Management of long term (Chronic) pain

Question 1

What are the different types of chronic pain? (6)

Answer 1

• nociceptive/inflammatory
• neuropathic
• neoplastic
• mixed
• referred
• myofasical

Question 2

What is myofascial pain?

Answer 2

knot/taut in muscle - postural muscles, dramatic response when ‘twanged’

Question 3

Myofascial pain may happen secondary to what? (4)

Answer 3

postural strain
blunt trauma
spinal pain
osteoarthritis

Question 4

What are the implications of chronic pain?

Answer 4

sensory
emotional
cognitive
motor
welfare
quality of life

Question 5

What is the treatment of chronic pain (ABCDE)

Answer 5

A= Analgesia
B= Bodyweight
C= Control of complication, common sense, comfort
D= Disease modification
E= Exercise

Question 6

Analgesics?

Answer 6

NO PLAN
Anti-NGF monoclonal antibodies
Tramadol
Grapiprant
Amitriptyline
Gabapentin/pregabalin
Bisphosphonates
Lidocaine
Capsaicin
Cannabidiol

Question 7

Analgesic interventions?

Answer 7

Acupuncture
Physiotherapy
Hydrotherapy
Photobiomodulation (laser therapy)
Palliative radiotherapy
Transcutaneous electrical nerve stimulation