Acute Pain brings coverage of this diverse area together in a single comprehensive clinical reference, from the basic mechanisms underlying the development of acute pain, to the various treatments that can be applied to control it in different clinical settings. Much expanded in this second edition, the volume reflects the huge advances that continue to be made in acute pain management. Part One examines the basic aspects of acute pain and its management, including applied physiology and development neurobiology, the drugs commonly used in therapy, assessment, measurement and history-taking, post-operative pain management and its relationship to outcome, and preventive analgesia. Part Two reviews the techniques used for the management of acute pain. Methods of drug delivery and non-pharmacological treatments including psychological therapies in adults and children and transcutaneous electrical nerve stimulation are considered here. Part Three looks at the many clinical situations in which acute pain can arise, and the methods of treatment that may be suitable in each circumstance, whether the patient is young or old, has pain due to surgery, trauma, medical illness or childbirth, or is undergoing rehabilitation. Issues specific to the management of acute pain in the developing world are also covered here.

about the book... Standing alone as the first definitive and comprehensive book on the subject, this guide describes the most recent studies on the brain-gut connection and psychosocial issues related to patients experiencing visceral pain. Bringing together leading experts from the top-tiers of the science, this source provides 33 engaging chapters and spans basic concepts in pharmacology, neurobiology, physiology, and psychology to provide a practical approach to the treatment of chronic pain. Examining a condition that affects up to 25% of the general U.S. population, this source is the only book on the subject to cover both clinical syndromes and neurobiology...ranges from basic mechanisms to diagnosis and clinical treatment of specific syndromes including inflammatory bowel disease, functional abdominal pain, dyspepsia, non-cardiac chest pain, and pelvic pain syndromes...analyzes the latest scientific advances including the role of functional imaging in patient care...integrates fundamental scientific concepts with a practical clinical approach...and supplies 250 figures, and more than 16 color photographs. about the editors... PANKAJ JAY PASRICHA is Chief, Division of Gastroenterology and Hepatology; Bassel and Frances Blanton Distinguished Professor of Internal Medicine; and Professor of Neuroscience and Cell Biology and Biomedical Engineering; University of Texas Medical Branch (UTMB), Galveston. Dr. Pasricha also heads the Enteric Neuromuscular Disorders and Pain Center at UTMB and has performed pioneering research in pain and motility disorders. Dr. Pasricha has served on numerous national gastroenterological committees and on panels for the National Institutes of Health. He received the M.D. degree (1982) from the All-India Institute of Medical Sciences, New Delhi, India, and post-graduate training in gastroenterology at the Johns Hopkins University Medical School in Baltimore, Maryland. WILLIAM D. WILLIS is Director, Cecil H. and

Whether initiated by injury or disease, induced and sustained by changes in the nervous system, or manifested by society and culture, chronic pain can change one's first-person experience of the body and the world, and ultimately impacts cognitions, emotions, and behavior. Many fine medical books address the causes and management of chronic intractable pain, but rarely do they focus on the ways that such pain creates illness and is experienced and expressed by persons in pain. Maldynia: Multidisciplinary Perspectives on the Illness of Chronic Pain is about chronic pain that has progressed to a multidimensional illness state in and of itself. Although often dismissed as such, this pain is not imaginary, but rather represents an interaction of neurobiological processes, emotional and behavioral responses, and socio-cultural effects and reactions that become enduring elements in the life and world of the pain patient, and often remain enigmatic for those who provide care. Taking a comprehensive approach that covers science, humanities, and culture, this volume emphasizes the need for researchers, clinicians, and caregivers to regard the ways in which chronic intractable pain becomes illness and affects a patient's biological, social, and psychological states, as well as his or her sense of self. Edited by neuroscientist and neuroethicist James Giordano, this book contains 17 insightful chapters representing medicine, neuroscience, psychology, philosophy, ethics, history, art, and the ministry. This exceptional volume also looks at representations of pain in and through the arts, addresses the assignation of values and meaning in pain assessment and treatment, and considers ways to conjoin the sciences and humanities so as to inform the practice of pain medicine and improve the care of those suffering the illness of chronic pain.

This edited collection is the first complete guide for rehabilitation professionals seeking to engage a whole-person, biopsychosocial, and mind-body medicine integrated approach to care. Drawing on the foundations of integrative medicine, Integrative Rehabilitation Practice (IRP) goes beyond the treatment of symptoms to explore multiple levels, roots, and possible contributing factors to individual's health experience. IRP acknowledges the complex inseparability of biological, behavioral, psychosocial, spiritual, and environmental influences. The book covers both the theoretical foundations of IRP and applications to practice in the fields of physical therapy, occupational therapy, yoga therapy, speech and language therapy, and many other professions. Featuring contributions from Matthew J. Taylor, Marlysa Sullivan, Andra DeVoght and other professionals, case studies, storytelling, and reflective exercises, this cross-disciplinary clinical training guide is essential reading for all rehabilitation professionals, as well as others interested in advancing whole-person care.

Following recent guidelines set by the International Classification of Headache Disorders, this reference presents the most current diagnostic and treatment protocols for migraine and other headache conditions. Chapters are authored by internationally renowned headache clinicians and scientists, including several past presidents of the American Headache Society and the International Headache Society. User-friendly and up-to-date, this reference offers useful tables, algorithms, and diagrams that lead clinicians to effective treatments for the management of migraine and the reduction of migraine severity.

Back problems are the leading cause of disability worldwide - and many of us will endure severe or chronic back pain at some time in our lives. But what can we do? Are surgery and painkillers the only answers? "Not at all," says spine and neck expert Dr. Ken Hansraj. "There are dozens of exercises, habits, and techniques you can practice - anytime, anyplace - that will significantly improve, if not completely heal, your back pain." Now, this leading researcher presents a comprehensive guide to help you overcome physical, mental, and emotional factors that contribute to back problems. In Watch Your Back, Dr. Hansraj offers a straightforward program for taking the health of your spine and neck into your own hands. Here he offers nine adoptable strategies that provide simple, specific directions on what to do to strengthen your back and make your spine supple. With guidance on nutrition, posture fixes, mindfulness practices for positivity, stretches, and more, Dr. Hansraj's program has provided healing and pain relief for hundreds of patients. "The health of our back is essential to our overall wellness - not just our physical health, but our clarity of mind, emotional balance, and quality of life," says Dr. Hansraj. Here is an essential resource for anyone suffering from back issues - with powerful self-care methods to help you recover the joy and freedom of a healthy spine.

There have been tremendous recent advances in the pharmacotherapy, dose regimens, and combinations used to treat cancer and for the treatment or prevention of the spread of disease. As a direct result of these advances, there are an increasing number of cancer survivors, although research dealing with chemotherapy-induced pain is still in its early years. Written for pain management specialists, oncologists, pharmacologists, students, and primary care practitioners, Chemotherapy-Induced Neuropathic Pain provides insight into the important area of chemotherapy-induced neuropathic pain. It reviews the basic and clinical research into the normal physiology of pain transmission pathways, neuropathic pain pathology, the chemotherapeutic drug mechanisms of action and adverse effects, chemotherapy-induced neuropathy, and drug discovery efforts for treatment. The contributors comprise an impressive list of clinical and basic science experts in the fields of pain mechanisms and pain management. Included are clinical directors of pain clinics and clinical research facilities, directors of large academic pain research laboratories, analgesic drug developers, and presidents of the International Association for the Study of Pain (IASP), Association of Chronic Pain Patients (ACPP), and the British Pain Society (BPS). Through them, the book provides the reader with an exceptional opportunity to acquire a fundamental understanding of the basic concepts related to this topic.

Answering questions such as 'how can I change my pain experience?', 'what is pain?', and 'how do nerves work?', this short research-based graphic book reveals just how strange pain is and explains how understanding it is often the key to relieving its effects. Studies show that understanding how pain is created and maintained by the nervous system can significantly lessen the pain you experience. The narrator in this original, gently humorous book explains pain in an easy-to-understand, engaging graphic format and reveals how to change the mind's habits to transform pain.

In this issue of Physical Medicine and Rehabilitation Clinics, guest editor Dr. Ameet Nagpal brings his considerable expertise to the topic of Interventional Procedures Used to Treat Chronic Pain using an evidence-based perspective. Top experts in the field cover key topics such as epidural steroid injections, radiofrequency ablation in the spine, sympathetic blocks for sympathetic and visceral pain, spinal cord stimulation, and more. Contains 14 relevant, practice-oriented topics including peripheral joint radiofrequency ablation, peripheral nerve stimulation, novel technologies, trigger point injections, peripheral nerve injections, and more. Provides in-depth clinical reviews on interventional procedures for chronic pain, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Neurosurgery Clinics , guest editors Drs. Joshua M. Rosenow and Julie G. Pilitsis bring their considerable expertise to the topic of Pain Management. Because pain management often benefits from a multidisciplinary approach, this issue addresses how pain can be assessed and managed with and without medication (e.g., acupuncture, chiropractic medicine, mindfulness meditation) and procedures. Contains 15 relevant, practice-oriented topics including the multidisciplinary team in pain management; healthcare disparity in pain; nonopioid postoperative pain management; holistic therapy: what works and what does not; machine learning and pain outcomes; and more. Provides in-depth clinical reviews on pain management, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This clinical textbook will update the reader on the relevant anatomy, known biomechanics, clinical assessment, musculoskeletal conditions and treatment of the thorax and how these relate to the function of the whole body. An integrated biopsychosocial model (the Integrated Systems Model - ISM) will be highlighted in this text and used as a foundation for clinicians to organize their knowledge from multiple sources. The text emphasizes the current suggestion from the evidence that treatment be individualized and that clinical reasoning form the basis for treatment decisions. Richly illustrated with 3D-rendered colour anatomical drawings, and over 250 clinical photographs, The Thorax: An integrated approach is the definitive manual on the thorax for all bodyworkers helping patients improve mobility and control of the trunk.

In this issue of Otolaryngologic Clinics, guest editors Drs. Joni K. Doherty and Michael Setzen bring their considerable expertise to the topic of Comprehensive Management of Headache for the Otolaryngologist. As many types of headache tend to masquerade as sinus headache, an understanding of the peripheral mechanisms of specific headache types is essential for otolaryngologists to effectively diagnose and treat patients, according to a study published in the American Journal of Otolaryngology. In this issue, top experts in the field address key issues such as novel devices for sinus headache, headache diagnosis in children and adolescents, headache and pregnancy, side-locked and nummular headaches, and much more. Contains 14 relevant, practice-oriented topics including the role of the otolaryngologist in the evaluation and management of headache; "Sinus headache:" rhinogenic headache, nonrhinogenic headache, or migraine; idiopathic intracranial hypertension; neuralgia and atypical facial, ear, and head pain; and more. Provides in-depth clinical reviews on comprehensive management of headache, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Here is the perfect text you need to provide your learners with real-life clinical scenarios that are ideal for Case-Based Learning and Discussion. Presents real-world patients in a real-world clinical setting, making learning fun and engaging. The Case-Based Learning approach focuses learners and clinicians on the key elements for each diagnosis and helps develop a deep understanding of how to diagnose and treat each condition. Covers everyday clinical problems such as migraine and other headaches, occipital neuralgia, temporal arteritis, trigeminal neuralgia, temporomandibular joint dysfunction, and more. Cases unfold just the way they do in your clinic. Each case is accompanied with thoughtful clinical commentary and key messages from the author. Each chapter uses high-quality radiographic images, clinical photos, and full-color drawings to facilitate a clear, easy-to-understand approach to evaluation and diagnosis. An ideal self-assessment and review tool for pain medicine practitioners and trainees, as well as those preparing for the American Board of Anesthesiology Pain Medicine certification and recertification exam. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Chronic pelvic pain is a common debilitating condition that impairs quality of life and reproductive function in the female population worldwide. It is also an area in which the level of knowledge is generally poor among gynecologists. This book will help gynecologists and pain management specialists optimize assessment and treatment of women with chronic pelvic pain. It addresses the most common conditions causing chronic pelvic pain in women and offers practical guidelines for treatment. Exploring issues such as pudendal neuralgia and pain caused by pelvic nerve injuries and pelvic mesh. Other sections are dedicated to examining the psychological impact of pelvic pain and the impact of pain on sexuality and relationships. Algorithms on how to work-up and treat patients with chronic pelvic pain are a valuable addition, as well as advice on what to do in situations where known treatments have failed.

A groundbreaking mind-body protocol for chronic pain. Chronic pain is an epidemic. 50 million Americans struggle with back pain, headaches, or some other pain that resists all treatment. Desperate pain sufferers are told again and again that there is no cure for chronic pain. Psychotherapist Alan Gordon was in grad school when he started experiencing chronic pain and it completely derailed his life. He saw multiple doctors and received many diagnoses, but none of the medical treatments helped. Frustrated with conventional pain management, he developed Pain Reprocessing Therapy (PRT), a mind-body protocol to eliminate chronic pain. He subsequently founded the Pain Psychology Center in Los Angeles to bring his treatment to other pain sufferers. PRT is rooted in neuroscience, which has shown that while chronic pain feels like it's coming from the body, in most cases it's generated by misfiring pain circuits in the brain. PRT is a system of psychological techniques that rewires the brain to break out of the cycle of chronic pain. The University of Colorado at Boulder recently conducted a large randomized controlled study on PRT, and the results are remarkable. By the end of the study, the majority of patients were pain-free or nearly pain-free. What's more, these dramatic changes held up over time. The Way Out brings PRT to readers. It combines accessible science with a concrete, step-by-step plan to teach sufferers how to heal their own chronic pain.

Linking theory to practice through the use of authentic clinical cases, Dr. Steven D. Waldman's Pain Medicine: A Case-Based Learning Series helps readers acquire the valuable skill of effective diagnostic thinking in daily practice. The Spine volume uses an in-depth case format, preparing you to correctly analyze clinical vignettes and formulate a clinically sound, evidence-based approach to realistic patient scenarios. This highly effective leaning and assessment tool provides practical clinical insights into the best methods for diagnosis and treatment for the successful management of patients with spine-related pain. Presents real-world patients in a real-world clinical setting, making learning fun and engaging. The Case-Based Learning approach focuses learners and clinicians on the key elements for each diagnosis and helps develop a deep understanding of how to diagnose and treat each condition. Covers everyday clinical problems such as Herniated Disc, Lumbar Strain, Thoracic Vertebral Compression Fracture, Epidural Abscess, Spondylosis, Spinal Stenosis, Sacroiliac Joint Pain, and more. Cases unfold just the way they do in your clinic. Each case is accompanied with thoughtful clinical commentary and key messages from the author. Each chapter uses high-quality radiographic images, clinical photos, and full-color drawings to facilitate a clear, easy-to-understand approach to evaluation and diagnosis. An ideal self-assessment and review tool for pain medicine practitioners and trainees, as well as those preparing for the American Board of Anesthesiology Pain Medicine certification and recertification exam. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Linking theory to practice through the use of authentic clinical cases, Dr. Steven D. Waldman's Pain Medicine: A Case-Based Learning Series helps readers acquire the valuable skill of effective diagnostic thinking in daily practice. The Knee volume uses an in-depth case format, preparing you to correctly analyze clinical vignettes and formulate a clinically sound, evidence-based approach to realistic patient scenarios. This highly effective leaning and assessment tool provides practical clinical insights into the best methods for diagnosis and treatment for the successful management of patients with knee-related pain. Presents real-world patients in a real-world clinical setting, making learning fun and engaging. The Case-Based Learning approach focuses learners and clinicians on the key elements for each diagnosis and helps develop a deep understanding of how to diagnose and treat each condition. Covers everyday clinical problems such as Osteoarthritis and Rheumatoid Arthritis of the Knee; Medical and Lateral Meniscal Tear, Anterior Cruciate Ligament Tear, Jumper's and Runner's Knee, Bursitis, Osgood Schlatter Disease, Hamstring Tendinitis, and more. Cases unfold just the way they do in your clinic. Each case is accompanied with thoughtful clinical commentary and key messages from the author. Each chapter uses high-quality radiographic images, clinical photos, and full-color drawings to facilitate a clear, easy-to-understand approach to evaluation and diagnosis. An ideal self-assessment and review tool for pain medicine practitioners and trainees, as well as those preparing for the American Board of Anesthesiology Pain Medicine certification and recertification exam. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Complex Regional Pain Syndrome (CRPS) is a chronic neuropathic pain disorder that involves one or more extremities with dystrophic changes of the skin, muscle, or bone. CRPS is characterised by constant regional neuropathic pain that does not follow the usual dermatomal distribution or nerve territory. In addition to neuropathic pain, patients suffer from sensory loss, autonomic dysfunction, vasculature changes and motor dysfunction in the region affected. As a debilitating disease with an unclear pathophysiology, patients suffering from this disorder often do not get the adequate level of care or treatment. Until recently, many clinicians believed CRPS was a purely psychiatric ailment and was lumped together with conditions such as conversion disorder. Recent strides in the understanding of responses in both the nervous system and body to trauma has allowed researchers and clinicians to elucidate possible pathophysiology components for this disorder, as well as to better understand the CRPS patient. Currently, CRPS is viewed to be a multiple component disorder activated by the dysfunction of multiple systems. This includes local injury response, inflammatory response, central and peripheral nervous sensitisation, abnormal vasculature changes and psychiatric components. Herein, not only are the pathophysiological mechanisms synthesised from current and past research discussed, but also the available pharmaceutical, interventional, and rehabilitative treatment modalities are reviewed in detail. From the neurophysiology of physical therapy and psychiatric interventions, to concepts in acupuncture, to evidence regarding peripheral and central nerve blocks and implantable devices, and to mechanisms involving supraspinal interventions used to directly manipulate brain circuitry, CPRS treatment options are examined in detail. Furthermore, as evidenced by the diverse and multimodal array of available and emerging treatment modalities, it is clear that CRPS management requires a truly interdisciplinary approach, highlighting this book as a central reference for multiple often-disconnected specialties. Furthermore, the mechanisms of action in each intervention strategy, current evidence base, and gaps in knowledge for management of CRPS are explored with special emphasis on avenues for future research. CRPS is a pain syndrome that has seen an explosion of research in recent decades, due in part to the fairly recent development of internationally formalised diagnostic criteria. However, many questions remain; while some continue to build an evidence base for efficacy and safety of current therapies, others are delving into new pharmaceutical options, experimental therapies, and molecular-level strategies focused on epigenetic manipulation. Moreover, this plethora of emerging CRPS research will surely maintain this syndrome in the forefront of medical research and scientific discovery for the next several decades.

With advances in ultrasound, birth defects are increasingly detected during pregnancy and may be amenable to surgical correction before delivery, to improve outcomes. This essential book discusses the different birth defects that can be treated during pregnancy and the important anesthetic considerations for the mother and fetus undergoing these procedures. Experts in the fields of anesthesiology, maternal fetal medicine, surgery, and pediatrics have come together to develop the content of this book. Enhanced throughout with full color images and illustrations, the book covers important topics such as spina bifida, twin-twin transfusion syndrome, sacrococcygeal teratoma, and lung masses, as well as fetal cardiac intervention, intrauterine transfusion, ex utero intrapartum treatment, and multidisciplinary approaches to fetal surgery. An invaluable guide for pediatric and obstetric anesthesiologists, anesthesiology, obstetrics, and surgical trainees, nurse anesthetists, and maternal-fetal medicine specialists.

This book is a critical response to a range of problems - some theoretical, others empirical - that shape questions surrounding the lived experience of suffering. It explores how moral and ethical questions of personal suffering are experienced, contested, negotiated and institutionalised. Bodies and Suffering investigates the moral labour and significance invested in actions to care for others, or in failing to do so. It also explores circumstances - personal, political and social - under which that which is perceived as non-moral becomes moral. Drawing on case studies and empirical research, Bodies and Suffering examines the idea of the suffering body across different cultures and contexts and the experience and treatment of these suffering bodies. The book draws on theories of affect, embodiment, the phenomenology of illness and moralities of care, to produce a nuanced understanding of suffering as being located across the assumed borders of time, space, bodies, persons and things. Suitable for bioethicists, medical anthropologists, health sociologists and body studies scholars, Bodies and Suffering will also be of use on health science courses as essential reading on suffering bodies, mental health and morality and ethics issues.

Covering both the pharmacological and the more controversial non-pharmacological management of pain relief, this comprehensive text, edited by an internationally renowned specialist, provides practical guidance to all involved in this aspect of labour care.

Pain is the number one reason that people seek medical attention but pain is still under- and poorly-treated world-wide. The purpose of this book is to give an up to date picture of what causes pain, how pain becomes chronic and what pharmacological targets might be manipulated to alleviate acute and chronic pain. The book will cover a wide array of topics from gene polymorphisms to voltage-gated ion channels moving from cellular biology to whole animal physiology.

Pain Medicine Board Review is a comprehensive guide for preparing for the American Board of Medical Specialties (ABMS) certification or recertification in Pain Medicine, and for residents preparing for in-training examinations in Pain Medicine. The text is organized into 28 chapters covering topics such as Anatomy, Physiology of Pain, Pharmacology, Diagnosis of Pain, and various pain syndromes. Each section includes questions, answers, and detailed explanations with highlighted key points, and concise further reading lists. Questions follow the ABMS style, and the explications of answers carefully address all points in the ABMS content outline for Pain Medicine. A section on imaging includes high quality magnetic resonance images, ultrasound images, fluoroscopic images and other images that will enable the examination candidate to answer questions that determine knowledge of pathological states as compared to normal and complications of treatments.

Pain in one form or another is probably the most common symptom presented to medical and healthcare professionals. Long a subject of biomedical interest, more recent biopsychosocial theories have extended the study of pain as a concept which is highly individual in the way it is experienced. Today s landscape offers a broad array of approaches to understanding pain and, crucially, to alleviating its impact. This concise and accessible volume aims to make sense of what is at first sight an eclectic mix of theoretical and practical work on pain, from a distinctly sociological perspective. While there has been much quantitative medical research on pain, in exploring sociology s important contributions to this field Elaine Denny offers insight into the world of those living with pain and the meaning it has in their lives. She provides readers with a range of explanations of pain and various influences on the experience of pain, critically analysing competing schools of thought and embedding this work in the everyday practice of providing care. The result is an illuminating volume for students of health and medical professions studying pain, the body, and the sociology of health and illness.