Chronic Pain Section
We advise that if you would like to watch the Treating Chronic Pain video please DO NOT click the tab in the Partners Against
Pain window below as their is already a video running on this webpage Please
Click Here and this video will open on a new
webpage. All other links below will work without issue.
WEBCAST: Emerging Issues in the Art and Science of Pain and Symptom Management DPMPC 10th Anniversary
Celebration
Click here to view these webcast presentations
The Organizing Committee is pleased to present an archived webcast of selected lectures (view  program.pdf) from its scientific
symposium celebrating the 10th Anniversary of the Department of Pain Medicine and Palliative Care (DPMPC) at Beth Israel
Medical Center. The meeting took place at the New York Marriott Marquis on Saturday, March 15, 2008 in New York City, New
York.
*  Evaluate the ongoing controversies in chronic pain management and palliative care in order to provide the best care for your
patients.
* Review the risks and benefits of opioid therapy for chronic malignant and nonmalignant pain, including opioid use in
breakthrough pain, in order to better explain opioid titration and rotation, and common side effects, to your patients.
* Examine your use of opioids to manage pain in patients with histories of substance abuse or addiction, and assess whether
you have been using pain medications optimally.
* Review the latest interventional strategies for pain management, and recognize when these strategies should be implemented.
Multiple Hereditary Exostoses can be a very painful disease, this was clearly demonstrated during the
Hereditary Multiple Exostoses and Pain Study
Full Text link to the published paper

What is Chronic Pain?
Chronic pain persists. Pain signals keep firing in the nervous system for months, even years.

Neuropathic pain: is pain that is caused by damage to nerve tissue. It is often felt as a burning or stabbing pain.

Nociceptive pain: means pain caused by an injury or disease outside the nervous system. It is often an on-going
dull ache or pressure, rather than the sharper, trauma-like pain

The origin of some pain is neuropathic, while other pain is nociceptive. This is important to know because different
treatments will work better for each type of pain.

What is Acute Pain?
Acute pain is a normal sensation triggered in the nervous system to alert you to possible injury and the need to take
care of yourself.
Example: Acute pain is the pain that one experiences after surgery.

Pain Medicine:
The specialty of Pain Medicine is concerned with the prevention, evaluation, diagnosis, treatment, and rehabilitation
of painful disorders. The diagnosis of painful syndromes relies on interpretation of historical data; review of
previous laboratory, imaging, and electrodiagnostic studies; behavioral, social, occupational and avocational
assessment; interview and examination by the pain specialist; and may require specialized diagnostic procedures.

The special needs of the pediatric adult and geriatric populations are considered when formulating a comprehensive
treatment plan for these patients
.
The pain physician serves as a consultant to other physicians but is often the principal treating physician and may provide care
at various levels, such as direct treatment, prescribing medication, prescribing rehabilitative services, performing pain relieving
procedures, counseling of patients and families, direction of a multidisciplinary team, coordination of care with other healthcare
providers and consultative services to public and private agencies pursuant to optimal healthcare delivery to the patient
suffering from a painful disorder.

The pain physician may work in a variety of settings and is competent to treat the entire range of painful disorders encountered
in delivery of quality health care.

Many people with chronic pain don't seek pain relief, or even tell their doctors about their pain. Most
often, the reasons for keeping pain a secret are based on fears or myths:

Fear of being labeled as a "bad patient." You won't find relief if you don't talk with your doctor about the pain you feel.

Fear that increased pain may mean that the disease has worsened. Regardless of the state of your disease, the right
treatment for pain may improve daily life for you and your family.

Fear of addiction to drugs. Research has shown that the chance of people with chronic pain becoming addicted to pain-
relieving drugs is extremely small. When taken properly for pain, drugs can relieve pain without addiction. Needing to take
medication to control your pain is not addiction.

Lack of awareness about pain therapy options. Be honest about how your pain feels and how it affects your life. Ask your
doctor about the pain therapy options available to you. Often, if one therapy isn't effectively controlling your pain, another
therapy can.

Fear of being perceived as "weak." Some believe that living stoically with pain is a sign of strength, while seeking help
often is considered negative or weak. This perception prevents them seeking the best treatment with available therapies.
Don't let fears and misconceptions keep you from talking to your doctor and other members of your
health care team about getting adequate pain relief. Help and relief are possible, but only if you discuss
your symptoms with your doctor.

Tips for Finding a Pain Physician:

1.  How many cases of my type of pain condition have you treated?

2.  What are the physicians special qualifications to treat my pain condition?

3.  Has the physician participated in any special training about pain management techniques?

4.  What is the physicians philosophy of management of my pain condition in terms of medications and alternative therapies?

5.   Is the physician, or is someone in the clinic, available 24 hours a day if I need help?
SIRA: New Understanding of Pain Development and Response to Treatment
Dr. Tony L. Yaksh on new understanding of pain development and its response to treatment in this Public Lecture Series
presentation by Stein Institute for Research on Aging.  
Click tab to watch video

This presentation takes time to load due to the length depending on your Internet connection and web browser.
What is Pain Video Presentation
Ashish C. Sinha, M.D., Ph.D
Assistant Professor of Anesthesiology and Critical Care at the Hospital of the University of Pennsylvania
Adjunct Investigator, Institute for Translational Medicine and Therapeutics
Adjunct Investigator, Institute for Environmental Medicine
Assistant Professor Of Otorhinolaryngology & Head and Neck Surgery, University of Pennsylvania School of Medicine
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This web page was updated last on 12/16/09, 4:0O pm Eastern time
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