\documentclass[10pt,a4paper]{article}

% Packages
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\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
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%\usepackage[utf8x]{inputenc}    % For unicode character support
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\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Siffi (Siffi)}
\pdfinfo{
  /Title (pain.pdf)
  /Creator (Cheatography)
  /Author (Siffi (Siffi))
  /Subject (Pain Cheat Sheet)
}

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% This two commands together give roughly
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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
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\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Pain Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/22966/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Siffi (Siffi) \\
  \uline{cheatography.com/siffi} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 30th June, 2020.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.


\begin{tabularx}{17.67cm}{x{6.5626 cm} x{10.7074 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Terminology}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Allodynia}} & Pain due to stimulus that does not usually cause pain \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{Analgesia}} & Absence of pain in response to a stimuli that should be painful \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
{\bf{Anaesthesia Dolorosa}} & Pain in an area/region that is anaesthetic \tn 
% Row Count 8 (+ 2)
% Row 3
\SetRowColor{white}
{\bf{Causalgia}} & Burning Pain, Allodynia + Hyperpathia after a traumatic nerve lesion (CRPS) \tn 
% Row Count 12 (+ 4)
% Row 4
\SetRowColor{LightBackground}
{\bf{Central Pain}} & Pain associated with a lesions @ CNS \tn 
% Row Count 14 (+ 2)
% Row 5
\SetRowColor{white}
{\bf{Dysaesthesia}} & Unpleasant sensation - formication (a feeling of ants crawling on the skin) \tn 
% Row Count 18 (+ 4)
% Row 6
\SetRowColor{LightBackground}
{\bf{Hyperaesthesia}} & Increased sensitivity to stimulation \tn 
% Row Count 20 (+ 2)
% Row 7
\SetRowColor{white}
{\bf{Hyperalgesia}} & Increased response to stimulus that is normally painful \tn 
% Row Count 23 (+ 3)
% Row 8
\SetRowColor{LightBackground}
{\bf{Hyperpathia}} & Painful syndrome - increased reaction to stimulus - repetitive \tn 
% Row Count 26 (+ 3)
% Row 9
\SetRowColor{white}
{\bf{Hypoaesthesia}} & Decreased sensitivity to stimulation \tn 
% Row Count 28 (+ 2)
% Row 10
\SetRowColor{LightBackground}
{\bf{Hypoalgesia}} & Diminished pain in a normally painful stimuli \tn 
% Row Count 30 (+ 2)
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{6.5626 cm} x{10.7074 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Terminology (cont)}}  \tn
% Row 11
\SetRowColor{LightBackground}
{\bf{Neuralgia}} & Pain in the distribution of a nerve \tn 
% Row Count 2 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{4.6629 cm} x{12.6071 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Types of Pain}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Nociceptive}} & Stimulation of superficial or deep tissue pain receptors from tissue injury/inflammation \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
{\bf{Neurogenic}} & Pain caused a  primary lesion/dysfunction in the peripheral/central nervous system - due to inflammation, trauma/degenerative diseases \tn 
% Row Count 9 (+ 5)
% Row 2
\SetRowColor{LightBackground}
{\bf{Psychogenic}} & Pain without discernible injury - real and distressing to the patient, look at yellow flags \tn 
% Row Count 13 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{7.9442 cm} x{9.3258 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{The Pain Gate}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Close gate \& decrease pain}} & {\bf{Open gate + Increase Pain}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Comfortable Furniture & \seqsplit{Inactivity/deconditioning} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Heat/Cold & Poor/restrictive sleep \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Pacing & Drug + Alcohol dependence \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Adequate rest & Nicotine \tn 
% Row Count 9 (+ 1)
% Row 5
\SetRowColor{white}
Massage & Trying to do too much too quickly \tn 
% Row Count 11 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Acupuncture & Difficult Relationships \tn 
% Row Count 13 (+ 2)
% Row 7
\SetRowColor{white}
TENS & Social Isolation \tn 
% Row Count 14 (+ 1)
% Row 8
\SetRowColor{LightBackground}
Manipulation & Stress \tn 
% Row Count 15 (+ 1)
% Row 9
\SetRowColor{white}
Medication & Persistent Worry \tn 
% Row Count 16 (+ 1)
% Row 10
\SetRowColor{LightBackground}
Diet & Negative Outlook, catastrophising \tn 
% Row Count 18 (+ 2)
% Row 11
\SetRowColor{white}
Relaxation & Hopelessness/worry \tn 
% Row Count 19 (+ 1)
% Row 12
\SetRowColor{LightBackground}
Direct, rewarding communication & Suppressing Emotions \tn 
% Row Count 21 (+ 2)
% Row 13
\SetRowColor{white}
Humour & Depression/anxiety \tn 
% Row Count 22 (+ 1)
% Row 14
\SetRowColor{LightBackground}
Pleasurable Activities & Focusing on pain \tn 
% Row Count 24 (+ 2)
% Row 15
\SetRowColor{white}
\seqsplit{Relaxation/mediation/prayer} & Surgery \tn 
% Row Count 26 (+ 2)
% Row 16
\SetRowColor{LightBackground}
Optimism/positive outlook & Trauma \tn 
% Row Count 28 (+ 2)
% Row 17
\SetRowColor{white}
Setting Realistic Goals & Structural and functional MSK faults \tn 
% Row Count 30 (+ 2)
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{7.9442 cm} x{9.3258 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{The Pain Gate (cont)}}  \tn
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Affirming of self} \tn 
% Row Count 1 (+ 1)
% Row 19
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{Surgery} \tn 
% Row Count 2 (+ 1)
% Row 20
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Postural + functional Correction} \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{8.635 cm} x{8.635 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Pain Management}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{{\bf{Patients in pain want to know:}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{What the problem is} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{Whether it's serious and what's going on} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{Be relieved of their pain} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 4 (+ 0)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{{\bf{General Medication use}}} \tn 
% Row Count 5 (+ 1)
% Row 6
\SetRowColor{LightBackground}
{\bf{Mild Pain}} & - Paracetomol 1g four times a day for at least 72 hours \tn 
% Row Count 8 (+ 3)
% Row 7
\SetRowColor{white}
{\bf{Mild-Moderate pain that is not responding to paracetamol}} & - Ibuprofen 400mg three times a day with meals + 1g of paracetamol. Kidney, Liver, Gastric Ulcer, Heart problems  or blood clotting disorders, asthma should {\bf{not}} take ibuprofen or other NSAIDs \tn 
% Row Count 18 (+ 10)
% Row 8
\SetRowColor{LightBackground}
{\bf{If painkillers dosage not relieving pain}} & - Increase Ibuprofen to 800mg three times a day, only for two days, Could use Ibuprofen cream instead of oral ibuprofen \tn 
% Row Count 24 (+ 6)
% Row 9
\SetRowColor{white}
{\bf{If still not relieving pain}} & - Continue with ibuprofen, but Change paracetamol to co-codamol (8mg/500mg) 2 tablets 4 times a day \tn 
% Row Count 29 (+ 5)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{{\bf{FOR SHORT PERIODS ONLY}}} \tn 
% Row Count 30 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{p{1.727 cm} p{1.727 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Fibromyalgia}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Widespread pain (LBP  possible radiation to buttocks, legs and pain in the neck and across shoulders (coathanger pain))} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Fatigue} \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Sleep disturbances} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Morning Stiffness} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Paraesthesia} \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Feeling of swollen joints (no swelling seen)} \tn 
% Row Count 8 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Problems with cognition} \tn 
% Row Count 9 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Headaches} \tn 
% Row Count 10 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Lightheadness/dizziness} \tn 
% Row Count 11 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Fluctuations in weight} \tn 
% Row Count 12 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Anxiety and depression} \tn 
% Row Count 13 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Worse in cold, humid weather and stress} \tn 
% Row Count 14 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{p{1.727 cm} p{1.727 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Classifications}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Rule out other disorders (hypothyroidism + inflammatory arthritides)} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Widespread pain involving both sides of the body, above and below the waist as well as the axial skeleton, for at least three months {\bf{AND}}} \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Presence of 11 tender points among the nine pairs of specific sites} \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{p{1.727 cm} p{1.727 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Management}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Explanation + reassurance} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- CBT} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Magnesium malate} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Rehab - walking, swimming, cycling} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Gentle myofascial release} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Strength Training} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Fibromyalgia impact Questionnaire (FIQR)} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{- Refer to GP for management of pain - Paracetamol, tramadol, antidepressants (amitriptyline/other tricyclics} \tn 
% Row Count 10 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}



\end{document}