Ouch that hurts chronic pain management
This presentation is the property of its rightful owner.
Sponsored Links
1 / 17

Ouch! That Hurts—Chronic Pain Management PowerPoint PPT Presentation


  • 52 Views
  • Uploaded on
  • Presentation posted in: General

Ouch! That Hurts—Chronic Pain Management. Paul Lyons, MD Senior Associate Dean for Education Chair, Family Medicine University of California Riverside School of Medicine. The two enemies of human happiness are pain and boredom—Arthur Schopenhauer. Just the Facts.

Download Presentation

Ouch! That Hurts—Chronic Pain Management

An Image/Link below is provided (as is) to download presentation

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.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Ouch that hurts chronic pain management

Ouch! That Hurts—Chronic Pain Management

Paul Lyons, MD

Senior Associate Dean for Education

Chair, Family Medicine

University of California Riverside School of Medicine


Ouch that hurts chronic pain management

The two enemies of human happiness are pain and boredom—Arthur Schopenhauer


Just the facts

Just the Facts

  • Pain that lasts longer than 3-6 months

  • 19-30% of all adults

  • 116 million Americans

  • associated with depression, anxiety, sleep disturbance, decreased activity


Ouch that hurts chronic pain management

When I was young I thought money was the most important thing in life; now that I am old I know that it is—Oscar Wilde


It costs how much

It Costs How Much?

  • ~$600 Billion per year in US

    • $261-$300 billion per year direct health care cost

    • $4000-$7000 in extra health care cost per person per year

  • ~$300 billion per year in lost productivity

    • Work days missed

    • Annual work hours

    • Hourly wages


Ouch that hurts chronic pain management

Pain is as diverse as man. One suffers as one can—Victor Hugo


Types of pain

Types of Pain

  • Nociceptive

  • Neuropathic


Ouch that hurts chronic pain management

It is easier to find men who will volunteer to die than to find those who are willing to endure pain with patience—Julius Caesar


1 set reasonable goals

#1—Set Reasonable Goals

If you don’t know where you’re going you’ll end up somewhere else—Yogi Berra


Ouch that hurts chronic pain management

To truly laugh, you must be able to take your pain and play with it—Charlie Chaplin


2 focus on function

#2—Focus on Function

Before we make love my husband takes a pain killer—Joan Rivers


Ouch that hurts chronic pain management

The art of medicine consists in amusing the patient while nature cures the disease—Voltaire


Medication options

Medication Options

  • Analgesia

  • Antiepileptics

    • Gabapentin

    • pregabalin

  • Antidepressants

    • Duloxetine

    • amitriptyline


Ouch that hurts chronic pain management

One of the first duties of the physician is to educate the masses not to take medicine—William Osler


Non pharmacologic treatment

Non Pharmacologic Treatment

  • Cryotherapy

  • Heat

  • Physical/Occupational Therapy

  • Exercise

  • TENS


Ouch that hurts chronic pain management

You know what they call alternative medicine that’s been proved to work? Medicine—Tim Minchin


Additional therapies

Additional Therapies

  • Hypnosis

  • Massage

  • Acupuncture

  • Chiropractic


  • Login