from WebMD; Updated June 2008. See details...>
Evaluation of Back Pain in Children and Adolescents
By: Bernstein RM, Cozen H. American Family Physician; 2007.
See details...>
Pediatric Cancer Pain
From: National Comprehensive Cancer Network; 2007. See details...>
Treatment of Chronic Pain in Pediatric Rheumatic Disease
By: Kimura Y, Walco GA. Nature Clinical Practice Rheumatology; 2007.
See details...>
Chronic Musculoskeletal Pain in Children
From: American Academy of Family Physicians; 2006. See details...>
Psychological Interventions for Acute and Chronic Pain in Children
From: International Association for the Study of Pain; 2006.
See details...>
Complementary and Alternative Medicine Approaches for Pediatric Pain: A Review of the State-of-the-Science
By: Tsao JCI, Zeltzer LK. Evidence-based Complementary and Alternative Medicine; 2005. See details...>
Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems
By: Zempsky WT, Cravero JP, et al. Pediatrics; 2004. See details...>
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Pain Treatment Topics and its associates do not endorse any medications, products, services, or treatments described, mentioned, or discussed in any of the sources referenced. Nor are any representations made concerning efficacy, appropriateness, or suitability of any such medications, products, services, or treatments.
In view of the possibility of human error or advances in medical knowledge, Pain Treatment Topics and its associates do not warrant the information contained in the above contents is in every respect accurate or complete, and we are not responsible nor liable for any errors or omissions made by the original sources or for results obtained from the use of this information. Also see, Site Policies. |
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