Assessment and Diagnosis of Pain Disorders. Pain Assessment: Goals. Characterize the pain Identify pain syndrome Infer pathophysiology Evaluate physical and psychosocial comorbidities Assess degree and nature of disability Develop a therapeutic strategy.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Assessment and Diagnosisof Pain Disorders
Other physical symptoms
Neuropathic Psychologic Social isolation
mechanisms processes Family distress
Sense of loss or inadequacy
Adapted with permission from Portenoy RK. Lancet. 1992;339:1026.
Commensurate with identifiable tissue damage
May be abnormal, unfamiliar pain, probably caused by dysfunction in PNS or CNS
Pain, not attributable to identifiable organic or psychologic processes
Sustained by psychologic factorsPathophysiology
Recent onset, transient, identifiable cause
Persistent or recurrent pain, beyond usual course of acute illness or injury
Transient pain, severe or excruciating, over baseline of moderate painPain Syndromes
Ask patient about complaints suggestive of
In patients with neuropathic pain, examination should focus on the anatomic pattern and localization of the abnormal sensory symptoms and neurologic deficits
EMG-NCV and QST
Infection (diskitis, epidural abscess)
Compression FxAssessment of Acute Back Painand Sciatica: “Red Flags”
MRI of the spine if patient demonstrates