Chronic pain

Douleur

3. Are prescription opioids the most effective type of pain medication for all types of chronic pain?

Prescription opioids are effective for treating some types of pain, for example, pain after surgery or from an injury. They are not effective for functional pain such as migraine, fibromyalgia or irritable bowel. It’s important to know that other families of drugs can relieve pain. The choice of product is usually determined based on the type of pain you have. Your doctor may decide not to use an opioid because it is not an effective option for your medical condition.

2. I’m a user and I’m seeing a doctor at a pain clinic. Why can’t I chew some opioid tablets even though I think it makes the treatment more effective?

Some tablets are meant to release the medication over 12 and sometimes 24 hours. This is called extended-release medication and the goal is to provide long-lasting relief. Chewing or breaking the tablet can change how long the medication is effective for. You will not be relieved for the full length of time.

1. I’m a family physician. When treating pain, at what dose of short-acting opioid can I switch to a long-acting opioid?

It’s not so much a matter of dose as type of pain. For acute pain, which shouldn’t last long and should be relieved fairly quickly, it’s appropriate to use short-acting opioids, with some prescribed on an as-needed basis. This way, treatment can be adjusted to the user’s rapidly evolving situation.

For subacute pain, which will probably last longer, it’s appropriate to provide baseline analgesia with a long-acting opioid.

Réseaux universitaires intégrés de santé (RUIS) • Fibromyalgie

Submitted by webmestre_cran on Tue, 03/01/2016 - 19:08

Il s’agit de quatre réseaux rattachés respectivement aux universités Laval, McGill, de Montréal et de Sherbrooke. Les RUIS ont été créés afin de favoriser la concertation, la complémentarité et l'intégration des missions de soins, d'enseignement et de recherche des établissements de santé ayant une désignation universitaire et des universités auxquelles sont affiliés ces établissements.
 
Pour le traitement de la fibromyalgie : Université de Sherbrooke

My Tool Box Chronic Pain Self-Management Program

McGill University Health Centre (MUHC)

Program for patients and their families

Based on the Stanford Program “My Tool Box”, the MUHC program is a free six-week program for patients living with chronic diseases and their families. It is designed to teach people the skills they need to live well with chroni.c health conditions such as chronic pain. These fun, practical and interactive workshops emphasize coping strategies and practical skills.

Graduate Microprogram in Pain Assessment and Management

Université de Sherbrooke

This training program is designed to help participants understand the physiology of pain and propose appropriate therapeutic approaches; learn how to assess pain using appropriate assessment tools; propose pain management interventions in both simple and complex situations and for targeted patient groups; and work in interdisciplinary collaboration to relieve pain.

Continuing professional development day “Discutons douleur!” [Let’s talk about pain; available in French only]

Collège des médecins du Québec

With its practical, clinical scenario–based approach, this workshop is designed to assist physicians and other health professionals in the assessment and management of patients with chronic non-cancer pain.

Next workshops:

Montreal
February 8, 2017, 13:00 – 16:15, May 3 and June 14, 2017

Service d'avis d'expert en douleur chronique, Centre d'expertise en gestion de la douleur chronique du Réseau universitaire intégré de santé de l'Université de Montréal [Expert support service for the treatment of chronic pain, RUIS, UdM]

This program is a telephone support service provided to primary care physicians by specialist physicians. The goal is to provide clinical support and advice about pharmacological modalities, specific interventions for the treatment of chronic pain and associated pathologies.

The service in six steps:

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