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.

Concentrating on techniques rather than pain pathology, Spinal Interventions in Pain Management is focused purely on the spine. This practical handbook covers anatomy and imaging, how to choose patients, how to undertake procedures, and includes advice on potential pitfalls. Perfect reading for pain interventionalists and trainees before doing a procedure or before an exam, the book covers the most common spinal interventions for pain that pain specialists undertake, including epidurals, diagnostic facet interventions, the intra-articular injection of the sacroiliac joint and radiofrequency denervation, cervical, thoracic and lumbar discography, and neuromodulation (spinal cord stimulation and intrathecal drug delivery). Extensive illustrations, both x-rays and figures, make the book accessible and help to provide a clear understanding of the anatomy, which underpins spinal interventions.

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.

The use of fluoroscopy in pain treatment allows medications to be injected more precisely into the painful area. Fluoroscopic injection often allows invasive pain management to be performed with more comfort, fewer complications, and better results. This book is a step by step guide to fluoroscopic guided pain management procedures covering craniofacial, spine, peripheral nerves, and joint injections. Beginning with an overview of the technique and pharmacology, each chapter is dedicated to a different section of the body. The guide is formatted as a pocket flip book with ‘quick tabs’ for easy navigation and each X-Ray image is presented with a duplicate image with a colour overlay outlining the anatomy. Authored by experts in the field, led by Texas-based Rudy Garza, this quick reference manual provides clinicians with concise and valuable information on accurate interpretation of imaging and anatomy, and needle guidance. Key points Step by step guide to fluoroscopic guided pain management procedures Presented as a pocket flip book with ‘quick tabs’ for easy navigation Duplicate images with colour overlay outlining anatomy accompany each X-Ray image Authored by experts in the field led by Texas-based Rudy Garza

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.

From reviews of the First Edition: "For the practitioner new to the field of implantable therapies, this book shows the scope of this particular branch of pain medicine. It is full of good advice on techniques and how to avoid complications." British Journal of Clinical Pharmacology "All practicing pain physicians, whether their background is in anesthesia or neurosurgery, will find [this atlas] very useful...beautifully written and well-illustrated with x-ray images and pictures...a must-read for every pain fellow and a very useful one for every pain physician." Doody's Review Service Now in its Second Edition, this atlas remains an essential guide to the treatment of pain using neuromodulation and is written for all implanters, from beginners to the most advanced practitioners. It has been significantly expanded with many brand new chapters and figures and thoroughly updated to address new techniques, targets, waveforms, and concepts that have emerged since publication of the last edition and now provides even more detailed coverage of patient safety, including infection control and reduction of bleeding risks. The new and returning physicians who have collaborated on the Second Edition are world-class in their research, clinical expertise, and ethics of practice. They have endeavored to make each segment of the atlas a great learning event through careful integration of extensive photographs, illustrations, and detailed instructions and to create a resource that helps to improve practice and enhance outcomes while complementing fellowship training, peer-to-peer experiences, and hands-on continuing medical education.

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

Following amputation, up to 80% amputees perceive pain in the missing part of the arm or leg, known as phantom limb pain. Why phantom limb pain occurs has not been fully understood and the pain can be very difficult to relieve. This Ph.D. dissertation describes diverse features, existing treatments, and possible causes of phantom limb pain. Particularly it focuses on a promising treatment by proving sensory feedback that is lost in amputees due to removal of a limb. The results of the research studies involved in the thesis may contribute to develop a non-invasive, drug-free pain management approach for those amputee patients suffering from phantom limb pain.

From reviews of Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: "Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches is a major textbook... [I]t should be a part of all departmental libraries and in the reference collection of pain fellows and pain practitioners. In fact, this text could be to pain as Miller is to general anesthesia." Journal of Neurosurgical Anesthesiology Edited by master clinician-experts appointed by the American Academy of Pain Medicine, this is a soft cover version of the Interventional sections of the acclaimed Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches. It is intended as a primary reference for busy clinicians who seek up-to-date and authoritative information about interventional approaches to treating chronic pain. State-of-the-art coverage of full range of techniques: neural blockades, neurolysis blocks, and neurostimulation Review of clinically relevant anatomy and physiology "Key Points" preview contents of each chapter

Since pain management became a speciality in its own right and following the tremendous breakthroughs made by several pioneer researchers, we have seen major developments in the field and a growing international interest represented at the many national conferences and the World Pain Congress and European Congress. But there is still much to do, as there are still groups under-represented in the research such as children, older adults and people with intellectual and developmental disabilities. Also, we do not have all the answers and pain is an area, where traditional medicine may well be complemented by the field of complementary and alternative therapies. In this book, we have gathered recent papers related to many aspects of pain and pain management and it is our hope that you will all benefit from the wisdom in the many research papers.

In the past years, neuroimaging techniques provided a better insight into mechanisms involved in the development and maintenance of chronic pain. Chronic pain does not develop as a simple direct result of activity in nociceptive fibres following a traumatic event, but rather represents a consequence of dynamic plastic changes in sensory, affective and cognitive systems and related neuronal networks. The functional neural changes associated with pain include both adaptive compensatory changes, as well as maladaptive changes that may contribute to dysfunction of involved anatomical and physiological systems. In accordance, research findings indicated that patients with some chronic pain syndromes developed functional reorganisation of certain brain structures (for example in somatosensory -- or motor cortices). Since research studies have shown that reversal of pathological cortical changes in chronic-pain patients is accompanied by pain relief, a modulation of brain excitability seems to be a promising approach to address pain related to central hyperexcitability. This book discusses this topic and how brain stimulation techniques aim to selectively enhance adaptive patterns of neural activity, suppress the maladaptive ones, and restore the balance in disturbed neuronal networks.

Having cancer doesn't mean that you'll have pain. But if you do, you can manage most of your pain with medicine and other treatments. This book will show you how to work with your doctors, nurses, and others to find the best way to control your pain. It will discuss causes of pain, medicines, how to talk to your doctor, and other topics that may help you. In this book, your "health care team" can mean any of the professionals you see as part of your medical care. These may include your oncologist, your family doctor, nurses, physical therapists, pharmacists, oncology social workers, clergy members, and others. You may read it from front to back. Or you may want to read different parts as you need them. There is a list of resources toward the end of the book. There is also a page where you can write down notes and keep track of the medicines you're taking. This section also includes a sample pain control record.

The topics covered within this book aim to consolidate some of the current thinking around pain in children. For many years it was believed that children, and in particular babies; did not feel pain. But over the last twenty years or so this perspective has changed and we have seen many highly specialised pain clinics being set up around the world, dedicated to address the needs of the younger members of the population -- thus acknowledging that children in pain are not simply "smaller adults", but have particular experiences and requirements that can only be addressed by experts in the field, who are aware of the developmental factors that may influence their pain experience.

Broadened to include coverage of community settings, and updated to address changes in practice, Pain 2/e is a solid introduction to the subject. Developed from original learning tools, it is underpinned by a comprehensive pedagogic framework, and is an essential resource for all involved in pain management and assessment.

As interventionalists become more involved with patients as care providers rather than solely as proceduralists, understanding and treating pain is a vital part of daily practice. This book provides an overview of the multiple techniques used in the management of pain in interventional radiology suites. Topics include techniques for the treatment and prevention of pain caused by interventional procedures, as well as minimally invasive techniques used to treat patients with chronic pain symptoms. Approximately half of the book is dedicated to the diagnosis and treatment of spinal pain; other chapters focus on intraprocedural and post-procedural pain management, embolization and ablation techniques used to treat patients with uncontrollable pain, and alternative treatments for pain relief. This book is a practical resource for anyone looking to acquire skills in locoregional or systemic pain control and wishing to improve the quality of life for patients undergoing procedures or suffering from disease-related pain.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Introducing the first definitive guide to pain management in the cancer patient A Doody's Core Title for 2011! "This book is comprehensive in scope and multidisciplinary in its approach. It is an excellent resource for oncologists, fellows, residents, medical students, oncology nurses, pharmacists, and other healthcare professionals who provide care for people with cancer. 3 Stars."--Doody's Review Service This pioneering book is the first to provide in-depth coverage of all the interventional and medical strategies needed for effective cancer pain management. Logically organized, this immensely practical guide starts with general principles in cancer pain management, followed by management of specific cancer pain syndromes, unique issues, interventional techniques, and other specialized approaches. Reflecting an approach to pain management developed at the prestigious M.D. Anderson Cancer Center, Cancer Pain Management addresses the full spectrum of cancer pain syndromes and reviews the selection and administration of various treatment options. FEATURES Discussions of the psychosocial aspects of pain and how to resume and retain function for specific pain -- or disease-affected areas, such as in muscle tissue and bowels An incisive examination of all cancer pain syndromes Evidence-based pain management algorithms for each pain syndrome (included in each chapter) and synoptic tips for ensuring optimal patient care and pain relief Special issues in cancer pain management, such as ethical issues; dealing with regulatory concerns related to the prescription of opioids; chronic pain in the cured cancer patient; complementary and alternative approaches to cancer pain; intervention, spiritual, family and cultural issues; wound care; and procedural pain management Coverage of advanced technical protocols involved in interventional pain management Chapter-ending summary bullets and references that provide important opportunities for further study Helpful, practical appendices And more

Pain is immediate and searing but remains a deep mystery for sufferers, their physicians, and researchers. As neuroscientific research shows, even the immediate sensation of pain is shaped by psychological state and interpretation. At the same time, many individuals and cultures find meaning, particularly religious meaning, even in chronic and inexplicable pain.

This ambitious interdisciplinary book includes not only essays but also discussions among a wide range of specialists. Neuroscientists, psychiatrists, anthropologists, musicologists, and scholars of religion examine the ways that meditation, music, prayer, and ritual can mediate pain, offer a narrative that transcends the sufferer, and give public dignity to private agony. They discuss topics as disparate as the molecular basis of pain, the controversial status of gate control theory, the possible links between the relaxation response and meditative practices in Christianity and Buddhism, and the mediation of pain and intense emotion in music, dance, and ritual. The authors conclude by pondering the place of pain in understanding--or the human failure to understand--good and evil in history.