Module 3: Nociplastic Pain
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Module 3: Nociplastic Pain
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This week’s case is about Edward, who is a 45 y/o male patient experiencing chronic abdominal pain for over five years. The patient has had multiple CT scans, endoscopies, and other procedures without clear etiology of pain – his GI doctor has diagnosed him with irritable bowel syndrome and painful, daily chronic abdominal migraines. The patient has tried multiple medications – and is currently on a fentanyl patch and oxycodone for breakthrough pain. On exam, the patient has TTP out of proportion and complains of poor function and pain management. He also complains of significant anxiety and depression due to his pain. In today’s microlearning, we are going to discuss the concept of nociplastic pain, how to make the diagnosis, and how treatment of these pain types differs from other types of pain management.