Chronic Pain Management | Anesthesiology and Perioperative Medicine | School of Medicine

Pain is an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage. Chronic pain is pain that persists or recurs for longer than 3 months. Chronic pain is multifactorial: biological, psychological and social factors contribute to the pain syndrome.

Chronic pain affects an estimated 20% of people worldwide and accounts for nearly one in five physician visits. Furthermore, chronic pain is one of the leading causes of the global burden of disease.

https://www.iasp-pain.org/advocacy/icd-11-pain-classification/

Faculty

Chronic Pain Clinic

Kingston Health Sciences Center - Hotel Dieu Hospital site, Jeanne Mance, Level 3

Educational Resources

Reference Articles

2024 Canadian Opioid Prescribing Guidelines
Cohen SP, Vase L, Hooten WM. Chronic pain: an update on burden, best practices, and new advances. Lancet. 2021 May 29;397(10289):2082-2097. doi: 10.1016/S0140-6736(21)00393-7. PMID: 34062143.
Fitzcharles MA, Cohen SP, Clauw DJ, Littlejohn G, Usui C, Häuser W. Nociplastic pain: towards an understanding of prevalent pain conditions. Lancet. 2021 May 29;397(10289):2098-2110. doi: 10.1016/S0140-6736(21)00392-5. PMID: 34062144.
Knotkova H, Hamani C, Sivanesan E, Le Beuffe MFE, Moon JY, Cohen SP, Huntoon MA. Neuromodulation for chronic pain. Lancet. 2021 May 29;397(10289):2111-2124. doi: 10.1016/S0140-6736(21)00794-7. PMID: 34062145.
Tully J, Jung JW, Patel A, Tukan A, Kandula S, Doan A, Imani F, Varrassi G, Cornett EM, Kaye AD, Viswanath O, Urits I. Utilization of Intravenous Lidocaine Infusion for the Treatment of Refractory Chronic Pain. Anesth Pain Med. 2021 Jan 2;10(6):e112290. doi: 10.5812/aapm.112290. PMID: 34150583; PMCID: PMC8207879.
Cohen SP, Bhatia A, Buvanendran A, Schwenk ES, Wasan AD, Hurley RW, Viscusi ER, Narouze S, Davis FN, Ritchie EC, Lubenow TR, Hooten WM. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists. Reg Anesth Pain Med. 2018 Jul;43(5):521-546. doi: 10.1097/AAP.0000000000000808. PMID: 29870458; PMCID: PMC6023575.

Textbooks

Bonica's Management of Pain, 5th edition. Wolters Kluwer 2018.
Practical Management of Pain, 6th edition. Elsevier 2022.
Miller’s Anesthesia, 10th Edition. Elsevier 2024. Chapter 47 - Management of the Patient with Chronic Pain.
Barash Clinical Anesthesia, 9th Edition. Wolters Kluwer 2023. Chapter 56 - Chronic Pain Management.