How Does the Patient Describe the Pain?
Duration
Continuous
Variable
of Pain
Stinging Discomfort,
Burning-
Superficial Burning,
Description
Aches All
Worse When
Stabbing
Worse When
Comes and
Cramps
Stabbing, Some-
of Pain
the Time
I Move
Sometime
I Breathe
Goes
Spasms
times Deep Ache,
Deep Ache
Lancinating
Numbness
8. Nerve Destruction
Pain. Deaffer-
1. Visceral
entation. Neruo-
Type of Pain
3. Bone Pain
4. Nerve
5. Pleuritic
6. Colic
7. Muscle
pathic-Dermatomal
2. Soft Tissue
Compression
Pain
Spasms
(If Peripheral), Non-
Pain
dermatomal (If
Central)
Responsiveness
Usually
Semi-Responsive
Resistant
of Opioids
Responsive
Antidepressants,
Opioids and
Anticonvulsants or Nerve
Opioids and
Corticosteroids,
Block, Cortico-steroid,
NSAIDs,
Radiation
TENS, Radiation, Oral
Radiation
Treatment
Opioid
Therapy,
Opioid and
Antispasmodics, NSAIDs & Caffeine,
Local Anesthetics, Spinal
Therapy, Radio
Choices
and
Antidepressants,
Non-Opioid
Scopolomine (Intestinal), Baclofen,
Opiods w/wo Local
Pharmaceuticals,
Non-Opioid
Anticonvulsants,
Benzodiazepines (Skeletal)
Anesthetics, Neurolytic
Biphosphonates
Local Anesthet-
Procedures, Capsaicin
(Breast Cancer,
Note: Nerve Pain may
ics, Diuretics
Cream, Baclofen
Prostate Cancer,
be mixed compression
(Lymphoedema).
(Trigeminal Neuralgia),
Myeloma.)
and deafferentation
and Spinal Cord
Stimulator
© 1994 M.A. Carling, Revised 2000 and 2007. All Rights Reserved.

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