Intro to Clinical Pain MGMT (Muzyk)

SOCRATES stands for:

Site

Onset

Character

Radiation

Associated symptoms

Time

Exacerbating/relieving

Severity

Which is used to assess...

acute pain

PQRST can be used instead of SOCRATES and stands for:

Provocative/Palliative

Quality

Region or radiation

Severity

Time

PQRST is used to assess...

acute pain

T/F: Pain intensity i.e. Numeric Rating Scale (NRS) is objective and a vital sign. It should be a sole factor for determining treatment.

False

PEG score (Pain, Enjoyment of life, General activity) is a validated tool for...

chronic pain

What is the bare minimum percentage of pain improvement is clinically meaningful for chronic pain?

30%

Which tool can be used to assess pain intensity if the NRS cannot be used?

visual analog scale

A patient comes in and reports spraining their ankle. In the conversation, they mention hearing a cracking sound. Looking closer, their ankle looks slightly deformed.

What should you tell the patient?

Go see a doctor to get imaging done

For acute MSK injuries, RICE is recommended which stands for...

Rest

Ice

Compression

Elevate

T/F: For acute MSK injuries, if RICE and gentle ROM exercises result in slow improvement after a week, the patient should consider PT

True

Which drugs are excellent 1st line treatment for acute MSK injuries?

OTC NSAIDs