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Flashcards in Management of Chronic Pain Deck (23)
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1

What are the symptoms of Chronic Regional Pain Syndrome?

Allodynia
Hyperalgesia
Swelling
Hair and nail changes
Osteopenia

2

What is the treatment for Chronic Regional Pain Syndrome?

Physiotherapy
Anti Neuropathics

3

What is allodynia ?

Experience of pain from non painful stimuli e.g. cotton wool cutting hair etc

4

What is Nociceptive pain?

Pain from an injury relayed via normal nervous system

5

What is neuropathic pain?

Pain generated in the nervous system

6

What s mixed pain?

Pain from both relayed and produced by the nervous system e.g. cancer

7

What are the three subgroups of pain?

Nociceptive
Neuropathic
Mixed

8

Describe neuropathic pain?

Burning
Shooting
Tingling

9

What is hyperalgesia ?

Stimuli is more painful than would be expected.

10

List some common examples of neuropathic pain,

Shingles
Diabetic neuropathy
Surgery
Trauma
Amputation

11

List some anti neuropathic drugs used in the treatment of chronic pain?

Tricyclic antidepressants
Anticonvulsants
Opiods
NMDA Antagonist
Sodium Channel blockers

12

Give an example of a tricyclic antidepressant used in the treatment of chronic pain.

Amitriptyline

13

Give and example of a anticonvulsant used in the treatment of chronic pain.

gabapentin

14

Give an example of an opioid used in the treatment of chronic pain.

Morphine

15

Give an example of an NMDA Antagonist used in the treatment of chronic pain.

Ketamine

16

Give an example of a Na+ channel blocker used in the treatment of chronic pain.

Lignocaine

17

In children what is used to treat neuropathic pain?

Topical Capsacin
Topical Levomenthol

18

In the pain clinic what therapies can be offered in the treatment of neuropathic pain?

TENS
Acupuncture
Nerve blockers
Intrathecal drug delivery
Spinal chord stimulation

19

What procedures are available but not widely used in the treatment of neuropathic pain?

Lidocaine infusions
Epidural steroids
Facet denervation
Stellate ganglion block

20

What Ion channel if present is likely to cause abnormal or increased pain?

SCN9A

21

Delayed amputation results in a reduced incidence of phantom pain? T/F

False
Increases likelihood of phantom pain

22

What is remapping in context of amputation?

Area of the sensory cortex related to the rising limb is taken over by other body parts .

23

What can remapping result in?

Association of missing limb to other body parts.
For example may touch the face and feel it on the missing limb.