Pain Management and Palliative Care

I. Evaluation of the Pain Patient.- Physiology of Pain.- Obtaining a Pain History.- Physical Exam: Approach to the Pain Patient.- Diagnostic Imaging.- Painful Surgical Referrals and Emergencies.- Urine Toxicology Screen.- Opioid Overdose and Withdrawal.- Detoxification From Opiates and Benzodiazepines.- Discharging the Non-Compliant Patient.- II. Medication Management for the Pain Patient.- Non-steroidal Anti-inflammatory Drugs (NSAIDs).- Muscle Relaxants and Antispasticity Medications.- Neuropathic Antidepressant Medications.- Neuropathic Anticonvulsant Medications.- Opioid Medications.- Topical Analgesic Medications.- III. Clinical Care for the Pain Patient.- Headache.- Facial Pain.- Post Herpetic Neuralgia.- Joint Pain.- Post-Amputation Pain.- Spinal Pain.- Chronic Pelvic and Abdominal Pain.- Neuropathic pain.- Complex Regional Pain Syndrome (CRPS).- Fibromyalgia.- Sickle Cell Disease.- Cancer Pain.- Palliative Care.- Hospice Medicine.- IV. Pain Management in Patients with Special Circumstances.- Pain Management in Patients with Renal Impairment.- Pain Management in Patients with Hepatic Impairment.- Pain Management During Pregnancy and Breast Feeding.- Pain Management in Geriatric Patients.- Acute Post-Surgical Pain and PCA Management.- V. Interventional Management for the Pain Patient.- Hematologic-altering Medications and Spinal Injections.- Injections in Patient's with Bleeding Risks and Comorbid Conditions.- Spinal Procedure Injectables.- Radiation Safety and Monitoring.- Cervical Injections.- Thoracic Injections.- Lumbar Injections.- Sacral Injections.- Sympathetic Block Injections.- Neuromodulation.- Intrathecal Drug Delivery Systems.- Joint, Tendon and Nerve Injections.- Regenerative Injection Therapy.- Injection Complications and Management.