Categories
- Aberrant drug-related behaviours
- Assessment (General Pain Assessment)
- Back Pain
- Cannabis
- Central Sensitization Syndrome
- Chronic Pain Fundamentals
- Chronic Pelvic Pain
- Chronic Regional Pain Syndrome (CRPS)
- Clinics and Directories
- Communication and Chronic pain
- Fibromyalgia
- Headaches and Migraines
- Myofascial Pain
- Neuropathic Pain
- Non-Opioid Pharmacological Management
- Opioids
- Other Pain Tools for Providers
- Pain and Cognitive Impairment
- Pain Education Resources
- Pregnancy and Pain
- Pain Neuroscience Education
- Self Management
- Sickle Cell and Chronic Pain
- Smoking
ECHO at UHN does not have any affiliations or financial interest with any resources shared.
Abbreviations
Aberrant drug-related behaviours
Assessment (General Pain Assessment)
Back Pain
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Back Pain Handout
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Bussières, André, et al. "Non-surgical interventions for lumbar spinal stenosis leading to neurogeni
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CEP -Manual Therapy as an Evidence-Based Referral for Musculoskeletal Pain Clinical Tool [The Tool]
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Clinically Organized Relevant Exam (CORE) Back Tool. Centre for Effective Practice
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Dr. John Flannery’s Core Back Exam
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Low Back Exam Form for EMR - Dr Carlo Ammendolia -Mount Sinai Hospital
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Low Back Pain Guideline & Supporting Resources. Institute of Health Economics (IHE)
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The American College of Physicians to Noninvasive Treatments for Acute, Subacute, and Chronic Low Ba
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Patient Resource: Imaging Tests for Low Back Pain: When you need them and when you don’t. Choosing W
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Patient Resource: Treating Lower Back Pain: How much bed rest is too much? Choosing Wisely
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Patient Resource: Understanding Low Back Pain (video) by Dr.Mike Evans
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STarT Back tool
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Health Quality Ontario to Ontario Pain Management Resources: A Partnership to Help Clinicians Suppor
Cannabis
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ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis a
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Bhaskar, Arun, et al. "Consensus recommendations on dosing and administration of medical cannabis to
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Busse, Jason W., et al. "Medical cannabis or cannabinoids for chronic pain: a clinical practice guid
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Canada's Lower-Risk Cannabis Use Guidelines (CAMH)
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Canadian lower risk Cannabis use guidelines
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Cannabis – tools, resources and articles. Ontario College of Family Physicians
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Drug interactions with cannabinoids. Tony Antoniou, Jack Bodkin, Joanne M.-W. Ho CMAJ Mar 2020, 192
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Information for Health Care Professionals: Cannabis (marihuana, marijuana) and the cannabinoids. Gov
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MacCallum, Caroline A., and Ethan B. Russo. "Practical considerations in medical cannabis administra
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Marijuana for Medical Purposes. CPSO (2019)
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Medical Cannabinoids: Guideline Summary. CFPC
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Medical Document Authorizing the use of Cannabis for Medical. Government of Canada (2018)
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Simplified guideline for prescribing medical cannabinoids in primary care. Allan et al. (2018)
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UWaterloo Cannabis 101 infographic
Central Sensitization Syndrome
Chronic Pain Fundamentals
Chronic Pelvic Pain
Chronic Regional Pain Syndrome (CRPS)
Clinics and Directories
Communication and Chronic pain
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Communicating About Chronic Pain: Instructions for Clinicians. VHA Office of Patient Centered Care a
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Integrating Motivational Interviewing in Pain Neuroscience Education for People with Chronic Pain: A
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Pain Management Doesn’t have to be a Pain: Working and Communicating Effectively with Patients who h
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The Importance of Good Communication in Treating Patient’s Pain. Gupta (2015).
Fibromyalgia
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2012 Canadian Guidelines for the Diagnosis and Management of Fibromyalgia Syndrome in Adults
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AAPT Diagnostic Criteria for Fibromyalgia
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Arnold, L. M., Bennett, R. M., Crofford, L. J., Dean, L. E., Clauw, D. J., Goldenberg, D. L., Fitzch
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Dr. Flannery's Fibromyalgia Exam:
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Dubin R. (2014). Keep it simple: easing the care burden of fibromyalgia. Canadian family physician M
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Fibromyalgia Questionnaire
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Fibromyalia Association of Canada
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Novel pharmaceutical options for treating fibromyalgia – Gerardi et al
Headaches and Migraines
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Cervicogenic Headaches. StatsPearls (2021)
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Diagnosis and acute management of migraine
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Guideline for Primary Care Management of Headaches. Institute of Health Economics
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CORE Neck Tool and Headache Navigator. Center for Effective Practice
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Guideline for primary care management of headache in adults. Becker (2015)
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Patient Resource Headache Diary. Institute of Health Economics
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Management of Primary Headaches in Pregnancy
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Non-pharmacological approaches for migraine
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Patient Resource Migraine Tracking [App]
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Patient Resource: Imaging for headaches. Choosing Wisely
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Patient Resource Migraine Tracking [App]
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Patient Resource My Chronic Migraine
Myofascial Pain
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The Trigger Point & Referred Pain Guide
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Travell & Simons’ myofascial pain and dysfunction, 3rd edition (preview)
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A review of skeletal muscle relaxants for pain management. Fudin, J., and M. Raouf. Pract Pain Manag
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Patient Resource Neck and shoulder pain from myofascial trigger points exercises - Andrea Furlan
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Patient Resource low-back pain exercises - Andrea Furlan
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Patient Resource Pain Syndrome - Andrea Furlan
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Patient Resource Patient Education - Myofascial Pain Syndrome
Neuropathic Pain
Non-Opioid Pharmacological Management
Opioids
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Canadian Opioid Guideline (2017)
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CDC Guideline for prescribing opioids for Chronic Pain – United States (2016)
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Coffin, Phillip O., and Antje M. Barreveld. "Inherited Patients Taking Opioids for Chronic Pain—Cons
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Essential Clinical Skills for Opioid Prescribers. Women’s College Hospital. (2018)
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Methadone for Analgesia Guidelines. College of Physicians of British Columbia (2016)
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Opioid Manager
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Opioid Use Disorder: Management of opioid use disorders: a national clinical practice guideline. Bru
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Opioid Prescribing for Chronic Pain. (HQO)
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Dosing: A pharmacist framework for implementation of the Canadian Guideline for Opioids for Chronic
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Dosing: Demystifying opioid conversion calculations: Guide to effective dosing. McPherson (2009)
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Tapering: Guidance on opioid tapering in the context of chronic pain: Evidence, practical advice and
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Tapering: National Guideline for the Clinical Management of Opioid Use Disorder. (2018)
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Tapering:Clinical Opiate Withdrawal Scale (COWS)
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Tapering:DSM-5 Worksheet: Updated Criteria for Diagnosis of Opioid Use Disorders -
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Tapering:Opioid Risk Tool (ORT)
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Tapering:Managing Opioid Withdrawal. Drs. Squire & Jovey
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Tapering:Tapering Opioids using motivational interviewing. Crawley et al (2018)
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Tapering:Opioid Taper Template. RxFiles (2018)
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Tapering:What interventions are effective to taper opioids in patients with chronic pain? Sandhu (20
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Opioid Use Disorder - (HQO)
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Opioid Use Disorder: Opioid Aberrant Behaviour Tracker
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Opioid Use Disorder:Treating opioid use disorder in primary care. Perry, Orrantia and Garrison (2019
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Buprenorphine/Naloxone for Opioid Dependence: Clinical Practice Guideline
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Buprenorphine/Naloxone: Converting from Transdermal to Buccal Formulations of Buprenorphine: A Pharm
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Patient Resource: My Opioid Manager
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Patient Resource:Managing Opioid Withdrawal – for patients. Drs. Squire & Jovey
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Patient Resource:Chronic Pain Anonymous (CPA)
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Patient Resource:Canada’s Opioid Crisis. Government of Canada
Other Pain Tools for Providers
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Canadian Pain Society
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Injustice Experience Questionnaire
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Online Self-Assessment Program (SAP) of Opioids for Chronic Non-Cancer Pain
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IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11)
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Ontario Pain Management Resources | Health Quality Ontario
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Pain BC Toolbox
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The Pain Toolkit
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Toronto Academic Pain Medicine Institute (TAPMI)
Pain and Cognitive Impairment
Pain Education Resources
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[Book] The Way Out
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Beyond Stigma Video
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Chronic Pain Centre of Excellence for Canadian Veterans
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Chronic Pain Champions
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Introduction to Good Brain Bad Brain Chronic Pain by Michael Coupland
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Let’s Talk about Pain with Dr. Furlan (youtube channel)
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Pain BC’s Live Plan Be
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Tame the Beast, patient resource website from Lorimer Moseley
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The Mystery of Chronic Pain: Ted Talk by Elliot Krane
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The Pain Toolkit
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Understanding Pain: Brainman chooses
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Understanding Pain: Brainman stops his opioids
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What is Chronic Pain and how is it different from regular pain?
Pregnancy and Pain
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Davenport, Margie H., et al. "Infographic. Prenatal physical activity: baby steps for better health.
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Dr. Andrea Furlan - Low back pain in pregnancy
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Dr. Andrea Furlan - Pain and Pregnancy
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Lactmed (Drug and Lactation Database)
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Management of Primary Headaches in Pregnancy
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Mother to Baby
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Pelvic girdle pain and pregnancy
Pain Neuroscience Education
Self Management
Sickle Cell and Chronic Pain
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American Society of Hematology 2020 guidelines for sickle cell disease: management of acute and chro
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New Insights on Pain and Opioid Use in People With Sickle Cell Disease After Hematopoietic Stem Cell
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Pain and opioid use after reversal of sickle cell disease following HLA-matched sibling haematopoiet
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Sickle Cell Disease Quality Standards (Health Quality Ontario)
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Vaishya, R., Agarwal, A. K., Edomwonyi, E. O., & Vijay, V. (2015). Musculoskeletal Manifestations of
Smoking
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Effect of smoking status and nicotine dependence on pain intensity and outcome of treatment. Katyaya
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Pain, Nicotine, and Smoking: Research Findings and Mechanistic Considerations. Ditre (2012)
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Smoking and Pain: Pathophysiology and Clinical Implications. Shi et al (2010)
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Smoking Cigarettes as a Coping Strategy for Chronic Pain is Associated with Greater Pain Intensity a
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Status as a Predictor of Smoking Cessation Initiation, Lapse, and Relapse