Preventing Chronic Pain

These are my notes from the course – Preventing Chronic Pain, a human systems approach offered by University of Minnesota on Coursera

Divine is the task to relieve pain – Hippocrates

Prevention is about balancing risk factors with protective factors.

For information:
International Myopain Society
Journal of muskoskeletal pain

Skeletal tissues = 45% of body weight

Myopain conditions :

  • Are primary cause of chronic pain
  • Leading cause of missed work & disability
  • Highest driver of health care costs

Common sense in medical context is really so rare that it can be called superpower.

Bad common sense examples
Medication not working -> increase dosage !
Sitting hurts -> change the chair !
Work stresses -> hurry up the work
Surgery failed -> do one more surgery !

Basic concepts along path of life:

  • Your being : virtues and vices
  • Love: of self and others
  • Challenge : Power of positive energy
  • Human spirit : The key to health
  • Desire : The big motivator
  • Celebration: of joy and sharing
  • Conflict: Dealing with the fight
  • Energy thieves: Bad relationships
  • Value of vacations: Finding yourself
  • Moderation: Protector of health
  • Balance: Cornerstone of health
  • Pasion: Energy for change
  • Doing: You are what you do

Transformative Care Program:
Use SOAP to assess pain

  • Subjective – pain characteristics and impact
  • Objective – examinations and imaging findings
  • Assessment – diagnoses and contributing factors
  • Plan – testing, treatment, training, team

Subjective assessment is FRIED

  • Frequency – pain days / month
  • Restrictions – in daily activities
  • Intensity of pain – (0-10 scale)
  • Emotion – Emotional coping
  • Disability – Loss of work

Frequency can be categoriezed as:

  • Intractable
  • Chronic
  • Acute Recurrent
  • Subacute
  • Acute

Emotional Coping

  • Passive – Who don’t care about human systems approach and only rely on medication etc
  • Dabbler – Who sometimes take clinical approach and sometimes human systems approach
  • Integrator – Who take both Medication and Human systems approach (exercise, diet etc) regularly
  • Self-Manager –  Who mostly manage their health and pain using human systems approach

Residual functional capacity – To determine disability due to pain