At its heart, Pelvic Pain Explained is the story of how patients develop pelvic pain, the challenges patients and providers face throughout the diagnosis and treatment process, the difficult task of sifting through the different available treatment options, and the impact that an "invisible" condition has on a patient's life and relationships, and much more. Those who develop pelvic pain find the path to proper diagnosis and treatment frustrating and unsuccessful, oftentimes because they are trying to work within the model of recovery they are used to; one in which they go to the doctor, maybe take some tests and then get a very specific diagnosis that dictates a very specific mode of treatment. This simply is not the path to healing from pelvic pain. Pelvic pain is a health issue that crosses the borders between medical disciplines and requires the patient to be a proactive participant in the healing process. Here, Stephanie Prendergast and Elizabeth Rummer offer readers guidance on navigating a pelvic pain diagnosis and treatment, helping them to better understand their pain from a physiological perspective as well as how to digest the current treatment options available and put them on the path to healing. Providers, too, will gain a better understanding of the effectiveness of an interdisciplinary treatment approach. Major topics the book tackles include: the anatomy of the pelvic floor with an explanation of the many ways pelvic pain occurs; the different diagnoses and contributing factors associated with pelvic pain; a discussion of the current treatment landscape with guidance on how to navigate it; the vital role that PT plays in treatment; male pelvic pain; pregnancy and pelvic pain; sex and pelvic pain; the role of the patient in healing; the role of the brain in pelvic pain; and much more. Anyone with pelvic pain will find here a starting point on the road to healing and living pelvic pain free.

The VA/DoD published the first Clinical Practice Guideline for management of opioid therapy for chronic pain in 2003. This original publication was intended to improve pain management, quality of life, and quality of care for veterans. The focus of the guideline has been to provide education and guidance to primary care clinicians, researchers and other health professionals as they encounter patients with persistent pain and its complications. This book aims to update the evidence base of the 2003 Guideline. It is focused, as was the original CPG, on chronic opioid therapy (opioid therapy for more than one month). It is directed to the clinician who is interested in knowing more about this approach to the management of chronic pain.

This book shows concrete techniques and exercises of psychological pain management, with which it is possible to reduce pain permanently. It is aimed at all pain patients who want to actively manage pain and at all therapists and doctors who want to support their patients in this. The more than 30 successful techniques and exercises, such as mindfulness exercises, relaxation techniques or hypnosis procedures, can be used alone at home without a doctor or therapist. Each exercise is explained step-by-step and simply, is scientifically recognized, has no side effects, and is effective regardless of the cause or location of the pain. The book also provides a wealth of background information on the development of pain and numerous practical tips. The 4th edition is completely updated.

Neck pain is often caused by numerous spinal problems including inflammation, muscular tightness in both the neck and upper back, and pinching of the nerves emanating from the cervical vertebrae. Various head and neck lesions such as neck infections can also induce neck pain. In this book, the authors present topical research in the study of neck pain, including the biomechanics, neuroanatomy and neurophysiology of cervical facet joint pain; musculoskeletal discomfort in the neck due to computer use; rolfing structural integration treatment for neck pain; neck pain induced by deep neck infections and pharmacological intervention in the management of neck pain disorders.

The care of pain patients often requires a specialized knowledge base and skill set that goes beyond that of the general management of patients. Interventional Pain Medicine provides comprehensive, point-of-care information for providers of pain therapies in a portable, easy-to-navigate format. With continued advances made on interventions available to treat pain, this book offers up-to-date details and instructions on procedural techniques as well as concise yet informative discussions on anatomy, indications, preparation, and complications. Chapters are clustered into six different sections for easy review: Introduction, Cervical Spinal Injections, Lumbar Spinal Injections, Pelvic and Sacral Injections, Sympathetic Blocks, and Advanced Neuromodulation Interventions. A perfect resource for residents and fellows as well as a ready reference for practitioners, this book thoroughly covers the field of interventional management of pain patients.

This 10-lesson pain self-management program offers tools and strategies for coping with chronic pain, finding what works, building resilience, and moving forward despite setbacks. Despite recent advances in the study of pain, there is still no medical treatment, alternative therapy, or herbal remedy that can eliminate all pain for all people all of the time. And many who suffer chronic pain know all too well the risks of over-reliance on pain medications. Only you know the ins and outs of your pain; only you can change your feelings of helplessness and despair into empowerment and resilience in the face of persistent pain and its many effects on your life. The authors of this bestselling book are highly-respected experts on pain management who have successfully treated thousands of patients. Their 10-lesson self-management program offers clinically-proven strategies for making simple, gradual adjustments to daily patterns so you can take cope with chronic pain and take charge of your life. Readers of this book will learn how to: Identify and reject harmful myths about pain Balance activity and restFix sleep problems Leverage family and friends for support Manage emotional response to pain Regain self-confidence Avoid relapsing into unhealthy behaviors This revised edition offers important information on the risks of opioid use for chronic pain, and discusses new treatment options including acceptance and commitment therapy, mind-body interventions such as tai chi, and cannabinoids. It also includes a Resource Guide that shows readers how to access support groups and find help paying for health insurance and medication; offers tips for communicating with healthcare teams and employers; and recommends mobile apps to assist with self-management strategies.  

One in three people will develop some kind of cancer in their lifetime. The overall cancer incidence has increased by 25% since 1975. Anaesthetic involvement in hospital interactions has been estimated at around 75%, and so anaesthetists are likely to have major input into the care of the cancer patient. This input may start with the preoperative assessment, but often extends to the intensive care unit and the management of both acute and chronic disease, or procedural related pain.
This book is comprised of five main sections dealing with cancer, anaesthesia for cancer surgery, intensive care, pain management and supportive and palliative care. The chapters are authored by acknowledged specialists in their field of cancer patient management. The anaesthesia section discusses not just major surgery but includes the specific and subtle differences that exist in the diverse types of specialist cancer surgery. The pain section deals with the current status of several specific cancer pain problems with contemporary evidence and recent developments in management. This book also introduces novel ways of looking at conventional treatments such as the genetic aspects of opioid use. For a complete understanding of the cancer patient, other aspects of care are also considered, including psychological care and complementary medicines.

With a focus on anatomy and sonoantomy, this beautifully illustrated updated edition captures the latest advances in the rapidly growing field of ultrasound-guided pain medicine and MSK procedures. This atlas is divided into seven sections that provide an overview and focus on interventional approaches and advancements. Authored by international experts, each clinical chapter features a maximal number of instructive illustrations and sonograms and provides a description of sonoanatomy, instructions on performing the procedure and how to confirm appropriate needle placement. This book will help encourage and stimulate physicians to master approaches in interventional MSK and pain management.

In the United States, over half of pregnant women receive some form of anesthesia for their deliveries; this translates into well over 2 million anesthetics per year. With this new handbook, anesthesiologists have easy access to step-by-step, to-the-point information on how to manage patients in specific situations. Every aspect of obstetric anesthesia practice is covered, including patient evaluation, anesthesia for labor and delivery, anesthesia for cesarean delivery, management of patients with concurrent medical problems, management of obstetric emergencies, fetal assessment, and neonatal resuscitation. Distilled, synthesized text is complemented by a generous number of tables, charts, figures and flow diagrams, all presented in accessible handbook format. Obstetric Anesthesia is an ideal introduction to the specialty as well as an essential daily guide for obstetric patient care and management.

The prevalence of neck pain disorders is increasing world-wide with approximately 10% of adult affected with neck pain. The treatment of neck pain depends on its precise cause and includes rest, heat/ice application, traction, soft collar traction, physical therapy, transcutaneous electric nerve stimulation, surgical procedures and pharmacotherapy. The current pharmacological agents that are used in management of neck pain include non steroidal anti-inflammatory drugs, centrally acting analgesia, acetaminophen, muscle relaxants, topical painkillers and/or topical anaesthesia, local steroids and/or local anaesthetics injections and antimicrobials. This book focuses on the concepts of pharmacotherapy of neck pain disorders in respect to the cause of neck pain, the nature of pain, the mechanism of drug action, the practice of local injections with radiologist intervention, as well as the quality of life and the long term harmful effects including medicines abused.

Orofacial pain - defined aspain lasting over three months in the mouth or face - is increasing in prevelance, with approximately 7% of the UK population having experienced it. It is currently managed by either dentists or general medical practitioners, both of whom have radically different approaches to treatment. While management of orofacial pain has improved quite dramatically over recent years, it is essential that dentists and general practitioners are aware of these advances and of the differences in their approaches.
This concise handbook takes an evidence-based psychosocial approach to the management of patients with pain in the face or mouth and provides basic guidelines to facilitate care quickly in the clinical setting. The book will serve as a useful guide for dental practitioners, specialists in orofacial pain, trainee pain specialists, neurologists with an interest in pain, specialist pain nurses, as well as general medical practitioners.

Essential Notes in Pain Medicine provides a comprehensive review of pain medicine for clinical practice and postgraduate exam preparation. Mapped to the syllabus for the Fellowship of the Faculty of Pain Medicine of the Royal College of Anaesthetists (FFPMRCA)this resource ensures readers have all the information needed in one place. Written by a multidisciplinary team of over 70 international contributors, this resource provides high-quality, up-to-date guidance on 247 topics such as pain assessment, pain physiology, pain interventions, the role of psychology and physiotherapy and many more. Information is presented in concise note form with bullet points, tables, and diagrams, making retaining key facts easier and quicker. References to evidence-based guidelines and directions to further reading allow for identification of areas for further information. Drawing on the editors' expertise, Essential Notes in Pain Medicine is the ideal companion for exams and a comprehensive guide to acute, chronic, and cancer pain management for practising doctors, pain nurses, and allied health professionals.

Back Pain: The Facts is aimed at people who want to help themselves. Affecting nearly everyong at some time in their lives, 40% of people will have experienced some form of back pain within the last year, with around 5% of sufferers taking time off from work within the last month. Long term back pain causes a great deal of distress and unhappiness, affecting work life, income, home life, relationships, fitness, and mood.
Back Pain: The Facts uses clear succinct chapters to give advice about every aspect of managing back pain, as well as answering frequently asked questions from sufferers. A key element is empowerment through understanding why back pain starts and why it persists. There are chapters promoting stretching, exercise, relaxation, communication, advice on sexual relations, as well as considerable emphasis on helping with thoughts and feelings.

Visceral pain, or pain in the internal organs, is often quite difficult for the clinician to recognize promptly as its characteristics are often atypical and vary with time. Patients with visceral pain also often present with concurrent painful conditions in more than one internal organ; this can give rise to an intricate complex of symptoms which can be misleading if not accurately evaluated. Also, despite its frequency, the mechanisms behind pain in the internal organs are not fully understood, and this impacts negatively on therapy.
This concise pocketbook addresses the epidemiology and clinical characteristics of the major visceral pain phenomena, the fundamentals of their neurophysiological mechanisms and the principles of their treatment. It also provides overviews of current diagnostic and therapeutic guidelines on the conditions most commonly associated with visceral pain.

This concise, accessible book covers anesthesia for hepatico-pancreatic-biliary (HPB) surgery and transplantation, based on randomized clinical trials, meta-analyses, case series, reports, and hands-on experience. The anatomy, physiology, pathophysiology and clinical consequences are discussed, and the close ties between HPB resection and transplant anesthesia are explored. The content reflects current real-world practice, as liver and pancreatic transplant surgeries have substantially improved in terms of blood-loss reduction, fast tracking and reduced risk. The book also addresses anesthetic aspects in connection with the recently introduced and rapidly expanding practice of laparoscopic surgery; with enhanced recovery; and with pancreatic surgery. Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation is intended for aspiring HPB and transplant anesthetists, anesthesia trainees, and consultants with experience in HPB anesthesia who want to see whether or not they're up to date on the current standards.

Neuromodulation implants are currently one of the most successful techniques in the treatment of chronic pain, a condition that affects more and more patients each year, leading to reduced quality of life as well as economic losses.Neuromodulation implants for pain are a relatively new technique and are being increasingly used around the globe. However, technical training is not available for every implanter as there are relatively few centers in the world. Further, refresher courses for low-rate implanters are not available. This book fills that gap by offering an update on the best techniques currently used, providing a step-by-step guide on how to perform these procedures correctly. Based on the experiences of leading physicians in the field, it also discusses how to manage both major and minor complications. Lastly, it covers the neuromodulatory intervention techniques used to treat chronic pain in various clinical areas. As such it is a valuable resource for pain physicians as well as neurosurgeons, orthopedists and anesthetists.

Psychopharmacology: A Concise Overview, 3rd Edition is an evidence-based overview of the major classes of psychiatric medications and their use in clinical practice. Clinical considerations as to when, why, and how to use each individual medication are discussed in depth, as are relevant clinical controversies and treatment caveats. Each chapter also features an updated table of individual medications and their generic and brand names, dosing information, pertinent clinical comments, black box warnings, and Food and Drug Administration indications. This overview will equip readers with an essential framework of the concepts of psychopharmacology in an accessible length and style ideal for use as either a primer or refresher text. Medical students, residents, practicing physicians, nurse practitioners and other prescribers, as well as non-prescribing mental health clinicians who need to have a functional familiarity with available pharmacotherapies, will benefit from reading this concise book.

Both pain and addiction are tremendous public health problems. Practitioners of every stripe say that they learned precious little about pain or addiction in their training and readily admit that instruction on the interface of pain and addiction is nonexistent. The recent problem of prescription drug abuse has only served to highlight the fact that these two worlds need unificationthose who treat pain must be informed about the risks of controlled substances and those who treat addiction need to better and more fully understand their benefits. Nowhere is the pooled knowledge of pain management and addiction medicine brought together to allow for a greater appreciation of the risks of addiction when treating people with pain and the pain problems of those with chemical dependency. This major new volume brings this vast knowledge base together, presenting an array of perspectives by the foremost thought leaders at the interface of pain and chemical dependency, and is the most comprehensive resource on the subject to date.
There have been an increasing number of seminars devoted to this topic and a new society, The International Society on Pain and Chemical Dependency, has recently been formed, and this volume is destined to become the classic text on this multidisciplinary subject. It will appeal to anesthesiologists, neurologists, rehab physicians, palliative care staff, pain center physicians, and psychologists.

This book presents a timely and multidisciplinary update on the modalities currently available for treating the most feared symptom of patients diagnosed with cancer. The various cancer pain syndromes are explored in detail, covering those related directly to malignancy and those due to the after-effects of cancer therapy. Treatment modalities, including pharmacologic approaches, interventional procedures, and palliative surgical options, are discussed clearly and concisely, with provision of recommendations for the practitioner. Further topics include new and emerging treatments for cancer pain, survivorship considerations, pain management in special populations, and implementation of systems-based pain programs. The book has been written by a multidisciplinary group of experts, reflecting the evolution in pain and symptom management that has occurred in parallel with progress toward more targeted oncologic treatments. Oncologists, palliative care physicians, allied health professionals, and other practitioners involved in caring for cancer patients will find Fundamentals of Cancer Pain Management to be a rich source of evidence-based insights into effective pain management.

This new edition of Antiseizure Medications: A Clinician's Manual reflects the advances in the study and treatment of epilepsy in the past several years. As a practical tool for physicians and other healthcare providers, this text focuses on the selection and use of antiseizure medications in a variety of clinical contexts. In the past decade, many new antiseizure medications (ASMs) have been introduced, so that there are now approximately 30 medications available to treat epilepsy. The healthcare provider therefore has many choices. However, having many alternatives also allows for the possibility of choosing an inappropriate or a suboptimal agent. The choice of medication should be guided by knowledge and familiarity with the ASMs. In this new edition, the authors discuss choosing drugs when faced with various medical comorbidities; how to correctly prescribe, titrate, and taper drugs; how to monitor drug efficacy and side effects; how to diagnose and manage toxicity; interactions with other drugs; and other relevant issues. With updated references, terminology, materials, and drugs, this third edition meets the needs of clinicians who must treat their patients living with epilepsy.

This book is a guide for any clinician who has a pain patient, including biomedical/allopathic and complementary practitioners. The reader can use each chapter independently when considering a referral to the specific complementary approach, or as an educational tool to learn about the various massage, movement and mindfulness (MMM) approaches and provide comprehensive, evidence-informed support for patients seeking pain relief.

Unter den rheumatischen Erkrankungen nimmt der Morbus Bechterew eine zentrale Rolle ein. Allein in deutschsprachigen Landern leiden rund eine Million Menschen an dieser chronischen Erkrankung oder an der verwandten Spondylarthropathie. Die Standardlehrbucher beschrankten sich bisher lediglich auf Atiologie, Pathogenese und Diagnostik. Die Therapie wurde in der Regel nur kurz dargestellt, wobei die medikamentose Behandlung im Vordergrund stand. Das Werk fullt dieses Informationsdefizit, da der Herausgeber den Schwerpunkt auf unterschiedliche therapeutische Moglichkeiten legt. Neben der medikamentosen Therapie werden unter anderem auch Strahlentherapie, Physikalische Therapie, chirurgische Moglichkeiten, Bewegungstherapie und Kurortbehandlung ausfuhrlich und praxisbezogen beleuchtet. Arzte, Kliniker, Physiotherapeuten und Betroffene erhalten einen wissenschaftlich fundierten Uberblick zur Behandlung von Patienten mit diagnostiziertem Morbus Bechterew.

This is the fourth volume in a new international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In this volume the Editors bring together first-rate palliative care with oncological treatment for patients with advanced breast cancer. The book is presented in a user-friendly handbook format, with use of tables and algorithms to ensure that it is portable, accessible and can be read and referred to on, or before going to, the ward, or before a domiciliary visit. Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find the book invaluable. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists and nurse practitioners in palliative care and oncology. The Palliative Care Consultations series is primarily aimed at those individuals working in an acute hospital cancer centre and/or tertiary referral centre. Books are designed to give the busy clinician advice on clinical problems, both those rarely encountered and those that are very common, but difficult. The volumes are site specific and each volume encompasses a review of the current oncological or haemato-oncological management of advanced disease with symptom control advice. These volumes will give clinicians excellent advice on symptom control in the context of palliative care. The books will also be of use and interest to other professions working in acute hospitals.

The last decade has seen major advances in the neurobiology of pain, primarily resulting from a deeper understanding of the way in which pain signals are coded and processed in the nervous system. This volume in the Molecular and Cellular Neurobiology is the first book for many years to present an integrated overview of the current state of research into the neurobiology of chronic and acute pain.
While recent molecular aspects of nociception are covered in some detail, the book also emphasises the importance of viewing the pain experience as the co-ordinated response of many different areas of the nervous system. The molecular advances are set in the context of the neurobiological system of pain processing. The appropriate behavioural response to injury can therefore be thought of as the result of the integration of information processed within areas of the brain concerned with cognition, affect, sensory discrimination and movement.
Chapters cover recent advances in nociceptor transduction mechanisms, nociceptor plasticity and the biochemical anatomy of pain pathways. Other contributions are concerned with the development of pain systems and with the central processing of nociceptive information studied with brain imaging techniques. Several chapters additionally cover the mechanisms of clinically important pain states such as neuropathic pain, cancer related pain and migraine.
A new volume in the Molecular and Cellular Neurobiology series, this volume presents a state-of-the-art account of the neurobiological basis of pain, edited and written by the leading scientists in this field.

It may come as something of a surprise that pain, the most prevalent symptom in clinical practice, is not always addressed specifically in health professions training. Approximately one in six Americans lives with chronic pain in addition to the millions that experience acute pain each day. Half of older adults live with chronic pain-associated conditions, and about half of all healthcare visits are initiated because of pain. Despite this, reports indicate that the vast majority of health professions schools in the United States do not teach required courses on pain, and the total amount of content pertaining to pain is a fraction of a percent of the total. Almost certainly, the lack of education in coordinated, comprehensive, compassionate care for pain-associated conditions contributed to pervasive opioid over-prescribing and the ensuing wave of addiction and deaths that swept the country in the first part of this century. This book is our response to the pain care crisis - it is designed to prepare young clinicians to assess and treat a wide variety of pain conditions in a manner that balances competence and compassion, incorporating coordinated elements of pharmacological and non-pharmacological therapies. Designed to be read during or after pre-licensure training, e.g. medical, nursing, pharmacy school, and to inspire students to learn more about painful conditions, this book is unique in its clinical focus and the level of detail that is included. This book aims to improve pain care, most especially if used alongside a formal pain care course as part of pre-licensure training, whether spread over four years or condensed into a shorter period. Through engagement in the interprofessional curriculum planning process, the content of the book has been shaped to align with the International Association for the Study of Pain (IASP) interprofessional pain curriculum vision and to focus on the primary questions of: What is pain? How is pain assessed? How is pain managed? How does clinical context influence pain?