Section 1: Pain Management

Question 1

Types of Neuropathic Pain:

Answer 1

1. CRPS/RSD/Causalgia (nerve trauma)
2. Peripheral Neuropathy (widespread nerve damage)
3. Entrapment Neuropathy (Carpal tunnel syndrome)
4. Post Herpetic (post shingles) Neuralgia
5. Phantom Limb Pain

Question 2

VAS Meaning and definition:

Answer 2

Visual Analogue Scale
Measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. 1 = low pain and 10 = high pain

Question 3

Types of specialists that manage pain: (7)

Answer 3

1. Pain management specialist
2. Anesthesiologists
3. Physiatrist
4. Neurologists
5. Neurosurgeon
6. Orthopedic surgeon
7. Psychiatrist or psychologist

Question 4

Ladder approach to Pain Management=

1. Diagnosis
2. Conservative therapies
3. Additional therapies (prescription medication and nerve blocks)
4. Advanced therapies

Name 3 examples of both conservative therapies and advanced therapies

Answer 4

Conservative therapies= physical therapy, OTC medications, TENS

ADVANCED= Neuroablation, implantable drug pump, or spinal cord stimulation

Question 5

Injections near the site of pain with anesthesia or steroids and medications such as: antidepressants, anticonvulsants, baclofen, and topical drugs are examples of what type of “medicine” therapy?

Answer 5

Adjuvant

Question 6

Lumbar discs Tony, laminectomy, fusions, and vertebroplasty/ kyphoplasty are examples of what?

Answer 6

Corrective surgery

Question 7

Which of the following is not a long term oral opioid? 
A. Morphine
B. OxyContin
C. Hydro cod one
D. Methadone
E. Fentanyl
F. ALL are long term oral opioids

Answer 7

F. All are.

Question 8

A mild tingling sensation in place of the pain=

Answer 8

Paresthesia

Question 9

When a nerve causing the pain is surgically removed or altered interrupting the pain messages to the brain, this types of therapy is called what? And what are two types?

Answer 9

Neuroblation:

• RF ablation
• Cryoablation

Question 10

What percent of the population in developed countries is afflicted with chronic pain?

Answer 10

20%

Question 11

Within how many days should pain be under control so rehab can begin?

Answer 11

5-7

Question 12

Pain management ladder… name the 7 steps

Answer 12

1. Over the counter drugs (NSAIDS)
2. Physical therapy and TENS
3. Complementary medicine, behavioral programs, injections (adjuvant medicine)
4. Corrective surgery
5. Long term oral opioids
6. Neurostimulation or intrathecal therapy (drug pump)
7. Neuroblation

Question 13

Conventional SCS has what kind of battery?

Answer 13

Non-rechargeable