SlideShare uma empresa Scribd logo

Pain Management

•
•
Vaibhav Kamath
Vaibhav Kamath

Pain management involves treating all types of pain through various modalities beyond just pharmacotherapy. Unrelieved pain can have negative physiological, psychological and cognitive effects. Chronic pain is difficult to treat due to central nervous system sensitization and modulation. Interventional pain management utilizes targeted nerve blocks, ablations, and advanced procedures like spinal cord stimulation to diagnose and treat various pain conditions and syndromes. The goal is to correct underlying pathologies and break pain cycles through non-pharmacological means.

Saúde e medicina
1 de 32
Pain management ,[object Object],[object Object]
Pain management ,[object Object],[object Object],[object Object]
Is it better to tolerate pain? ,[object Object],[object Object]
Effects of pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of postoperative & posttraumatic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of labor pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
What is Pain? ,[object Object],[object Object],[object Object]
Pain classification ,[object Object],[object Object],[object Object],[object Object]
Acute vs. Chronic or persistent ,[object Object]
Peripheral pain vs.Central pain ,[object Object],[object Object]
Nociceptive , Neuropathic & neurogenic ,[object Object],[object Object]
Modalities of pain management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Organization of pain clinic ,[object Object],[object Object],[object Object]
Commonly treated diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventions done commonly at pain clinic. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidural interventions: indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Myofascial pain syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low back pain syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Painless labor ,[object Object],[object Object],[object Object],[object Object],[object Object]
Post-operative analgesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exercise Non-opioids Weak opioids +/- non-opioids +/- adjuvant Strong opioids Recovery Operation Treatment of Pain
Exercise Non-opioids Weak opioids +/- non-opioids Strong opioids Recovery Operation Treatment of Pain World of Misery
Exercise Non-opioids Weak opioids +/- non-opioids Strong opioids Recovery Operation Treatment of Pain IPM
IPM
IPM Basic Advanced ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IPM IPM are group of procedures with different mechanism of actions ,[object Object],[object Object],[object Object]
Interventional Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventional Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventional Pain Management: advantages ,[object Object],[object Object],[object Object],[object Object]
104 patients low back pain without any identifiable cause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ref: Pang WW et al . Application of spinal pain mapping in the diagnosis of low back pain—analysis of 104 cases. Acta Anaesthesiol Sin 1998; 36:71-74.
Diagnostic IPM procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]

Recomendados

dr. Ho Kok Yuen - Updates in Interventional Pain Management
dr. Ho Kok Yuen - Updates in Interventional Pain Managementdr. Ho Kok Yuen - Updates in Interventional Pain Management
dr. Ho Kok Yuen - Updates in Interventional Pain ManagementDepartment of Anesthesiology, Faculty of Medicine Hasanuddin University
 
Interventions pain management
Interventions pain managementInterventions pain management
Interventions pain managementslideshareacount
 
Neuropathic Pain Lecture
Neuropathic Pain LectureNeuropathic Pain Lecture
Neuropathic Pain LectureLEDocDave
 
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09London Pain Clinic
 
Neuropathic Pain 25.9.07
Neuropathic Pain 25.9.07Neuropathic Pain 25.9.07
Neuropathic Pain 25.9.07London Pain Clinic
 
Chronic pain management
Chronic pain management Chronic pain management
Chronic pain management narasimha reddy
 
Chronic pain management
Chronic pain managementChronic pain management
Chronic pain managementSubrat Nayak
 
Interventional Pain Management
Interventional Pain ManagementInterventional Pain Management
Interventional Pain ManagementVaibhav Kamath
 

Recomendados

dr. Ho Kok Yuen - Updates in Interventional Pain Management
dr. Ho Kok Yuen - Updates in Interventional Pain Managementdr. Ho Kok Yuen - Updates in Interventional Pain Management
dr. Ho Kok Yuen - Updates in Interventional Pain ManagementDepartment of Anesthesiology, Faculty of Medicine Hasanuddin University
 
Interventions pain management
Interventions pain managementInterventions pain management
Interventions pain managementslideshareacount
 
Neuropathic Pain Lecture
Neuropathic Pain LectureNeuropathic Pain Lecture
Neuropathic Pain LectureLEDocDave
 
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09London Pain Clinic
 
Neuropathic Pain 25.9.07
Neuropathic Pain 25.9.07Neuropathic Pain 25.9.07
Neuropathic Pain 25.9.07London Pain Clinic
 
Chronic pain management
Chronic pain management Chronic pain management
Chronic pain management narasimha reddy
 
Chronic pain management
Chronic pain managementChronic pain management
Chronic pain managementSubrat Nayak
 
Interventional Pain Management
Interventional Pain ManagementInterventional Pain Management
Interventional Pain ManagementVaibhav Kamath
 
Neuropathic Pain Presented At Primed 5.11.09
Neuropathic Pain Presented At Primed 5.11.09Neuropathic Pain Presented At Primed 5.11.09
Neuropathic Pain Presented At Primed 5.11.09London Pain Clinic
 
the role of anesthesiologist in pain management
the role of anesthesiologist in pain managementthe role of anesthesiologist in pain management
the role of anesthesiologist in pain managementDepartment of Anesthesiology, Faculty of Medicine Hasanuddin University
 
The Physiology Of Pain
The Physiology Of PainThe Physiology Of Pain
The Physiology Of PainHunyady
 
Managing pain after surgery short
Managing pain after surgery shortManaging pain after surgery short
Managing pain after surgery shortPainspecialist
 
Pain Management Current & Newer Modalities
Pain Management Current & Newer Modalities Pain Management Current & Newer Modalities
Pain Management Current & Newer Modalities Dr Sachin Pawar
 
Current Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain ManagementCurrent Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain Managementcpppaincenter
 
Pain management for nurses
Pain management for nursesPain management for nurses
Pain management for nursessadloni
 
Pain management
Pain managementPain management
Pain managementSami Ur Rehman
 
Pain management
Pain managementPain management
Pain managementDr. Ankit Gaur
 
Pharmacotherapy of Pain
Pharmacotherapy of PainPharmacotherapy of Pain
Pharmacotherapy of PainDrSnehaDange
 
Acute pain and its management
Acute pain and its managementAcute pain and its management
Acute pain and its managementDr Kumar
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain managementHriday Ranjan Roy
 
Recent advances in Pain treatment
Recent advances in Pain treatmentRecent advances in Pain treatment
Recent advances in Pain treatmentDr. Ashutosh Tiwari
 
Chronic pain syndromes
Chronic pain syndromes Chronic pain syndromes
Chronic pain syndromes Aftab Hussain
 
Interventional Pain Management In Cancer - P N Jain, MD MNAMS
Interventional Pain Management In Cancer - P N Jain, MD MNAMSInterventional Pain Management In Cancer - P N Jain, MD MNAMS
Interventional Pain Management In Cancer - P N Jain, MD MNAMSDepartment of Anesthesiology, Faculty of Medicine Hasanuddin University
 
Pain Management (General concepts and primary discussions)
Pain Management (General concepts and primary discussions)Pain Management (General concepts and primary discussions)
Pain Management (General concepts and primary discussions)Saeid Safari
 
Pain management ppt
Pain management pptPain management ppt
Pain management pptyashwant ramawat
 
Understanding Neuropathic pain
Understanding Neuropathic painUnderstanding Neuropathic pain
Understanding Neuropathic painDr. Rushikesh K. Joshi, PT
 
Neuropathic pain: an overview
Neuropathic pain: an overviewNeuropathic pain: an overview
Neuropathic pain: an overviewUniversity of the Witwatersrand
 
Pain management
Pain managementPain management
Pain managementAhmad Thanin
 
Cerebral monitoring
Cerebral monitoringCerebral monitoring
Cerebral monitoringsamirelansary
 
Ans + stellate ganglion block
Ans + stellate ganglion blockAns + stellate ganglion block
Ans + stellate ganglion blockAbhinav Gupta
 

Mais conteúdo relacionado

Mais procurados

Neuropathic Pain Presented At Primed 5.11.09
Neuropathic Pain Presented At Primed 5.11.09Neuropathic Pain Presented At Primed 5.11.09
Neuropathic Pain Presented At Primed 5.11.09London Pain Clinic
 
The Physiology Of Pain
The Physiology Of PainThe Physiology Of Pain
The Physiology Of PainHunyady
 
Managing pain after surgery short
Managing pain after surgery shortManaging pain after surgery short
Managing pain after surgery shortPainspecialist
 
Pain Management Current & Newer Modalities
Pain Management Current & Newer Modalities Pain Management Current & Newer Modalities
Pain Management Current & Newer Modalities Dr Sachin Pawar
 
Current Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain ManagementCurrent Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain Managementcpppaincenter
 
Pain management for nurses
Pain management for nursesPain management for nurses
Pain management for nursessadloni
 
Pharmacotherapy of Pain
Pharmacotherapy of PainPharmacotherapy of Pain
Pharmacotherapy of PainDrSnehaDange
 
Acute pain and its management
Acute pain and its managementAcute pain and its management
Acute pain and its managementDr Kumar
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain managementHriday Ranjan Roy
 
Recent advances in Pain treatment
Recent advances in Pain treatmentRecent advances in Pain treatment
Recent advances in Pain treatmentDr. Ashutosh Tiwari
 
Chronic pain syndromes
Chronic pain syndromes Chronic pain syndromes
Chronic pain syndromes Aftab Hussain
 
Pain Management (General concepts and primary discussions)
Pain Management (General concepts and primary discussions)Pain Management (General concepts and primary discussions)
Pain Management (General concepts and primary discussions)Saeid Safari
 

Mais procurados (20)

Neuropathic Pain Presented At Primed 5.11.09
Neuropathic Pain Presented At Primed 5.11.09Neuropathic Pain Presented At Primed 5.11.09
Neuropathic Pain Presented At Primed 5.11.09
 
the role of anesthesiologist in pain management
the role of anesthesiologist in pain managementthe role of anesthesiologist in pain management
the role of anesthesiologist in pain management
 
The Physiology Of Pain
The Physiology Of PainThe Physiology Of Pain
The Physiology Of Pain
 
Managing pain after surgery short
Managing pain after surgery shortManaging pain after surgery short
Managing pain after surgery short
 
Pain Management Current & Newer Modalities
Pain Management Current & Newer Modalities Pain Management Current & Newer Modalities
Pain Management Current & Newer Modalities
 
Current Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain ManagementCurrent Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain Management
 
Pain management for nurses
Pain management for nursesPain management for nurses
Pain management for nurses
 
Pain management
Pain managementPain management
Pain management
 
Pain management
Pain managementPain management
Pain management
 
Pharmacotherapy of Pain
Pharmacotherapy of PainPharmacotherapy of Pain
Pharmacotherapy of Pain
 
Acute pain and its management
Acute pain and its managementAcute pain and its management
Acute pain and its management
 
Post operative pain management
Post operative pain managementPost operative pain management
Post operative pain management
 
Recent advances in Pain treatment
Recent advances in Pain treatmentRecent advances in Pain treatment
Recent advances in Pain treatment
 
Chronic pain syndromes
Chronic pain syndromes Chronic pain syndromes
Chronic pain syndromes
 
Interventional Pain Management In Cancer - P N Jain, MD MNAMS
Interventional Pain Management In Cancer - P N Jain, MD MNAMSInterventional Pain Management In Cancer - P N Jain, MD MNAMS
Interventional Pain Management In Cancer - P N Jain, MD MNAMS
 
Pain Management (General concepts and primary discussions)
Pain Management (General concepts and primary discussions)Pain Management (General concepts and primary discussions)
Pain Management (General concepts and primary discussions)
 
Pain management ppt
Pain management pptPain management ppt
Pain management ppt
 
Understanding Neuropathic pain
Understanding Neuropathic painUnderstanding Neuropathic pain
Understanding Neuropathic pain
 
Neuropathic pain: an overview
Neuropathic pain: an overviewNeuropathic pain: an overview
Neuropathic pain: an overview
 
Pain management
Pain managementPain management
Pain management
 

Destaque

Ans + stellate ganglion block
Ans + stellate ganglion blockAns + stellate ganglion block
Ans + stellate ganglion blockAbhinav Gupta
 
Pain in surgery
Pain in surgeryPain in surgery
Pain in surgeryvimal24th
 
Modified stellate ganglion block
Modified stellate ganglion blockModified stellate ganglion block
Modified stellate ganglion blockAshok Jadon
 
Paravertebral Cevical Sympathetic Block
Paravertebral Cevical Sympathetic BlockParavertebral Cevical Sympathetic Block
Paravertebral Cevical Sympathetic Blockcairo1957
 
Nerve Blocks in Head and Neck
Nerve Blocks in Head and NeckNerve Blocks in Head and Neck
Nerve Blocks in Head and Neckanishaiswarya
 
Pain and pain pathways
Pain and pain pathwaysPain and pain pathways
Pain and pain pathwaysDhwani Gohil
 

Destaque (10)

Cerebral monitoring
Cerebral monitoringCerebral monitoring
Cerebral monitoring
 
Ans + stellate ganglion block
Ans + stellate ganglion blockAns + stellate ganglion block
Ans + stellate ganglion block
 
Cervical sympathectomy
Cervical sympathectomyCervical sympathectomy
Cervical sympathectomy
 
Pain in surgery
Pain in surgeryPain in surgery
Pain in surgery
 
Modified stellate ganglion block
Modified stellate ganglion blockModified stellate ganglion block
Modified stellate ganglion block
 
Paravertebral Cevical Sympathetic Block
Paravertebral Cevical Sympathetic BlockParavertebral Cevical Sympathetic Block
Paravertebral Cevical Sympathetic Block
 
Nerve Blocks in Head and Neck
Nerve Blocks in Head and NeckNerve Blocks in Head and Neck
Nerve Blocks in Head and Neck
 
PAIN AND SURGERY
PAIN AND SURGERYPAIN AND SURGERY
PAIN AND SURGERY
 
Ppt on cpr
Ppt on cprPpt on cpr
Ppt on cpr
 
Pain and pain pathways
Pain and pain pathwaysPain and pain pathways
Pain and pain pathways
 

Semelhante a Pain Management

Assessment and management of pain
Assessment and management of painAssessment and management of pain
Assessment and management of painDwiKartikaRukmi
 
Pain And Comfort
Pain And ComfortPain And Comfort
Pain And Comfortpinoy nurze
 
Pain.ppt
Pain.pptPain.ppt
Pain.pptShama
 
pain. Medical Surgical Nursing ......pptx
pain. Medical Surgical Nursing ......pptxpain. Medical Surgical Nursing ......pptx
pain. Medical Surgical Nursing ......pptxPatelVedanti
 
Nervous System, types of pain and pain pathways.
Nervous System, types of pain and pain pathways.Nervous System, types of pain and pain pathways.
Nervous System, types of pain and pain pathways.Teenu Thaikkanath
 
pain_management.ppt
pain_management.pptpain_management.ppt
pain_management.pptHappyZaini
 
Management oF Chronic Pain-- Seminar.pptx
Management oF Chronic Pain-- Seminar.pptxManagement oF Chronic Pain-- Seminar.pptx
Management oF Chronic Pain-- Seminar.pptxssusera931bd
 
Role of anaesthesiologist in management of cancer pain
Role of anaesthesiologist in management of cancer painRole of anaesthesiologist in management of cancer pain
Role of anaesthesiologist in management of cancer painDrUday Pratap Singh
 

Semelhante a Pain Management (20)

Pain And Comfort
Pain And ComfortPain And Comfort
Pain And Comfort
 
Assessment and management of pain
Assessment and management of painAssessment and management of pain
Assessment and management of pain
 
Pain And Comfort
Pain And ComfortPain And Comfort
Pain And Comfort
 
Pain Management
Pain ManagementPain Management
Pain Management
 
Pain.ppt
Pain.pptPain.ppt
Pain.ppt
 
Pain
PainPain
Pain
 
Reporting Pain Codes
Reporting Pain CodesReporting Pain Codes
Reporting Pain Codes
 
pain and its management
pain and its managementpain and its management
pain and its management
 
Pain management
Pain managementPain management
Pain management
 
Pain management
Pain management Pain management
Pain management
 
pain. Medical Surgical Nursing ......pptx
pain. Medical Surgical Nursing ......pptxpain. Medical Surgical Nursing ......pptx
pain. Medical Surgical Nursing ......pptx
 
Pain management
Pain managementPain management
Pain management
 
PAIN MANAGEMENT
PAIN MANAGEMENTPAIN MANAGEMENT
PAIN MANAGEMENT
 
Nervous System, types of pain and pain pathways.
Nervous System, types of pain and pain pathways.Nervous System, types of pain and pain pathways.
Nervous System, types of pain and pain pathways.
 
Chronic pain management
Chronic pain managementChronic pain management
Chronic pain management
 
pain_management.ppt
pain_management.pptpain_management.ppt
pain_management.ppt
 
Management oF Chronic Pain-- Seminar.pptx
Management oF Chronic Pain-- Seminar.pptxManagement oF Chronic Pain-- Seminar.pptx
Management oF Chronic Pain-- Seminar.pptx
 
Role of anaesthesiologist in management of cancer pain
Role of anaesthesiologist in management of cancer painRole of anaesthesiologist in management of cancer pain
Role of anaesthesiologist in management of cancer pain
 
Medco CE - Topical Pain Management
Medco CE - Topical Pain ManagementMedco CE - Topical Pain Management
Medco CE - Topical Pain Management
 
Pain
PainPain
Pain
 

Último

Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 

Último (20)

Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 

Pain Management

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Exercise Non-opioids Weak opioids +/- non-opioids +/- adjuvant Strong opioids Recovery Operation Treatment of Pain
  • 22. Exercise Non-opioids Weak opioids +/- non-opioids Strong opioids Recovery Operation Treatment of Pain World of Misery
  • 23. Exercise Non-opioids Weak opioids +/- non-opioids Strong opioids Recovery Operation Treatment of Pain IPM
  • 24. IPM
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.