Patient’s Bill Of Rights American Academy of Pain Management’s
    posted 10/16/2001

Pain Glossary of Terms
    posted 10/16/2001

Controlled substance and intractable pain James Morris, M.D.
    posted 03/14/2003

THE PRACTITIONER’S GUIDE TO "FUNCTIONAL OVERLAY" IN ILLNESS & PAIN:
ARE YOU SURE THERE ISN’T AN UNDERLYING PSYCHOLOGICAL PROBLEM! 		by Ron Lechnyr, PhD
and Henry Holmes, MD
Health care providers frequently encounter patients whose emotional issues, coping style, and psycho-social factors complicate the clinical picture.  
Though  all types of physical illnesses and problems have psychological issues that need to be considered in the delivery of services, there are some patient’s whose response style makes the diagnostic picture more confusing.
    posted 04/08/2001

MYOFASCIAL SOFT-TISSUE DISORDERS:
THE MISUNDERSTOOD ISSUE IN CHRONIC PAIN
by Ron Lechnyr, PhD
Chronic pain disorders, defined as a chronic disorder that has gone on longer than six months, are not always well understood by the medical or psychological community.  In efforts to understand them extensive physical examinations, CAT, MRI, x-ray, and laboratory tests are completed in order to find some “concrete evidence” that a “real problem” exists.  Even when the results of these examinations are found to be within normal limits, many patients continue to complain about their pain problems well beyond what most health care providers have considered would be appropriate for a particular injury, or related, problem.     posted 04/10/2001

PAIN MANAGEMENT:
SECRETS EVERY PROVIDER SHOULD KNOW & DO!
by Ron Lechnyr, Ph.D, D.S.W.
Providing treatment services for chronic pain patients requires a whole new set of skills and awareness.  There are unique challenges, approaches, and outcomes that need to be considered.    Issues of bias, the influence of “third party players,” and the patients own unique psychological response to a injury/disability/illness are all factors that need to be acknowledged and understood.       posted 04/17/2001

SETBACKS, FLARE-UPS & RELAPSE PREVENTION:
SECRETS YOUR MOTHER DIDN?T TELL YOU!
by Ron Lechnyr, Ph.D, D.S.W.
One of the most difficult challenges faced by professionals and patients alike, relates to how one deals with the issues of making changes in personal behavioral patterns.  Many different issues influence how we respond to change.  Still other things relate to how we are able to maintain changes in our lives.  Research from drug and alcohol abuse, weight control, stop smoking programs, and pain management treatment programs has provided us with some understanding of the ?psychology of preventing relapses?     posted 04/17/2001

Fibromyalgia Back Pains by Ron Lechnyr, Ph.D, D.S.W.
Patients’ faced with the diagnosis of Fibromyalgia are many times left confused by this mysterious disease.  Though they are happy to know what is wrong with them, they have little understanding of the problem and how it can be helped.     posted 05/14/2001

Tips for Coping with Fibromyalgia by Ron Lechnyr, Ph.D, D.S.W.
"Truths Everyone with Fibromyalgia Needs To Know!     posted 05/14/2001

Chiropractic Neurology and the Pain Patient by Garreth MacDonald, D.C.
*Pain Cycle
*Joint Dysfunction and Pain
*Subluxation, Referred Pain and Neuropathic Pain
*Sensitization, Subluxation, Definitions, Mobilization, Manipulation.     posted 07/06/2001

POST-TRAUMATIC STRESS DISORDERS by Ron Lechnyr, Ph.D, D.S.W.
Psychologists have become more aware in the past few years that stressful events, including injuries, physical  traumas, accidents,  can have significant impacts on people.  We have been aware for years that traumatic and stressful events can have serious bio-psycho-social and physical pain implications for the individual and their family members.  It is under diagnosed and many times untreated causing even more troubles.  It does not have to be of any permanent nature if it is treated.       posted 09/15/2001

Prescribing For Chronic Pain by James Morris, M.D.
• What is Chronic Pain?
• Barriers to Pain Management
• Myths and Misconceptions
• Legal requirements, OAR 851-050-0170.
• Opioids, Adjuvants and Pharmacologic Therapies.
• Topical Pain Therapy.
• Multidisciplinary options.
• Case Discussions.
    posted 09/16/2001

Myofascial Pain: Trigger Point Injections by James Morris, M.D.
Myofascial Trigger Points
Clinical Features

Myofascial Trigger Points (MTrPs) : May be active or latent. An active Myofascial trigger point is a focus of hyper-irritability in a muscle or its fascia that causes the patient pain. An active Myofascial trigger point Causes pain and tenderness at rest or with motion that stretches or loads the muscle. It prevents full lengthening of the muscle, as well as fatigue and decreased strength. Pressure on an active MTrP induces / reproduces some of the patient’s pain complaint and is recognized by the patient as being some or all of his or her pain.
    posted 09/16/2001

The Ten Commandments of Chronic Pain Management by Ron Lechnyr, Ph,D, D.S.W. and Hank Holmes, M.D.
    posted 09/21/2001

Chronic Pain
You can live without it 		by Senior & Disabled Services Division- Department of Human Services
    posted 09/27/2001

Naturopathic Considerations in Pain Management by Dr. Virginia Oram, N.D.
    posted 05/21/2002

Conference 2002 Summary by James Morris, M.D.

The Pain Society of Oregon’s Third Annual Regional Pain Conference—A Big Success     posted 04/05/2002

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The information provided through this site is for educational purposes only. It is not a substitute for professional medical care, and should not be used to diagnose or treat any medical disease or condition.

© Pain Society of Oregon 2001
Pain Society of Oregon Partners

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