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41. Shoulder pain: How should I assess someone with a painful shoulder?

Shoulder pain: How should I assess someone with a painful shoulder? Diagnosis | Diagnosis | Shoulder pain | CKS | NICE Search CKS… Menu Diagnosis Shoulder pain: How should I assess someone with a painful shoulder? Last revised in April 2017 How should I assess someone with a painful shoulder? Assessment of a person with shoulder pain involves taking a history and performing an examination to help identify the underlying cause, and any for a serious underlying condition. The Oxford University (...) hospitals guideline includes a guide to the diagnosis of common shoulder problems in primary care, see [ ]. History should include: Characteristics of the pain: onset; duration; site of maximal pain; whether the pain is felt at rest, on movement or both; night pain and whether pain affects sleeping position; radiation; aggravating and relieving factors. Neck pain or other upper limb pain. Stiffness. Instability: any past history of dislocations or concerns that the shoulder might come out of joint

2017 NICE Clinical Knowledge Summaries

42. British Pain Society/Faculty of Pain Medicine (RCA) Consensus Statement on the use of Corticosteroids for Neuraxial Procedures in the UK

epidural steroid injections: an update. Skeletal Radiol. 2015 Feb;44(2):149-55 5) Gharibo CG, Fakhry M, Diwan S, Kaye AD. Conus Medullaris Infarction After a Right L4 Transforaminal Epidural Steroid Injection Using Dexamethasone. Pain Physician. 2016 Nov-Dec;19(8): E1211-E1214 6) Low back pain and sciatica in over 16s: assessment and management (2016) NICE guideline NG59 Medical References: 1. Rathmell JP, Benzon HT, Dreyfuss P, Huntoon M, Wallace M, Baker R, Riew KD, Rosenquist RW, Aprill C, Rost NS (...) British Pain Society/Faculty of Pain Medicine (RCA) Consensus Statement on the use of Corticosteroids for Neuraxial Procedures in the UK British Pain Society/Faculty of Pain Medicine (RCA) Consensus Statement on the use of Corticosteroids for Neuraxial Procedures in the UK. There has been international debate relating to the use of corticosteroids for neuraxial interventions. This has included the publication of conflicting statements which will add to the challenges faced by the pain physician

2016 Faculty of Pain Medicine

43. The ACTTION–APS–AAPM Pain Taxonomy (AAAPT) Multidimensional Approach to Classifying Acute Pain Conditions Full Text available with Trip Pro

, severe, or extreme pain after surgery and 59% of patients reported moderate, severe, or extreme pain during the first two weeks following hospital discharge [ ]. Within emergency departments, acute pain accounts for up to 78% of visits, with a reported median pain intensity of 8 out of 10 on an 11-point numeric rating scale (NRS) [ ]. Finally, primary care physicians commonly encounter challenging acute pain scenarios (e.g., subacute postsurgical pain, acute exacerbations of chronic back pain, acute (...) . Notably in this construct, each dimension can be further organized as needed during future iterations. A strategic decision was made to defer discussions on acute pain assessment and treatment for a future effort. Dimensions Discussion on how to categorize acute pain conditions began with the five dimensions used for the AAPT. These were extended to consider 10 to 12 dimensions, before then collapsing back to a final five dimensions aligned with, but differing from, the AAPT chronic pain dimensional

2017 American Academy of Pain Medicine

44. Nonpharmacologic pain interventions: a review of evidence-based practices for reducing chronic cancer pain.

Nonpharmacologic pain interventions: a review of evidence-based practices for reducing chronic cancer pain. Nonpharmacologic pain interventions: a review of evidence-based practices for reducing chronic cancer pain. | National Guideline Clearinghouse success fail JUN 09 2017 2018 2019 14 Apr 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly (...) , manifestos, plans and walkthroughs. This collection contains the output of many Archive Team projects, both ongoing and completed. Thanks to the generous providing of disk space by the Internet Archive, multi-terabyte datasets can be made available, as well as in use by the , providing a path back to lost websites and work. Our collection has grown to the point of having sub-collections for the type of data we acquire. If you are seeking to browse the contents of these collections, the Wayback Machine

2017 National Guideline Clearinghouse (partial archive)

45. Standards for the Members of the Faculty of Pain Medicine for Training and Administration of Pain Interventions by non-medical practioners

in the use of epidural injection for the management of pain of spinal origin in adults. 2011 3. Standards of good practice for medial branch block injections and radiofrequency denervation for low back pain. 2014 4. Standards of Good Practice for Spinal Interventional Procedures in Pain Medicine. 2015 (...) Standards for the Members of the Faculty of Pain Medicine for Training and Administration of Pain Interventions by non-medical practioners Standards for the members of the Faculty of Pain Medicine (FPM) for training and administration of pain interventions by non-medical practitioners 1. Patient safety is paramount and is at the heart of delivering NHS services. This document is a guideline developed by the Faculty of Pain Medicine, professional standards committee. The standards document

2015 Faculty of Pain Medicine

46. Pain - management of pain in children

expressions that suggest pain but less than 50% of the time. Score 2 Persistent facial expressions suggesting pain/distress more than 50% of the time. Grimace – open mouth, lips pulled back at corners, furrowed forehead and/or between eyebrows, eyes closed, wrinkled at corners. Posture – This relates to the child’s behaviour towards the affected body area. Score 0 Normal. Score 1 Exhibiting increased awareness of body area e.g. by touching, rubbing, pointing, sparing or limping. Score 2 Affected area (...) Pain - management of pain in children Management of Pain in Children Pain Guidelines October 2006 Page 1 of 8 Pain Guidelines INTRODUCTION All children in pain need analgesia 1 , regardless of age or situation. Pain is one of the commonest symptoms in patients presenting to ambulance services. Control of pain is important not only for humanitarian reasons but also because it may prevent deterioration of the child and allow better assessment. There is no excuse for leaving a child in pain

2007 Joint Royal Colleges Ambulance Liaison Committee

47. Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances

Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances 1 Quality Department Guidelines for Clinical Care Ambulatory Chronic Pain Management Guideline Team Team Leads Daniel W Berland, MD General Medicine / Anesthesiology Phillip E Rodgers, MD Family Medicine Team Members Carmen R Green, MD Anesthesiology R Van Harrison, PhD Medical Education Randy S Roth, PhD Physical Medicine & Rehabilitation Consultants Daniel J. Clauw, MD Rheumatology Jennifer A. Meddings (...) acceptable methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding any specific clinical procedure or treatment must be made by the physician in light of the circumstances presented by the patient. Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances Objective: To provide a systematic framework for providers to evaluate and manage patients with chronic, non-terminal pain with special attention to specific principles of opioid

2017 University of Michigan Health System

48. WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents

WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents ISBN 978 92 4 155039 0 20 Avenue Appia CH-1211 Geneva 27 Switzerland www.who.int/ 9 789241 548397 WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTS WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTS WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC (...) MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTSWHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTSWHO guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents ISBN 978-92-4-155039-0 © World Health Organization 2018 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org

2019 World Health Organisation Guidelines

49. Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome

Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome Clinical Practice Guidelines MIA ERICKSON, PT , EdD • MARSHA LAWRENCE, PT , DPT • CAROLINE W. STEGINK JANSEN, PT , PhD DIANE COKER, PT , DPT • PETER AMADIO, MD • CARLA CLEARY, PT , DPT Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Hand and Upper Extremity Physical Therapy and the Academy of Orthopaedic (...) their patients regarding the effects of mouse use on carpal tunnel pressure and assist pa- tients in developing alternate strategies, including the use of ar- row keys, touch screens, or alternating the mouse hand. Clinicians may recommend keyboards with reduced strike force for patients with CTS who report pain with keyboard use. INTERVENTIONS – ORTHOSES B Clinicians should recommend a neutral-positioned wrist orthosis worn at night for short-term symptom relief and functional improvement for individuals

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

50. Interagency Guideline for Prescribing Opioids for Pain Agency Medical Directors' Group (AMDG)

Guideline on Prescribing Opioids for Pain [06-2015] 8 Opioids and Chronic Disability Despite evidence based guidelines recommending against their use, opioids are frequently prescribed as first line agents for low back sprain and other routine musculoskeletal conditions. 15,33-35 In addition, there is evidence in the workers’ compensation population that early opioid use increases the risk of disability 6 and it is difficult to discontinue COAT once initiated, as over 60% of patients taking opioids (...) for at least 3 months are still on opioids 5 years later. 1 More effective early intervention strategies for acute low back pain, such as physical activity and emphasizing options for staying at or returning to work, are recommended to avoid transitioning to chronic low back pain. 36 Routine musculoskeletal conditions are among the top causes of disease burden in the US as measured by Years Lived with Disability (YLD), accounting for nearly 8 million YLD in 2010. 37 By 2011, nearly 25% of disabled Medicare

2015 Washington State Department of Labor and Industries

51. Complex Regional Pain Syndrome (CRPS-2011)

objective and quantifiable measures of functional improvement and pain tolerance and alert the attending provider if progress is not occurring. The objective is to act quickly so that the treatment team may take actions to quickly get the patient back on the expected course of recovery. Effective October 1, 2011 Hyperlink and Formatting update September 2016 Page 8 B. TREATMENT IN PHASES Treatment can be thought of in phases. Although each phase has a general time frame, the time needed (...) Complex Regional Pain Syndrome (CRPS-2011) Effective October 1, 2011 Hyperlink and Formatting update September 2016 Work-Related Complex Regional Pain Syndrome (CRPS): Diagnosis and Treatment 2011 TABLE OF CONTENTS I. Introduction II. Establishing Work-Relatedness III. Prevention A. Know the Risk Factors B. Identify Cases Early and Take Action C. Encourage Active Participation in Rehabilitation IV. Making the Diagnosis A. Symptoms and Signs B. Three-Phase Bone Scintigraphy C. Diagnostic

2011 Washington State Department of Labor and Industries

52. Guideline for Prescribing Opioids to Treat Pain in Injured Workers Labor and Industries

pain management plan, including opioid taper after surgery and discuss expectations with the worker. – Avoid escalating opioid dose or adding new benzodiazepines or sedative-hypnotics before surgery. – Do not prescribe long-acting or extended-release opioids for post-op pain. – Most patients should be back to their pre-operative dose of opioids or lower by six weeks after surgery. ? Discontinue opioids if treatment has not resulted in clinically meaningful improvement in function, or the worker has (...) in Washington State. III. Opioid Use in Workers ’ Compensation Prevalence Over the past decade, there has been a dramatic increase in the use of opioids to treat chronic non-cancer pain. Among the workers’ compensation population nationally, the prevalence of opioid use is approximately 32% [4] . In Washington, 42% of workers with compensable back injuries received an opioid prescription in the first year after injury, most often at the first medical visit for the injury. Sixteen percent of those workers

2013 Washington State Department of Labor and Industries

53. Acute pain management: scientific evidence, fourth edition, 2015

of acupuncture on post-operative pain have been confirmed in particular after back surgery and ambulatory knee surgery and total knee joint replacement. Psychological (including distraction [music, books, video] and hypnosis), physical (including holding, warming, non-nutritive sucking) and use of sweet solution (sucrose) interventions are particularly beneficial in painful procedures in children and are being used peri-operatively. Conclusion The increase in evidence in the area of acute pain management (...) Acute pain management: scientific evidence, fourth edition, 2015 Acute pain management: scientific evidence, fourth edition, 2015 | The Medical Journal of Australia mja-search search Use the for more specific terms. Title contains Body contains Date range from Date range to Article type Author's surname Volume First page doi: 10.5694/mja__.______ Search Reset  close Individual Login Purchase options Connect person_outline Login keyboard_arrow_down Individual Login Purchase options menu search

2016 MJA Clinical Guidelines

54. Pharmacological Management of Cancer Pain in Adults

). HIPE data indicate that 20% of procedures in 2011 related to its use in osteoporosis. 11% of use for lower back pain. 32% of procedures were undertaken in patients with a principal diagnosis of cancer. The data does not provide the number of procedures performed on patients with a secondary diagnosis of malignancy with spinal involvement (32). HIPE data indicates that vertebroplasties were carried out in each of the hospital groups, with the exception of the MidWest, in 2011. The estimated average (...) Pharmacological Management of Cancer Pain in Adults Pharmacological Management of Cancer Pain in Adults National Clinical Guideline No. 9 November 2015Guideline Development Group The Pharmacological Management of Cancer Pain in Adults Guideline was developed by a subgroup of the Health Service Executive (HSE)/Royal College of Physicians (RCPI) National Clinical Programme for Palliative Care. The Core Guideline Development Group was supported by a group of senior multidisciplinary service leads

2015 National Clinical Guidelines (Ireland)

55. Appropriate Use Criteria: Interventional Pain Management

Pain Management Copyright © 2020. AIM Specialty Health. All Rights Reserved. 6 Epidural Injection Procedures and Diagnostic Selective Nerve Root Blocks Description Epidural steroid injection (ESI) involves the administration of corticosteroid via insertion of a needle into the epidural space surrounding the spinal nerve root. Despite the lack of consistent evidence to support its efficacy, the procedure is widely used in patients with chronic back, neck and radicular pain. In 2014, the U.S. Food (...) to considering epidural steroid injection: • New onset of low back pain or neck pain in the setting of established malignancy, or where there is a suspicion of malignancy based on the clinical presentation • New onset of low back pain or neck pain in persons with risk factors for spinal infection • Comorbid conditions associated with increased risk of bleeding due to coagulopathy or treatment with anticoagulants • Back pain in the setting of trauma Additional contraindications include the following

2020 AIM Specialty Health

56. Interventional Pain Management

effective date Copyright © 2020. AIM Specialty Health. All Rights Reserved. Interventional Pain Management 7 Epidural Injection Procedures and Diagnostic Selective Nerve Root Blocks Description Epidural steroid injection (ESI) involves the administration of corticosteroid via insertion of a needle into the epidural space surrounding the spinal nerve root. Despite the lack of consistent evidence to support its efficacy, the procedure is widely used in patients with chronic back, neck and radicular pain (...) day. ? After three injections in the same region, the total cumulative dose of steroid must be documented and may not exceed 240 mg of methylprednisolone or triamcinolone or 36 mg of betamethasone or 45 mg of dexamethasone. Contraindications and Risks The following conditions should prompt further evaluation prior to considering ESI: ? New onset of low back pain or neck pain in the setting of established malignancy, or where there is a suspicion of malignancy based on the clinical presentation

2020 AIM Specialty Health

57. Patellofemoral Pain

reserved.journal of orthopaedic & sports physical therapy | volume 49 | number 9 | september 2019 | cpg7 Patellofemoral Pain: Clinical Practice Guidelines orthopt.org website, and a notification of this posting was sent to the members of the Academy of Orthopaedic Physical Therapy, APTA, Inc. Any comments, suggestions, and feed- back gathered from public commentary were sent to authors and editors to consider and make appropriate revisions in the guideline. In addition, a panel of consumer/patient represen (...) Patellofemoral Pain Clinical Practice Guidelines RICHARD W. WILLY, PT , PhD • LISA T . HOGLUND, PT , PhD • CHRISTIAN J. BARTON, PT , PhD LORI A. BOLGLA, PT , PhD • DAVID A. SCALZITTI, PT , PhD • DAVID S. LOGERSTEDT , PT , PhD ANDREW D. LYNCH, PT , PhD • LYNN SNYDER-MACKLER, PT , ScD, FAPTA • CHRISTINE M. MCDONOUGH, PT , PhD Patellofemoral Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

58. Subacromial decompression surgery for adults with shoulder pain Full Text available with Trip Pro

) and removal of bone from the under surface of the acromion (acromioplasty). Surgeons initially performed subacromial decompression surgery as an open procedure. It evolved to less invasive keyhole surgery: arthroscopy. Table 1 Major guideline recommendations on subacromial decompression surgery for subacromial pain syndrome (SAPS)* View this table: Despite trials dating back to 1993 and systematic reviews failing to demonstrate benefit from surgery, the number of arthroscopies performed has risen (...) Subacromial decompression surgery for adults with shoulder pain Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline | The BMJ Intended for healthcare professionals Username * Password * Edition: Search form Search Search Subacromial... Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline (Published 06 February 2019) Cite this as: BMJ 2019;364:l294 Visual summary of recommendation or Subacromial decompression

2019 BMJ Rapid Recommendations

59. Persistent Pain with Breastfeeding

Persistent Pain with Breastfeeding ABM Protocol ABM Clinical Protocol #26: Persistent Pain with Breastfeeding Pamela Berens, 1 Anne Eglash, 2 Michele Malloy, 2 Alison M. Steube, 3,4 and the Academy of Breastfeeding Medicine A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for man- aging common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do (...) not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient. Purpose T oprovideevidence-basedguidanceinthediagnosis, evaluation, and management of breastfeeding women with persistent nipple and breast pain. De?nitions Among breastfeeding women, it can be challenging to distinguish pathologic pain from discomfort commonly re- ported in the ?rst few weeks of breastfeeding. In this proto- col

2016 Academy of Breastfeeding Medicine

60. Chronic Pelvic Pain

Chronic Pelvic Pain Chronic Pelvic Pain | Uroweb › Chronic Pelvic Pain Chronic Pelvic Pain To access the pdfs & translations of individual guidelines, please as EAU member. Non-EAU members can view the web versions. To become an EAU member, click . D. Engeler (Chair), A.P. Baranowski, B. Berghmans, J. Borovicka, A.M. Cottrell, P.S. Elneil, J. Hughes, E. Messelink (Vice-chair), A.C. de C Williams Guidelines Associates: L. Pacheco-Figueiredo, B. Parsons, S. Goonewardene TABLE OF CONTENTS (...) REFERENCES 1. Fall, M., et al., EAU Guidelines on Chronic Pelvic Pain., In: EAU Guidelines on Chronic Pelvic Pain. Presented at the 18th EAU Annual Congress Madrid 2003. 2003, European Association of Urology: Arnhem. 2. Fall, M., et al. EAU guidelines on chronic pelvic pain. Eur Urol, 2004. 46: 681. 3. Fall, M., et al., EAU Guidelines on Chronic Pelvic Pain, In: EAU Guidelines on Chronic Pelvic Pain. Presented at the 18th EAU Annual Congress Barcelona 2010. 2010, EAU: Arnhem. 4. Fall, M., et al. EAU

2019 European Association of Urology

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