Pain Medicine

Robert Jason Yong, MD, MBABrigham and Women’s Hospital/Harvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain MedicineMichael Nguyen, MDBrigham and Women's Hospital/Harvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain MedicineEhren Nelson, MDBrigham and Women's Hospital/Harvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain MedicineRichard D. Urman, MD, MBABrigham and Women's Hospital/Harvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain Medicine

• Part I: General.- 1 Anatomy and Physiology: Mechanisms of Nociceptive Transmission.- 2 Pharmacology of Pain Transmission and Modulation.- 3 Development of Pain Systems.- 4 Peripheral and Central Sensitization.- 5 Designing, Reporting, and Interpreting Clinical Research Studies.- 6 Animal Models of Nociception and Pain.- 7 Ethical Standards in Pain Management and Research.- 8 Epidemiology.- Part II: Assessment and Psychology of Pain.- 9 Pain Assessment.- 10 Physical Exam of the Cranial Nerves.- 11 Neck Exam.- 12 Shoulder.- 13 Elbow.- 14 Abdomen.- 15 Low back.- 16 Hip.- 17 Knee.- 18 Ankle.- 19 Vascular.- 20 Dystonia.- 21 Pain Assessment Tools.- 22 Functional Assessment Tool.- 23 Placebo and Pain.- 24 Cervical Spine Imaging: Normal Anatomy and Degenerative Disease.- 25 Electrical Nerve Stimulation.- 26 Quantitative Sensory Testing: QST.- 27 Lumbar Spine Imaging: MRI.- 28 Trigeminal Nerve Imaging.- 29 Lumbar Spine Imaging: X-ray and CT.- 30 Lumbar Spine Imaging: Myelography.- Part III: Psychology.- 31 Chapter 32: Psychosocial and Cultural Aspects of Pain.- 32 Chapter 33: Sex and Gender in Pain.- Part IV: Addiction.- 33 Addiction.- 34 Addiction: Substance Abuse.- Part V: Treatment of Pain.- 35 Pharmacology of Pain Transmission and Modulation.- 36 Short-acting Opioids.- 37 Long-acting Opioids.- 38 Methadone.- 39 Buprenorphine.- 40 Nonsteroidal Anti-Inflammatory Medications.- 41 Acetaminophen.- 42 Tricyclic Antidepressants.- 43 Selective Serotonin Reuptake Inhibitors.- 44 Serotonin-Norepinephrine Reuptake Inhibitors.- 45 Atypical Antipsychotics.- 46 Benzodiazepines.- 47 Anticonvulsants.- 48 Muscle Relaxants.- 49 Local Anesthetics.- 50 Corticosteroids.- 51 Immunoglobulin G.- 52 NMDA antagonists.- 53 Antihistamines.- 54 Sympatholytic Agents.- 55 Miscellaneous Adjuvant Analgesics.- 56 Serotonin Syndrome.- Part VI:Psychological Treatments.- 57 Cognitive-Behavioral Therapy.- 58 Behavioral Interventions.- 59 Psychiatric Co-morbidities Treatments.- 60 Stimulation-produced Analgesia.- Part VII: Interventional Pain Management.- 61 Lumbar Epidural Steroid Injection.- 62 Transforaminal Epidural Injection- 63 Cervical Facet Injections.- 64 Thoracic Facet Injection.- 65 Lumbar Facet Block.- 66 Lumbar Medial Branch Radiofrequency Lesioning.- 67 Sacroiliac Joint Injection.- 68 Sacroiliac Joint Radiofrequency Ablation.- 69 Lumbar, Thoracic, and Cervical Discography.- 70 Epidural Blood Patch.- 71 OnabotulinumtoxinA Injections for Chronic Migraine.- 72 Spasmodic Torticollis/Cervical Dystonia (CD).- 73 Occipital Nerve Block.- 74 Supraorbital Nerve Block.- 75 Auriculotemporal Nerve Block.- 76 Trigeminal Nerve Block.- 77 Gasserian Ganglion Block.- 78 Stellate Ganglion Block.- 79 Celiac Plexus Block.- 80 Lumbar Sympathetic Block.- 81 Superior Hypogastric Plexus Block.- 82 Ganglion of Impar Injection/Neurolysis.- 83 Brachial Plexus Blocks.- 84 Thoracic Paravertebral Block.- 85 Intercostal Nerve blocks.- 86 Transversus Abdominis Plane (TAP) Block.- 87 Anterior (Abdominal)Cutaneous Nerve Block.- 88 Ilioinguinal Nerve Block.- 89 Genitofemoral Nerve Block.- 90 Lateral Femoral Cutaneous Nerve Block.- 91 Piriformis Muscle Injection (Fluoroscopically-guided).- 92 Sonographically Guided Iliopsoas Injection.- 93 Saphenous Nerve Block.- 94 Pudendal Nerve Block.- 95 Trochanteric Bursa Injection.- 96 Ischial Bursa Injection.- 97 Intra-articular Shoulder Joint Injection (Fluoroscopically-guided).- 98 Intra-articular Hip Joint Injection (FluoroDavid V. Dentscopically-guided).- 99 Intra-articular Knee Joint Injection (Fluoroscopically-guided).- 100 Ultrasound-Guided Ankle Joint Injection.- 101 Small Joint Injections.- Part VIII: Surgical Pain Management.- 102 Intrathecal Drug Delivery.- 103 Spinal Cord Stimulation.- 104 Peripheral Nerve Stimulation.- 105 Peripheral Nerve Field Electrostimulation.- 106 Minimally Invasive Ligamentum Decompression (MILD) Procedure.- 107 Vertebroplasty and Kyphoplasty.- 108 Radiofrequency Venous Ablation.- 109 Physical Medicine and Rehabilitation.- 110 Work Rehabilitation.- 111 Complementary, Alternative and Integrative Therapies (CAIT).- Part IX: Clinical States.- 112 Taxonomy of Pain Systems.- 113 Acute Pain.- 114 Cancer Pain: Assessment.- 115 Cancer Pain: Pharmacological Treatment.- 116 Cancer Pain: Interventional Therapies.- 117 Cancer Pain: Palliative Care.- 118 Cervical Radicular Pain.- 119 Neck Pain.- 120 Lumbar Radicular Pain.- 121 Low Back Pain.- 122 Degenerative Lumbar Spinal Stenosis.- 123 Musculoskeletal Pain.- 124 Muscle Pain and Myofascial Pain.- 125 Fibromyalgia.- 126 Piriformis Syndrome.- 127 Carpal Tunnel Syndrome.- 128 Compression Fracture Pain.- 129 Post-thoracotomy Pain Syndrome: PTPS.- 130 Post Mastectomy Pain Syndrome.- 131 Peripheral Vascular Disease.- 132 Chronic Venous Insufficiency.- 133 Sphenopalatine Ganglion: Function and Block.- 134 Phantom Limb Pain.- 135 Visceral Pain Syndrome.- 136 Chronic Urogenital Pain.- 137 Pain in Pregnancy and Labor.- Part X: Headache and Facial Pain.- 138 Migraine Headaches.- 139 Tension-Type Headache.- 140 Cluster Headaches.- 141 Medication Overuse Headaches.- 142 Occipital Neuralgia.- 143 Trigeminal Neuralgia.- 144 Trigeminal Autonomic Cephalalgias (TACs): Cluster Headache, Paroxysmal hemicranias, SUNCT, SUNA.- Part XI: Nerve Damage.- 145 Neuropathic Pain.- 146 Diabetic Neuropathy.- 147 Complex Regional Pain Syndrome.- 148 Post-Herpetic Neuralgia.- Part XII:Special Cases.- 149 Pain in Older Adults.- 150 Words That Hurt, Words That Help!.- 151 How to Communicate with Patients in Pain.- 152 Hypnosis for Pain Relief.- 153 Regenerative Medicine for Pain Management.

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