Expected Proficiencies in the Diagnosis and Treatment of the Following Pain Syndromes

 

Head and Neck

Neuralgia: Trigeminal, facial, glossopharyngeal, occipital, shingles, median, ulnar, radial
Myofascial pain: Neck, Torticollis, Whiplash injury
Cancer pain: Tumor (brain, ear, nose, throat, face, neck)
Headaches: Tension, Vascular (migraine, cluster), Musculoskeletal
Arthritis: Cervical Spine
Facet Joint pain: Cervical Spine

 

Upper Extremity

CRPS I & II (Complex Regional Pain Syndrome)
Carpal Tunnel Syndrome
Shoulder/Hand Syndrome
Cancer
Brachial Plexalgia
Cervical Radiculopathy
Peripheral Neuropathy (Diabetes)
Myofascial Pain Syndrome
Post-stroke Syndrome
Raynaud’s Disease
Post-Surgical pain
Post-trauma injuries

Upper Trunk Somatic Pain

Chest wall pain (post Thoracotomy)
Librarian Syndrome (myofascial pain of pectoralis major and minor)
Intercostal Neuralgia
Shingles
Vertebral and deep ligamentous pain
Cancer: breast, neck, shoulder, and upper back
Myofascial pain
Fibromyalgia
Post-trauma injuries

Somatic Pain

Myofascial Pain-lower back, anterior abdominal wall
Shingles
Failed Back surgery Syndrome
Nerve entrapment (post surgical)
Degenerative arthritis of the Spine
Osteoporosis
Metastasis of the tumor to the spine
Inguinal and scrotal pain
Fibroma
Neuroma
Lumbosacral Strain
Facet Joint Pain
Degenerative Disc Disease
Spinal Stenosis
Arachnoiditis
Neuralgia (intercostal)

Visceral Pain - Pain due to disease or cancer of:

Lung
Heart
Pleura
Lower Trunk
Stomach
Liver
Gall Bladder
Pancreas
GI tract
Pelvic Viscera (uterus, bladder, prostate, ovary)
Testes
Rectum

Lower Extremity

Sciatica
Cancer
(Causalgia-RSD) CRPS I&II
Peripheral
Myofascial Pain
Neuropathy
Post-Stroke Syndrome
Piriformis Syndrome
Femoral Saphenous Neuralgia
Adductor Spasms
Plantar Fascitis
Compartment Syndrome
Calcaneal Spur
Tarsal Tunnel Syndromes
Paraplegia
Arthritis (hip, knee, ankle)
Hemiplegia
Vascular Ischemia Pain
Spasticity
Cramps
Post-Surgery Syndrome
Treatment Principles
Understand the principles of physical therapy and rehabilitation of the chronic-pain patient

 


Pain Management


Chronic Pain Management - Responsibility of Physicians, Assigned Fellow Rotations


Contacts - at the MRVAMC, UF, and Gulf Coast Pain Specialists


Educational Objectives - General and for each rotation


Expected Proficiencies


Malcolm Randall VAMC Rotation


Service Locations - of commonly performed procedures