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Books > Medicine > Other branches of medicine > Anaesthetics > Pain & pain management
Almost half of adults in the UK suffer from chronic pain. Yet this is often unrelated to any physical injury. So why does it still hurt? Research over the last few decades shows that many of us are victims of a devilish trick of the nervous system: our brains prolong pain long after our bodies have healed from injury. This leads to hundreds of billions of pounds being spent each year on treatments that sometimes do nothing and sometimes make matters worse. Paul Biegler, a science journalist and former doctor who has been on his own pain journey, investigates the true source of chronic pain - our brain's so-called neuroplasticity - and emerging therapies that can rewire the brain and end suffering. As he knows only too well, this doesn't mean pain is all in a person's head. Pain is real, but its meaning is often misunderstood. Through conversations with scientists, doctors, and people who have overcome chronic pain, Biegler shines a light on the rigorous new studies - and emotional personal stories - that are changing the way we understand and treat pain. Most importantly, he shows how to take control over persistent pain and truly heal.
Clinics Collections: Pain Management draws from Elsevier's robust Clinics Review Articles database to provide multidisciplinary teams, including general practitioners, orthopedists, obstetricians , neurologists, gastroenterologists, nurses, and other healthcare professionals, with practical clinical advice and insights on this highly prevalent disease and its comorbidities. Clinics Collections: Pain Management guides readers on how to apply current primary research findings on pain management to everyday practice to help overcome challenges and complications, keep up with new and improved treatment methods, and improve patient outcomes. Areas of focus include physiology and general management, musculoskeletal pain of the head,neck,upper body and lower body,as well as neurologic disorders, psychologic disorders, and special considerations. Each article begins with keywords and key points for immediate access to the most critical information. Articles are presented in an easy-to-digest and concisely worded format. Elsevier Clinics Collections provide concise reviews of today's most prevalent conditions and significant medical developments. Other Clinics Collections titles available include Type II Diabetes Mellitus, Asthma, and Obesity.
This issue of Clinics in Perinatology will carry the reader through the perinatal period and examine pain management throughout that continuum. Beginning with the genetics of obstetrical pain and opioid use in pregnancy, the discussion moves to the provision of anesthesia to the mother and fetus during fetal surgery - an area of intense concern and interest in many centers. There is an extensive discussion of both pharmacologic and non-pharmacologic management of pain during delivery. A discussion of regional anesthetic techniques is increasingly relevant in light of increasing evidence of adverse neurodevelopmental consequences of fetal exposure to general anesthetics and sedatives. Pain, its implications and management, are extensively covered including discussions of how to assess neonatal pain and how best to provide sedation and non-pharmacologic pain management, systemic pharmacologic, or regional techniques. Of particular interest are the reviews of the potential neurodevelopmental impact of both the treatment and the failure to adequately treat pain in the newborn. This topic is receiving an enormous amount of attention from all those who care for children as well as government and the media.
The development of pain as a common experience and its treatment is very important, not only where it is caused by injury or inflammation, but also in chronic states where the nerves themselves are damaged. Even though we already know from physiological studies that special pain receptors or nociceptors are responsible for conducting pain sensations to the brain, the phenomenon of pain remains a medical and social problem. Pain relief or analgesia can be achieved using several different approaches and strategies. Non-steroidal anti-inflammatory drugs are the most widely used analgesics. They have analgesic, antipyretic, and, at higher doses, anti-inflammatory actions. However, a few recent studies have demonstrated that in the case of their prolonged use, these non-opioid drugs elicit the opioid-like effect of tolerance, which alongside drug withdrawal syndrome may entail serious adverse effects. This book provides up-to-date review information and experimental findings concerning antinociceptive tolerance to NSAIDs. The first three chapters after the introduction are devoted to literature reviews on brain limbic areas, opioid and cannabinoid systems, and non-opioid antinociceptive tolerance. Chapters Five, Six and Seven describe research data on antinociceptive tolerance to NSAIDs and opioid and cannabinoid mechanisms of attenuation of nociceptive hyperalgesia in the cingulate cortex, insular cortex, and central amygdala. Chapters Eight, Nine and Ten include discussion, summary and conclusions, as well as a detailed description of experimental materials and methods.
This comprehensive source on the pathogenic origins of neuropathic pain covers the detailed molecular bases of the currently known neuropathies as classified by their pathogenic origins. Filling a critical need, this book fills the need for a resource on a syndrome that demands improved understanding by clinicians and researchers alike so that treatment options for patients are not categorically limited to a pill or a needle. If the clinician understands the origins of a patients' neuropathic pain, they can work cooperatively toward improving it with tailored therapies that don't create societal diseconomies and that ultimately are effective in helping patients. The book presents in detail the molecular bases of some currently known neuropathies by their pathogenetic origins, allowing clinicians to tailor more specific and more effective treatment regimens for their patients. For basic researchers, this book is a general resource to better direct research on neuropathy-specific molecular mechanisms. The improved understanding of the pathogenesis of neuropathic pain can then be used to develop more specific and more effective manipulations of these pathways.
Pain medicine has struggled to find effective treatments for chronic pain. Opioids, which were considered the standard of care, have now demonstrated to have significant adverse long-term consequences. This book provides the reader with pain treatment strategies that have been effectively employed over the years as well as the newest trends and treatment in pain care. Covers cannabinoids in pain care, novel therapeutics in pain medicine, and integrative care in pain management. Discusses relevant basic science, psychological aspects of pain care, opioids and practice guidelines, geriatric pain management, and future research in the field. Consolidates today's available information and guidance into a single, convenient resource.
Low back pain is one of the most common problems and leading causes of disability. This issue of Primary Care Clinics in Office Practice focuses on the burden of low back pain from diagnosis to treatment options and prevention with topics that include: surgical intervention, disability and low back pain: evaluation and determination, complementary and alternative medicine treatments, and interventional and non-interventional treatment of low back pain.
Cannabis sativa has a long history; however, it has not been fully exploited for its beneficial uses. This plant can solve many present challenges, including challenges found in the pharmaceutical and cosmetic industries. Bioprospecting of this very important plant can generate economic upliftment of weaker sections of society and states if properly used under rules and regulations. Cannabis sativa Cultivation, Production, and Applications in Pharmaceuticals and Cosmetics discusses in detail the current research conducted in the area of Cannabis sativa in order to make it more useful and sustainable for the future. It further focuses on the exploration of Cannabis sativa phytoconstituents in various fields, especially in the pharmaceutical and cosmetic industries. Covering topics such as bioactive properties, molecular modeling, and soil pollutants, this premier reference source is an excellent resource for pharmacologists, pharmacists, health professionals, food scientists, agricultural scientists, botanists, chemists, students and educators of higher education, librarians, researchers, and academicians.
Reducing Risks and Complications of Interventional Pain Procedures - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on avoiding pitfalls and optimizing outcomes. Matthew Ranson, MD, Jason Pope, MD, and Richard Rauck, MD offer comprehensive, evidence-based advice on selecting and performing these techniques - as well as weighing relative risks and complications. With access to the fully searchable text at www.expertconsult.com , you'll have the detailed visual assistance you need right at your fingertips. Understand the rationale and scientific evidence for choosing the most effective drugs and techniques. Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines. Apply the newest techniques and latest knowledge in neuromodulation. Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms. Access the fully searchable contents online at expertconsult.com. Improve patient safety and minimize risks with evidence-based, step-by-step guidance for interventional and neuromodulatory techniques
Neuropathic pain is one of the most common, debilitating, costly, and difficult to treat categories of chronic pain conditions characterized by a lesion or disease of the somatosensory nervous system. Neuropathic Pain, part of the What Do I Do Now? Pain Medicine series, brings together in one volume 45 cases which expertly explore the diagnoses, assessment, management, and treatment of various types of neuropathic pain including less common and complex cases. Treatment of neuropathic pain requires skillful assessment and management. Neuropathic Pain provides an engaging collection of thought-provoking cases which clinicians can utilize when they encounter challenging situations. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"
Intrathecal Drug Delivery for Pain and Spasticity - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of intrathecal drug delivery techniques performed today. Asokumar Buvanendran, MD and Sudhir Diwan, M.D., M.S offer expert advice on a variety of procedures to treat chronic non-malignant pain, cancer pain, and spasticity. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. With access to the fully searchable text at www.expertconsult.com, you'll have the detailed visual assistance you need right at your fingertips. Understand the rationale and scientific evidence behind intrathecal drug delivery techniques and master their execution. Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines. Apply the newest techniques in intrathecal pump placement, cancer pain management, use of baclofen pumps, and compounding drugs. Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms. Access the fully searchable contents online at expertconsult.com. Series USP: Improve patient safety and minimize risks with evidence-based, step-by-step guidance for interventional and neuromodulatory techniques
Diagnosis, Management, and Treatment of Discogenic Pain - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of discogenic pain relief techniques performed today. Leonardo Kapural, MD and Philip Kim, MD offer expert advice on a variety of procedures to manage and treat discogenic pain. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. With online access to the fully searchable text and procedural videos at www.expertconsult.com, you'll have the detailed visual assistance you need right at your fingertips. Understand the rationale and scientific evidence behind discogenic pain relief techniques and master their execution. Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines for treating discogenic pain, when to recommend interventional procedures, how to perform them safely, and how to manage chronic back pain in the long term. Apply the newest techniques in discography, radiofrequency and heat procedures, disc fusion, nucleus replacement, and interventions for disc herniation. See how it's done through step-by-step procedural videos on Expert Consult . Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms. Access the fully searchable contents and bonus full-length videos of lumbar discography, biacuplasty, and MILD procedures at expertconsult.com. Improve patient safety and minimize risks with evidence-based, step-by-step guidance for interventional and neuromodulatory techniques
The Year Book of Anesthesiology and Pain Management brings you abstracts of the articles that reported the year's breakthrough developments in anesthesiology, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. Topics in 2004 included: pregnancy and transient neurologic symptoms; informed consent for labor epidurals; analgesic effects of alphadolone; abdominal pain and chronic pancreatitis; analgesia for back and knee injuries. The Year Book of Anesthesiology and Pain Management is published annually in November.
The treatment of pain and scientific pursuits to understand the mechanisms underlying pain raise many ethical, legal, and social issues. For the first time, this edited volume brings together content experts in the fields of pain, pediatrics, neuroscience, brain imaging, bioethics, health humanities, and the law to provide insight into the timely topic of pain neuroethics. This landmark volume of the state of the art exploration of pain neuroethics will be a must read for those interested in the ethical issues in pain research, treatment, and management.
Patients suffering from HIV/AIDS often experience chronic pain due to the many diseases and infections they pick up as a result of a weakened immune system. It interferes with their quality of life and physical functioning, impacts adherence to antiretroviral therapy and HIV primary care, and is associated with significant psychological/social distress and substance use disorders. Chronic Pain and HIV addresses all these complex issues that can influence pain care that can influence pain care for the patient with HIV and acts both as a primer and a comprehensive review to define the field of chronic pain management. Using a clear, clinical approach, key topics include the following: * Musculoskeletal pain in individuals in HIV * Headache in individuals with HIV * Psychiatric comorbidities among individuals with HIV and chronic pain * Potential benefit and harm of prescription opioids in HIV * Pain at the end of life in individuals with AIDS * Treatment of chronic pain syndromes in the HIV-infected person. Edited by an outstanding team with extensive experience in HIV/AIDS and pain/palliative care, every chapter is written by a world-famous expert in their field who provides a thorough review of the relevant literature, including the very latest in management guidelines from the leading international societies. Perfect for all those in primary care, as well as infectious disease specialists managing patients with HIV/AIDS, Chronic Pain and HIV provides sensible, straightforward clinical advice to ensure the best possible patient management.
Ein Selbsthilfebuch fur Menschen mit chronischen Schmerzen - und deren Angehoerige: Millionen von Menschen in Deutschland sind von chronischen Schmerzen betroffen. Schmerzkranke haben oft eine lange Vorgeschichte mit den verschiedensten medizinischen und chirurgischen Massnahmen sowie erfolglosen Therapieversuchen. Betroffene erleben sich ihren Schmerzen hilflos ausgeliefert. Und Partner, Familie, Freunde leiden mit. Aus dem Inhalt: Dieses Therapiebuch begleitet Sie bei der Behandlung Ihrer Schmerzerkrankung. Mit dieser Hilfe werden Sie zum Experten Ihrer eigenen Krankheit. Sie erfahren alles Wissenswerte uber die verschiedenen Erkrankungsbilder, Symptome, ihre Ursachen und Behandlungsmoeglichkeiten. Sie finden Unterstutzung, dass die Symptome nicht eingebildet sind oder auf persoenlicher Schwache beruhen. Sie lernen auf Ihre Beschwerden Einfluss zu nehmen und die Schmerzen zu lindern. UEber den Autor: Dr. med. Martin von Wachter ist Facharzt fur psychosomatische Medizin und Psychotherapie mit Zusatzausbildung in psychosomatischer Schmerztherapie und Traumatherapie.
'The Year Book of Anesthesiology and Pain Management 2010' brings you abstracts of the articles that reported the year's breakthrough developments in anesthesiology, carefully selected from journals worldwide.
This book synthesizes the current research on headache triggers and details how improving the measurement properties of trigger assessments can benefit clinical and research efforts. The book begins with a detailed exploration of the history of triggers and their use in attempts to assign causes to headache attacks. Subsequent chapters then expound on the existing schools of thought on headache triggers with discussions of understudied influences on the causal assignment process, such as the role of individual trigger beliefs and perceptions. After laying this groundwork, the practical application of trigger assessment is thoroughly detailed, including assessment design types and methods of analysis. Chapters then outline the applications of trigger assessment in research and clinical practice. To conclude, the book relays descriptions of future directions and evolving theories in the area. Concise and comprehensive, Assessing Headache Triggers is an invaluable resource for clinicians who treat patients and investigators who aim to improve the lives of individuals with headache through their research.
This book addresses all pain imaging aspects related to both the central nervous system and the body (thorax, abdomen and pelvis), thus updating the international literature on the topic. By adopting a clinical-radiological approach and offering a comprehensive differential diagnosis for a number of painful syndromes (many of which can mimic one other), the work aims to support and enhance the diagnostic management of these patients, suggesting the most appropriate diagnostic algorithm. The book is divided into separate sections for each anatomical macro-area, and the chapters cover the respective topics from both clinical and radiological perspectives. Further, the book includes extensive electronic supplementary material. As such, it offers an invaluable tool for radiologists, neuroradiologists and clinicians working in internal medicine, surgery and neurology, and could also be used in residency programs for these groups.
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