Pain

Question 1

Approach (6)

Answer 1

• Clarify dx for local pain - ? new Ix
• Nociceptive, neuropathic, referred
• Exclude red flags - sepsis, malignancy
• Education, PT, LOW
• Multi-modal approach - WHO analgesic ladder
• Consider local nerve block

Question 2

Management (5)

Answer 2

• Gentle graduated exercise
• Education
• Chronic disease Rx
• CBT
• TCA/SSRI/SNRI/gabapentanoids