Pain Treatment – Guidelines

Pain Treatment – Guidelines

The following guidelines are organized by year of publication (descending order) within logical clinical categories. A guideline will be replaced when it is reviewed and updated, or it will be removed when the sponsoring organization determines that the content is outdated.

NOTE: Register for e-Notifications to be alerted via e-mail of when this section is updated. All URL links were active as of the dates accessed; however, the Internet is constantly changing and some linked resources may move or become inactive with time. To notify us of invalid links, send e-mail to: [email protected].

Document Researchers: Winnie Dawson, MA, RN, BSN; Stewart B. Leavitt, MA, PhD

Some items are from external sources that are not in accord with the Pain Treatment Topics Open Access Policy and require purchase from the publisher to view the full documents. In those cases, abstracts or summaries may be viewed at no charge.

= entry added or changed during latest update.

CONTENTS

 See all details listings <click here> or select from items below…

General Pain & Safety Topics

Guidelines on Pain Management

From: European Association of Urology; 2009. See details…>

Use of Nonsteroidal Antiinflammatory Drugs. An Update for Clinicians. A Scientific Statement From the American Heart Association

From: American Heart Association; 2007. See details…>

Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult

From: American College of Critical Care Medicine, Society of Critical Care Medicine, American Society of Health-System Pharmacists, American College of Chest Physicians; 2002. See details…>

Nursing Best Practice Guideline: Assessment and Management of Pain

From: Registered Nurses Association of Ontario; 2002, includes year 2007 revisions. See details…>

< Back to Top >

Acute Pain

Assessment and Management of Acute Pain

From: Institute for Clinical Systems Improvement (ICSI); 2008. See details…>

APS 2005 Recommendations for Improving the Quality of Acute and Cancer Pain Management

From: American Pain Society; 2005. See details…>

Guideline for the Management of Acute and Chronic Pain in Sickle-Cell Disease

From: American Pain Society; 2000. See details…>

< Back to Top >

Cancer Pain

Adult Cancer Pain

From: National Comprehensive Cancer Network; 2012. See details…>

Management of Cancer Pain: ESMO Clinical Practice Guidelines

From: European Society for Medical Oncology; 2011. See details…>

Comprehensive Consensus Based Guidelines on Intrathecal Drug Delivery Systems in the Treatment of Pain Caused by Cancer Pain

From: Pain Physician; 2011. See details…>

Management of Cancer Pain

From: European Society for Medical Oncology; 2008. See details…>

Intrathecal Drug Delivery for the Management of Cancer Pain: A Multidisciplinary Consensus of Best Clinical Practices

From: Multidisciplinary Workshop, Valley Cancer Pain Foundation; 2005. See details…>

< Back to Top >

Cardiac & Chest Pain

2012 ACCF/AHA Focused Update of the Guideline for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction (Updating the 2007 Guideline and Replacing the 2011 Focused Update)

From: American College of Cardiology Foundation, American Heart Association; Revised 2012. See details…>

Diagnosis and Treatment of Chest Pain and Acute Coronary Syndrome (ACS)

From: Institute for Clinical Systems Improvement (ICSI); 2011. See details…>

Management of Cocaine-Associated Chest Pain and Myocardial Infarction. A Scientific Statement from the American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology

From: American Heart Association (AHA); 2008. See details…>

ACC/AHA 2007 Focused Update and 2002 Guidelines for the Management of Patients With Chronic Stable Angina

From: American College of Cardiology, American Heart Association; Revised 2007. See details…>

< Back to Top >

Chronic & Intractable Pain

Consensus Guidelines for the Selection and Implantation of Patients with Noncancer Pain for Intrathecal Drug Delivery

From: Pain Physician; 2010. See details…>

Evidence Based Guidelines for Complex Regional Pain Syndrome Type 1

From: BMC Neurology, 2010. See details…>

Practice Guidelines for Chronic Pain Management [ASA/ASRA]

From: American Society of Anesthesiologists and the American Society of Regional Anesthesia and Pain Medicine; 2010. See details…>

Assessment and Management of Chronic Pain

From: Institute for Clinical Systems Improvement (ICSI); 2009. See details…>

Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome Clinical Practice Guidelines, 3rd Edition

From: International Research Foundation for RSD/CRPS; Updated 2009. See details…>

Complex Regional Pain Syndrome: Treatment Guidelines

From: Reflex Sympathetic Dystrophy Syndrome Association; 2006. See details…>

< Back to Top >

Geriatric Pain

Pharmacological Management of Persistent Pain in Older Persons

From: American Geriatrics Society (AGS) Panel on Persistent Pain in Older Persons; 2009. See details…>

Clinical Practice Guideline: Pain Management in the Long Term Care Setting

From: American Medical Directors Association; 2009. See details…>

< Back to Top >

Gynecological or Obstetrical Pain

Guidelines for the Management of Vulvodynia

From: British Society for the Study of Vulval Disease Guideline Group; 2010. See details…>

European Guidelines for the Diagnosis and Treatment of Pelvic Girdle Pain

From: Working Group 4 of the European Commission Research Directorate General; 2008. See details…>

Practice Guidelines for Obstetric Anesthesia. An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia.

From: American Society Of Anesthesiologists; 2007. See details…>

Consensus Guidelines for the Management of Chronic Pelvic Pain – Part One and Part Two

From: Society of Obstetricians and Gynaecologists of Canada; 2005. See details…>

The Initial Management of Chronic Pelvic Pain

From: Royal College of Obstetricians and Gynaecologists; 2005. See details…>

< Back to Top >

Headache

Guideline Update: Pharmacologic Treatment for Episodic Migraine Prevention in Adults.

From: American Academy of Neurology, American Headache Society; 2012. See details…>

Guideline Update: NSAIDs and Other Complementary Treatments for Episodic Migraine Prevention.

From: American Academy of Neurology, American Headache Society; 2012. See details…>

Health Care Guideline: Diagnosis and Treatment of Headache

From: Institute for Clinical Systems Improvement (ICSI); 2011 See details…>

EFNS Guideline on the Drug Treatment of Migraine – Revised Report of an EFNS Task Force

From: European Federation of Neurological Societies; 2009. See details…>

Standards of Care for Headache Diagnosis and Treatment

From: National Headache Foundation (NHF); 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…>

EFNS Guidelines on the Treatment of Cluster Headache and Other Trigeminal-Autonomic Cephalalgias

From: European Federation of Neurological Societies; 2006. See details…>

The International Classification of Headache Disorders, Second Edition

From: International Headache Society (IHS); 2005 (web-based edition 2008). See details…>

< Back to Top >

Musculoskeletal Pain (incl: Back Pain, Arthritis, Fibromyalgia, Gout)

2012 ACR Guidelines for Management of Gout

From: American College of Rheumatology (ACR); 2012. See details…>

Low Back Pain – Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association

From: American Physical Therapy Association (APTA); 2012. See details…>

Multinational Evidence-Based Recommendations for Pain Management by Pharmacotherapy in Inflammatory Arthritis

From: Multinational 3e Initiative; 2012. See details…>

2012 Update of the 2008 American College of Rheumatology Recommendations for the Use of Disease-Modifying Antirheumatic Drugs and Biologic Agents in the Treatment of Rheumatoid Arthritis

From: American College of Rheumatology; 2012 Update and 2008 Recommendations. See details…>

ACR 2012: Recommendations for the Use of Nonpharmacologic and Pharmacologic Therapies in Osteoarthritis of the Hand, Hip, and Knee

From: American College of Rheumatology; 2012. See details…>

2011 Recommendations for the Diagnosis and Management of Gout and Hyperuricemia

From: EULAR, The Physician and Sports Medicine; 2011. See details…>

Guidelines for Osteopathic Manipulative Treatment (OMT) for Patients with Low Back Pain

From: American Osteopathic Association. 2010. See details…>

Adult Low Back Pain

From: Institute for Clinical Systems Improvement (ICSI); 2010. See details…>

The Diagnosis and Treatment of Heel Pain: A Clinical Practice Guideline Revision

From: American College of Foot and Ankle Surgeons. 2010. See details…>

EULAR Recommendations for the Management of RA with DMARDS

From: European League Against Rheumatism. Annals of the Rheumatic Diseases; 2010. See details…>

International Consensus Recommendations on Methotrexate Therapy

From: International and Canadian 3E Initiative Consensus Groups. 2009-2010. Two documents. See details…>

Treating Rheumatoid Arthritis to Target: Recommendations of an International Task Force

From: European League Against Rheumatism (EULAR) T2T Expert Committee; 2010. See details…>

Symptomatic Treatment for Muscle Cramps

From: American Academy of Neurology. Neurology; 2010. See details…>

Guidelines for the Management of Polymyalgia Rheumatica

From: British Society for Rheumatology (BSR) and British Health Professionals in Rheumatology (BHPR); 2010.
See details…>

Comprehensive Evidence-Based Guidelines for Interventional Techniques in the Management of Chronic Spinal Pain

From: American Society of Interventional Pain Physicians (ASIPP); 2009. See details…>

Low Back Pain: Early Management of Persistent Non-Specific Low Back Pain

From: National Institute for Health & Clinical Excellence (NICE), National Health Service, UK; 2009. See details…>

Guideline: Diagnosis and Treatment of Forefoot Disorders

From: American College of Foot and Ankle Surgeons (ACFAS); 2009. See details…>

British Society for Rheumatology and British Health Professionals in Rheumatology Guideline for the Management of Rheumatoid Arthritis — After the First Two Years

From: British Society for Rheumatology, British Health Professionals in Rheumatology; 2009. See details…>

British Society for Rheumatology and British Health Professionals in Rheumatology Guideline for the Management of Rheumatoid Arthritis — the First Two Years

From: British Society for Rheumatology, British Health Professionals in Rheumatology; 2006. See details…>

Guideline on the Treatment of Osteoarthritis (OA) of the Knee

From: American Academy of Orthopaedic Surgeons (AAOS); 2008(Dec). See details…>

OARSI Recommendations for the Management of Hip and Knee Osteoarthritis, Part II: OARSI Evidence-Based, Expert Consensus Guidelines

From: Osteoarthritis Research Society International (OARSI); 2008 Recommendations plus 2010 Research Update. See details…>

Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society

From: American College of Physicians (ACP), American Pain Society (APS); 2007. See details…>

EULAR Evidence Based Recommendations for the Management of Hand Osteoarthritis: Report of a Task Force

From: European League Against Rheumatism; 2007. See details…>

Nonpharmacologic Therapies for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline

From: American Pain Society (APS), American College of Physicians (ACP); 2007. See details…>

EULAR recommendations for the management of early arthritis: report of a task force of the European Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)

From: European League Against Rheumatism; 2007. See details…>

EULAR Evidence Based Recommendations for Gout. Part I: Diagnosis. Report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)

From: European League Against Rheumatism; 2006. See details…>

EULAR Evidence Based Recommendations for Gout. Part II: Management. Report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)

From: European League Against Rheumatism; 2006. See details…>

Knee Pain or Swelling: Acute or Chronic

From: University of Michigan Health System; 2005. See details…>

Evidence-Based Management of Acute Musculoskeletal Pain

From: Australian Acute Musculoskeletal Pain Guidelines Group; 2003. See details…>

< Back to Top >

Neurological/Neuropathic Pain

Guidelines on Neuropathic Pain Assessment [NeuPSIG]

From: International Association for the Study of Pain; 2011. See details…>

Evidence-based Guideline: Treatment of Painful Diabetic Neuropathy

From: American Academy of Neurology, et al., 2011. See details…>

EFNS Guidelines on Pharmacological Treatment of Neuropathic Pain: 2010 Revision

From: European Federation of Neurological Societies; 2010. See details…>

EFNS Guidelines on Neuropathic Pain Assessment: 2009 Revision

From: European Federation of Neurological Societies; 2010. See details…>

Neuropathic Pain: The Pharmacological Management of Neuropathic Pain in Adults in Non-Specialist Settings

From: UK National Institute for Health and Clinical Excellence (NICE); 2010. See details…>

Practice Parameter: Evaluation of Distal Symmetric Polyneuropathy

From: American Academy of Neurology, American Association of Neuromuscular and Electrodiagnostic Medicine, and American Academy of Physical Medicine and Rehabilitation; 2009. See details…>

Clinical Practice Guideline on the Treatment of Carpal Tunnel Syndrome

From: American Academy of Orthopaedic Surgeons; 2008. See details…>

Practice Parameter: The Diagnostic Evaluation and Treatment of Trigeminal Neuralgia (An Evidence-Based Review)

From: American Academy of Neurology (AAN) and the European Federation of Neurological Societies (EFNS); 2008. See details…>

Pharmacologic Management of Neuropathic Pain: Evidence-Based Recommendations

From: International Association for the Study of Pain; 2007. See details…>

EFNS Guidelines on Neurostimulation Therapy for Neuropathic Pain

From: European Federation of Neurological Societies; 2007. See details…>

Consensus Guidelines: Treatment Planning and Options. Diabetic Peripheral Neuropathic Pain

From: American Society of Pain Educators and the Johns Hopkins Univ. School of Medicine; 2006. See details…>

Practice Parameter: Treatment of Postherpetic Neuralgia. An Evidence-Based Report of the Quality Standards Subcommittee of the American Academy of Neurology

From: American Academy of Neurology; 2004. See details…>

< Back to Top >

Non-Opioid & Complementary Therapies …also see Non-Opioid Therapies section

Ottawa Panel Evidence-Based Clinical Practice Guidelines for Therapeutic Exercises and Manual Therapy in the Management of Osteoarthritis

From: Ottawa Panel and the University of Ottawa, Canada; 2005. See details…>

Antiepileptic Drugs Guideline for Chronic Pain

From: Washington State Department of Labor and Industries; 2005. See details…>

< Back to Top >

Opioid Therapy & Safety …also see documents in Opioid Rx tab section

American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain

From: American Society of Interventional Pain Physicians; 2012. See details…>

ASPMN Guidelines on Monitoring for Opioid-Induced Sedation and Respiratory Depression

From: American Society for Pain Management Nursing; 2011. See details…>

VA/DoD Clinical Practice Guideline for the Management of Opioid Therapy for Chronic Pain

From: Department of Veterans Affairs, Department of Defense (VA/DoD); 2010. See details…>

Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain

From: McMaster University, National Pain Center; 2010. See details…>

Utah Clinical Guidelines on Prescribing Opioids for Treatment of Pain

From: Utah Department of Health; 2009. See details…>

QTc Interval Screening in Methadone Treatment: Clinical Guidelines

From: Annals of Internal Medicine; 2009. See details…>

APS/AAPM Clinical Guidelines For the Use of Chronic Opioid Therapy in Chronic Noncancer Pain

From: American Pain Society (APS), American Academy of Pain Medicine (AAPM); 2009. See details…>

[Washington State] Interagency Guideline on Opioid Dosing for Chronic Non-Cancer Pain: An Educational Aid to Improve Care and Safety With Opioid Treatment

From: Washington State Agency Medical Directors’ Group; Updated 2010. See details…>

Guidelines for the Use of Methadone in Office-Based Management of Chronic Non-Cancer Pain and A Review of the Use of Methadone for Treatment of Chronic Non-Cancer Pain

From: College of Physicians & Surgeons of Nova Scotia; 2006. See details…>

Methadone for Pain Guidelines

From: College of Physicians and Surgeons of Ontario; 2004. See details…>

FSMB Model Policy for the Use of Controlled Substances for the Treatment of Pain

From: Federation of State Medical Boards of the United States, Inc (FSMB).; 2004. See details…>

CPSO Evidence-Based Recommendations for Medical Management of Chronic Non-Malignant Pain [including Opioids]

From: College of Physicians and Surgeons of Ontario (CPSO); 2000. See details…>

< Back to Top >

Pain in Palliative Care

Opioids in Palliative Care: Safe and Effective Prescribing of Strong Opioids for Pain in Palliative Care of Adults

From: National Institute for Health and Clinical Excellence (NICE), UK; 2012. See details…>

NHPCO Statement [guideline] on Palliative Sedation in Terminally Ill Patients

From: National Hospice and Palliative Care Organization (NHPCO), May 2010. See details…>

EAPC Framework for the Use of Sedation in Palliative Care

From: European Association for Palliative Care (EAPC), 2009. See details…>

Clinical Practice Guidelines for Quality Palliative Care, Second Edition

From: National Consensus Project for Quality Palliative Care; 2009. See details…>

Consensus Guideline on Parenteral Methadone Use in Pain and Palliative Care

From: Joint Consensus Guideline from Experts in 8 Palliative Care Facilities; 2008. See details…>

Evidence-Based Interventions to Improve the Palliative Care of Pain, Dyspnea, and Depression at the End of Life: A Clinical Practice Guideline from the American College of Physicians

From: American College of Physicians; 2008. See details…>

Procedure Guideline for Palliative Treatment of Painful Bone Metastases

From: Society of Nuclear Medicine; 2003. See details…>

< Back to Top >

Pediatric Pain

Consensus Guidelines for Sustained Neuromuscular Blockade in Critically Ill Children

From: United Kingdom Paediatric Intensive Care Society Sedation, Analgesia and Neuromuscular Blockade Working Group; 2007. See details…>

Guideline Statement. Management of Procedure-Related Pain in Children and Adolescents

From: Royal Australasian College of Physicians; 2006. See details…>

Guideline Statement. Management of Procedure-Related Pain in Neonates

From: Royal Australasian College of Physicians; 2006. See details…>

Practice Parameter: Evaluation of Children and Adolescents With Recurrent Headaches

From: American Academy of Neurology, Child Neurology Society; 2005. See details…>

Clinical Report: Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems

From: American Academy of Pediatrics; 2004. See details…>

Practice Parameter: Pharmacological Treatment of Migraine Headache in Children and Adolescents

From: American Academy of Neurology, Child Neurology Society; 2004. See details…>

< Back to Top >

Perioperative Pain

Practice Guidelines for Acute Pain Management in the Perioperative Setting: An Updated Report by the American Society of Anesthesiologists Task Force on Acute Pain Management

From: American Society of Anesthesiologists; 2012. See details…>

ASPAN Pain and Clinical Comfort Guideline

From: American Society of PeriAnesthesia Nurses; 2003. See details…>

< Back to Top >

< Return to Index Page >