June11 M2-Clinical Approach to Adult MSK Pain

Question 1

things to do in chronic pain

Answer 1

• know that current drugs do only modest pain relief
• be empathetic
• frequently review the need to continue tx (risk vs benefit)
• how much of the suffering is from pain vs how much from other things (mood disorder, circumstential, etc.)

Question 2

things NOT to do in chronic pain

Answer 2

• over medicalize the patient and be insecure
• order investigations with no justification to satisfy patient
• write prescription and that’s it
• recommend opioids and cannabinoids as a first step