Veidlapa Nr. M-3 (8)
Study Course Description
Specific Pain Syndromes
Course Code
RAL_006
Branch of Science
Anaesthesiology and Resuscitation; Clinical medicine
ECTS
17.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ināra Logina
Residency Speciality
Speciality
Algology
Supervisor of Medical Speciality
Ināra Logina
Contacts
-
About Study Course
Objective
To ensure the acquisition and development of theoretical knowledge and practical skills in order to learn the mechanisms of specific most common pain syndromes, evaluation, investigation thereof and provision of multi-modal therapy and care.
Learning Outcomes
Knowledge
1.The student demonstrates the acquisition and development of in-depth understanding of the mechanisms of acute post-surgical and post-manipulation pain, post-traumatic pain, headaches, musculoskeletal pain, including back aches, oncological pain, various types of visceral, vascular, neuropathic and dysfunctional pain syndromes, evaluation, examination thereof and provision of multi-modal therapy and care that conform to the requirements of sub-speciality. The student defines the clinical significance and manifestations of these most common functional disorders caused by pain. The student interprets the results of clinical and instrumental examinations.
Skills
1.The student uses the skills of evaluating and diagnosing acute post-surgical and post-manipulation pain, post-traumatic pain, headaches, musculoskeletal pain, including back pain, oncological pain, various types of visceral, vascular, neuropathic and functional disorders caused by these in order to perform the professional functions of a qualified specialist in pain syndrome care and performs the manipulations provided for by the programme.
Competences
1.The student formulates and critically analyses acute post-surgical and post-manipulation pain, post-traumatic pain, headaches, musculoskeletal pain, including back pain, oncological pain, various types of visceral, vascular, neuropathic and dysfunctional pain syndromes, evaluates research trials in the area of fundamental and practical science on pain medicine, performs the required additional analysis, if the substantiation of a decision is required, demonstrates understanding and ethical responsibility on the results of professional activity of an algologist.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
To perform constant rotations of clinical work with patients within the framework of the cycle.
To perform a clinical study within the framework of an individual research work.
Independent studies of literature and seminar materials.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
10 points
|
|
The final assessment of the course consists of: 1. All manipulations provided for by the programme have been performed in the required amount - 20% 2. Full volume of each rotation cycle has been acquired - 50%. 3. Successfully passed the knowledge test (75% of the answers are correct) - multiple-choice test - 30% |
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Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Headaches
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Orofacial pain
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Neuropathic pain. The most common types. Pharmacotherapy of neuropathic pain
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Dysfunctional and somatoform (nociplastic) pain
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Back pain - the principles of modern care
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Rheumatological diseases - causes of chronic pain
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Shoulder and arm pain syndromes - orthopedic causes of diseases
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Pelvic pain syndromes - orthopedic causes of diseases
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Leg pain syndromes - orthopedic causes of diseases
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
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Topics
|
Back disease - a vertebrological aspect. Indications for operative therapy
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Pelvic pain syndrome
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Pain caused by vascular diseases
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Visceral pain: abdominal pain
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Visceral pain: chest pain
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Acute postoperative and manipulative pain
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
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Topics
|
Back pain: Possibilities of visual diagnostics in the objectification of pain
|
Total ECTS (Creditpoints):
17.00
Number of Residency Seminars:
16
Length (weeks):
14
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Sāpes. Prof. Ināras Loginas redakcijā. Medicīnas apgāds, Rīga. 2013, 397 lpp
2.
Klīniskās vadlīnijas "Muguras lejas daļas sāpes primārajā veselības aprūpē"
3.
Logina, Ināra. „Muguras sāpes”. 2006.
4.
Cruccu, G., Anand, P., Attal, N., et al. EFNS guidelines on neuropathic pain assessment. Eur J. Neurol 2004; 11: 153– 162.
5.
EFNS guidelines on neuropathic pain assessment: revised 2009/ G. Cruccu, et all. European Journal of Neurology, 2010, 17: 1010–1018
6.
Cruccu, G., Truini, A. Tools for assessing neuropathic pain. PLoS Med, 2009; 6: e1000045
7.
EFNS guidelines on pharmacological treatment of neuropathic pain. Attal N, etal; Eur J. Neurol. 2006; 13(11): 1153-69.
Additional Reading
1.
Scholz, J., Mannion, R. J., Hord, D. E., et al. A Novel Tool for the Assessment of Pain: Validation in Low Back Pain. PLoS Med 6(4):e1000047. 2009.
2.
Bērziņš, J., Dumbere, R. „Lokālās neiropātijas”. 2005.
3.
Hardy, Paul A. J. Chronic pain management: the essentials. U.K.: Greenwich Medical Media. 1997.
4.
Main, Chris J., Spanswick, Chris C. Pain management: an interdisciplinary approach. Churchill Livingstone. 2000.
5.
Fausett, Hilary, J., Warfield, Carol A. Manual of pain management. Hagerstwon, MD: Lippincott Williams & Wilkins, 2002.
6.
Bajwa, Zahid H., Warfield, Carol A. Principles and practice of pain medicine. New York: McGraw-Hill, Medical Publishing Division. 2004.
7.
Waldman, Steven D. Pain Management. Philadelphia: Saunders. 2006.
8.
Iļķēns, G. Muguras sāpes. 2010.
9.
Sosārs, V., Albina, I. Sāpju problēmas gerontoloģijā un neiropātiskās sāpes paliatīvajā aprūpē. 2009.
10.
Juergen, Kraemer. Intervertebral Disk Diseases: Causes, Diagnosis, Treatment and Prophylaxis. Kindle Edition, 2008.
Other Information Sources
1.
efoc
2.
iasp-pain