Pain syndromes involve a complex interaction of medical and psychological factors. In each syndrome unique physiological mechanisms are mediated by emotional states, personality traits, and environmental pressures to determine the nature and extent of pain complaints and pain-related disability. The Handbook addresses the complexities of chronic pain in three ways.
Section I describes general concerns that cross-cut the different syndromes, such as the use of narcotic pain medications, the detection of deception and malingering, and the epidemiology of pain. Section II presents comprehensive reviews of a wide range of pain syndromes. Each covers basic pathophysiology, psychological factors found to influence the course of the syndrome, and syndrome-specific multidisciplinary treatment approaches. Most of the Section II chapters are coauthored by psychologists and physicians. Section III discusses pain in special populations, including the elderly and children.
The "Handbook" is the most up-to-date, comprehensive, and integrated single-volume resource for all those professionally concerned with pain.

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.

Now divided into four parts, the second edition of Cancer Pain delivers broad coverage of the issues that arise in the management of malignancy-related pain, from basic science, through end of life care and associated ethical issues, to therapies, both medical and complementary. Part One reviews basis considerations in cancer pain management, including epidemiology, pharmacology, history-taking and patient evaluation and teamworking. Part Two brings together the drug therapies for cancer pain, their underlying basis, and potential side-effects. Part Three covers the non-drug therapies, including nerve blocks, stimulation-induced analgesia, radiotherapy, complementary therapies and psychological interventions. The control of symptoms other than pain, so critical to cancer patients, is also considered here. Part Four describes special situations. Cancer pain management in children and older patients, and in the community setting, and pain in the dying patient and the cancer survivor are all covered here.

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.

"I just wish I had armfuls of time." These are the words of a four year old facing a life-threatening illness. This text portrays the psychological experience of such children, who are irreversibly changed from the moment of diagnosis. Barbara Sourkes is a psychologist who specializes in psychotherapy with children who have cancer and other serious diseases. In the account, she describes how she works with these children, using drawings, soft toys and dolls, stories and real medical instruments to allow them to communicate their experience of the illness, the treatment they undergo, their relationship with their families, and their feelings of grief and loss in coming to terms with the prospect of death. Making use of the words of children, offering interpretations and practical advice, this is a book that should be useful reading for those concerned with the care of terminally ill children.

Utilizing evidence-based research, this revolutionary source explores the difficult diagnosis and management of the controversial syndrome of fibromyalgia. Carefully guiding physicians through the steps leading to diagnosis, Fibromyalgia emphasizes targeting the underlying fibromyalgia syndrome rather than treating each of its symptoms individually. Written by recognized experts, the book: Describes how to diagnose fibromyalgia Advises how to handle patient distress Recommends when to refer a patient to a specialist Discusses how to motivate behavior changes in patients Explores both traditional and up-and-coming pharmaceutical and non-pharmaceutical treatment methods

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.

Contents:
Pain and Hypnosis. Hypnosis. Pain. Controlling Pain. Hypnosis in Pain Control. Hypnosis and Clinical Pain. Cancer. Obstetrics. Surgery. Dentistry. A Perspective on the Hypnotic Control of Pain. Hidden Pain and Its Interpretation. The Future of Hypnosis in Pain Control. Supplement to the First Edition. Recent Developments in the Knowledge of Hypnosis and Pain. Appendices. Stanford Hypnotic Clinical State (SHCS). The Availability of Hypnotic Services.

Those who do not feel pain seldom think that it is felt. SAMUEL JoHNSON, The Rambler, no. 48 (September 1, 1750) Who among us has not experienced the suffering of a patient with chronic disease, who in addition to the vicissitudes of fatigue, anxiety, and frustration, must also deal with the suffering of pain? Who among us has not considered, and then reconsidered, whether a patient's complaints are worthy of a narcotic and thence worried about the social and legal implications of chronic use? Who among us has not refused pain medications to our patients for fear that use was turning into abuse? Finally, who among us would not have liked a clinical guide to a myriad of syndromes, all of which have pain as their common denominator, in the hopes of developing some strategy to prioritize treatment. Our purpose in preparing The Pain Management Handbook is to provide the informa tion needed by clinicians to develop strategies that optimize pain management. It is the goal of the editors and authors that the present handbook, above all else, will be clinically useful. Its aim is to provide practical information regarding the diagnosis and treatment of disorders causing pain, along with tables and graphics to provide the busy practitioner with rapid access to relevant data."

One of the Most Rapidly Advancing Fields in Modern Neuroscience The success of molecular biology and the new tools derived from molecular genetics have revolutionized pain research and its translation to therapeutic effectiveness. Bringing together recent advances in modern neuroscience regarding genetic studies in mice and humans and the practicality of clinical trials, Translational Pain Research: From Mouse to Man effectively bridges the gap between basic research and patient care by humanely examining rodent models for pain associated with bone cancer, osteoarthritis, fibromyalgia, and cardiac episodes. Distinguished Team of International Contributors In addition to addressing the groundbreaking technical advances in tract tracing, endocannabinoids, cannabis, gene therapy, siRNA gene studies, and the role of glia, cytokines, P2X receptors and ATP, this book also presents cutting-edge information on: Nociceptor sensitization Muscle nociceptors and metabolite detection Visceral afferents in disease Innovative rodent model for bone cancer pain Highly specific receptor cloning Modular molecular mechanisms relevant to painful neuropathies This sharply focused work also discusses unexpected discoveries derived from brain-imaging studies related to thalamic pain. Translational Pain Research covers the progress made toward bringing laboratory science (much of it at the molecular level) to our understanding of pain phenomena in humans, with the ultimate goal of reducing the suffering that often accompanies pain and its indirect consequences.

The most misunderstood and complex subject in medicine is the hyperpathic pain of sympathetic dystrophy. More common than previously thought, it comprises between 10 and 20 percent of chronic pain patients. Understanding this self-perpetuating pain -- which "never stops" -- requires unbiased knowledge of physiology and pathology.
Chronic Pain: Reflex Sympathetic Dystrophy, Prevention, and Management is devoted to the subject of Reflex Sympathetic Dystrophy (RSD). The book classifies the different stages of RSD and describes the qualitative and quantitative differences between natural endorphins and synthetic narcotics. Included are long-term follow-ups on sympathectomy patients.
This important reference explains why sympathectomy fails, but nerve block and physiotherapy is successful in the treatment of RSD. In addition, the mechanism of development of RSD is clarified through an extensive collection of drawings and anatomical pictures as well. Other topics include thermographic methods for the diagnosis of RSD, the role of ACTH in the management of chronic pain, and comparisons between the effects of ACTH and those of corticosteroids.

Features
o Classifies the different stages of RSD
o Features the most comprehensive coverage of the literature on RSD and its related aspects
o Describes qualitative and quantitative differences between natural endorphins and systemic narcotics
o Examines the role of ACTH in the management of chronic pain
o Clarifies the mechanism of development of RSD through an extensive collection of drawings and anatomical pictures
o Explains why sympathectomy fails, but nerve block and physiotherapy is successful in the treatment of RSD

This book provides candidate with revision resource for the newly introduced inclusion of single best answer (SBA) questions as part of the Primary FRCA examination. The answers come with explanations and references which help the reader delve into the subject.

Clinically oriented and evidence-based, Practical Guide to Chronic Pain Syndromes supplies pain specialists, neurologists, and anesthesiologists with the latest critical advances in pain management. Key features include: Sections clearly organized by specific pain syndromes Chapters with basic structural templates for fast-referencing Two supplemental sections offering in-depth discussions of medications and other treatment options Treatment recommendations for an array of syndromes, including headache/facial pain and soft-tissue, neuropathic, rheumatological, abdominal, urological, low back, and cancer-related pain The book delivers a swift and accurate diagnosis aide for the treatment of pain syndromes and the creation of treatment plans for chronic pain patients.

You may be able to rid yourself of migraines or seizures completely! The debilitating pain of a migraine...the disability of poorly controlled seizures. If this describes you or someone you care about, you are not alone. A staggering 3 million people in the United States alone have been diagnosed with epilepsy. When you consider that migraines share very similar characteristics to seizures, you can add another 35 million to the pool. Then consider the fact that neurodegenerative disorders such as Parkinson's and Alzheimer's may be the long-term result of uncontrolled damage to the brain from epilepsy and migraines. This means a very large number of people alive today are affected by this process that produces a progressive degeneration of the brain. Migraines and Epilepsy: How to find relief, live well and protect your brain , unlike other books on this topic, brings together many of the concepts that help to heal your brain, improve brain function, and eliminate debilitating conditions that negatively affect your brain. It is designed as a guide to protect the most important thing you own-your brain. While nothing in the physiology of the brain is guaranteed, the majority of those who follow the recommendations in this book will find relief

Research has demonstrated that children with cancer and their parents regards procedure-related pain as one of the most difficult parts of having cancer, and their distress continues years after the completion of anti-cancer treatment. This is a practical 'how to' book that will provide readers with the knowledge, skills, structure and techniques to help young patients and their families to cope with painful medical procedures. The author has gathered together over 10 years experience in clinical pediatric oncology and palliative care to provide a concise overview of procedure-related pain. The book describes the pharmacological and psychological methods of pain relief and how they may be combined, along with the difficulties that may be encountered in their implementation. It also encourages better integration between research work and clinical practice. This is an essential guide for all healthcare professionals working with young people in palliative care or oncology, or those working with children undergoing painful treatments for other conditions such as those with diabetes or those undergoing dialysis.

Recent advances in medicine for resuscitation and care have led to an increased number of patients that survive severe brain damage but who are poorly responsive and non-communicative at the bedside. This has led to a striking need to better characterize, understand, and manage this population who present a real challenge for the assessment of pain and for planning treatment. This edited collection provides clinicians with a guide to recent developments in research on pain perception and assessment, and the detection of consciousness and communication in patients with disorders of consciousness (DOC). With contributions from leading global researchers, the book gives an overview of issues concerning the assessment of pain. It also covers the development of suitable tools both to improve pain management and to detect consciousness and communication in these patients, to influence their prognosis and treatment, and their quality of life. Methodological and ethical issues concerning the implication for future research are also considered. The book will be an invaluable guide for clinicians, medics and therapists working in rehabilitation and acute care, particularly in the demanding field of pain perception, pain assessment and detection of consciousness and communication in patients with DOC. It will also be useful for students and researchers in neuropsychology and medical sciences.

Recent advances in medicine for resuscitation and care have led to an increased number of patients that survive severe brain damage but who are poorly responsive and non-communicative at the bedside. This has led to a striking need to better characterize, understand, and manage this population who present a real challenge for the assessment of pain and for planning treatment. This edited collection provides clinicians with a guide to recent developments in research on pain perception and assessment, and the detection of consciousness and communication in patients with disorders of consciousness (DOC). With contributions from leading global researchers, the book gives an overview of issues concerning the assessment of pain. It also covers the development of suitable tools both to improve pain management and to detect consciousness and communication in these patients, to influence their prognosis and treatment, and their quality of life. Methodological and ethical issues concerning the implication for future research are also considered. The book will be an invaluable guide for clinicians, medics and therapists working in rehabilitation and acute care, particularly in the demanding field of pain perception, pain assessment and detection of consciousness and communication in patients with DOC. It will also be useful for students and researchers in neuropsychology and medical sciences.

Chronic and persistent pain syndromes are as much behavioral and psychological problems as physical or medical problems. Mental health professionals involved in pain management must have a thorough knowledge of the latest pain management techniques in order to select the best methods and strategies for helping each patient cope with pain.

Pain Management Psychotherapy is the most up-to-date comprehensive guide available for the psychological treatment of chronic pain. It addresses the behavioral, emotional, sensory-physiological, cognitive, and interpersonal aspects of pain problems and provides accessible technical knowledge that enables practitioners to alleviate unnecessary pain and suffering. Based on sound research and theory and written by two leading practitioners, this book introduces a short-term therapy model for treating chronic pain that integrates clinical techniques drawn from cognitive therapy, hypnotherapy, behavior therapy, and desensitization therapies. This remarkably thorough volume:

• Supplies step-by-step treatment methods from initial consultation through termination of pain treatment
• Describes brief, solution-oriented pain treatment strategies that work in a managed care environment
• Features assessment and outcome measurement instruments, checklists, worksheets, and clinical scripts
• Demonstrates the latest therapeutic techniques, including eye movement desensitization and reprocessing, therapeutic imagery, relaxation training, and self-hypnosis
• Includes pain inventories, questionnaires, and other assessment tools

This book is an indispensable guide for psychologists, psychiatrists, social workers, and other mental health professionals who need fast, reliable methods for promoting pain relief. It is also an excellent text for undergraduate and graduate students in these and other disciplines, and a valuable reference for insurers, physicians, and managed care providers.

BRUCE N. EIMER, PhD, ABPP, a leading pain management therapist, clinical psychologist, and neuropsychologist, is in private practice in Philadelphia. Dr. Eimer is a Diplomate in Behavioral Psychology of the American Board of Professional Psychology, and a Diplomate of the American Academy of Pain Management. He is a member of the American Psychological Association, American Pain Society, International Association for the Study of Pain, and a Certified and Approved Consultant in Clinical Hypnosis of the American Society of Clinical Hypnosis. Dr. Eimer lectures frequently and gives seminars and workshops on pain management and other psychological topics.

"This is a practical and informative text that will be of great use to psychologists and psychiatrists who treat people with chronic pain. It is one of the most, specific, helpful, and user friendly volumes on pain management." —Dennis C. Turk, PhD

John & Emma Bonica Professor of Anesthesiology and Pain Research University of Washington

"A remarkable, comprehensive, and practical guide for pain management therapy. Everything you wanted to know about the cognitive-behavioral treatment of people with severe pain problems is exceptionally well presented in this book." — Albert Ellis, PhD, President Albert Ellis Institute for Rational Emotive Behavior Therapy Author, A Guide to Rational Living

"Pain Management Psychotherapy makes a strong contribution to the clinical literature. It provides a clear overview of the management of persistent pain and offers insight into the psychological and interpersonal nightmare experienced by pain patients. This important work will help therapists better understand and treat chronic debilitating pain." — Richard S. Weiner, PhD, Executive Director America 0n Academy of Pain Management

"An exceptional handbook. Clinicians will emerge knowing how to mitigate the suffering of people in pain." — Arnold A. Lazarus, PhD, ABPP Distinguished Professor of Psychology Emeritus Rutgers University Author, Brief But Comprehensive Psychotherapy

"A definitive and comprehensive text for assessing and treating patients suffering acute, subacute, or chronic pain. I heartily endorse and recommend this text to students and practitioners alike." — C. David Tollison, PhD Editor, The Handbook of Pain Management

"Pain Management Psychotherapy has the best psychological techniques for the care of the chronic pain patient, which includes cognitive-behavioral, EMDR, and hypnosis therapy. This book should be in the library of every clinician who treats chronic pain." — Dabney M. Ewin, MD, FACS. Diplomate, American Board of Surgery Diplomate, American Board of Medical Hypnosis

Experts address the role of neuromodulators and opiate receptors in alcohol and drug dependence. They present innovative research techniques, new discoveries, and possible clinical correlates that allow for a much greater understanding of the clinical phenomena surrounding alcohol and narcotic use. Included in this thought-provoking volume are a comprehensive review of the current knowledge of the endogenous opiates, their interactions with the opiate receptors, and the potential relationship that these substances might have in promoting the development of dependence, tolerance, and withdrawal; the translation of the basic physiologic findings occuring during withdrawal to treatment of withdrawal symptoms in the clinical setting; and a physiological explanation for the rationale of using clonidine and naltrexone to accelaerate the detoxification process without undue discomfort.

Chinese Auricular Acupuncture provides students and practitioners with a clear, concise, and user-friendly manual on ear acupuncture. It reduces the need for memorization by presenting a method of ear acupuncture that is in keeping with the underpinnings of traditional Chinese medicine. The book can be independently studied and easily used to treat various diseases. It covers ear modalities such as needles, press tacks, seeds and incorporates actual cases from clinical practice to illustrate the clinical applicability of specific modalities and ear acupuncture points. A section on ear diagnosis allows you to supplement your assessment of the pulse, tongue, and hara, thus improving your ability to differentiate the functional basis of imbalance and illness. This edition includes five new chapters on the multiple use of auricular points, prescriptionology practice, common ear questions, new research, and ethical issues. It contains detailed tables and photographs that aid understanding and includes an extensive and updated bibliography. The greatest strength of this book is its user friendliness, which allows both the beginning student and the experienced practitioner to successfully apply auricular medicine in the treatment of their patients in a caring, relatively noninvasive, and effective manner.

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.

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.

For hundreds of years cannabis has been used as a therapeutic medicine around the world. Cannabis was an accepted medicine during the second half of the 19th century, but its use declined because single agent pain medications were advocated by physicians who demanded standardization of medicines. It was not until 1964 when the chemical structure of THC (delta 9-tetrahydrocannabinol) was elucidated and its pharmacological effects began to be understood. Numerous therapeutic effects of cannabis have been reviewed, but cannabis-based medicines are still an enigma because of legal issues. Many patients could benefit from cannabinoids, terpenoids and flavonoids found in Cannabis sativa L. These patients suffer from medical conditions including chronic pain, chronic inflammatory diseases, neurological disorders, and other debilitating illnesses. As more states are legalizing medical cannabis, prescribers need a reliable source which provides clinical information in a succinct format. This book focuses on the science of cannabis as an antioxidant and anti-inflammatory supplement. It discusses cannabis uses in the human body for bone health/osteoporosis; brain injury and trauma; cancer; diabetes; gastrointestinal conditions; mental health disorders; insomnia; pain; anxiety disorders; depression; migraines; eye disorders; and arthritis and inflammation. There is emphasis on using the whole plant - from root to raw leaves and flowers discussing strains, extraction and analysis, and use of cannabis-infused edibles. Features: Provides an understanding of the botanical and biochemistry behind cannabis as well as its use as a dietary supplement. Discusses endocannabinoid system and cannabinoid receptors. Includes information on antioxidant benefits, pain receptors using cannabinoids, and dosage guidelines. Presents research on cannabis treatment plans, drug-cannabis interactions and dosing issues, cannabis vapes, edibles, creams, and suppositories. Multiple appendices including a glossary of cannabis vocabulary, how to use cannabis products, a patient guide and recipes as well as information on cannabis for pets.

The Neurobiology, Physiology and Psychology of Pain focuses on bettering readers' understanding of acute and chronic pain. Featuring chapters on neurotransmitters, pharmacology, and brain imaging, this volume discusses, in detail, the mechanisms of pain and experimental studies undertaken to better understand the pathways involved. The translational work in this area has applicability for neurologists, anesthesiologists, pharmacologists, and anyone working in the intersection of these areas. This volume is integral for anyone interested in the molecular underpinnings of pain at every level.