WORKING TOGETHER WHEN FACING CHRONIC PAIN CHRONIC FACING WHEN TOGETHER WORKING WORKING TOGETHER Working together when facing chronic pain is above all intended to give people suffering from any form of chronic pain food for thought and information about a large number of tools and treatments, WHEN FACING as well as about the physiological, psychological and social aspects of pain. The loved ones of an individual suffering from chronic pain may also benefit significantly from this book since it will enable CHRONIC PAIN them to persevere in the search for short-, medium- and long- term solutions, in order to return to a more active, even a normal life. This work is also intended for all health professionals who want to learn more about the issues and aspects specific A BOOK DESIGNED FOR PATIENTS to chronic pain, and benefit from the experience of their colleagues AND WRITTEN BY THEIR HEALTH PROFESSIONALS and the testimonials of patients. Education about chronic pain is one of the solutions to which this book opens doors. www.productionsodon.com The printing and translation of this book was funded through an educational grant from Pfizer Canada Inc. $40 CAD ISBN 978-0-9810478-1-2 Printed in Canada WORKING TOGETHER WHEN FACING CHRONIC PAIN A book designed for patients and written by their health professionals Laval, Quebec, Canada www.productionsodon.com [email protected] DISCLAIMER It is agreed that neither the authors nor the translators are responsible for the consequences of any decision based on the information provided in this book, or any error or omission. The editor does not provide professional services. The editor, the authors and the translators reject any responsibility towards anyone whomsoever, whether they purchase a copy of the book or, with respect to anything whatsoever and the conse- quences of any action or omission made by anyone whomsoever in keeping with all or part of the content of this book. The material contained in this book is provided for information purposes only and cannot in any manner replace the advice of a health pro- fessional. It is recommended that a health professional be consulted as soon as a medical condition appears. © All rights reserved. Any reproduction of any extract whatsoever of this work by any means whatsoever, and specifically by means of photocopying or digitization, is strictly prohibited without the written authorization of the editor. Bibliothèque et Archives nationales du Québec and Library and Archives Canada cataloguing in publication Main entry under title: Working together when facing chronic pain: a book designed for patients and written by their health professionals Translation of: Faire équipe face à la douleur chronique. Includes bibliographical references. ISBN 978-0-9810478-1-2 1. Chronic pain. 2. Chronic pain - Treatment. 3. Patient participation. I. O’Donnell-Jasmin, Louise, 1957- . II. Boulanger, Aline, 1959- . RB127.F3413 2010 616’.0472 C2009-904865-5 Published by Les Productions Odon inc. Cover design: Katrine Jasmin, Créations DG Cover art copyright: iStock photo Linguistic revision: Shannon Bannock, Qu’Appelle Communications, [email protected] (foreward, chapters 2, 8, 12, 19, 20, 26, 27, 31, 41, 42, 45, 46, 48, 51, 52, testimonials by Gary Blank, Terry Bremner, Morris K., Louise O’Donnell-Jasmin, Helen Small, Janice Sumpton, Helen Tupper) Translation: Sheryl Curtis, Les Communications WriteTouch (chapters 1, 3, 4, 5, 6, 7, 9, 10, 13, 14, 15, 16, 17, 18, 22, 24, 25, 28, 29, 30, 32, 33, 34, 35, 36, 37, 38, 39, 44, 47, 49, 50, 53, 54, 55, 56, 57, 58; testimonials by Line Brochu, André Léonelli, Lucie Moisan, Louise O’Donnell-Jasmin, Mélanie R.); Louise O’Donnell-Jasmin (chapter 23) Production: Katrine Jasmin, Créations DG; Louis-Philippe Verrier, karibü Proofreading: Les Productions Odon inc © Les Productions Odon inc. To buy or distribute this book: Visit our web site at: www.productionsodon.com Email: [email protected] Legal Deposit- 3rd Trimester 2010 Bibliothèque nationale du Québec Bibliothèque nationale du Canada Printed in Quebec (Canada) Please note that the editor has opted for Canadian spelling in this book. TABLE OF contentS ForewarD Dr. G. Lorimer Moseley NHMRC Senior Research Fellow AcknowLEDGEMENTS Louise O’Donnell-Jasmin, BEd, Laval, Quebec, Canada SECTION 1 UNDERSTANDING CHRONIC PAIN 1 CHAPTER 1 Introduction 3 Louise O’Donnell-Jasmin BEd CHAPTER 2 Pain assessment 5 Dr. Mark Ware MBBS MRCP (UK), MSc CHAPTER 3 Neuropathic pain 11 Dr. René Truchon MD, FRCPC, anaesthesiologist CHAPTER 4 Complex regional pain syndrome (CRPS) 25 Dr. Dat-Nhut Nguyen MD, anaesthesiologist Josée Boucher PRT CHAPTER 5 Fibromyalgia: pain without end! 35 Dr. Pierre Arsenault PhD, MD, CPI Dr. Alain Béland MSc, MD, FRCPc CHAPTER 6 Fibromyalgia: a story for children 53 Christine Fogl Lucie Bouvrette-Leblanc, BSc OT, MAP (candidate) CHAPTER 7 Migraines and chronic daily headaches 63 Dr. Stéphanie Jacques MD, FRCPC, neurologist CHAPTER 8 Chronic low back pain 67 Dr. Benoît Lavignolle MD, PhD CHAPTER 9 A better understanding of orofacial pain 77 Dr. Jean-Paul Goulet DDS, MSD, FRCD(c), specialist in oral medicine CHAPTER 10 The role played by the dentist in chronic orofacial pain 85 Éric Lessard DMD, FAAHD, Fellow AAOP, Diplomate ABOP, Diplomate ABOM, Diplomate ABSCD CHAPTER 11 Understanding and managing the interaction between 93 sleep and pain: an update for the dentist Maryse Brousseau DMD, MSc Christiane Manzini Norman Thie BSc, MSc, DDS, Diplomat ABOP, Fellow AAOM Dr. Gilles Lavigne DMD, MSc, FRCD(C) CHAPTER 12 Chronic pain in children and adolescents 101 Christina Rosmus RN, MSc Dr. Céleste Johnson RN, DEd, FCAHS CHAPTER 13 Geriatrics and pain management 109 Dr. Yvon A. Beauchamp MD, CCFP CHAPTER 14 Chronic pain research in Quebec: uncovering the mysteries of pain 125 Luc Dupont, scientific journalist TESTIMONIALS Terry Bremner 10 Line Brochu CAdm 24 Helen Tupper 60, 76 Louise O’Donnell-Jasmin BEd 84 Morris K. 100 Gary Blank 124 SECTION 2 PSYCHOLOGICAL AND SOCIAL ASPECTS OF CHRONIC PAIN 127 CHAPTER 15 Psychological and social aspects of chronic pain 129 Dr. Juliana Barcellos de Souza Pht, PhD CHAPTER 16 Perceptions and expressions of pain 133 Dr. Juliana Barcellos de Souza Pht, PhD CHAPTER 17 Pain and emotions: the benefits of emotional regulation 137 Stéphanie Cormier PhD candidate (Psychology) CHAPTER 18 Chronic pain and disability: the benefits of psychology 145 Dr. Simon Laliberté, PhD, psychologist Dr. Michael J. L. Sullivan. PhD, psychologist CHAPTER 19 Working with chronic pain suffers: a psychologist’s reflections 149 Dr. Ann Gamsa PhD, psychologist CHAPTER 20 Why you should see a pain management psychiatrist 163 Dr. Sarah Whitman MD, psychiatrist CHAPTER 21 Surviving a loved one’s chronic pain - a guide for family 167 and friends of pain patients Dr. David Kannerstein PhD, psychologist Dr. Sarah Whitman MD, psychiatrist CHAPTER 22 Mood disorders and chronic pain: when pain 175 is synonymous with unhappiness... Dr. Guylène Cloutier MD, psychiatrist TESTIMONIALS Gary Blank 132 Lucie Moisan 136 Mélanie R. 144 Gary Blank 162 Lucie Moisan 174 SECTION 3 TREATMENT OPTIONS AND PAIN MANAGEMENT 179 CHAPTER 23 Smart managing of your capacities 181 Dr. Jacques Charest PhD, psychologist Dr. Dat-Nhut Nguyen MD, anaesthesiologist CHAPTER 24 Chronic pain prevention 195 Dr. Dat-Nhut Nguyen MD, anaesthesiologist Dr. Jacques Charest PhD, psychologist CHAPTER 25 The patient’s role 211 Dr. Juliana Barcellos de Souza Pht, PhD CHAPTER 26 Sleep and chronic pain 219 Dr. Sarah Whitman MD, psychiatrist CHAPTER 27 Breathing, relaxation and visualization exercises 223 Dr. Sarah Whitman MD, psychiatrist CHAPTER 28 Physical activity: a tool and a necessity for the patient 227 Dr. Pierre Beaulieu MD, PhD, FRCAD CHAPTER 29 Chronic pain and clinical hypnosis 237 Gaston Brosseau, psychologist CHAPTER 30 Medications 241 Dr. Aline Boulanger MD, FRCPC, MPH, anaesthesiologist CHAPTER 31 Medications for the pediatric patient in chronic pain 247 Janice Sumpton RPh, BSc Phm CHAPTER 32 The role of the pharmacist in chronic pain management 257 Andrée Néron BPharm, DPH CHAPTER 33 Managing chronic pain: the role of the nurse 267 Dr. Patricia Bourgault RN, PhD Dave Bergeron RN, BSc CHAPTER 34 Invasive therapies: neuromodulation 273 Dr. Christian Cloutier BSc, MD, FRCPC, neurosurgeon CHAPTER 35 Teamwork in physical rehabilitation... when facing chronic pain 279 Lucette Chabot Pht Marie-Josée Gobeil OT CHAPTER 36 The place of physiotherapy in the treatment of nociceptive, 291 neuropathic and chronic pain Paul Castonguay Pht, MSc, FCAMT, ISTP CHAPTER 37 Occupational therapy and chronic pain 301 Lucie Bouvrette-Leblanc, BSc OT, MAP (candidate) CHAPTER 38 Acupuncture and chronic pain 311 Sylvain Cardinal Ac CHAPTER 39 Acupuncture, osteopathy and yoga: thinking differently 315 about chronic pain Pierre Beauchamp Ac, DO CHAPTER 40 Treating chronic non-cancer pain – time for a change? 323 Dr. Yoram Shir MD, anaesthesiologist CHAPTER 41 Living with pain: tools to help yourself - a testimonial 329 Penny Cowan CHAPTER 42 Living with complex regional pain syndrome (CRPS): a testimonial 333 Helen Small BA, BEd TESTIMONIALS Janice Sumpton RPh, BSc Phm 194, 222 Morris K. 246 Louise O’Donnell-Jasmin BEd 266 Morris K. 300, 310 Louise O’Donnell-Jasmin BEd 328 Helen Small BA, BEd 340 SECTION 4 PATIENT AssOCIATIONS IN CANADA, QUEBEC AND THE UNITED STATES 341 CHAPTER 43 Canadian Pain Coalition (CPC) 343 Lynn Cooper BES CHAPTER 44 Association québécoise de la douleur chronique (AQDC) - 345