Pain Disorders Spotlight

This section provides access to pain management resources addressing common painful disorders or conditions of special interest and importance. The informational and educational needs of all healthcare providers who treat these disorders are addressed; including physicians, pharmacists, dentists, nurses, nurse practitioners (NPs), physician's assistants (PAs), and others.

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• Low-Back Pain (LBP)
• Pain Treatment in Palliative Care
• Cancer-Related Pain 
• Fibromyalgia Pain
• Other Sections are in Development

For additional, more general information on pain see "Overview - Pain Management & Tx" under Clinical Concepts. <Click Here>

= entry added or changed during latest update.

= exlusive offering from Pain Treatment Topics.

Low-Back Pain (LBP)

Lifetime prevalence of LBP is estimated at 70%, and nearly 20% of adults suffer from back pain in any given year. Acute LBP often is self-limiting; however, back pain is one of the most common reasons for visits to healthcare providers. The documents recommended in this section address this ubiquitous, oftentimes persistent, and difficult to treat condition.

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Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline

From: the American College of Physicians and the American Pain Society; by Chou R, et al. Annals of Internal Medicine; 2007.

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Evaluation and Treatment of Acute Low Back Pain

From: American Academy of Family Physicians (AAFP); 2007; 8 pages.
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Clinic on Low-Back Pain in Interdisciplinary Practice (CLIP)

From: Agency for Health & Social Services; Montreal, Canada; 2007.
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Adult Low Back Pain Guidelines

From: Institute for Clinical Systems Improvement (ICSI); 2006.
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Acute Low Back Pain

From: University of Michigan Health System; Revised 2005.
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Evaluation and Treatment of Low Back Pain in Family Practice

By: Rives PA, Douglass AB. Journal of the American Board of Family Medicine; 2004. See details...>

European Guidelines for Prevention in Low Back Pain

From: European Commission Working Groups; 2004. See details...>

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Pain Treatment in Palliative Care

(including Hospice Care)

Palliative care focuses on patients of all ages with a chronic disorder – whether an illness, condition, or injury – that adversely affects daily functioning or reduces life expectancy. Documents in this section focus on pain and associated symptom management during palliative care via approaches incorporating pharmacologic, nonpharmacologic, and/or complementary therapies, as well as other components of a comprehensive pain management program.

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IAHPC List of Essential Medicines for Palliative Care

From: International Association for Hospice & Palliative Care; 2007.

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Principles of Effective Pain Management at the End of Life

By: Fine PG, Mac Low C. Medscape Today; 2007.  See details...>

Pain Management at the End of Life – A Physician’s Self-Study Packet

From: Maine Hospice Council; 2006. See details...>

Pain Management at the End of Life [book]

From: Hospice Foundation of America; 2006. See details...>

EPERC - Pain Topics from the “Fast Facts Index”

From: End of Life/Palliative Education Resource Center; 2005-2007.
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Methadone, Pain Management, and Palliative Care

By: McPherson ML. Medscape and ASHP; 2006. See details...>

The IAHPC Manual of Palliative Care [book]

By: Doyle D, Woodruff R. International Association for Hospice & Palliative Care; 2nd Edition; 2004.  See details...>

Managing Pain in the Dying Patient

By: Whitecar PS, Jonas AP, Clasen ME. American Family Physician; 2000. See details...>

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Cancer-Related Pain

Pain is one of the most common and often most feared symptoms in patients with cancer. Therefore, effective management of cancer-related pain is both a high priority and an ongoing challenge in clinical practice. Cancer-related pain may be due to active cancer itself, cancer treatments, and/or comorbidities arising from cancer. Documents in this special section focus on cancer pain control and associated symptom management via pharmacotherapies, nonpharmacologic strategies, and/or complementary approaches during cancer care.

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Management of Pain in the Older Person With Cancer

From: Cancernetwork.com; 2008. See details...>

Adult Cancer Pain

From: National Comprehensive Cancer Network; 2007. See details...>

Pediatric Cancer Pain

From: National Comprehensive Cancer Network; 2007. See details...>

Cancer-Related Pain and Its Pharmacologic Management in the Patient With Bone Metastasis

By: Slatkin N. Journal of Supportive Oncology; 2006. See details...>

Pharmacologic Management of Cancer Pain

By: Pharo GH, Zhou L. Journal of the American Osteopathic Assoc.; 2003. See details...>

Management of Cancer Pain in Geriatric Patients

By: Balducci L. Journal of Supportive Oncology; 2003. See details...>

Opioid Rotation in the Management of Refractory Cancer Pain

By: Indelicato RA, Portenoy RK. Journal of Clinical Oncology; 2003.
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Management of Cancer Pain: Safe, Adequate Analgesia to Improve Quality of Life

By: Hartmann LC, Zahasky KM, Grendahl DC. Postgraduate Medicine Online; 2000. See details...>

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Fibromyalgia Pain

Fibromyalgia syndrome (FMS) is a diffuse pain and fatigue disorder for which an exact etiology is remains unknown and medical diagnosis can be challenging. Pain, the cardinal symptom of fibromyalgia, seems to emanate from muscles, tendons, ligaments, bursa, and joints. Fatigue, lethargy, depression, sleep disturbances, and other symptoms also may be present. Documents in this section focus primarily on approaches and strategies that have proven most successful for managing fibromyalgia pain and associated symptoms.

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Fibromyalgia – Special Edition, The Pain Practitioner

From: American Academy of Pain Management; 2008 [Spring].
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Understanding the Fibromyalgia Syndrome

By: Rao SG, Gendreau JF, Kranzler JD. From Medscape Ob/Gyn & Women’s Health; 2008.
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The Diagnosis and Treatment of Fibromyalgia

By: Horowitz S. Alternative & Complementary Therapies; 2008.
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Fibromyalgia

By: Chakrabarty S, Zoorob R. American Family Physician; 2007.
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EULAR Guidelines for the Treatment of Fibromyalgia Syndrome

By: Barclay L. From Medscape Medical News; 2007.
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Physical Therapy Modalities in Management of Fibromyalgia

By: Gur A. Current Pharmaceutical Design; 2006.
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A Review of Fibromyalgia and Its Treatment

By: St. Onge EL, Rose RL, Alighanbari V. Drug Topics; 2005.
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The Fibromyalgia Impact Questionnaire (FIQ)

By: Bennet R. Clin Exp Rheumatol; 2005.
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Management of Fibromyalgia Syndrome

By: Goldenberg DL, Burckhardt C, Crofford L. JAMA; 2004.
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A Review of Fibromyalgia

By: Nampiaparampil DE, Schmerling RH. American Journal of Managed Care; 2004. See details...>

The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia

By: Wolfe F, Smythe HA, Yunus MB, et al. Arthritis and Rheumatism; 1990.
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The Science of Fibromyalgia

From: National Fibromyalgia Association; undated.
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