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Numerous improvements in our understanding of the mechanisms
that underlie neuropathic pain states have come from the
development of animal models, most of which involve partial
peripheral nerve injury. The animal models have shown that nerve
injury initiates a cascade of events resulting in altered
neurochemistry and molecular biology of the peripheral neurons, the
dorsal root ganglion cell, and changes in neurotransmitter and
receptor expression in the dorsal horn of the spinal cord.
Moreover, nerve injury produces anatomical changes with functional
Indispensable for both the trainee and experienced professional, this is the only truly comprehensive account of the major role of the neurosurgeon in the diagnosis and treatment of chronic pain. The elite panel of contributors were chosen due to their expertise and international reputations. The result of their achievement covers the whole spectrum from criteria for patient selection and the details of operative techniques, to the risks, complications, and expected outcomes for a wide variety of anatomic, ablative, and augmentative neurosurgical procedures in treating chronic, intractable pain. The neurosurgeon will find here chapters on the latest neuroaugmentative advances utilizing electrical stimulation and implantable drug infusion systems as well as a useful section providing algorithms and guidelines for the evaluation and treatment of specific pain syndromes. Over 100 photographs and exquisite line drawings - many specifically commissioned for this book - enhance the text. Invaluable for acquiring the critical judgement and clinical skills necessary to apply the procedures involved.
Pain Management and Anesthesiology contains the presentations made at the 43rd Annual Postgraduate Course in Anesthesiology sponsored by the University of Utah and held at Snowbird, Utah, USA, February 20-24, 1998. This volume addresses recent advances in the understanding of the basic science and clinical management of pain. The textbook includes sections on recent advances in the understanding of pain signal processing, as well as reviews of the clinical management of acute, chronic, cancer-related, and pediatric pain. In addition, this text includes a discussion of the behavioral assessment and treatment of the pain patient. This textbook is the sixteenth in a continuing series documenting the proceedings of the postgraduate course.
Introduction to Pain and its relation to Nervous System Disorders provides an accessible overview of the latest developments in the science underpinning pain research, including, but not limited to, the physiological, pathological and psychological aspects. This unique book fills a gap in current literature by focussing on the intricate relationship between pain and human nervous system disorders such as Autism, Alzheimer Disease, Parkinson s Disease, Depression and Multiple Sclerosis. This fully illustrated, colour handbook will help non-experts, including advanced undergraduate and new postgraduate students, become familiar with the current, wide-ranging areas of research that cover every aspect of the field from chronic and inflammatory pain to neuropathic pain and biopsychosocial models of pain, functional imaging and genetics. Contributions from leading experts in neuroscience and psychiatry provide both factual information and critical points of view on their approach and the theoretical framework behind their choices. An appreciation of the strengths and weaknesses of brain imaging technology applied to pain research in humans provides the tools required to understand current cutting edge literature on the topic. Chapters covering placebo effects in analgesia and the psychology of pain give a thorough overview of cognitive, psychological and social influences on pain perception. Sections exploring pain in the lifecycle and in relation to nervous system disorders take particular relevance from a clinical point of view. Furthermore, an intellectually stimulating chapter analysing the co-morbidity of pain and depression provides a philosophical angle rarely presented in related handbooks. The references to external research databases and relevant websites aim to prompt readers to become critical and independent thinkers, and motivate them to carry out further reading on these topics. Introduction to Pain and its relation to Nervous System Disorders is essential reading for advanced undergraduate and postgraduate students in neuroscience, medical and biomedical sciences, as well as for clinical and medical healthcare professionals involved in pain management.
What is a migraine? If you asked five different migraine sufferers, you'd probably get five different answers. Why? Because migraines are different for everyone. Your migraine attacks are as unique as your fingerprints and the experience you have during an attack won't be the same as anyone else's. As there's no one way to get a migraine, there's also no one way to prevent or treat them. Researchers used to think migraine was a vascular condition, or one related to the blood vessels, but it's now classed as neurological, which means it's related to the nervous system. What's more, they don't yet know what causes you to get migraines, and there's no test you can have to get diagnosed. So migraines are a bit of a mystery. Frustrating, right? Don't worry. You don't need to know why you suffer from migraines to understand how to reduce the number of attacks you get or even avoid them altogether. The aim of this book is to help you figure out the best way to prevent your migraines. The first step is to try to understand your own experience. Then you'll be able to figure out how to reduce your attacks, or even stop them altogether.
Bladder Pain Syndrome: A Guide for Clinicians provides a comprehensive update in the pathophysiology, epidemiology, terminology, evaluation and treatment of patients with pelvic pain perceived to be related to the urinary bladder. The volume covers the tremendous evolution during the last decade in our understanding of pain syndromes and their diagnosis and treatment. It is now clear that Bladder Pain Syndrome belongs to the family of pain syndromes, and therefore treatment has moved from the treatment of the bladder to the treatment of a pain syndrome with the special problems this presents when the pain syndrome involves urinary symptoms. Interstitial Cystitis was poorly defined and the interpretation and patient selection differed enormously around the world in many ways, making exchange of information unreliable and confusing. Bladder Pain Syndrome is clearly defined and the result is a much better patient selection. This volume provides state of the art background for making a correct evaluation and diagnosis of patients with pelvic pain and voiding problems resulting in a more focused treatment to the benefit of the patients. The volume also covers the close relationship between different pain syndromes including those outside the pelvis. Bladder Pain Syndrome: A Guide for Clinicians will be of great utility to urologists, gynecologists and all health professionals dealing with patients with pelvic pain.
DR. GARY SAFF is a native of South Florida where he currently practices as an Interventional Pain Management Specialist. Ivy League trained, he did his pain management fellowship at Memorial Sloan-Kettering Cancer Center. More recently he was the Director of Pain Management services at Cleveland Clinic-Weston and formerly a Director at Columbia University's St. Lukes-Roosevelt Hospital. He holds certificates in the American Board of Anesthesiology, the American Society of Pain Management, the American Board of Independent Medical Examiners, and he is licensed in Acupuncture. Dr. Saff has spent ti me both in the Amazon jungle learning medicine from shamans as well as learning eastern medicine acupuncture techniques. In 2009 he published his first book "What A Pain" A Doctor's Guide to Understanding and Treating Pain. He has also authored another children's book, "Baby Benny's Boo-Boo Book" published in 2011. He has published many articles and has given lectures both nationally and internationally. Dr. Saff is currently in private practice and can be contacted at Integrated Pain Solutions of South Florida at (954) 772-7552 or via the web at www.whatapain.com.
Our present understanding of the psychosocial aspects of pain in children is reviewed in this monograph by leading scientists and practitioners. The contributions are integrated within a developmental perspective to provide an introduction to the conceptual and methodological tools necessary for comprehension of new work in the field. This volume offers a survey of major new developments in the area of pediatric pain and points out the directions in which clinical work and conceptualization are moving. Children in Pain argues consistently and persuasively that both models of pain assessment, intervention techniques, and research designs must demonstrate a sophisticated appreciation for developmental considerations. Topics explored include assessment of pediatric pain; coping and adaptation in children's pain; developmental issues among infants and toddlers and among preschool and school-age children, as well as among adolescents; recurrent abdominal pain; burn injury and treatment; chronic and recurrent pain in hemophilia, juvenile rheumatoid arthritis and sickle cell disease; developmental aspects of the biobehavioral treatment of migraine in childhood; and helping children cope with painful medical procedures.
The National Institutes of Health Publication 10-6287, Pain Control: Support for People With Cancer, discusses pain control medicines and other methods to help manage pain, and addresses the physical and emotional effects of pain. Having cancer doesn't mean that you will have pain. But if you do, you can manage most of your pain with medicine and other treatments. This book discusses how to work with your health care team and others to find the best way to control your pain.
Chronic pain is often a complex condition that fails to respond adequately to medical treatments alone. Successful management requires integrated treatment approaches such as those offered by nationally recognized comprehensive pain programs. For those who do not have access to these programs, this book offers steps to help create an alternative treatment path that includes evidence-based medical treatments, physical modalities, counseling, self-care education and alternative approaches. This book is a resource for not only for those who suffer with chronic pain but for their families and healthcare providers. It includes information about interventional pain management procedures, medications, psychological treatments, physical therapies, alternative and complementary approaches. The book also address the risk of addiction to opioid medications. Each chapter includes specific action steps to help individuals determine the types of treatments that might best meet their needs. This book also includes an updated version of the author's previously published 12-Step Chronic Pain recovery guide. The 12-Steps are intended to help individuals recover from the emotional suffering that so often accompanies chronic pain. The 12-Step approach presented in this book draws upon the rich tradition of other 12-Step programs and of cognitive behavioral therapy. For those who have failed traditional medical treatments, such as medications, surgery, and spinal injections, these Steps offer hope for a better future with little, if any, risk. They offer a solution to problems that contribute to pain suffering-lack of trust, fear, worry, blame, isolation, and resentment. They provide a path for recovery from suffering-a path that leads to trust, honesty, reconciliation, peace and joy. What do experts have to say about Chronic Pain: A Way Out? "A holistic approach based on solid clinical evidence. Patients and medical care professionals alike can read and learn. Highly recommended" -Fernando S. Branco, M.D., FAAPMR. Certified in Physical Medicine and Rehabilitation, Pain Management and Addiction Medicine. Medical Director, Rosomoff Comprehensive Rehabilitation Center and Brucker Biofeedback Center, Miami, FL "No one can be excluded from the risk of chronic pain. Dr. Colameco's book is an educational tool that needs to be read by everyone regardless of his or her current experience of pain; an important addition to the pain literature."-J. David Sinclair, MD, FRCP (C), DABPM. Anesthesiologist, Fellow of the Royal College of Physicians (Canada), Diplomate of the American Board of Pain Medicine, Independent Consultant for the Management of Chronic Pain, Seattle, WA "In Chronic Pain: A Way Out, Dr. Colameco combines current, evidence-based medical information with proven spiritual principles that have saved the lives of millions of suffering addicts. The practical exercises provide a road map to improve lives--not just for patients, but for all of those affected by chronic pain." --Christopher Johnston, MD, ABFM, ABAM. Addiction Medicine Specialist, New Jersey Medical Director, Pinnacle Treatment Centers
The Colorado Medical Marijuana Handbook is an essential must have for every Colorado medical marijuana patient, caregiver and dispensary. This handy reference guide touches base on all important topics about medical marijuana, its use in the treatment of illnesses and disease, scientific facts, an independent section on marijuana laws. A section on how to handle interaction with law enforcement, important legal facts about the Patriot Act, Plain View Doctrine, probable cause, reasonable suspicion, and warrantless searches. The guide also looks at state and federal law regarding marijuana and medical marijuana, possession, use and cultivation. Other topics include a complete section on applying for a Colorado medical marijuana ID card, facts on marijuana contaminates and sterilizing medical marijuana. A section featuring over 500 strains of cannabis and each strains recommended medical use and effect. This guide includes the entire text of the Colorado laws, including revised statutes, bills, the Health Department Rules, and more. The Colorado Medical Marijuana Handbook is packed full of useful information and facts covering the highly controversial medical marijuana issue. Compiled by long time California medical marijuana advocate, Michael Malott. Malott was involved with Dennis Peron in the operation of the San Francisco Cannabis Buyers Club, the very first medical marijuana dispensary in US history. He also contributed in the drafting of California's Proposition 215 working with primary author Dennis Peron, which launched the beginning of medical marijuana use not only in California but many states who have used Prop. 215 has precedence and as a model for medical marijuana decriminalization in their state.
Previously only available as part of "Stux"'" Acupuncture" "-" "Textbook and Atlas," the selector is now available in a package together with three new posters which depict the most important acupuncture points topographically. Photographs of the human skin were deliberately not used, as they do not allow the structures directly beneath the surface to be portrayed. To ensure a clear and exact representation, the bones have been drawn in the background. The selector presents the various categories of acupuncture points in tabular form, enabling the user to recognize the most important points of a meridian at a glance. An indispensable aid for every acupuncturist.
Before the late 1970s, interest in caffeine among both the general public and the scientific community was at a relatively low level for many years, even though it was recognized that caffeine was an al most universal component of the diet. The National Coffee Associa tion was supporting a continuing program of research, some re search was being conducted by a few of the largest companies selling coffee, and an occasional university researcher became inter ested in caffeine and conducted experiments, often on effects of caf feine in very high concentration in vitro on skeletal muscle fibres or on dividing cells. Since 1978, however, there has been a mighty up surge in both public and scientific interest in caffeine. It is interest ing to note that this was prompted not by discovery of hitherto un known effects or hazards of caffeine, but by the actions of a regulatory agency, the Food & Drug Administration (FDA) of the U. S. Public Health Service. The U. S. Congress passed new laws on foods and drugs in 1958. One of the provisions was for testing of food additives to assess risk to health. As it was clearly impracticable to require immediate test ing of all additives already in use, a list was drawn up of some hun dreds of additives that were generally recognized as safe (GRAS)."
Rarely have the many mechanisms that might underlie neural plasticity been examined as explicitly as they are in this broad, lavishly illustrated treatment of plasticity in the somatosensory system. The reader is provided with state-of-the-art knowledge of connections at all levels of the somatosensory system. The authors examine the propensity for changes of connectivity in both the mature and developing mammal and make clear proposals regarding the mechanisms underlying these changes. Their functional significance to relevant psychophysical and neurological observations is also discussed.
This book has been written for the general health care professional, from every medical and paramedical specialization. Because pain is the most common factor driving patients to seek professional advice, it is likely that every physician, psychologist, and therapist has been clinically exposed to the difficulty and the frequent frustration of dealing with people in pain. All of them may find in this book some explanations for their puzzles and some updated information, which usually are published in specialized journals not ordinarily read by the general practitioner. Actually the book has been addressed to professionals at two different levels of general practice. At one level is the busy practitioner who treats most patients with' 'acute" pain, and who may use this information in daily practice to prevent the onset of chronic pain; a common effort from all professionals currently is needed to curb the "epidemic" of chronic pain in the United States. At another level the book has been addressed to the practitioner who may have a more intense desire to become involved in the actual management of chronic pain patients.
Pelvic pain in the female patient is common in gynaecological practice, but the specialties of general surgery, urology and orthopaedics provide a significant number of patients and problems. These patients may suffer a multitude of symptoms, and only careful analysis and investigation of each individual problem by the doctor concerned will lead to correct diagnosis and management. The subject matter of this book lies in the practice of many specialties, and all are combined here in a coherent whole. This emphasises the close collaboration necessary between family practitioners, junior hospital staff and consultants. The authors are consultants who work together in a busy district general hospital, and their experience and collaboration is evident in the approach to the diagnosis and management of pelvic pain in the female. Emphasis is laid on the careful evaluation of history and examination and the correct interpretation of diagnostic investigations. Full details of radiology, ultrasound scanning, endoscopy, peritoneoscopy and bacteriological investigation are given. Full consultation between members of staff who have special experience in these investigative procedures is of paramount importance. Details of treatment for relief of pain are important to all doctors concerned with this aspect of clinical management. and this section will be of particular value. The blending of these specialties allows full consideration of the problems affecting the patients. Careful management leads to better treatment for the patient and better satisfaction for the doctor.
Following an introduction to the philosophical and theoreti- cal background of traditional Chinese medicine, the dia- gnostic system is presented: the Chinese system of channels and functional organs, the significance of pointsand point categories, methods of needling and moxibustion. There is a chapter on treatment based on western diagnosis.
Handbook of Pain and Palliative Care:Biobehavioral Approaches for the Life Course Rhonda J. Moore, editor This book takes both a biobehavioral and a lifespan approach to understanding long-term and chronic pain, and intervening to optimize patients' functioning. Rich in clinical diversity, chapters explore emerging areas of interest (computer-based interventions, fibromyalgia, stress), ongoing concerns (cancer pain, low back pain), and special populations (pediatric, elderly, military). This coverage provides readers with a knowledge base in assessment, treatment, and management that is up to date, practice strengthening, and forward looking. Subject areas featured in the Handbook include: Patient-practitioner communication Assessment tools and strategies Common pain conditions across the lifespan Biobehavioral mechanisms of chronic pain Pharmaceutical, neurological, and rehabilitative interventions Psychosocial, complementary/alternative, narrative, and spiritual approaches Ethical issue and future directions With the rise of integrative perspective and the emphasis on overall quality of life rather than discrete symptoms, pain management is gaining importance across medical disciplines. Handbook of Pain and Palliative Care stands out as a one-stop reference for a range of professionals, including health practitioners specializing in pain management or palliative care, clinical and health psychologists, public health professionals, and clinicians and administrators in long-term care and hospice.
Millions of people suffer from debilitating chronic pain from arthritis, fibromyalgia, low back pain, chronic headache syndromes, neuropathies, or other painful conditions. People contending with chronic pain often spend considerable time, energy, and money searching for answers and visit multiple doctors, trying anything to find relief. When the source of pain is unclear or difficult to diagnose, their experiences are additionally frustrating, exhausting, and depressing. This book offers a hands-on approach to improving life with chronic pain, whatever the underlying cause. As a sociologist, psychotherapist, and someone with firsthand experience with chronic pain, the author understands the challenges that accompany pain and has devised realistic strategies to fare better. Paintracking provides a systematic method that empowers individuals to navigate the otherwise overwhelming array of treatment options and incorporate the effective ones into their lives for continued, incremental progress. Its cornerstone is a self-study tool that enables readers to improve. Readers are instructed on how to track and interpret their experience, whether using a pen and paper or the online tool offered as a companion to the book. By cultivating awareness of how their body responds in different situations and to different therapies, readers will become capable self-advocates, able to make informed choices. Written in clear, understandable prose and filled with sociological insights, therapeutic lessons, practical tips, and empathy, this book offers realistic hope to individuals who often feel hopeless in the face of confusing, debilitating pain.
Pain is unfortunately not an early symptom in neoplastic diseases. When it occurs, however, as it so often does in the advanced stages of the disease, then it can be particularly severe. Many physicians are not able to treat such pain efficiently with the standard methods familiar to them. Even in the oncological clinic, it is common for cancer patients not to receive adequate treatment of their pain; the therapeutic efforts are directed principally at the cancer, the pain often being neglected. This book fills a gap in the literature and should enhance the awareness of pain of all those who deal with cancer patients. For the patient, the symptoms of the disease are usually the direct cause of suffering, and pain is often the most severe symptom. The pain may be potentiated by knowledge of the threat posed by the cancer, or may itself considerably increase the patients existing anxiety. Thus there is a vicious circle of pain and psychological factors which will reduce the patient to a state of despair and distress. It is, therefore, obvious that efficient pain therapy is of utmost signi ficance to the patient, who will judge the doctor's ability to provide medical assistance according to the degree of pain relief achieved. The patient's quality of life will also depend critically on the relief obtained."
Pain is a symptom of many clinical disorders, afflicts a large proportion of the population and is largely treated by pharmacological means. However, the two main classes of drugs used are the opioids and the non-steroidal anti inflammatory drugs, drugs that have a long history. The last decade has seen remarkable advances in our understanding of some of the pharmacological bases of pain and analgesia and this book aims to reflect these rapid changes in our understanding of pain mechanisms. One impetus to these scientific advances has been dialogue and interactions between scientists and clinicians; as a result we now has a number of animal models of clinical pain states, to mimic certain aspects of clinical pathophysiological pain states. Molecular aspects of receptors and the synthesis of tools for probing receptor function have also been rapid growth areas. A number of controlled clinical studies using novel licensed drugs have also resulted from recent research, offering hope to certain patients with severe intractable pain. However, we desperately need the pharmaceutical industry to develop new drugs based on these novel targets for analgesic therapy. This book attempts to provide an overview of the important areas of the pharmacology of pain. This book, although providing an account of the pharmacology of pain transmission and its control based on the underlying anatomical organization and physiological responses, does not attempt to cover these latter two areas."
The number of studies on chronic and recurrent pain bears no relation to the frequency of these complaints in gynecologic practice, nor to the clinical and scientific problems that still need solving in this area. Several factors stand in the way of progress in this field, such as the strongly subjective nature of the complaints, the frequent lack of correlation between them and objective findings, and the complexity of the psychosomatic interac tions involved. Although progress in our knowledge has been much slower than we would have wished, and although we are well aware of these many gaps, it was considered useful to gather in a book what we think we have learned during 3 decades of active interest in pain patients and pain problems in gynecologic practice and 12 years of supervision of a pain clinic in the Department of Obstetrics and Gynecology of Leuven University. As there are many differences between acute pain - clinical as well as experi mental - on the one hand and chronic pain symptoms on the other, it was felt preferable to limit the scope of this book essentially to chronic and recurrent pain in gynecologic practice. When presented with a complaint of lower abdominal and/or low back pain, the gynecologist should constantly be on the lookout for nongynecologic causes, of which the most frequent will be either gastroenterologic or orthopedic and sometimes urologic. I have been fortunate in obtaining the collaboration of Dr."
It has been enormously satisfying to prepare the third edition of Anesthetic and Obstetric Management of High-Risk Pregnancy because it fulfills the need for close communication between two specialties, anesthesiology and obstetrics. This relationship is necessary not only to take care of the sick parturient, but also to deliver a healthy baby. New developments in obstetrics and in obstetric anesthesia necessitated this third edition. Most of the contributors to this edition are new, and they have provided information on the latest approaches, as well as updated information. In addition, Chapter 13, "Critical Care Anesthesia for High-Risk Parturients," is completely new. Like earlier editions, the third edition includes contributions from an international team of experts in the field of obstetric anesthesia and obstetrics. I thank all the authors for their va- able contributions. The authors have expressed their own opinions and recommendations, which do not necessarily reflect my own views. I also wish to thank Ms. Elizabeth Kiernan for her endless help in completing the new edition. I sincerely hope this edition will further reinforce the concept of the team approach for taking care of the high-risk parturient.
Throughout the course of history it has always been noted that any ideas about brain function depended upon the highest technological model of the day. Hence, in the Greek or Roman era the ventricular system was singled out because of the devel opment of hydraulics. Early in this century we drew the analo gy between telephone circuits and the brain. Now it is popular to characterize neural function as that of a sophisticated com puter. Indeed, in many ways it may be. But, as yet, the pre pared human brain will likely prevail in the sorting out of information necessary for a proper diagnosis. In this manual, POECK has provided the ground work for such prepara Dr. tion. We all admire the clever diagnostician, and usually ascribe the skill to great intuition. Not so It is the clinician who has seen many patients, and has compiled a menu of choices. Dr. POECK is such a clinician, and he has provided us with his menu of choices. Use of these lists will likely aid the student or resident physician in coming to a proper diagnosis but, more importantly, will help train his or her mind to think in a logical and systematic way. ROBERT J. JOYNT, M.D., Ph.D."
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