Chronic Pain Management

chronic pain


Chronic Pain and Falls by Richard C Dobson, MD

People with chronic pain are prone to frequent falls. What is the incidence, who is at risk, and why do they occur?

Guidelines and Resources

Model Emergency Department Pain Treatment Guidelines

In February 2013, the American Academy of Emergency Medicine (AAEM) announces Model ED Pain Treatment Guidelines. Prescription drug abuse has become an issue of national importance. The number of deaths from prescription opioids now exceeds those caused by heroin and cocaine combined. In order to help stem this epidemic there has been a call for more judicious prescribing on the part of physicians. (1) The AAEM offers this model guideline to its members. It may be adopted in whole or in part and should be modified to address local circumstances and state and local laws and regulations.

E-FORCSE, Florida Prescription Drug Monitoring Program

The Florida Prescription Drug Monitoring Program, known as E-FORCSE® (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), was created by the 2009 Florida Legislature in an initiative to encourage safer prescribing of controlled substances and to reduce drug abuse and diversion within the state of Florida. E-FORCSE® has selected Health Information Designs, LLC, to develop a database that collects and stores prescribing and dispensing data for controlled substances in Schedules II, III, and IV. Section 893.055, Florida Statutes, requires health care practitioners to report to the PDMP each time a controlled substance is dispensed to an individual.

CDC Prescription Drug Monitoring Program (PDMPs)

Prescription Drug Monitoring Programs (PDMPs) are state-run electronic databases used to track the prescribing and dispensing of controlled prescription drugs to patients. They are designed to monitor this information for suspected abuse or diversion (i.e., channeling drugs into illegal use), and can give a prescriber or pharmacist critical information regarding a patient’s controlled substance prescription history. This information can help prescribers and pharmacists identify high-risk patients who would benefit from early interventions.


Our goal is to close the gap between existing knowledge and practice as well as to nurture professional growth within the emergency medicine pain community.  By improving access to practice and research resources, and by building a network of emergency medicine practitioners, educators and researchers dedicated to this goal, we will strive to continuously improve the experience of people with pain who seek care in our emergency departments. This site provides multiple resources for better understanding pain management in the emergency department.

Documentaries and Videos

Pain Matters – Discovery Channel Documentary

“Pain Matters” chronicles the stories of six people with pain and their loved ones: a U.S. Navy veteran who sustained debilitating injuries while serving in Iraq, a two-time Stanley Cup-winning hockey player, a car accident survivor, and individuals with osteoarthritis, fibromyalgia and Complex Regional Pain Syndrome (CRPS). The stories of people with pain are at the center of the film with leading experts in pain management providing their perspective on the science behind chronic pain and how it’s treated, the effects of untreated pain, as well as the future of pain management. The “Pain Matters” documentary aired on the Discovery Channel Saturday. The documentary is also available online at

A Car with Four Flat Tires – American Chronic Pain Associations

A video that discuss how a person with pain is like a car with four flat tires.

Chronic Pain Awareness

U.S. Pain Foundation – INvisible Project

The ultimate purpose of the INvisible Project is to create chronic pain awareness through the photographs and stories of chronic pain persons. By making visible the experiences and challenges associated with chronic pain, the INvisible Project vaildates suffering while highlighting personal strength, character and courage.

Research, Surveys, and Patients

Going to the ER – American Chronic Pain Society (ACPA)

ACPA describes “How to Prepare,” “What to Expect,” “Why do I have to wait so long?” and more about going to the ER. There are valuable tools about chronic pain for patients and healthcare providers. ACPA conducted a survey about chronic pain in the emergency department. Click on the link above to learn more.