Medical Training AINon-Opioid Chronic Pain Management
Build a structured, multimodal approach to chronic pain that reduces reliance on opioids while addressing the physical, psychological, and functional dimensions of the patient's pain.
What this track covers
This track covers the pathophysiology of chronic pain, including central sensitization and the distinction between neuropathic and nociceptive pain, and applies it to real-world treatment planning. It walks through non-opioid pharmacologic options, multimodal strategies combining physical and behavioral therapies, and the clinical judgment needed to decide when interventional referral or careful opioid use is appropriate.
What you will practice
- Differentiate neuropathic, nociceptive, and centrally sensitized pain presentations
- Select non-opioid agents based on pain type, comorbidities, and prior response
- Build a multimodal plan combining pharmacologic, physical, and behavioral components
- Recognize when to refer for interventional procedures versus continued conservative management
- Apply risk assessment and monitoring principles when opioid therapy is being considered
Simulator scenario
A patient with longstanding low back pain and features of central sensitization returns for a medication review after limited relief from NSAIDs, prompting a multimodal treatment plan discussion.
Board question topics
- Central sensitization vs. peripheral pain mechanisms
- Non-opioid pharmacotherapy selection
- Indications for interventional pain referral
- Risk assessment before opioid therapy
Ask the tutor
The tutor only answers from licensed sources (FDA prescribing information, public guidelines and our own material) and says when it has none. Educational use only, never patient-specific advice.
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