Pain is an unfortunate daily experience for many individuals. Chronic pain -- lasting six or more months -- is suffered by approximately 30% of the population in the United States. These individuals wake up, function during the day and go to sleep, trying to keep pain at a minimum while, at the same time, maintaining some quality of life. They may make frequent visits to the doctor and the pharmacy. When they find relief, it is usually short-lived and comes at a cost such as dependence on narcotic medications or complete limitation of activity. Pain often becomes the central point of their existence. This practice guide describes an approach to psychological evaluation of the chronic pain patient who is being considered for surgery. A large body of research is accumulating which demonstrates that the outcome of surgical procedures aimed at chronic pain relief can be strongly influenced by psychological and emotional factors. This approach, termed "presurgical psychological screening" (PPS) uses interview and testing techniques to identify emotional, behavioral, and psychosocial difficulties which have been demonstrated to negatively impact surgical outcome. Studies show that even patients with clearly identifiable pathophysiology may respond poorly to surgery, due to issues such as pain sensitivity, medication dependence, rewards for pain behavior and personality style. Thus, some insurance carriers, rehabilitation nurses and state worker's compensation systems are encouraging, or even requiring, presurgical psychological screening in cases of surgery designed to relieve chronic pain. The first to present a comprehensive, unified approach to PPS in chronic pain syndromes, this text is designed to provide the behavioral health practitioner, as well as the trainee, with all the tools and information necessary to conduct PPS evaluations. It identifies a multitude of risk factors for poor surgical outcome and reviews research associated with each risk factor. Hands-on techniques for eliciting information from the patient about risk factors is also detailed. Toward this end, the practice guide also contains a number of forms and session outlines which can be directly utilized, or which can be altered to fit readers' needs. Models for weighing and combining surgical outcome risk factors are also provided. Thus, practitioners are able to reach valid and reliable predictions of surgical results. Finally, the text provides outlines of psychological interventions which can facilitate surgical outcome as well as surgical treatment alternatives. Upon completion of this practice guide, readers should be able to begin providing PPS evaluations which are scientifically valid, clinically sound, and which result in significant overall improvement in the treatment of chronic pain syndromes.

Chronic pain affects every aspect of life-physical well-being, mood, stamina, and feelings of self worth and self respect. This book focuses on conquering pain and its related problems through proper management. It offers numerous tools and concepts with which to attack chronic pain and win the battle that more than 35 million people in the U.S. alone fight every day. Virtually all specialists in the health care field must be concerned with pain management-this complete reference offers them strategies for helping their patients, and for patients to help themselves. Chronic Pain: Assessment, Diagnosis, and Management presents a variety of therapies for combating chronic pain, including: Applying external therapy Changing the way patients perceive pain through psychotherapy or other cognitive means Physical therapy and exercises Over-the-counter or prescription medicines to relieve pain, stress, and insomnia caused by discomfort Surgical options The book also contains never before published information on how to prescribe and administer opioids and opioid-containing analgesics for chronic, intractable, and non-malignant pain patients. There is hope for those suffering from chronic pain. This book outlines commonly overlooked problems that, if properly addressed, can make the difference between a patient recovering or effectively managing their pain-or not. Chronic Pain: Assessment, Diagnosis, and Management is full of practical advice and options for anyone suffering from chronic pain and for the doctors who treat them.

This issue of Physical Medicine and Rehabilitation Clinics, guest edited by Drs. Steven Stanos and James Babington, will discuss Pharmacologic Support in Pain Management. This issue of one of four issues selected each year by series Consulting Editor, Santos Martinez. Topics discussed in this issue include, but are not limited to: Buprenorphine in the management of addiction and pain, Methadone, Anticonvulsants for neuropathic pain, Antidepressants for chronic pain, NSAIDs for acute and chronic pain, Topical analgesics, Muscle Relaxants for acute and chronic pain, Opioid Management: Initiating, Monitoring and Tapering, Integrating CDC Guideline for Prescribing Opioids for Acute and Chronic Pain, Opioid Pharmacology and Side Effect Management, among others.

A rigorous and groundbreaking study. Martine Derzelle is the first researcher to approach hypochondria as a relational pathology. Martine Derzelle is the first researcher to approach hypochondria as a relational pathology.

The author tackles a subject that has puzzled care professionals for decades: hypochondria. Martine Derzelle confronts all specialists (psychotherapists, psychiatrists, doctors, psychosomaticians) with the paradox of this pathology and the theoretical void on which the approach to those patients who express a suffering of various kinds has stood for more than a century.

In the first part, the author highlights the lack of theoretical elaboration on hypochondria in the existent literature; in the second part, on the basis of clinical examples, she analyzes the nature of the disease, and then offers a completely innovative theoretical elaboration. Finally, in the third part, she proposes a new and specific approach to treating this pathology at both the theoretical and clinical levels within the framework of psychoanalysis and implementing key concepts from relational psychosomatics.

This issue of Clinics in Plastic Surgery, guest edited by Drs. Michael W. Neumeister and Reuben A. Bueno Jr., is devoted to Pain Management in Plastic Surgery. Articles in this important issue include: Pain Pathways and Management in Plastic Surgery; The Opioid Epidemic; Principles of Pain Management in Plastic Surgery; Epidemiology and Treatment of Chronic Generalized Musculoskeletal Pain; Pediatric Pain Management in Plastic Surgery; Enhanced Recovery After Surgery (ERAS); Imaging of Damaged Nerves; Ischemic Pain; Nerve Entrapments; Neuromas; Targeted Muscle Reinnervation; Migraine Surgery; Complex Regional Pain Syndrome; Regenerative Peripheral Nerve Interfaces; and Postoperative Pain Management in Hand and Upper Extremity Surgeries.

A new edition of a highly regarded text in the series on Pain Research and Clinical Management. The book is now used as a standard reference text for those working in the field of neonatology and paediatric pain assessment and management. It provides a comprehensive resource of the latest information in the field for use by both researchers and clinicians. The text is intended for use by all professionals working in the field: neonatologists; pediatricians; anestheiologists; nurses; psychologists. Multidisciplinary editorship and authorship ensuring relevancy and balance of content for all professional groups concerned. Clinically relevant and research based. Edited and written by the best known international names in the field. Covers pain management in infants up to 1 year of age as well as term and preterm neonates. Includes new chapters on: Long-term consequences of neonatal pain from animal models; Pharmacogenetics and pharmacodynamics of analgesic drugs; Neuraxial and Regional Analgesia and Anesthesia; Fetal pain and surgery; Vulnerable Populations, Palliative Care; Infant Pain in the Home and Community, Developing Countries; Health Policy and Health Economics related to Infant Pain; Complementary and Alternative Approaches to Pain in Infancy; and Future Direction.

Chronic Pain Management: Guidelines for Multidisciplinary Program Development is the most comprehensive textbook to date on the multidisciplinary approach to chronic pain management. Written by an illustrious group of contributors, this volume serves as a must-have armamentarium of guidelines for the development of a successful pain management program within the context of current medical and insurance reimbursement climates. Backed by the American Academy of Pain Management, the book enables readers to understand the benefits of multidisciplinary chronic pain management and helps them apply these techniques to their clinic for effective, consistent, and financially viable patient care. An essential how-to manual for anyone in the field, the book: Emphasizes multidisciplinary chronic pain management as an alternative to surgery, chronic opioid therapy, and interventional approaches Contains best practices for the maintenance of a high-quality cost-effective chronic pain management center Discusses suggestions to enhance cooperation between the numerous groups involved in the care of chronic pain patients Offers strategies for clinician-insurer collaboration resulting in clinically-effective, cost-efficient treatment Describes how to achieve accreditation, and how to develop policies and procedures Helps insurance industry and government agencies recognize the importance of the multidisciplinary approach to pain management

Providing a general approach to the understanding and management of all forms of chronic pain, this book offers a clear and reader-friendly format that clarifies procedures in the diagnosis, assessment, and treatment of the most common chronic non-cancer pain entities. Describing various types of intractable non-cancer pain, including neuropathic, somatic, and visceral pain, this source discusses the many available types of treatments, including opioid and adjunctive pain medications, and the safe and proper use of narcotics for treating chronic pain.

Specifically designed to address the needs of all specialists involved in the care of chronic pain patients, this source clarifies the ethical and legal issues associated with the diagnosis, assessment, and care of patients suffering from long-term pain. Divided into five comprehensive sections, this source covers a variety of topics to help the chronic pain clinician gain perspective on the interaction between ethics, the law, and the provision of medical services.

The acclaimed author of Carved in Sand-a veteran investigative journalist who endured persistent back pain for decades-delivers the definitive book on the subject: an essential examination of all facets of the back pain industry, exploring what works, what doesn't, what may cause harm, and how to get on the road to recovery. In her effort to manage her chronic back pain, investigative reporter Cathryn Jakobson Ramin spent years and a small fortune on a panoply of treatments. But her discomfort only intensified, leaving her feeling frustrated and perplexed. As she searched for better solutions, she exposed a much bigger problem. Costing roughly $100 billion a year, spine medicine-often ineffective and sometimes harmful -exemplified the worst aspects of the U.S. health care system. The result of six years of intensive investigation, Crooked offers a startling look at the poorly identified risks of spine medicine, and provides practical advice and solutions. Ramin interviewed scores of spine surgeons, pain management doctors, physical medicine and rehabilitation physicians, exercise physiologists, physical therapists, chiropractors, specialized bodywork practitioners. She met with many patients whose pain and desperation led them to make life-altering decisions, and with others who triumphed over their limitations. The result is a brilliant and comprehensive book that is not only important but essential to millions of back pain sufferers, and all types of health care professionals. Ramin shatters assumptions about surgery, chiropractic methods, physical therapy, spinal injections and painkillers, and addresses evidence-based rehabilitation options-showing, in detail, how to avoid therapeutic dead ends, while saving money, time, and considerable anguish. With Crooked, she reveals what it takes to outwit the back pain industry and get on the road to recovery.

Principles of Airway Management, 4th Edition, reviews the essential aspects of airway management: anatomy, equipment, intubation, fiberoptic endoscopy, surgical approaches, intubating LMA (lightwand), pediatric airway, CPR, and mechanical ventilation. The book features well-balanced discussions of the complexities and difficult issues associated with airway management; excellent organization that ensures the material can be learned and applied to various situations; the latest equipment and techniques; summary boxes which highlight the most important points of each chapter; and more than 400 illustrations (many in color, for the first time), tables, and boxes.

Handbook of Psychosocial Interventions for Chronic Pain provides a cutting-edge and comprehensive review of interventions for chronic pain grounded in biopsychosocial frameworks. Each chapter gives readers the opportunity to solidify their knowledge of major approaches to chronic pain in an accessible format. Reflecting national efforts to reduce prescriptions for pain medications and increase access to interdisciplinary treatment approaches, the book also considers a wide range of person-level variables such as age, cultural factors, and comorbid mental health conditions. In this book, mental health and allied health professionals will find the tools they need to understand the real-world delivery of chronic pain treatments in a wide variety of settings.

What should you do when your child hurts? Two of the leading voices on pediatric pain teach us how to help children when they need us most. From the sting of a needle to the agony of a life-threatening illness, children experience pain. When they do, they look to adults for help and comfort. But children's pain is poorly understood, not only by many parents, teachers, and coaches, but also by numerous doctors and nurses. In When Children Feel Pain, Rachel Rabkin Peachman, an award-winning science and parenting journalist, and Anna Wilson, a pediatric pain specialist, show how the latest medical advances can help us care for children when they suffer. Untreated or misdiagnosed pain is an epidemic among children. Nearly one out of every five children in the United States suffers chronic pain, while 30 to 40 percent of children over age twelve report feeling some form of pain in any given week. Yet only a small fraction of children receive appropriate treatment, increasing the risk that they will struggle with pain later in life. But, as Peachman and Wilson show, if we give pain the attention it deserves early in life, we can minimize short-term distress and halt the development of long-term chronic pain problems. Whether you are a parent, medical professional, teacher, or anyone else who cares for children, Peachman and Wilson can teach you how to help kids cope with pain. The authors dispel myths and fears surrounding childhood vaccination and opioid prescription medication and outline a range of effective pain-relieving strategies, from cognitive behavioral therapy to parent-led soothing techniques. Helping children address pain is not only at the heart of caretaking; it also proves to be a foundation for lifelong health.

From over-the-counter cough syrups and prescribed painkillers to street economies of heroin and fentanyl, opioid substances and uses have ignited global debates about national drug policy reform. This book is the first to focus on these issues in South Africa, through a range of disciplinary perspectives.

In twelve chapters, scholars from community medicine, pharmacology, social science and the humanities, along with civic actors and researchers, present their evidence-based arguments and insights, and explore possibilities for harm reduction approaches in South Africa. Chapters cover three core areas: dilemmas of drug policy; contradictions of care and treatment; and the issue of stigma.

Opioids in South Africa invites wider conversation, asking us to imagine policy responses that can better protect the constitutional dignity, health and access to healthcare of people using drugs as well as of their families and communities.

There are millions of people who experience issues related to brain health-depression, attention issues, anxiety, forgetfulness, fatigue, and even chronic pain-yet can't figure out what's causing their problems and can't find any relief. They may have seen a myriad of doctors, many of whom do not take their complaints seriously, or worse, turn to the easy, often inappropriate fix of antidepressants or anti-anxiety medications. Traditional medications, supplements, or other therapies haven't worked. No matter what their age-from children to teens or seniors-people and their loved ones are frustrated, scared, and confused by their continued poor health. Countless others display severe psychiatric symptoms that seem to come out of nowhere, ranging from tics, obsessive-compulsive behaviors and anxiety, to depression, bipolar-like mood swings, and even borderline personality disorder and suicidal ideas. Sometimes, the people affected are the only ones that notices a change to the way they think or feel, and they suffer in silence. Or, they reach out to try to get help, and are all too frequently misdiagnosed. David Younger, a world-renowned physician, provides relief to these patients and their families. His diagnostic techniques and treatment protocols will help readers identify the true cause of their symptoms and put them on a clear path to healing so they no longer feel unbalanced, out of control, forgetful, and exhausted. The Autoimmune Brain connects common brain health symptoms to the changes in the immune system, and particularly bacterial, viral, and parasitic infections. Younger explains his groundbreaking research and adds a new component: how traumatic stress (whether physical or emotional) and genetics affects this same triad as inextricable factors in initiating disease and brain health symptoms. In fact, a change in personality, behavior, coping style, and one's emotional state may be the first clue that there is a health problem brewing somewhere else in the body. Readers will find new answers to troubling conditions, including: Alzheimer's disease; Anxiety; Arthritis; Autism; Autonomic disturbances; Bacterial and viral infections; Bipolar Disorder; Cancer; Celiac disease and gluten intolerances; Chronic Fatigue Syndrome (now referred to as Systemic Exertion Intolerance Disease); Chronic Pain; Dementia; Depression; Endocrine Disorders; Immune modulatory therapy using IVIg; Lyme disease and co-infections; Mast cell activation syndrome; Medical cannabis; Obsessive Compulsive Disorder; Orthostatic hypotension; Peripheral Neuropathy; Porphyria; Post-Traumatic Stress Disorder; and Postural orthostatic tachycardia.

Multimodality Imaging Guidance for Interventional Pain Management is a comprehensive resource that covers fluoroscopy-guided procedures, ultrasound interventions, and computed tomography (CT)-guided procedures used in interventional pain management. Fluoroscopy-guided procedures have been the standard of care for many years and are widely available and affordable. Due to the lack of radiation exposure and the ability to see various soft tissue structures, ultrasound-guided interventions are more precise and safer. Primarily performed by radiologists, the benefits, disadvantages, and basic techniques of CT-guided procedures are also included in the volume. By covering all imaging modalities, Multimodality Imaging Guidance for Interventional Pain Management allows for an efficient comparison of the capabilities of each modality.

Acupuncture Treatment for Musculoskeletal Pain covers the basics of acupuncture theory and explains the precepts of Eastern medicine. The text is written for orthopaedic surgeons, anesthesiologists and rehabilitation medicine specialists, and will aid them in their diagnosis and treatment of musculoskeletal pain -- both acute and chronic -- as well as arthritis. Readers of the text will progress on a journey through healing that will serve as a useful adjunct to the procedures and medications currently in use. The author breaks the subject down into three sections: Basics of Acupuncture, Acupuncture Treatment of the Muscoloskeletal Acupuncture Points and Indications, and Special Techniques.

Provides insight into emerging therapeutic options. Fully illustrated to enhance understanding. Authored by renowned experts from multiple disciplines.

Key features: * Provides a clear explanation for many of the pain generators in low back pain and illuminate this perplexing and ubiquitous problem. * Addresses a gap in the existing literature, as "non-specific" or mechanical lumbosacral spine pain accounts for by far most chronic spinal pain sufferers' complaints for clinicians dealing with spinal pain syndromes like general medical practitioners, and spinal specialists in various fields such as sports medicine. * Illustrates anatomical structures that can be injured and thus become responsible for causing mechanical lumbosacral spine pain, frequently, such injuries cannot be detected on sophisticated imaging such as MRI.

* Complete coverage of the FFICM Structured Oral Examination curricullum ensuring confidence in sitting the exam * Facilitates structured study and revision * Organised by sub specialty area to enable focused revision * Up to date guidance in key areas

As headache and facial pain are two of the most common medical complaints, it is essential that clinicians are well equipped to handle these issues. Clinician's Guide to Chronic Headache and Facial Pain is designed for all clinicians dealing with these syndromes in daily practice-whether in the outpatient, emergency, or ambulatory setting. Features: Presents the advice of 12 experts with considerable experience in headache and facial pain management Contains evidence-based chapters derived from past successes and failures and including clear, concise statistical outcomes Reviews both traditional and alternative interdisciplinary and interventional pain management therapies to help practitioners choose the best treatment or combination of treatments for their patients Offers broad-based coverage of all types of headaches and facial pain syndromes from facial neuralgias to post-traumatic headache Includes additional chapters on opioid usage and legal aspects of treatment help to prepare practitioners for a range of possible scenarios Devoted exclusively to managing chronic headache and facial pain, this book is an essential resource for clinicians.

The first clinically focused text dedicated to the newly emerging area of pain medicine known as opioid-induced hyperalgesia (OIH), Opioid-Induced Hyperalgesia provides pain specialists, anesthesiologists, and neurologists with the most current, cutting-edge research and therapeutic options for treating OIH patients. It supplies best practice guidelines for the effective assessment, diagnosis, and management of OIH-need-to-know information clinicians trust and can use in their practice. Organized to provide the information quickly and easily, the book includes dosage recommendations to help minimize the likelihood and/or delay onset of hyperglasia and covers management approaches such as opioid rotation and tapering, provide clinicians with alternative methods for treating OIH's difficult, persistent, and varied problems.

This practical manual presents the main drugs and protocols currently used in the psychopharmacological treatment of psychiatric disorders in cancer and palliative care settings and explores the principal issues involved in such treatment. Significant clinical challenges encountered in the psychopharmacological management of various psychiatric conditions are discussed, covering aspects such as side-effects and drug-drug interactions. Attention is also paid to the emerging theme of adjuvant use of psychotropic drugs for the treatment of symptoms or syndromes not primarily related to psychiatric disorders (e.g. pain, hot flashes). In addition, practical suggestions are provided for dealing with special populations, including children, the elderly, and people affected by severe mental illness. The book is designed to be easy to read and to reference: information is clearly displayed in concise tables and boxes, accompanied by further detail within the text and clinical vignettes. The authors include some of the most renowned clinicians working in the field of psycho-oncology.