Accessible, concise, and clinically focused, Essentials of Pain Medicine, 4th Edition, by Drs. Honorio T. Benzon, Srinivasa N. Raja, Scott M. Fishman, Spencer S. Liu, and Steven P. Cohen, presents a complete, full-color overview of today's theory and practice of pain medicine and regional anesthesia. It provides practical guidance on the full range of today's pharmacologic, interventional, neuromodulative, physiotherapeutic, and psychological management options for the evaluation, treatment, and rehabilitation of persons in pain. Covers all you need to know to stay up to date in practice and excel at examinations - everything from basic considerations through local anesthetics, nerve block techniques, acupuncture, cancer pain, and much more. Uses a practical, quick-reference format with short, easy-to-read chapters. Presents the management of pain for every setting where it is practiced, including the emergency room, the critical care unit, and the pain clinic. Features hundreds of diagrams, illustrations, summary charts and tables that clarify key information and injection techniques - now in full color for the first time. Includes the latest best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics). Discusses recent global developments regarding opioid induced hyperalgesia, addiction and substance abuse, neuromodulation and pain management, and identification of specific targets for molecular pain. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

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 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.

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.

In most patients, pain medication, along with physical therapy and supportive counselling, adequately controls the pain of terminal disease, but in some cases pain medication fails or produces unacceptable side effects, and other more invasive interventions may be used. This practical book provides comprehensive and easy-to-follow guidelines on nerve blocking and neuromodulation techniques to help patients and professionals make choices in pain management. Patients selection and appropriate referral are discussed as well as ethical issues and consent. This book will be an invaluable source of information for a variety of professionals working with patients with advanced disease, including palliative care doctors and specialist nurses, as there is a scarcity of consultants in pain management in the field of palliative care. Some healthcare professionals may not have experience of the full range of techniques that may benefit their patients, therefore limiting the choices available to patients with uncontrolled pain in the context of palliative care. This book will ensure that the full range of techniques are considered to provide excellent care for patients with pain that is difficult to manage.

This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns. Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented by a number of chapters which address special considerations such as the frail patient and chronic opioid use. Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.

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?

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.

With a fresh approach to a common problem, this self-help guide to overcoming back pain advocates adopting the natural, healthy posture of athletes, young children, and people from traditional societies the world over. Arguing that most of what our culture has taught us about posture is misguided--even unhealthy--and exploring the current epidemic of back pain, many of the commonly cited reasons for the degeneration of spinal discs and the stress on muscles that leads to back pain are examined and debunked. The historical and anthropological roots of poor posture in Western cultures are studied as is the absence of back pain complaints in the cultures of Africa, Asia, South America, and rural Europe. Eight detailed chapters provide illustrated step-by-step instructions for making simple, powerful changes to seated, standing, and sleeping positions. No special equipment or exercise is required, and effects are often immediate.

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.

Cancer related pain can be successfully managed in the majority of patients by the use of medication. Some patients, however, have pain that does not respond to opioids, and require more specialised pain management techniques. Examples of such treatments are nerve blocks, radiotherapy, acupuncture and physiotherapy. This is the first book to provide detailed information on these and other methods of pain management. The Editors are experienced clinicians who have brought together an international, multi-professional team of pain specialists, palliative medicine practitioners and oncologists to provide a practical, comprehensive guide to the overall management of cancer pain. By effectively covering many different aspects of care, this book will appeal to all health care professionals involved with the frontline of cancer related pain.

Most people with far-advanced illness wish to be cared for at home for as long as possible. The challenge of providing good palliative care at home is therefore of major importance for family doctors, nurses and all those committed to maintaining the highest possible quality of life for the dying person. As modern specialist palliative care has raised both standards of care and also public expectations of family doctors and community nurses, this book helps to place specialist care in context. As palliative care is a major responsibility for teams providing palliative care at home, this book provides a definitive guide on how to provide effective care for people with far-advanced disease. Written by two palliative medicine specialists, both of whom have been family doctors, this book deals with all the physical, emotional, spiritual and social problems likely to be encountered by family doctors and community nurses caring for a patient and relatives at home. It deals in detail with emergencies, communications, ethical issues and emphasises throughout the importance of team work. 'It provides a wealth of information and advice on all aspects of palliative care at home'. Elaine Coleridge Smith Information Exchange, No. 13, 1995

Cluster headache affects 0.1 per cent of the population and is a severe form of primary headache. This volume of Frontiers in Headache Research is an up-to-date and comprehensive review of the condition and its related disorders. The book begins with a discussion of the basic circadian biology of the condition followed by an overview of relevant epidemiological studies. Cluster headache is then described in comparison with related disorders, including paroxysmal hemicrania, SUNCT, hemicrania continua and hypnic headache, and the system of classification discussed. The volume then moves on to look at the wealth of basic research into cluster headache, including, animal studies, work on the autonomic nervous system in man, neuropeptide research, studies of biological rhythms, the associated endocrinology, information derived from neuroimaging and the influence of genetic factors. The final sections of the book examine acute treatment, prophylaxis, the potential for surgical treatment and the opportunities for further innovative therapies. The contributing authors are all international specialists in this field.

This book showcases the development and evaluation of innovative examples of pain management initiatives by advanced practitioners. It considers each service development or community initiative both in terms of advanced practice nursing and pain management. There is a wide range of examples of innovation in pain management included - from the introduction of ketamine use in one trust, to much wider issues, such as meeting the needs of pain management in the community. The book considers issues such as utilisation of research, education and interprofessional working in the advanced practitioner role. Each chapter looks at development of the service, challenges of implementation, evaluation of the service's success and justifying the importance of the advanced nurse in the service's achievements.* Underlying theory is considered but the focus of each chapter is the translation of knowledge and skills into practice* Written by expert advanced nurse practitioners with a wealth of experience in pain management* Explores pain management in primary and secondary care, both within and outside the NHS* Suitable for qualified nurses, Nurse Practitioners, specialist nurses working in the pain field and nursing students on postgraduate courses on pain management

This book discusses the current and future impact of cellular and molecular medicine (CMM) on anesthesiology and perioperative medicine. It covers the topic from a translational perspective and describes the relevance of CMM to daily clinical practice. Taking a bench-to-bedside approach, chapters examine topics including perioperative acute and chronic management, perioperative organ protection, and novel pharmaceuticals. Personalized Medicine in Anesthesia, Pain and Perioperative Medicine is aimed at anesthesiologists and pain physicians, and will also be of interest to pharmacists and those working in cellular and molecular medicine.

Why does scratching an itch feel so good? Why is pain from a mosquito bite preferable to the same pain from an unidentified source? Douglas Nelson provides the reader with a comprehensive, practical and highly accessible guide to the scientific understanding of pain. The book explores the different types of pain, providing clear explanations of the processes involved within the body. It examines key issues such as diagnosis and measurement of pain, the placebo effect and fibromyalgia syndrome (FMS), and takes an in depth look at causes and treatment for chronic pain. The book is full of practical advice and small changes one can make to improve the effectiveness of pain treatment. Presented as a personal tutorial for understanding the psychology of pain, this book will be useful for practitioners, patients, and the general reader alike. It will be of particular interest to psychologists, alternative medicine practitioners, massage therapists and psychotherapists.

When the first edition of this book (Terminal Care Support Teams: the hospital-hospice interface, 1990) was written, there were only a few advisory palliative care teams working in hospitals. Since then the number of teams has grown rapidly. The concept of these teams in now widely accepted but there is an increased need for information about setting up a team, how they work and how effective they are. This book looks at the need for hospital- based palliative care teams and the challenges of bringing palliative care into the acute hospital setting. It reviews the needs of patients, their families and their professional carers, and also looks at the theoretical and practical problems which may be encountered. For example there is practical advice on setting up hospital-based palliative care teams, the selection of team members as well as coverage of team dynamics, and the role of the pain clinic and palliation oncology.

The perception of pain in the mind of dental patients is a significant deterrant to regular dental attendence by manycontrol of this pain and anxiety is therefore a treatment issue which is central to the clinical practice of dentistry. This textbook covers both local anaesthesia and sedation comprehensively, and provides practical instructions for the dental student. It provides a theoretical framework based on the anatomy, physiology and pharmacology of pain and anxiety control Pain and anxiety control for the concious dental patient provides: comprehensive coverage of pain and anxiety management for concious dental patients; covers the control of operative, perioperative and post-operative pain in dentistry; describes all aspects of local anaesthesia and sedation in dentistry; provides a rational approach to the prescription of drugs; practical guidance and instruction on techniques; over 150 photographs and 50 line diagrams This book covers local anaesthesia including inhalational, intravenous sedation, control of post- operative pain, management of non-dental oro-facial pain and management of medical emergencies related to pain control. It is timely - for example, the teaching of sedation in dental schools is an issue currently being pushed by GDC (1996) Chaps 6 & 9 are unique (Basic principles of dental local anaesthetic injections and Intraligamentary, intra-osseous and intrapulpalanaesthesia)

The past thirty years has seen a huge expansion in the provision of palliative care services. Because Palliative Medicine is a multidisciplinary specialty - combining the expertise of oncologists, anaesthetists, nurses, and many other therapeutic groups, the effectiveness of such treatment can be very difficult to measure. Additionally, research involving terminally ill patients and their carers can also present a number of practical and ethical problems. In spite of this, current health policy demands evidence of effectiveness and value for money of health service interventions at all levels of complexity, including the service level. Evaluating Palliative Care: Establishing the Evidence Base provides an introduction to the theory and practice of the evaluation of palliative care services. It examines the methodological issues involved in the evaluation of palliative care, and outlines a practical approach that is readily applicable to many other health care interventions. In particular, research issues involving terminally ill patients and their carers are analysed and discussed, and approaches suggested for future work.

This book critiques the current approach to the self-management of persistent pain. The drive towards self-management of chronic pain is flourishing as healthcare systems struggle to facilitate the care of those with long term health conditions. In this book Karen Rodham argues that albeit an empowering idea, self-management has not yet been fully translated from idea to practice and as such, runs the risk of blaming and shaming the person living with a chronic condition for failing to manage their condition effectively. She contends that the additional stress of this tension may in fact worsen their condition. Drawing from the research evidence as well as her practice experience, she advocates a move away from the terms 'self' and 'management' towards a more collaborative approach. One which takes account of the life-context of the person who is living with persistent pain. This book explores the shortcomings of the tendency to focus on self-management without taking into account life context and considers how we got here and what can be done. It will be a valuable resource to researchers and practitioners, especially in the field of health psychology.

Pain is an inevitable part of existence, but severe debilitating or chronic pain is a pathological condition that diminishes the quality of life. The Brain and Pain explores the present and future of pain management, providing a comprehensive understanding based on the latest discoveries from many branches of neuroscience. Richard Ambron-the former director of a neuroscience lab that conducted leading research in this field-explains the science of how and why we feel pain. He describes how the nervous system and brain process information that leads to the experience of pain, detailing the cellular and molecular functions that are responsible for the initial perceptions of an injury. He discusses how pharmacological agents such as opiates affect the duration and intensity of pain. Ambron examines new evidence showing that discrete circuits in the brain modulate the experience of pain in response to a placebo, fear, anxiety, belief, or other circumstances, as well as how pain can be relieved by activating these circuits using mindfulness training and other nonpharmacological treatments. The book also evaluates the prospects of procedures such as deep brain stimulation and optogenetics. Current and thorough, The Brain and Pain will be invaluable for a range of people seeking to understand their options for treatment as well as students in neuroscience and medicine.

This is the first comprehensive review of all aspects of nociceptor function, including the structure of nociceptor endings, their neurochemistry, and evolutionary considerations. It deals with the functional properties of nociceptors innervating different organs and the biophysical mechanisms underlaying the transduction process in nociceptors. There are sections on how nociceptor function is modified by nerve injury and regeneration and on its physiopathology. This is an essential reference for researchers in neuroscience and pharmacology, and clinicians working in pain management.

Selected as a Doody's Core Title for 2022! Authored by experts in pain medicine and internal medicine at the University of California, Davis, Primary Care Pain Management delivers just the right amount of clinically relevant information for primary care physicians, nurse practitioners, and physician assistants. Addressing safe and effective pain management in the primary care setting, it follows a user-friendly, high-yield format for quick reference at the point of care, helping you understand the full range of options for treating patients with chronic and acute pain. Presents information in a highly templated, full-color format, with an abundance of tables and algorithms throughout. Covers opioid consent, agreement, and prescribing; nonsteroidal anti-inflammatory drugs; neuropathic pain medications; interventional pain management; physical therapy; complementary modalities; integrative medicine, and more. Includes a "When to Refer" section in every chapter, providing you with a list of questions and key points that could indicate a need for referral to a specialist or surgeon. Emphasizes compassionate care and continuity of care - both key issues in an area that is often emotionally difficult for patients and caregivers. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Integrative Pain Management provides an overview of pain physiology, current conventional care options, an understanding of integrative medicine as it applies to pain management, the role of pain practitioners when working collaboratively, and the utilization of an expansive and patient-centered treatment model. This comprehensive guide written by experts in the field provides case examples of pain conditions, reviews common integrative treatments including physical therapy, behavioral strategies, and advanced procedures to maximize function and reduce pain, and extensive further reading resources. Part of the Weil Integrative Medicine Library, this volume offers clinicians treating pain innovative and patient-centered tools for approaching their most difficult cases to improve their approach and outcomes. The book provides access to additional online content that supplements some of the integrative interventions discussed including videos of tai chi in pain management, a demonstration of motivational interviewing as practitioner empowerment, and figures including the STarT Back Screening Tool (SBST) for spine care. Integrative medicine is defined as healing-oriented medicine that takes account of the whole person (body, mind, and spirit) as well as all aspects of lifestyle; it emphasizes the therapeutic relationship and makes use of appropriate therapies, both conventional and alternative. Series editor Andrew Weil, MD, is Professor and Director of the Arizona Center for Integrative Medicine at the University of Arizona. Dr. Weil's program was the first such academic program in the U.S., and its stated goal is "to combine the best ideas and practices of conventional and alternative medicine into cost effective treatments without embracing alternative practices uncritically."

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.