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Beverly: Burning Mouth Syndrome and Related Orofacial Pain

Beverly is a middle-aged woman with pain in the roof of her mouth, tongue and occasionally sides of her mouth.

Catherine: Chronic Pain with Multiple Co-Morbidities, Using Measurement-Based Tools

Catherine is a 46-year-old woman with Chronic Low Back Pain (CLBP), obesity, poorly controlled diabetes with peripheral neuropathy, and ankle pain on high dose opioids for past 4 years.

Christine: Orofacial Pain

Christine is a 30-year-old woman referred by her local ENT doctor. She says she's experiencing excruciating pain in her jaw.

Edna: An Older Adult with Chronic Low Back Pain

Edna is a 70-year-old woman with chronic low back pain.  After completing the course, you should be able to differentiate the weak link and the treatment targets in older adults with chronic low back pain, articulate realistic treatment expectations for chronic non-cancer pain, and describe a rational stepped care treatment approach for older patients with chronic low back pain.

Eric: Acute Pain Management in Patients with Opioid Use Disorder

Eric is a 23-year-old man actively using IV heroin. He presents with right leg pain and swelling after injecting heroin into the muscle. 

Maeve: Ear Pain

Maeve, a 28-year-old female with limited access to dental care and no dental insurance, is seen with a chief complaint of right temporomandibular pain causing pain in the right ear.

Mary: Pain in a Patient with Metastatic Cancer

Mary is a 74 year old woman with a history of breast cancer metastatic to the ribs, hypertension, and osteoarthritis. She complains of newly developed right-sided hip pain.

Melissa: Medication Overuse Headache

Recognizing medication overuse headache in patients presenting with chronic migraine. In this case study, we present a 39-year-old woman who has been experiencing near daily headache for the last 4 months and her successful treatment.

Morgan: Adolescent Headache Case

This is a case of a fourteen year old girl with worsening headaches. The case covers four months, beginning with entries into her video diary ("vlog" or "video blog"). She explores several approaches to headache management in a series of encounters with health professionals.

Mr. Lane: Acute Farm Injury with Chronic Pain

This case presentation follows a 43-year-old farmer named Mr. Lane who injured his right arm after it got stuck in a combine. He was then air lifted to a tertiary care center. The case includes Mr. Lane's initial injury, acute pain, and the development of chronic pain and acute on chronic pain.

Mr. Wakefield: Wounded Warrier

Mr. Wakefield is a young Army veteran with chronic low back pain and depression. His physical exam demonstrates musculoskeletal pain and lumbar facet arthropathy (joint pain in his lower back).

Ms. Rhodes: Chronic Pelvic Pain

Ms. Rhodes is a 46-year-old woman with CPP: Stage IV endometriosis (cyclic component of pain treated with continuous oral contraceptives), abdominal and pelvic floor muscle pain, vestibulodynia, IBS with constipation, possible IC, anxiety and depression and sexual dysfunction.

Owen: Opioid Overdose Risk and Naloxone

Owen Jones is a 46-year-old man who presents for followup of low back pain with intermittent radicular symptoms and numbness which started ~ 2 years ago following a lifting related injury. He describes the pain as, "Sharp, pinching, and sore."

Pam: Post-Mastectomy Pain Syndrome

Pam is a 41-year-old woman diagnosed with breast cancer approximately one year ago. Pam underwent treatment including a bilateral mastectomy and subsequent breast reconstruction. Now she is experiencing pain that she feels should be improving.

Peter James: A Veteran with Phantom Limb Pain

Peter James is a 49-year-old veteran with phantom limb pain. While in the reserves he was injured by an IED in Afghanistan. His lower left leg was amputated at Walter Reed. He  wants to better control his phantom limb pain so he can take on a farm management opportunity.