Rheumatology Book

http://www.fpnotebook.com/

Chronic Pain Syndrome

Advertisement

  1. Diagnosis of exclusion
    1. See Chronic Pain Causes
    2. Diffuse arthralgia and myalgia
    3. No organic signs
      1. No joint swelling
      2. No Muscle Weakness
      3. No weight loss
      4. No fever
  2. Precautions
    1. Avoid ordering too many labs
    2. Patient may obsess over a mild abnormality
    3. Diagnostic tests with common mild abnormalities
      1. Serologies
      2. Electromyogram (EMG)
      3. CT or MRI Imaging
  3. Differential Diagnosis
    1. Fibromyalgia
    2. Myofascial Pain Syndrome
    3. Chronic Fatigue Syndrome
    4. Eosinophilia-Myalgia Syndrome
    5. Temporomandibular Joint Dysfunction syndrome
    6. Multiple chemical sensitivity
    7. Post traumatic back pain or neck pain
    8. Reflex Sympathetic Dystrophy (RSD)
    9. Chronic Pelvic Pain
  4. Evaluation
    1. See Chronic Pain Evaluation
  5. Management
    1. See Chronic Pain
    2. See Chronic Pain Resources
    3. Medications
      1. Amitriptyline (Elavil) at bedtime
      2. Selective Serotonin Reuptake Inhibitor (SSRI)

Chronic pain syndrome (C1298685)

ConceptsDisease or Syndrome (T047)
ICD9338.4
EnglishChronic pain syndrome
Spanishsindrome de dolor cronico
Parent ConceptsPain, not elsewhere classified (C0995154), Disorder characterized by pain (C1300028)
SourcesICD9CM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree