The prevalence of neck pain disorders is increasing world-wide with approximately 10% of adult affected with neck pain. The treatment of neck pain depends on its precise cause and includes rest, heat/ice application, traction, soft collar traction, physical therapy, transcutaneous electric nerve stimulation, surgical procedures and pharmacotherapy. The current pharmacological agents that are used in management of neck pain include non steroidal anti-inflammatory drugs, centrally acting analgesia, acetaminophen, muscle relaxants, topical painkillers and/or topical anaesthesia, local steroids and/or local anaesthetics injections and antimicrobials. This book focuses on the concepts of pharmacotherapy of neck pain disorders in respect to the cause of neck pain, the nature of pain, the mechanism of drug action, the practice of local injections with radiologist intervention, as well as the quality of life and the long term harmful effects including medicines abused.

THREE OUT OF FIVE ADULTS WILL EXPERIENCE SIGNIFICANT BACK PAIN AT SOME POINT IN THEIR LIVES, MAKING BACK PAIN AMERICA'S NUMBER ONE AILMENT
NOW IN ITS THIRD EDITION, the classic back pain manual "Your Aching Back "has been revised and updated to ensure that you have the latest science to speed your recovery.
Drawing on new research as well as decades of clinical experience, leading specialists Dr. Augustus White and Dr. Preston Phillips give you everything you need to know to manage this frustrating condition. To help you hone in on the source of your pain, they give a short primer on the basics of back mechanics as well as a discussion of the wide array of possible causes.
Treatment is the primary focus of the book. Emphasizing evidence-based medicine, the authors give a full account of the risks and benefits associated with treatments from acupuncture to spine surgery. You will find out when self-care makes sense, when you need to see a doctor, what questions to ask, and how to tell if you need a second opinion. Along the way, you'll learn about exciting advances in implant technology, recent studies on ergonomics, cutting-edge imaging technology, the newest forms of alternative care, and much more. And because dealing with chronic back pain can have an effect on every aspect of your life, this book offers sensible, empathic advice on everything from sex and sports to the financial and emotional consequences of long-term disability.
In its trademark conversational and unintimidating style, "Your Aching Back "places you back in control of your health and puts you on the path toward relief.

Neuropathic pain is increasingly recognized as a chronic disabling condition. It is frequently thought of as harder to treat than other pain types, and it often results in a poorer quality of life. Around 30% of adults in the UK alone have some type of chronic pain and some estimates suggest that one in five of these will have symptoms of neuropathic pain.
This second edition of the popular pocketbook has been fully updated to include recent developments in the diagnosis and management of neuropathic pain. It includes new chapters on the clinical assessment of neuropathic pain and the use of screening tools in its diagnosis. This edition also includes a new chapter focusing on neuropathic lower back pain, a newly emerging clinical entity which is thought to be the most prevalent type of neuropathic pain in developed countries.

This book offers an in indictment of the nation's drug enforcement approach focusing on the short-sighted policies that often deny patients suffering from chronic pain the medications they need. Pain Control and Drug Policy: A Time for Change focuses on America's national crisis in pain management caused by the widening divergence between the enormous contributions of opioids ("narcotics") to pain management in the clinical setting and the mistaken belief that they are dangerous, highly addictive drugs. After dissecting the strategy and tactics of the War on Drugs from medical, historical, legal, socioeconomic, and geopolitical perspectives, Guy Faguet MD indicts the 40-year-long War on Drugs for having failed to stem the supply of illicit drugs in America despite expenditures of half a trillion dollars, despite violating the basic human right to pain relief of tens of millions of American chronic pain sufferers, and despite fomenting organized crime, government corruption, racial injustice, and social disruption in both the United States and the producer countries. He concludes with a clarion call for the abandonment of the War on Drugs, disbanding the Drug Enforcement Administration, and encouraging Congress to repeal the Controlled Substances Act. As a clinical and research oncologist responsible for the chronic pain management of thousands of cancer patients over the course of his 30-year career, Dr. Faguet knows that the most effective and safest way to manage most cases of chronic pain is with opioids. All modern pain-management textbooks advocate "titration to effect" in cases where opioids help: that is, gradually increasing the dosage until either the pain is acceptably controlled or the side effects begin to outweigh the pain-relief benefits. Yet the vast majority of doctors don't practice what the medical textbooks teach and instead prescribe opioids very reluctantly and conservatively. As a result, only half of all chronic pain sufferers-and fewer than half of all cancer patients-get adequate pain relief from their doctors. Why do physicians radically undertreat pain that is susceptible to opioid analgesics? They fear that if they prescribe Schedule II opioids in accordance with the professional standards of pain management set by such medical bodies as the American Pain Society, they will be investigated by the DEA, stigmatized, prosecuted as criminals, stripped of their licenses, and sent to jail. Visit Guy B. Faguet, MD's website here: www.faguet.net. Chronologies showing the events that led to Prohibition and its repeal, of drug use through the ages, and of the political history of drug policy in the United States and worldwide Six line graphs and eight tables conveying important information about pain relief as well as the War on Drugs Includes a thorough bibliography of works cited in the book

Fibromyalgia is a painful, chronic condition which can result in symptoms such as fatigue, pain, insomnia, IBS or depression.

However debilitating your symptoms, eating the right foods can stimulate healing at a fundamental level. The Fibromyalgia Healing Diet gives nutritional advice based on sound research on how to address dietary imbalances, including information about osteoporosis, the importance of vitamin D, and the correct balance of carbohydrates, protein and fat for people with fibromyalgia.

The author writes as someone with fibromyalgia, and this book explains exactly what it means to have the condition, as well as why diet is such an important aspect of treatment. There is advice on essential nutrients and on substances to avoid as well as supplements to help. There is a simple, achievable detox programme and a wealth of delicious, easy to cook recipes to help you treat the cause of the condition, not just the symptoms, and to reclaim your life.

Oxford Specialty Training is a specialty revision series for postgraduate trainees, taking into account the training structures and syllabuses newly introduced by the Modernising Medical Careers initiative. Training in Anaesthesia is a curriculum-based guide to the first phase of specialty training in anaesthetics; comprehensively covering the specific techniques, assessments and basic medical and physiological knowledge that trainees are required to learn as part of their basic training. These areas are currently examined by the Primary FRCA exam as part of a student's progress towards full fellowship of the Royal College of Anaesthetists, though the knowledge contained within the book continues to apply throughout all phases of training. The book is authored by both trainees and specialists, and has been comprehensively edited and peer-reviewed by both groups in order to create an authoritative yet accessible text, highlighted and augmented by many of the diagrams and key concepts that a trainee may be expected to reproduce during viva examinations. Novel drug tables convey essential information in a new and attractive form, and the majority of images have been created specifically for this book, avoiding the cliched figures and illustrations reproduced in training texts to date. The organisation of the material is unique, and the topic-based design ensures easy navigation and structured revision and learning.

Being A Popular Scientific Account Of The Chemical History And Properties Of Alcohol, And Its Leading Effects Upon The Healthy Human Constitution.

This book is prepared for patients who suffer from 'Burning mouth disease', also referred to as 'Burning mouth syndrome'. It gives a comprehensive overview of the disease, its symptoms and management. Readers will learn about the terminology and definition of 'Burning mouth disease', and its suggested causes. Attention is paid to symptoms of various diseases that may mimic those of burning mouth disease. Neurological and psychogenic aspects are well covered, as are the many reported pharmacological and non-pharmacological treatment modalities. The combined training of the author in oral surgery, oral pathology and oral medicine has provided him with exceptional expertise in both the diagnosis and the management of patients with burning mouth disease. This book is a must have for everyone who is interested in this enigmatic disease.

""Power Through Pain" is a moving, inspiring memoir of Elizabeth Elster and her family's three and a half year struggle to find a solution to Elizabeth's intense daily pain. Eventually, after seeing twenty physicians, ingesting countless medications, and enduring many invasive medical procedures, the Elster family's search ends in success. Too often, individuals in chronic pain become isolated and embittered. This is a wonderful account of an individual's courage, determination and hope that will help other families struggling with rare chronic illnesses weave a path through a fragmented medical system that treats symptoms yet rarely heals." James W. Broatch, MSW, Executive Director, Reflex Sympathetic Dystrophy Syndrome Association

An indispensable resource that empowers fibromyalgia patients to take charge of a debilitating disease and get the health care they deserve.
Fibromyalgia--a painful, exhausting, and often misdiagnosed disease--affects up to 12 million Americans (90 percent of them women). And because many health care professionals are still learning how to diagnosis and treat its confusing symptoms, patients living with the disorder must become proactive and informed consumers for their own health. The expert advice found within The 10 Best Questions(TM) for Living with Fibromyalgia gives readers the answers they need to get the best care possible and enjoy a more normal life. This essential book provides the Best Questions that patients should ask their doctors, partners, children, and friends, accompanied by the "best answers" drawn from cutting edge research and extensive interviews with the top experts in the field. There are chapters on what to ask about your diagnosis, test results, second opinions, for ongoing disease management, to lose weight, get more sleep, and to make other healthy lifestyle changes. This practical and holistic book also offers Best Questions and advice for fibromyalgia patients for their relationships with partners, children, friends to ensure emotional, financial, and spiritual health. Each chapter concludes with The Magic Question(TM), the one crucial question most people never think to ask until it's too late.

A finalist in the National Indie Excellence 2008 book awards, this book was written for anyone who suffers from sexual dysfunction, depression, bipolar disorder, or schizophrenia (or cares for someone who does). Medicines for Mental Health is the first book to provide detailed and readable information about all psychiatric medications, and other medical treatments, for these mental illnesses. Medicines cuts through jargon, demystifies mental illness, and explains how treatments work. It goes beyond current fads to cover important medications you need to know about, including many that will be new to your doctor.

Many of the earliest books, particularly those dating back to the 1900s and before, are now extremely scarce and increasingly expensive. We are republishing these classic works in affordable, high quality, modern editions, using the original text and artwork.

"With Lous Heshusius as a guide, pain patients can learn much about the perils of a modern health-care odyssey. Health professionals can learn how an articulate middle-class female white patient thinks (with all that thinking entails) when her world is irreversibly altered by pain. She does not promise happy endings. Chronic pain is like that. From the rare intersection in this text between patient narrative and physician response, however, readers may construct a dialogue on pain in our time that cannot fail to bring plentiful opportunities for personal insight and professional enlightenment." from the Foreword by David B. Morris

Chronic pain, which affects 70 million people in the United States alone more than diabetes, cancer, and heart disease combined is a major public health issue that remains poorly understood both within the health care system and by those closest to the people it afflicts. This book examines the experience of pain in ways that could significantly improve how patients and practitioners deal with pain. It is the first volume of a new collection of titles within the acclaimed Culture and Politics of Health Care Work series called How Patients Think, intended to give voice to the concerns of patients about their own medical care and the formulation of health policy.

Since surviving a near-fatal car accident, Lous Heshusius has suffered from chronic pain for more than a decade, forcing her to give up her career as a professor of education. Inside Chronic Pain, based in part on the pain journal Heshusius keeps, is a stunning memoir of a life lived in constant pain as well as an insightful and often critical account of the inadequacies of the health care system from physicians to hospitals and health insurance companies to understand chronic pain and treat those who suffer from it. Through her own frequently frustrating experiences, she shows how health care providers often ignore, deny, or incorrectly treat chronic pain at immense cost to both the patient and the health care system. She also offers cogent suggestions on improving the quality and outcome of chronic pain care and management, using her encounters with exceptional medical professionals as models.

Inside Chronic Pain deals with pain's dramatic and destructive effects on one's sense of self and identity. It chronicles the chaos that takes place, the paralyzing effect of severe pain, the changes in personality that ensue, and the corrosive effects of severe pain on the ability to attend to day-to-day tasks. It describes how one's social life falls apart and isolation takes over. It also relates moments of happiness and beauty and describes how rooting the self in the present is crucial in managing pain.

A unique feature of Inside Chronic Pain is the clinical commentary by Dr. Scott M. Fishman, president of the American Pain Foundation. Fishman has long tried to improve the lives of patients like Heshusius. His medical perspective on her very human narrative will help physicians and other clinicians better understand and treat patients with chronic pain."

On December 2, 2004, Gwen Olsen's niece Megan committed suicide by setting herself on fire-and ended her tortured life as a victim of the adverse effects of prescription drugs.

Olsen's poignant autobiographical journey through the darkness of mental illness and the catastrophic consequences that lurk in medicine cabinets around the country offers an honest glimpse into alarming statistics and a health care system ranked last among nineteen industrialized nations worldwide. As a former sales representative in the pharmaceutical industry for several years, Olsen learned firsthand how an unprecedented number of lethal drugs are unleashed in the United States market, but her most heartrending education into the dangers of antidepressants would come as a victim and ultimately, as a survivor.

Rigorously researched and documented, Confessions of an Rx Drug Pusher is a moving human drama that shares one woman's unforgettable journey of faith, forgiveness, and healing.

AUTHOR BIO
Gwendolyn Leslie Olsen spent more than a decade as a sales rep in the pharmaceutical industry working for health care giants such as Johnson & Johnson, Bristol-Myers Squibb and Abbott Laboratories. She is a writer, speaker, and mental health activist who lives outside Austin, Texas.

Cancer-related bone pain is experienced by patients with primary bone tumours such as myeloma and osteosarcoma, but is more commonly seen in patients with malignant tumours that have metastasised to bone. Bone pain is one of the most common and severe forms of pain associated with breast, prostate and lung cancer, yet little is known about the underlying mechanisms responsible for the pain. Cancer patients identify bone pain as the most disruptive cancer-related event in terms of their quality of life and daily functioning, and it is also associated with increased incidence of morbidity, depression, and anxiety. Part of the Oxford Pain Management Library, this volume summarises the latest evidence-based and practical information on the management of cancer-related bone pain. Chapters cover the pathophysiology and clinical features of bone pain, general principles of management and the use of opioids and other agents. It will be an invaluable reference for all health care professionals involved in the management of patients with bone pain from various disciplines including palliative care, anaesthetics, oncology and general practice.

Prescription opioids are dangerous in the hands of drug abusers, but they are also beneficial or even lifesaving for millions of people who otherwise would live with chronic pain. Clinicians who prescribe opioids are often caught between their professional obligation to relieve suffering and their desire to avoid contributing to the nonmedical consumption of controlled substances.

Richard Dubin is a talented distance runner at a major southern university. Pain is the story of Richard's senior year as he proceeds with varying success through the year, from cross country through the Olympic Trials, all the while trying to manage a seesawing relationship with a beautiful and fascinatingly unpredictable woman, 10 years his senior. Richard's university is one of the great American party schools and we are treated to a series of uninhibited college blowouts, featuring copious liquid consumption, naked kegstands, nude relays. . . and, most daring of all, poetry reading! As the pressures mount, Richard's life begins to unravel. All the forces converge at the Olympic Trials in New Orleans and it is there that Richard comes to the edge of the abyss.

Cancer is increasingly prevalent in the United States, and the pain associated with it is frequently undertreated. Cancer is diagnosed in over one million Americans annually, and one of five deaths in the United States---about 1,400 per day---results from cancer. Patients with cancer often have multiple pain problems, but in most patients, the pain can be effectively controlled. Nevertheless, undertreatment is common because of a lack of knowledge by clinicians about effective assessment and management, negative attitudes of patients and clinicians toward the use of drugs for pain relief, and a variety of problems related to drug regulations, and the cost of and reimbursement for effective pain management. This guideline was developed by an interdisciplinary panel of clinicians, patients, researchers, and experts in health policy. The guideline provides a synthesis of scientific research and expert judgment to make recommendations on pain assessment and management. Approximately 470 health care professionals and 70 patients were involved either as consultants and peer reviewers or as participants in pilot testing. The Clinical Practice Guideline for the Management of Cancer Pain was commissioned by the Agency for Health Care Policy and Research (AHCPR). It follows and makes reference to an earlier guideline on acute pain management after surgery or trauma, also commissioned by AHCPR. The cancer pain guideline includes a section on the management of HIV positive/AIDS---related pain because of similarities in the sources of pain and the management approaches. This guideline is designed to help clinicians understand the assessment and treatment of cancer pain and associated symptoms. It reflects a multimodal approach to the management of pain, and it emphasizes the need for careful and continuous assessment to match interventions to the sources of pain in individual patients.

This riveting book takes the reader around the globe and through the centuries to discover how different cultures have sought to combat and treat physical pain. With colourful stories and sometimes frightening anecdotes, Dr Thomas Dormandy describes a chequered progression of breakthroughs, haphazard experiments, ignorant attitudes, and surprising developments in human efforts to control pain. Attitudes toward pain and its perception have changed, as have the means of pain relief and scientific understanding. Dr Dormandy offers a thoroughly fascinating, multicultural history that culminates with a discussion of today's successes, and failures, in the struggle against pain. The book's exploration is fused with accounts of the development of specific methods of pain relief, including the use of alcohol, plants, hypnosis, religious faith, stoic attitudes, local anaesthesia, general anaesthesia and modern analgesics. Dr Dormandy also looks at the most recent advances in pain clinics and palliative care for patients with terminal disease as well as the prospects for loosening pain's grip in the future. Thomas Dormandy, MD, is a retired consultant pathologist, Whittington Hospital, University of London, and Brunel University, London. He is the author of the prize-winning book 'The White Death: A History of Tuberculosis' and 'Opium: Reality's Dark Dream', published by Yale University Press.

Approximately 23.3 million operations were performed in 1989 in the United States, and most of these involved some form of pain management. Unfortunately, clinical surveys continue to indicate that routine orders for intramuscular injections of opioid "as needed"-the standard practice in many clinical settings-fail to relieve pain in about half of postoperative patients. Postoperative pain contributes to patient discomfort, longer recovery periods, and greater use of scarce health care resources and may compromise patient outcomes. There is wide variation in the methods used to manage postoperative and other acute pain, ranging from no set strategy to a comprehensive team approach as advocated in this clinical practice guideline. This guideline sets forth procedures to minimize the incidence and severity of acute pain after surgical and medical procedures and pain associated with trauma in adults and children. It offers clinicians a coherent yet flexible approach to pain assessment and management for use in daily practice. Although it is not practical or desirable to eliminate all postoperative and other acute pain, an aggressive approach to pain assessment and management can reduce such pain, increase patient comfort and satisfaction, and in some cases, contribute to improved patient outcomes and shorter hospital stays. This clinical practice guideline was developed under the sponsorship of the Agency for Health Care Policy and Research (AHCPR), Public Health Service, U.S. Department of Health and Human Services. To develop the guideline, AHCPR convened an interdisciplinary expert panel made up of physicians, nurses, a pharmacist, a psychologist, a physical therapist, a patient/consumer, and an ethicist. The panel first undertook an extensive and interdisciplinary clinical review of current needs, therapeutic practices and principles, and emerging technologies for pain assessment and management. Second, the panel conducted a comprehensive review of the field to define the existing knowledge base and critically evaluate the assumptions and common wisdom in the field. Third, the panel initiated peer review of guideline drafts and field review with intended users in clinical sites. Comments from these reviews were assessed and used in developing the guideline.

Through her extensive experience with pain clinics, author Phyllis Berger -- a chronic pain sufferer herself -- realized that pain relief was highly dependent on stress factors. She found relief could be more rapidly achieved by blocking pain with electrical currents and acupuncture, relieving anxiety and releasing emotions, and increasing pain-free movements with exercises, especially enjoyable exercises that build strength and endurance. Focusing on the brain and its complex chemical interactions and electrical circuitry, "The Journey to Pain Relief provides solid information, advice, and treatment suggestions to empower both the chronic pain sufferer and the pain therapist. The author authoritatively describes ways to combine a wide range of treatments that tap into the body's inherent knowledge and ability to heal, increase exercise ability, stimulate the production of helpful chemical substances in the body, and encourage the positive attitudes that will bring many more patients to that often elusive destination of pain relief and control.

-- Are patients aware of the fact that pharmacological therapies stress the brain in ways which may prevent or postpone symptomatic and functional recovery ? ==================================================== Rethinking Psychiatric Drugs: A Guide for Informed Consent is a critical appraisal of the medications which an estimated 20% of Americans consume on a regular (and sometimes involuntary) basis. It is the philosophically, epidemiologically, and scientifically supported revelation of how and why psychiatry's drug therapies have contributed to a standard of care which frequently does more to harm than to cure. Extensively researched and documented, the book addresses: -- the process by which psychiatric drugs reach the market -- the history and philosophy of Evidence Based Medicine -- the common flaws in research methodologies which negate the validity of the psychiatric RCT (Randomized Controlled Trial) -- the problem of allostatic load (how drugs stress the body) -- the history, long term effects, and utility of the drugs used to suppress symptoms of depression, psychosis, inattention and hyperactivity -- the effectiveness of alternatives to medication Rethinking Psychiatric Drugs: A Guide for Informed Consent exposes the current crisis in medical ethics and epistemology, and attempts to restore to psychiatry an authentically informed consent to care.

Whether a mass casualty, earthquake or weather event at home, or a disaster abroad, proper preparation is essential for providing high-quality care. This concise guide brings together the views and knowledge of experienced responders to offer a much-needed review of the essential elements of anesthesia and intensive care for disasters and austere environments. Combining academic theory and practical advice, the book covers topics such as emergency and trauma surgery; airway management; chemical, biological and radiological exposure; personal protective equipment; and the psychological impact of working in the operating room in disaster situations. As successful care depends on the incident response team working collaboratively, the text also covers emergency communications, infrastructure preservation, and topics relevant to other medical specialists such as pain management and obstetrics. Featuring numerous high-quality illustrations, Essentials of Disaster Anesthesia is a vital, relevant resource for anesthetists, emergency physicians, nurses, and ancillary personnel.

Die sorgf ltige Dokumentation bei der Betreuung von Schmerzpatienten ist Voraussetzung f r die Abrechnung!

Erstmals bietet ein Werk zusammengefasst alle vorhandenen:

- Klassifikationen: ICD, DSM, IAPS, MASK

- Stadieneinteilungen: MPSS n. Gerbershagen, Sommerfelder Befundsystem, GPCPS nach v. Korff

- Messinstrumente der standardisierten Schmerzfrageb gen

- Hinweise auf edv-gest tzte Dokumentationssysteme

Die standardisierte Darstellung der einzelnen Instrumente nach Einsatzbereich, Aufbau und Interpretation sowie Normwerte und Testg te erleichtert dem Leser die Auswertung.

Ideal f r Schmerztherapeuten aller Fachdisziplinen und Psychologen. Auch f r Haus rzte ein wertvolles Nachschlagewerk zum Verst ndnis von Diagnosen!