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.

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.

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

Migraine is a painful neurological condition, of which the most common symptom is an intense and disabling episodic headache. Migraine headaches are usually characterised by severe pain on one or both sides of the head. Absent serious head injuries, stroke, and tumours, the recurring severity of the pain indicates a vascular headache rather than a tension headache. Migraines are often accompanied by photophobia (hypersensitivity to light), phonophobia (hypersensitivity to sound) and nausea. Migraine is three times more common in women than in men. Some individuals can predict the onset of a migraine because it is preceded by an 'aura', visual disturbances that appear as flashing lights, zig-zag lines or a temporary loss of vision. People with migraine tend to have recurring attacks triggered by a lack of food or sleep, exposure to light, or hormonal irregularities (only in women). Anxiety, stress, or relaxation after stress can also be triggers. For many years, scientists believed that migraines were linked to

As the population of the developed world gets proportionally older, elderly patients will continue to present more and more frequently to hospital for surgery and anesthesia. Elderly patients pose a clinical challenge to the anesthestist, who must take into account their special physiological, pharmacological and psychological requirements. This book offers a concise introduction to the basic science and major clinical issues facing the anesthetist when dealing with the elderly patient.
This pocket book is the only practical guide on the management of elderly patients available for the clinical anesthetist and senior trainee.

Pain is an unpleasant sensation. It is defined by the International Association for the Study of Pain (IASP) as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage". Pain is part of the body's defence system: it triggers mental problem-solving strategies that seek to end the painful experience, and it promotes learning, making repetition of the painful situation less likely. The nociceptive system transmits signals that usually trigger the sensation of pain, it is a critical component of the body's ability to react to damaging stimuli and it is part of a rapid-warning relay instructing the central nervous system to initiate reactions for minimising injury. This book presents the latest research in the field from around the globe.

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Basic science and clinical pain research is particularly challenging for several reasons. First, pain is a subjective experience in response to nociception that follows actual or potential tissue damage. Since the ability to respond to this warning signal is essential for our survival, the nociceptive system that produces and transmits nociceptive signals is remarkably redundant and involves diffuse regions of the central nervous system. Second, unlike other sensory modalities, pain is a multi-dimensional experience including at least cognitive, affective, and sensory-discriminative components. Third, pain experiences can be influenced by psychological, socioeconomic, cultural, and genetic predispositions, making it exceedingly complicated to study pain and pain modulation. The topics covered in this volume are carefully selected and directly related to the daily practice of pain medicine. These topics include 1) central mechanisms of pain and pain modulation (Dickenson, Donovan-Rodriguez, Mattews) and clinical use of ion channel blockers (Chen); 2) spinal glutamatergic mechanisms (Guo, Dubner, Ren) and issues related to glutamate receptor antagonists in pain management (Mao); 3) basic science of opioid analgesics (Gintzler, Chakrabarti) and clinical opioid use (Smith, McCleane); 4) inflammatory cytokines (Samad) and clinical use of anti-inflammatory drugs (Fink, Brenner); 5) role of the sympathetic nervous system in pain mechanisms and its relation to clinical pain management (Sharma, Raja); 6) preclinical studies on tricyclic antidepressants (Gerner, Wang) and clinical use of antidepressants in pain management (Greenberg); 7) developing pain pathways and analgesic mechanisms during the developmental stage (Fitzgerald) and challenges of pediatric pain management (Lebel); 8) basic science mechanisms of serotonin agonists and their use in the clinical management of migraine headache (Biondi); 9) clinical research on gender differences in clinical pain and their implications for clinical pain management (Holdcroft); 10) current modalities of clinical cancer pain management (Popescu, Hord); and 11) preclinical and clinical information on alternative medicine (Chen).

Nurses take a leading role in assessing, monitoring and managing pain. Covering all aspects of pain and its management, this book provides an excellent introduction to the subject. The topics examined are relevant to all areas of health care practice and include:
*kinds of pain
*emotional, cognitive and socio-cultural factors affecting pain
*interventions (pharmocological, physical and psychological)
*alternative and complementary therapies.
Caring for People in Pain clearly sets out the research base for practice and provides a thorough and accessible text for students.

Nurses at all stages of their careers have a pivotal role in dealing with patients in pain. This book is an essential guide to the management and understanding of pain and provides clear and accessible information on identification and classification of pain, responses, and systems for treatment and their impact upon the patient. The book focuses on the causes and effects of pain including injury, surgery, infection and disease, and considers situations that nurses and health-care professionals may encounter in the clinical setting. Treatments including pharmacological, surgical and complementary techniques are illustrated and emphasis is given to the patient's conception of pain and the factors influencing management and therapy.

Feared by most, sought out by others, pain may manifest itself as a benevolent messenger warning of imminent danger or a repellent nemesis that undermines and incapacitates us. Throughout the ages pain has intrigued those who focus on the soul and the sacred in equal measure to those who specialize in the body and medicine.

In "The History of Pain," Roselyne Rey draws on multidisciplinary sources to explore this universally shared experience. From classical antiquity to the twentieth century, she contrasts the different cultural perceptions of pain in each period, as well as the medical theories advanced to explain its mechanisms, and the various therapeutic remedies formulated to relieve those suffering from it.

This broad historical perspective, both accurate and remarkably erudite, highlights the extraordinary transformation in humanity's relationship to pain, chronicles the considerable progress made in its understanding and treatment, and explores the shadowy areas of mystery which remain to this day.

This book presents important findings on the effects of hypnosis in reducing anxiety and pain in these children and demonstrate that hypnotherapy offers real promise of pain relief without drugs. Because of its rare combination of solid research and practical advice, this book should prove to be a multidimensional resource for clinical work and theoretical exploration.

This immensely practical volume describes the rationale, development, and utilization of cognitive-behavioral techniques in promoting health, preventing disease, and treating illness, with a particular focus on pain management. An ideal resource for a wide range of practitioners and researchers, the book's coverage of pain management includes theoretical, research, and clinical issues, and includes illustrative case material.

Body Reshaping through Muscle and Skin Meridian Therapy: An Introduction to 6 Body Types shows you how your weight and body shape can be a direct result of ill health and explains the structures and functions involved. It explores much more than just what your scale and the fit of your clothes might tell you. It looks at skin, fat, muscles, diaphragm, historical illnesses or injuries, body posture, body clock or circadian rhythm, digestion, blood vessels, nutrition, sympathetic nervous system, parasympathetic nervous system, and enteric nervous system. By examining the above factors, you will learn how they contribute toward changes in body shape (notice no mention of dieting or exercise). Muscle meridian therapy refers to the passive application of treatments to muscles not connected to any major organ. The techniques involved improve all the metabolic balances of the body (pressure, temperature, and balance) as well as your overall health. Therapies can benefit all people, including those with traumas such as digestive system disorders, autonomic nerve system disorders, medication complications, post-childbirth complications, major scarring, posture issues, and pain management. The author provides the traditional Chinese medicine (TCM) tools and techniques needed for practitioner-guided wellness or at-home wellness understanding and maintenance. The book offers a full guide to "body type" evaluation for muscle meridian therapy and presents a "passive" therapy method (like massage or acupuncture) to complement "active" therapies (like physical therapy and exercise). It covers concepts that are highly individualized yet very "whole body" for physical restoration and balance.

Pain is a challenging area to understand for any healthcare professional, and quality training on the subject is required if nurses are to provide effective pain management and person-centred care. Based on the curriculum developed by the International Association for the Study of Pain, this book offers an essential guide to managing pain. Beginning with an examination of the biology of pain, it then goes on to consider pain management across the life course, looking at key topics including acute pain, cancer pain and pharmacology. Case scenarios are included throughout the book to help readers apply the knowledge they have learned to their own practice. This book is aimed primarily at meeting the learning needs of undergraduate nurses, and is essential reading for all healthcare professionals studying pain. The text will be helpful as a basic foundation for more advanced postgraduate courses in pain management in nursing practice.

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.

'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.

Safe and effective injection techniques for the treatment of spinal pain Written by a multidisciplinary team of experts, Spinal Injection Techniques presents the most effective methods for injecting pharmaceuticals to address acute and chronic pain originating from the cervical spine to the sacrum. This new, second edition has been extensively revised and updated with replacement of many images and addition of an extended chapter with tips and tricks on diagnostic and clinical examination. The authors' emphasis is on techniques that represent viable alternatives to spine surgery and do not rely on diagnostic imaging. The first section of the book provides a general overview of the basic principles, diagnostics, and causal as well as symptomatic pain therapy for the spine. The second section, created in an atlas format, includes chapters on spinal anatomy and pain signaling, techniques for injection therapy of the cervical, thoracic, and lumbar spine, management of potential complications and side effects, and multimodal spine therapy. Illustrated using real-life photographs from the authors' practice, each technique-related chapter guides the reader step-by-step and with great confidence through the injection procedures. Highlights: Provides detailed coverage of injection therapy using anatomic landmarks, without the use of image guidance Features minimally invasive spine therapy for inpatient and outpatient settings, with concomitant pharmaceutical treatments Includes essential information on contraindications and patient consent More than 500 color illustrations and photographs demonstrating the relevant anatomy, patient positioning, and accurate needle placement Conceived as a practical guide and useful compendium, Spinal Injection Techniques is invaluable for orthopedists and practitioners in physical medicine and rehabilitatio