'Combines a career's worth of expertise with a long history of pain treatment. For anyone concerned with pain treatment, or anyone who has struggled to manage pain of any kind, it's an important read.' GQ Pain is a universal human experience, but we understand very little about the mechanics behind it. We hurt ourselves, we feel pain, we seek help from a professional or learn to avoid certain behaviours that cause pain. But the story of what goes on in our body is far from simple. Even medical practitioners themselves often fail to grasp the complexities between our minds and bodies and how they interact when dealing with pain stimulus. Common conception still equates pain with tissue damage but that is only a very small part of the story - the organ which produces pain is the brain. Case studies show that a woman who has undergone a caesarean reports dramatically less pain than a patient who has had a comparably invasive operation. The soldier who drags themselves to safety after being shot deals with pain in a remarkably different way from someone suffering a similar injury on a street. The truth is that pain is a complex mix of nerve endings, psychological state, social preconceptions and situational awareness. Using case studies and medical history, Dr Lalkhen guides us through all aspects of pain, from chronic to acute, and the current landscape of pain treatments - from medication (including opioids) to electrical nerve stimulation. Whether it's a mild ache or severe discomfort, we all encounter pain in our lives and this important and illuminating book enables us to understand and cope with an experience that for so many can become all-consuming.

Dieses Buch stellt 12 psychoedukative Module zur Schulung im Einzel- und im Gruppensetting vor und gibt eine Fulle von Anregungen. Angesprochen sind arztliche und psychologische Psychotherapeuten, schmerzmedizinisch tatige AErzte, aber auch Physio- und Ergotherapeuten, Pflegekrafte oder Mitarbeiter im Bereich der Gesundheitsfoerderung. Nach einer Einfuhrung zur Psychoedukation gehen die erfahrenen Autoren Schritt fur Schritt auf verschiedene Schmerzerkrankungen ein. - Voraussetzung fur eine aktive Teilnahme der Patienten an einer erfolgreichen Schmerztherapie ist die Kenntnis uber Ursachen, Sinn der Behandlung und ihrer Therapiebausteine sowie uber das Zusammenwirken koerperlicher, psychischer und sozialer Krankheitsfaktoren. Aus dem Inhalt: Support durch UEbungen, Arbeitsblatter und Prasentationsfolien zum Download. Edukationsfilme, Selbsthilfeliteratur, Apps und Internetlinks werden vorgestellt. Auf eine Einbeziehung der Angehoerigen und der Selbsthilfe wird ausfuhrlich eingegangen. Fur Problemsituationen bietet das Buch umfangreiche Hilfestellungen, die sich bewahrt haben. Die Autoren: Dr. med. Martin von Wachter, Facharzt fur Psychosomatik mit Zusatzausbildung in psychosomatischer Schmerztherapie (IGPS), Ltd. Arzt der Sektion Schmerztherapie der Klinik fur Psychosomatik am Ostalb-Klinikum Aalen. Supervisor fur Schmerzpsychotherapie. Dr. med. Askan Hendrischke, Facharzt fur Psychosomatik, Facharzt fur Allgemeinmedizin. Lehrender Therapeut fur Systemische Therapie.

From Hippocratic medicine through modern theory, the concept and physiopathology of pain has been developed from religious and philosophical to a more scientific concept. Different cultures have developed different words to express pain and we are still far from a comprehensive understanding of pain. In clinical practice, a good understanding of history is important and multidisciplinary collaboration should be used to help the patient with both acute and chronic pain. In this book we have gathered evidence from international researchers and practitioners involved with both acute and chronic pain issues with the hope that this information will be of use to the reader.

The Atlas of Peripheral Regional Anesthesia: Anatomy and Techniques, Third Edition is a comprehensively revised reference that provides readers with essential anatomical knowledge along with step-by-step instructions on how to perform even the most complex regional anesthesia procedures with particular focus on ultrasound-guided techniques. This new edition is enhanced with over 700 full-color illustrations as well as an extensive selection of videos on Thieme's MediaCenter. Key Features of the Third Edition: More than 250 new and updated figures, anatomical illustrations, and cadaver dissection photos which demonstrate the techniques New section describing the general aspects of ultrasound imaging in performing peripheral nerve blocks New section on pediatric regional anesthesia Online access to more than 250 video films of the techniques This new edition is an invaluable resource for all anesthesiologists, orthopedists, and pain management physicians involved in the administration of regional anesthesia.

Textbook and Atlas of Neural Therapy Neural therapy is widely used throughout Europe and is rapidly gaining worldwide acceptance in the therapeutic armamentarium. It is known to provide instant relief of pain, improved motion, and return of function and can be used for a variety of health problems unresolved by other methods. This book covers the methodology, indications, and techniques for injecting local anesthetics to specific nerve and tissue sites to restore proper biological function. With this striking visual guide at hand, even physicians without prior experience in neural therapy should be able to implement the techniques successfully in their everyday practice. Key Features: Unique "hybrid" illustrations composed of body photographs and drawings of underlying anatomy on the skin clarify the anatomic landmarks for pinpointing the best sites for injections Useful as a primary teaching tool, but also to add value to the general practitioner's or surgeon's existing practice Concise explanatory texts on facing pages support the images Barop's Textbook and Atlas of Neural Therapy will be valued by all students and practitioners involved in the treatment of patients with chronic pain syndromes.

At its heart, Pelvic Pain Explained is the story of how patients develop pelvic pain, the challenges patients and providers face throughout the diagnosis and treatment process, the difficult task of sifting through the different available treatment options, and the impact that an "invisible" condition has on a patient's life and relationships, and much more. Those who develop pelvic pain find the path to proper diagnosis and treatment frustrating and unsuccessful, oftentimes because they are trying to work within the model of recovery they are used to; one in which they go to the doctor, maybe take some tests and then get a very specific diagnosis that dictates a very specific mode of treatment. This simply is not the path to healing from pelvic pain. Pelvic pain is a health issue that crosses the borders between medical disciplines and requires the patient to be a proactive participant in the healing process. Here, Stephanie Prendergast and Elizabeth Rummer offer readers guidance on navigating a pelvic pain diagnosis and treatment, helping them to better understand their pain from a physiological perspective as well as how to digest the current treatment options available and put them on the path to healing. Providers, too, will gain a better understanding of the effectiveness of an interdisciplinary treatment approach. Major topics the book tackles include: the anatomy of the pelvic floor with an explanation of the many ways pelvic pain occurs; the different diagnoses and contributing factors associated with pelvic pain; a discussion of the current treatment landscape with guidance on how to navigate it; the vital role that PT plays in treatment; male pelvic pain; pregnancy and pelvic pain; sex and pelvic pain; the role of the patient in healing; the role of the brain in pelvic pain; and much more. Anyone with pelvic pain will find here a starting point on the road to healing and living pelvic pain free.

The purpose of this text is to provide not only the science and current knowledge of pediatric pain management but a rationale for intervention. The book is ground-breaking in that it provides pearls for the recognition and management of multiple childhood chronic pain syndromes. Also, uncommon yet confounding issues such as pain management for epidermolysis bullosa are adequately addressed. Concerns unique to pediatric patients are reviewed. While there are no firm standards in pediatric chronic pain, a care plan is offered to help guide practitioners when possible. The book will consist of 24 chapters, many co-written by a physician and a psychologist. Chapter 1 covers the history of pediatric chronic pain, the advancement pediatric pain as a clinical subspecialty, development of pediatric pain clinics, and characterization of the common pain syndromes. Chapters 2-4 cover, respectively, the research on early pain exposure and neuroplasticity, theories on the common adolescent pain syndromes, and the demographics of chronic pain in children. Chapters 5-16 discuss approaches to assessment and intervention for specific pediatric and adolescent pain syndromes. Chapters 17-23 address interventional techniques such as therapeutic blocks, neurablation, implantable systems, physical therapy, complementary therapy, and pharmacology including opioid tolerance. The final chapter discusses the role of the nurse practitioner in pediatric chronic pain.

Pain and itch are associated with a wide range of injuries and diseases. Some conditions may have pain and associated symptoms arising from a discrete cause, such as postoperative and neuropathic pains or headaches. Chronic itch or pruritus is a frequent symptom in the general population and in many skin and systemic diseases. Millions of people on the planet suffer from acute or chronic pain and itch every year, and the effects of pain and itch exact a tremendous cost on most countries concerning health care costs, rehabilitation and lost worker productivity, as well as the emotional and financial burden it places on patients and their families. Therefore, the synthesis and development of a new generation of analgesic drugs with lesser side effects are very important for society.This book provides an original account of behavioral, cellular and molecular aspects with important ramifications for the study of hyperalgesia and allodynia in pain and itch. It concentrates on the role of transient receptor potential (TRP) channels functioning in pain and itch states. It explains how TRP channels work in terms of specified somato-sensory mechanisms and systems. This book shows that TRP channels are promising targets for the development of a new group of analgesic drugs at the periphery and central levels and opportunities for therapeutic intervention.

Kidney Disease: From advanced disease to bereavement provides guidance to renal and palliative care professionals dealing with patients with advanced kidney disease, who are approaching end of life. The book describes the tools used to achieve a good death including advance care planning, symptom control law and ethics, recognizing dying, withdrawal of treatment, and a holistic approach to patient care. By using case histories, the book highlights how to facilitate good communication between patients, families and their renal and palliative teams. There are also chapters on support for carers and bereavement. Revised and updated, this new edition is written in a bullet point style to provide an indispensable guide to the day-to-day management of patient care. This pocketbook will be an essential guide for nephrologists, renal nurses, nephrologist trainees, and doctors and nurses working in palliative care.

Pain therapy, effective and cost-effective, easy to learn A highly effective, low-risk pain management therapy to include in your patient services, Injection Therapy in Pain Management provides a practical, step-by-step approach that will allow physicians, including those without extensive prior experience, to manage pain through the injection of local anesthetics. Its clear, symptom-oriented format and detailed directions show how to recognize clinically recurring pain patterns, administer the correct treatment, and manage pain syndromes successfully. Special Features: Precise instructions for implementing injection techniques safely and efficiently - even for more complex pain such as headache and in the shoulder Nearly 100 clear anatomic illustrations that use a simple color key to demonstrate injection points and areas of pain distribution - an ideal visual learning aid Concise descriptions of indications; differential diagnoses; materials and techniques; insertion points, direction and depth; possible risks and side effects; and concomitant therapies for pain treatment A straightforward double-page format with text on one side and anatomic drawings on the facing page for easy mastery of techniques For all busy clinicians whose aim is to relieve pain quickly and effectively, and add a valuable, cost-effective service to their practice, this atlas-style teaching reference is essential. Orthopedists, sports medicine physicians, physical therapists, and practitioners of manual medicine will find a wealth of information and a "roadmap" of techniques that can be seamlessly integrated into everyday practice.

This book is authored by a former faculty member of Johns Hopkins University School of Medicine and the past president of the American Academy of Pain Management, and the Reflex Sympathetic Dystrophy Association of America. He previously has authored three books, 33 medical textbook chapters, and 59 articles. The book addresses conceptual methods of problem solving as they are applied to medicine. This book is designed to be the freakanomics for medicine. Many research reports document that 40%-80% (or more, for certain disorders) of chronic pain patients are misdiagnosed. The leading cause of this failure is inadequate history taking and the use of the wrong medical tests. Part of this problem is the failure to recognise the specificity and sensitivity, as well as the false negative and false positive rates, of medical tests in use today. As an example, there are many articles in the literature which document that the MRI, an anatomical test, missed the detection of a damaged vertebral disc up to 78% of the time. The book explores the use of physiological tests, such as facet blocks, root blocks, peripheral nerve blocks, and provocative discograms to supplement anatomical testing. Compiled into a step-wise fashion, this book addresses the issues and provides methods to correct these problems. The techniques of history taking and the application of the correct medical tests have been proven effective, based on dramatic improvement in patients documented by outcome studies, which are validated by third parties, (not just self-reported). This book offers information based on evidence based medicine, not opinion. It provides information on how to think, not what to think.

Nortin Hadler knows backaches. For more than three decades as a physician and medical researcher, he has studied the experience of low back pain in people who are otherwise healthy. Hadler terms the low back pain that everyone suffers at one time or another ""regional back pain."" In this book, he addresses the history and treatment of the ailment with the healthy skepticism that has become his trademark, taking the ""Hadlerian"" approach to backaches and the backache treatment industry in order to separate the helpful from the hype. Basing his critique on an analysis of the most current medical literature as well as his clinical experience, Hadler argues that regional back pain is overly medicalized by doctors, surgeons, and alternative therapists who purvey various treatment regimens. Furthermore, he observes, the design of workers' compensation, disability insurance, and other ""health"" schemes actually thwarts getting well. For the past half century, says Hadler, back pain and back pain-related disability have exacted a huge toll, in terms of pain, suffering, and financial cost. Stabbed in the Back addresses this issue at multiple levels: as a human predicament, a profound social problem, a medical question, and a vexing public-policy challenge. Ultimately, Hadler's insights illustrate how the state of the science can and should inform the art and practice of medicine as well as public policy. Stabbed in the Back will arm any reader with the insights necessary to make informed decisions when confronting the next episode of low back pain.

This is the first comprehensive text-atlas that shows how to use ultrasound technology and nerve stimulation techniques to guide regional blockade in children. Clinical chapters follow a sequential, highly illustrated format that provides step-by-step guidance and include cases, clinical pearls, and troubleshooting tips. Nearly 400 figures, consisting of ultrasound images, MRI images, and schematics, have been assembled to maximize understanding of pediatric neuroanatomy and its relationship to surrounding anatomical structures. To help the novice user, the book features side-by-side presentation of unlabeled and labeled ultrasound images. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia focuses on common approaches, supplemented in clinical pearls and notes by alternative approaches, and emphasizes dynamic and systematic scanning techniques. It is intended for pediatric anesthesiologists who wish to incorporate regional blockade into their repertoire and designed as a refresher and resource for all regional anesthesiologists seeking to refine their skills. Unique Selling Points: Internationally renowned experts Presents two technologies proven to improve block success when used together Superb coverage of pediatric anatomy in relation to regional anesthesia Equipment, set-up, pain assessment, local anesthetic pharmacology, and patient safety considerations f or child patients