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Section 1-Boston Scientific SCS Training Manual (1)
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- Section 1-Boston Scientific SCS Training Manual
Section 1-Boston Scientific SCS Training Manual (1)
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Section 1-Boston Scientific SCS Training ManualAcute Pain - ANS-Immediately after injury and lasts no longer than 2 months if treated properly
Chronic Pain - ANS-Any type of pain that lasts 6 months or longer. 20 percent of the population
in developed countries is effected by chronic pain.
Nociceptive Pain - ANS-Nocicirecptors are nerves which sense and response to parts of the
body which suffer from damage. They signal tissue irritation, impending injury/actual injury. Pain
typically resolves once damaged tissue heals. I.e. pain from sprains, fractures, burns etc.
Neuropathic Pain - ANS-Result of an injury or malfunction in the CNS or PNS. Examples include
CRPS/RSD/Causalgia (nerve trauma), Peripheral Neuropathy, Entrapment Neuropathy (carpal
tunnel), Post Herpetic (post-shingles) Neuralgia, Phantom limb pain
Visual Analog Scale (VAS) - ANS-Measures characteristics or attitudes believed to range across
a continuum of values and cannot be directly measured. VAS pain scores 1-10.
Consequences of ineffective pain management - ANS-Chronic debilitated state
Chronic medication with increasing doses
Deconditioning of muscle groups
Repetitive testing
Psychological deterioration
Specialists who treat pain - ANS-Pain Management*
Anesthesiologists
Physiatrists
Neurologists
Neurosurgeons*
Orthopedic surgeons*
Psychiatrists/Psychologists
Chronic Pain Patient Treatment Continuum - ANS-1. NSAIDs(Celebrex & Naprosyn) or OTC
(Acetaminophen/ibuprofen)
2. Physical Therapy, TENS
3. -Complementary med (Aromatherapy after surgery)
-Behavioral programs (Psychatrist, yoga, meditation)
-Adjunctive Meds- (medications whose initial use is not for pain but rather for condition i.e.
antidepressants, anticonvulsants)
——-Injections/nerve blocks I.e. trigger point, epidural steriod injection etc.
4.Corrective surgery (lumbar disectomy, laminectomy, fusions, vertebroplast, kyphoplasty)
5. Long-term oral opiods (morphine, oxycontin, hydrocodone, methadone, fentanyl)
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