Module D: Pain Management: Types of Chronic Pain

CE Credits: 2.0

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This module examines the different origins and treatments (both pharmaceutical and non-pharmaceutical) for specific kinds of chronic pain. First, it looks at two widespread forms of chronic pain: lower back pain and neuropathic pain (the latter related to a wide range of diseases and disorders, from type 2 diabetes to HIV or toxic neuropathy). Next, the module explores three other problems that lead to chronic pain: arthritis, fibromyalgia syndrome (FMS) and sickle-cell anemia, and the treatments that alleviate the pain related to each of them. Finally, the module explores the types of headache pain, including migraines and cluster headaches, and the best practices for preventing or alleviating them.

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Learning objectives: After completing this module the case manager will be able to:
» Describe attributes of chronic low back pain and approaches to its management
» Discuss types and characteristics of neuropathic pain
» Describe treatment options for fibromyalgia pain
» Discuss management of pain associated with sickle-cell disease
» Describe pain from various types of arthritis, including osteoarthritis, rheumatoid arthritis and juvenile arthritis
» Describe types and management of headaches, including vascular, toxic and traumatic

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Advance your professional practice:: By understanding the different presentations of long-term pain—and having a firm grasp on the best evidence-based treatments for specific kinds of chronic pain—case managers can counsel patients on the most effective treatments for them and which offer the fewest side effects or risk factors.

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Improve organizational performance: Untreated or undertreated pain accounts for a high number of doctors’ office and emergency room visits. When a team of healthcare professionals understands the underlying causes of different forms of chronic pain, we can offer the most effective and efficient service for patients, and reduce the costs related to unnecessary tests or ineffective (and risky, or habit-forming) treatment.