Pain Medicine: Evaluation, Diagnosis and Clinical History

Pain Medicine · Clinical Specialties

How it begins

A comprehensive and systematic treatise on the neurobiology of nociception, the methodology of multidimensional anamnesis, the semiology of acute and chronic pain syndromes, and precision clinical and paraclinical diagnostic tools in contemporary algorithmic medicine.

What it covers

1. Neurobiology and Pathophysiology of Pain
2. · 1.1 Transduction and Nociceptive Receptors
3. · 1.2 Transmission and Spinal Pathways
4. · 1.3 Modulation and Descending Paths
5. · 1.4 Pain Processing and Corticalization
6. · 1.5 Pathophysiology of Central Sensitization
7. Systematic Classification of Pain
8. · 2.1 Temporal Taxonomy: Acute Pain vs. Chronic Pain
9. · 2.2 Pathophysiological Classification
10. · 2.3 Topographic Classification and Spatial Distribution
11. · 2.4 International Classification of Diseases (ICD-11) and Chronic Pain
12. The Clinical History of the Patient with Pain
13. · 3.1 Systematic Semiotics of Pain: The Acronym ALICIA-DR
14. · 3.2 Temporal Profile and Longitudinal Evolution
15. · 3.3 Personal History, Comorbidities and Family History
16. · 3.4 Risk Stratification and Substance Use Assessment
17. Warning Flags in Pain Assessment
18. · 4.1 Red Flags: Indicators of Serious Organic Pathology
19. · 4.2 Yellow Flags: Psychosocial and Cognitive Factors
20. · 4.3 Blue and Black Flags: Labor and Institutional Factors
21. · 4.4 Orange Flags: Serious Psychopathology
22. Multidimensional Evaluation and Measurement Instruments
23. · 5.1 Unidimensional Intensity Scales
24. · 5.2 Multidimensional Scales
25. · 5.3 Neuropathic Pain Screening Tools
26. · 5.4 Measurement of Impact on Quality of Life and Functionality
27. Physical and Myofascial Examination of the Patient with Pain
28. · 6.1 Static and Dynamic Inspection
29. · 6.2 Palpation and Myofascial Examination
30. · 6.3 Joint examination and Sacroiliac Tests
31. · 6.4 Cervical and Lumbar Spinal Provocation Maneuvers
32. Precision Sensitive Neurological Examination
33. · 7.1 Examination of Thick Myelinated Fibers (Aβ Fibers)
34. · 7.2 Examination of Fine Fibers (Aδ Fibers and C Fibers)
35. · 7.3 Evaluation of Allodynia and Hyperalgesia
36. · 7.4 Somatotopy and Dermatomas of Clinical Relevance
37. Differential Diagnosis of Major Chronic Pain Syndromes
38. · 8.1 Complex Regional Pain Syndrome (CRPS)
39. · 8.2 Myofascial Pain Syndrome versus Fibromyalgia
40. · 8.3 Fibromyalgia and Nociplastic States
41. · 8.4 Peripheral Neuropathies and Compressive Radiculopathies
42. Complementary Tests and Precision Diagnosis
43. · 9.1 Structural and Functional Neuroimaging
44. · 9.2 Clinical Neurophysiology Studies
45. · 9.3 Quantitative Sensory Testing (QST - Quantitative Sensory Testing)
46. · 9.4 Precision Diagnostic and Interventional Blocks
47. Evaluation of Pain in Special Populations
48. · 10.1 Pediatric Patient
49. · 10.2 Geriatric Patient and Dementia
50. · 10.3 Critical and Non-Communicative Patient in the ICU
51. Diagnostic Algorithm and Guide for the Clinical Report
52. · 11.1 Standard Structure of the Pain Medicine Report
53. · 11.2 Integrated Multidimensional Diagnosis