The Pain Center Manual

Author: Danielle Perret, MD, Eric Chang, MD, Justin Hata, MD, Hamilton Chen, MD, Bianca Tribuzio, DO
Affiliation: UCI Center for Pain Management, University of California-Irving
Publisher: Demos
Publication Date: 2014
ISBN 10: 1620700212
ISBN 13: 9781620700211
eISBN: 9781617051845
Edition: 1st


The Pain Center Manual is a concise resource that provides practical information for daily use in pain practice. For quick reference or on-the-spot guidance in academic or community pain centers, these pages are fi lled with the information trainees and experienced practitioners need at their fingertips including common medication dosages, titration schedules, dictation templates, assessment scales, guidelines for interventional procedures, and much more. A team of experts from one of the country's leading university pain centers covers everyday management concerns such as methadone safety, prescription writing for controlled substances, neuropathic medication adjuvants to consider in pain management, and treatment suggestions for a wide spectrum of chronic pain conditions. With an emphasis on ACGME standards and objectives, the manual offers the fundamental knowledge pain professionals need to provide consistent and compassionate care. The Pain Center Manual includes: Quick reference tables for medications and other treatment modalities Clinical pearls for the most common pain complaints Templates for consultations and interventional procedures Useful scales, algorithms, diagrams, and other essential reference materials for performing tests and procedures ACGME training guidelines

Table of Contents

Front Matter

  • Preface

I: Medical Management of Chronic Pain

  • Opioids
  • Narcotic Conversions
  • Methadone
  • P450 Inhibitors
  • QT Prolonging Drugs
  • Urine Drug Toxicity (UDT) Screens
  • Controlled Substance Rx Writing Skills
  • Common Medications Used in Pain Management
  • Suggested Outpatient Medication Prescriptions
  • Sample Titration Schedules
  • Metabolic Considerations for Medications
  • Medication Safety in Renal Failure, Pregnancy, Geriatrics
  • Interventional Pharmacology
  • Traditional Neurolytic Spinal Blocks
  • Botox Injections for Migraine

II: Diagnostic Pearls for Pain Management

  • How to Present Pain
  • Headaches
  • Cranial Nerve Notes and Pain Boards Association
  • Facial Pain Neuralgias
  • Pelvic Pain Neuralgias
  • Gynecologic Conditions That May Cause or Exacerbate Chronic Pelvic Pain by Level of Evidence
  • Nongynecologic Conditions That May Cause or Exacerbate Chronic Pelvic Pain by Level of Evidence
  • Radiology Pearls
  • Disc Pathology Pearls
  • Spinal Pain Differential
  • Complex Regional Pain Syndrome (CRPS) Pearls
  • Treatment Considerations for Common Pain Presentations

III: Notes and Templates

  • Initial Consultation Template
  • Follow-Up Visit Template
  • Interventional Procedure Templates

IV: Billing and Coding

  • New Patient Billing and Coding
  • Follow-Up Patient Billing and Coding

V: Scales and Other Reference Materials

  • Regional Landmarks
  • Vertebral Levels
  • Brachial Plexus
  • Lumbosacral Plexus
  • Upper Extremity Innervations
  • Lower Extremity Innervations
  • PM&R/Neurology Exam Guide
  • Dermatomes
  • Physical Exam Tests and Acronyms
  • Therapy Contraindications
  • P&O Reference
  • Research Critical Appraisal Questions
  • Sample Procedure Log Form
  • Sample Patient Safety Log
  • Pain Scale Reference
  • Resources

VI: Adult Learning in Pain Medicine

  • ACGME Training Standards
  • Sample Reading Assignments
  • Other Suggested Reading Materials
  • Goals and Objectives
  • Suggested Formal Fellow Evaluation Systems
  • Sample Pain Medicine Curriculum
  • Suggested Didactics Program
  • Cognitive Objectives