

#156 Chronic Pain, Opioids, Tapers
Jun 24, 2019
Join Soraya Azari, an Associate Professor at UCSF specializing in chronic pain and addiction, and Phoebe Cushman, an Assistant Professor at UMass, as they dive into the complexities of managing chronic pain. They discuss innovative non-pharmacologic strategies and the importance of patient engagement. Learn about risk stratification before opioid prescriptions, effective tapering techniques, and the vital role of communication. Plus, uncover the latest research on alternative therapies like buprenorphine to enhance patient safety.
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Pain Categorization
- Categorize pain as nociceptive (tissue injury), neuropathic (nervous system injury), or central sensitization (pain without injury).
- This framework can inform management strategies, although it isn't perfect and studies often categorize by diagnosis.
Pain Scales
- Standard pain scales are subjective and often lose meaning with repeated use.
- Consider using the PEG scale (Pain, Enjoyment, General activity), which tracks changes over time and is useful in primary care.
Empowering Patients
- Empower patients by acknowledging their self-management efforts like hot showers, exercise, or social activities.
- Frame these activities as valuable pain management strategies, boosting their sense of control.