All Pain articles
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View from the groundReducing pain-relief drug use through holistic assessment
View from the ground, by Ian McKenna
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Test and reflect
NICE guideline on the management of chronic pain
The following questions written by Sachin Tammewar relate to his article, Adopt a holistic approach to the management of chronic pain, which discusses the recommendations of NICE Guideline 193, Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain.
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Implementing guidelines
Adopt a holistic approach to the management of chronic pain
Sachin Tammewar discusses the recommendations of NICE Guideline 193, which puts patients at the centre of care for chronic pain
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Top tips
Top tips: joint pain
Dr Louise Warburton offers 10 top tips on the diagnosis and management of joint pain in primary care
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Key learning points
Key learning points: SIGN chronic pain—opioids
Professor Lesley Colvin and Professor Blair Smith outline key learning points on the use of opioids from the updated SIGN guideline on the management of chronic pain
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Key learning points
Key learning points: NICE cannabis-based medicinal products
Dr David Spraggett outlines five key learning points to take away from the 2019 NICE guideline on cannabis-based medicinal products
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Differential diagnoses
Breast pain: what’s the diagnosis?
Dr Toni Hazell uses case studies to explore three possible causes of breast pain (mastalgia) and how each condition should be managed in primary care
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Test and reflect
Best practice in breast pain (mastalgia)
This CPD activity consists of 5 multiple-choice questions (MCQs) designed to test your knowledge on breast pain (mastalgia)
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News
RCP updates guideline on pain syndrome in adults
The Royal College of Physicians (RCP) has published the second edition of Complex regional pain syndrome in adults—UK guidelines for diagnosis, referral and management in primary and secondary care.
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Implementing guidelines
Accurate diagnosis of migraine is crucial to successful treatment
Dr David Watson and Dr Sandeep Sharma provide an overview of the recommendations from the latest SIGN guidance on managing migraine
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Test and reflect
SIGN 155 guideline on the pharmacological management of migraine
This Guidelines in Practice CPD activity consists of 5 multiple-choice questions (MCQs) designed to test your knowledge on managing migraine in primary care—you will then be prompted to reflect on your learning.
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News
SIGN updates advice on managing migraine
The Scottish Intercollegiate Guidelines Network has published SIGN 155 on Pharmacological management of migraine, including a treatment pathway algorithm.
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Differential diagnoses
Low back pain: what’s the diagnosis?
Dr Simon Somerville considers some possible causes of low back pain and explains that self-management is key to improved quality of life for patients
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Test and reflect
Best practice on pelvic pain in women
This CPD activity consists of 6 multiple-choice questions (MCQs) designed to test your knowledge on pelvic pain in primary care—you will then be prompted to reflect on your learning.
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Differential diagnoses
Pelvic pain in women: what’s the diagnosis?
Dr Neelima Sibal and Dr Pallavi Latthe consider possible causes of pelvic pain in women—is it ectopic pregnancy, endometriosis, pelvic inflammatory disease, or something else?
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News
New and updated quality standards published by NICE
NICE has published Quality Standard (QS) 155 on Low back pain and sciatica in over 16s, and updated QS5 on Chronic kidney disease in adults.
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Hot topic
Pain in chronic disease may be neuropathic
Dr João Calinas Correia explains what neuropathic pain is, how and when it should be assessed, and how comorbid conditions affect prescribing choices
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Top tips
Top tips: headache
Dr David Kernick provides 10 top tips on the diagnosis and management of headache in primary care
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Implementing guidelines
Chronic pain pathways bring evidence-based guidance and support
Dr Lesley A. Colvin summarises the recent SIGN guideline on the management of chronic, non-malignant pain and explains how thorough assessment can improve outcomes
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Hot topic
Frail and vulnerable older people appear to have the most pain
Dr Martin Johnson and Professor Pat Schofield (left) explore the prevalence of pain in older people and summarise the best evidence for a variety of approaches
