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Chronic PainTreatment Continuum

7/26/2019 Chronic Pain Treatment Continuum-Final

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Introduction

Side effects: Low probability High probability  

NSAIDS –  Non-steroidal anti inflammatory drug SCS –  Spinal Cord Stimulation

TENS –  Transcutaneous electrical nerve stimulation DBS –  Deep Brain Stimulation

PENS –  Percutaneous electrical nerve stimulation

Diagnosis

First Tier

Pain Therapies

Second TierPain Therapies

Third TierPainTherapies

Fourth TierPainTherapies

Notes:

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Cognitive and behavioral modification 

Exercise programs 

Biofeedback  

Rehabilitative therapy  

Over-the-counter pain medications 

Transcutaneous electrical stimulation (TENS) 

 Auriculotherapy a.k.a. Percutaneous electrical stimulation 

Systemic opioids 

Nerve blocks

Neurolysis 

Surgery  

Neuroablation 

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Neuromodulation 

Drug Pumps 

Spinal cord stimulation (SCS). 

Peripheral Nerve Field Stimulation (PNFS). 

Deep Brain Stimulation (DBS) 

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