It has been estimated that 60 million Americans suffer from pain. There has been an explosion in pain research, new pharmaceuticals, the recognition of complementary and alternative therapies, interventional techniques and surgery, professional pain societies and providers with expertise in pain management. The most common condition seen in primary care settings and in pain clinics is lower back pain. Several studies indicate that primary care providers feel ill-prepared to deal with pain issues. Back and neck pain, myofascial pain, whiplash and fibromyalgia are particularly challenging and troublesome for this group. There are multiple reasons for this discomfort, including lack of training, absence of guidelines, concerns about addiction risk and many other issues. As part of the Oxford American Pain Library, this practical handbook is designed to serve as a concise yet authoritative resource on diagnosing and treating back and neck pain. Co-authored by two primary care physicians and a nurse practitioner with extensive expertise in pain medicine and management, the book is tailored to the needs of busy health care professionals treating patients in the primary care setting, and focuses on essential clinical information for physicians, nurse practitioners, and physician assistants in family practice, and internal medicine. In addition to covering all aspects of diagnosis, treatment-both pharmacological and non-pharmacological, and ongoing management of back and neck pain, the handbook also features a section dedicated to similar conditions of myofascial pain, whiplash and fibromyalgia. In addition to covering traditional clinical areas such as pathogenesis, co-morbidities, pharmacologic and non-pharmacologic treatments, the book also presents an array of practical tools and features such as screening tools for easy diagnosis, disability assessment tools, tips on best questions to ask, useful checklists and additional patient resource information. The pocket-sized format, concise chapters, multiple charts and graphs and bulleted highlights are ideal for all providers needing a quick, easily accessible, portable reference on back and neck pain.

Managing Cancer Breakthrough Pain is a comprehensive review of cancer breakthrough pain (cBTP) and rapid-onset opioids (ROO), the only treatment approved for cBTP episodes. The book was originally commissioned due to the current rapid growth of the ROO market and the epidemic of ROO abuse. This book will review the historical background and definitions of cBTP and ROOs, assessment methods to determine types of cBTP, US- and EU-approved ROOs, case studies (which will provide practical applications of ROO treatment options), ROO abuse and screening methods, and the FDA-mandated TIRF REMS Access program (Transmucosal Immediate Release Fentanyl Risk Evaluation and Mitigation Strategies Access program). Busy healthcare professionals who have a basic understanding of cancer pain but want to learn more about cBTP and ROOs will benefit from this concise guide that will help them quickly understand the complexities of cBTP episodes and ROOs.

The First International Symposium on "Pain and Kampo (Japanese Herbal Medicine)" took place in Tokyo in October, 1992. More than 700 registrants participated, with 12 registrants from seven overseas countries. This book contains summaries of the presentations at this meeting and is published in order to provide up-to-date information to a much wider audience. In China, traditional herbal medicine has been used for more than 3000 years while in Japan, its use has been documented for more than 1000 years, albeit with some changes to the original Chinese formulations. Recently there has been a revival of interest in herbal medicines for several reasons. There is a rapid growth in the number of senior citizens who frequently require the attention of modern medicine. In particular, there has been an increase in the number of patients who suffer from chronic diseases which are difficult to treat, e.g., arteriosclerosis, Alzheimer's disease, chronic pain syndromes, etc. It has become evident that traditional Oriental herbal medicines could playa role in the management of these and other conditions.

Patients with pain disorders pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes blocked.
Pain teaches the reader to recognize and appropriately treat a variety of pain disorders using a case study format. Divided into three section, chronic pain conditions, chronic pain and related disorders, and treatment overview, and derived from consultation requests from providers in medical practice, the cases are written in a format that encourages the reader to formulate a differential diagnosis and treatment plan for a variety of pain problems. Succinct in its presentation and logical in its layout, Pain is the perfect resource for the busy practitioner on the go.

Second only to the common cold, pain is the most common reason for health care visits. It results in significant personal and social costs to individuals, and economic costs to society. Chronic pain has been estimated to cost more than 100 billion annually in the United States, and its estimated annual cost to European countries ranges from 1.1 to nearly 50 billion Euros (nearly 1.5 billion to over 60 billion dollars). In order to treat pain, clinicians need to be able to assess pain and its effects on functioning. However, 100s, if not 1000s, of different measures of pain and pain-related domains exist. Surprisingly, despite the fact that much is known about the psychometrics strengths and weaknesses of existing measures, there does not yet exist a simple pain assessment guide that describes the most useful and psychometrically sound pain measures for health care providers. This book fills this need.

This handbook is an up-to-date, evidence based quick, easy reference guide for expert regional anesthesia providers. It will also be an invaluable tool and a great entry point for amateurs' sonographers who wish to understand the basics of ultrasound, its uses for diagnosis and treatment, current guidelines and standards of care. It presents in details challenges, stratification of risks, techniques, and approaches to facilitate effective ultrasound use in perioperative pain control and emergency room pain management. This uses an outline, schematic approach for easy understanding and retention. The applications of ultrasound are vast and cover the full spectrum of ultrasound guided regional anesthesia. This book concentrates and encompasses the most clinically relevant information as a first aid use of perioperative ultrasound. The chapters are concise, focusing on clinical presentations, diagnosis, differential diagnosis which will help you to deliver patient care in a timely and skillful manner. This compact book is packed with relevant, remarkable information related to ultrasound guided techniques and evidence-based protocols and latest guidelines for regional anesthesia, nerve blocks, and opioid-reducing analgesia to promote early recovery after surgery. Concise, practical, and clinically applicable for various specialties, this book fills the unmet need for understanding the usefulness and techniques of ultrasound and its application in perioperative pain management, in particular regional anesthesia and nerve blocks. This handbook enables every physician, nurse, resident and all medical staff to understand the essentials of ultrasound and regional anesthesia, its evolving techniques, and the use of modern equipment to provide patient care safely.

Advances over the past two decades have enabled physicians to revolutionize the manner in which they can assess and manage children's pain. Thirty years ago it was thought that young children did not experience pain and therefore it was not necessary to treat it. Today professionals from a variety of disciplines have contributed data that have revolutionized medical perspectives. Technological advances now enable doctors to treat acute pain in fetuses, premature neonates, infants, toddlers, children, and adolescents with increasing precision and efficacy. Research highlighting the context of chronic pain has moved them away from a mind-body dichotomy and toward an integrated, holistic perspective that leads to substantial improvement in children's adaptive functioning as well as subjective discomfort.

This book covers these topics and is intended for anyone who provides medical care to children. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies. The role of the primary care practitioner is highlighted, both as a front-line resource as well as a consumer of specialized pediatric pain treatment services. Each chapter ends with a summary and specific bullet points highlighting the most central elements, making for quick and easy reference.

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.

Ankylosing Spondylitis in Clinical Practice is a concise, practical guide on the diagnosis and management of this debilitating condition. This book is aimed at clinicians who treat Ankylosing Spondylitis. It provides an authoritative, accessible guide to the diagnosis, management and treatment of ankylosing spondylitis.

This practical guide is ideal for healthcare professionals, including family medicine and sports medicine physicians, who wish to integrate peripheral joint and soft tissue injection procedures into their practices. Emphasis is placed on helping clinicians perform injections with accuracy and efficiency. Procedures are presented in a step-by-step fashion. A wealth of illustrations adds clarity, and fluoroscopic images are featured where applicable. Billing and coding are covered in order to aid readers in obtaining reimbursement. Chart documentation designed to improve patient management and medical-legal protection is presented via ready-to-use templates that can be inserted into office notes. Key information on needle gauge sizes and medication dosages is summarized in an easily accessible table. A useful discussion on conducting clinical trials is outlined as well.

Chronic pain is a major cause of distress, disability, and work loss, and it is becoming increasingly prevalent through the general move towards an ageing population, which impacts dramatically upon society and health care systems worldwide. Due to improvements in health care, it is becoming more common for patients to continue living with long-term illness or disease (rather than these being terminal). Yet little attention has been paid to chronic pain as a public health problem or to the potential for its prevention, even though it can be studied and assessed using concepts and ideas from classical epidemiology.
This book takes an unusual approach in making a symptom the focus of public health research and policy. Written by leaders in the field of pain, it fills a gap in current literature by presenting chronic pain in terms of cause, impact, consequence and prevention. It presents individual conditions as examples of chronic pain, together with chapters that provide overviews on the assessment of pain and methodological issues behind population assessment.
Chronic Pain Epidemiology - From Aetiology to Public Health provides an invaluable framework and basis for thinking about chronic pain and the potential for its prevention in public health terms. It will appeal to readers from public health, epidemiology and policy perspectives, and those involved in the treatment of pain - such as pain researchers, clinicians and specialists. It will also be an invaluable resource for postgraduate students studying pain management, public health, and epidemiology.

Life Beyond Pain "Clear, engaging, and with the authenticity of personal experience." -Patricia Morley-Forster, MD, FRCPC Anesthesiology and Pain Medicine, Founder Status; Professor Emerita Dept of Anesthesiology and Perioperative Care, Western University, London, Canada; 2013 Canadian Anesthesiologists' Society Gold Medal Winner #1 New Release in Chronic Pain and Pain Medicine Long-term pain management. Living with pain offers more than just physical challenges. For those of us navigating the treacherous waters between self-care and normal daily life, there are an overwhelming number of obstacles to overcome. Taming Chronic Pain takes a brutally honest-and at times humorous-look at the major issues associated with long-term pain management, offering practical advice, insight, exercises and discussion of everything from basic scientific knowledge to the psychological effects of chronic pain. Written by a Fellow Pain Sufferer. While dealing with her own chronic pain, Amy has done years of extensive research on every aspect of long-term physical suffering. Her scientific skills and personal experience have given her the expertise to provide this somewhat tongue-in-cheek, knowing glimpse into the many areas of living with chronic pain that no one but a fellow sufferer would recognize. Taming Chronic Pain clarifies with easy to understand diagrams and cartoons. Taming Chronic Pain is a must-have for any chronic pain sufferer. Discover: Tools to help you live your life with chronic pain, whether back, neck, or shoulder pain; arthritis; migraines; or nerve pain A helpful approach to pain management that takes medicine, meditation, and psychology into account Lifestyle suggestions to lessen the effects of pain Tips and tricks for managing relationships while managing pain, and advice for caregivers Readers of books like Mind Over Mood, Pain Free, or 7 Steps to a Pain-Free Life will find answers, companionship and more in Taming Chronic Pain.

A new edition of a highly regarded text in the series on Pain Research and Clinical Management. The book is now used as a standard reference text for those working in the field of neonatology and paediatric pain assessment and management. It provides a comprehensive resource of the latest information in the field for use by both researchers and clinicians. The text is intended for use by all professionals working in the field: neonatologists; pediatricians; anestheiologists; nurses; psychologists. Multidisciplinary editorship and authorship ensuring relevancy and balance of content for all professional groups concerned. Clinically relevant and research based. Edited and written by the best known international names in the field. Covers pain management in infants up to 1 year of age as well as term and preterm neonates. Includes new chapters on: Long-term consequences of neonatal pain from animal models; Pharmacogenetics and pharmacodynamics of analgesic drugs; Neuraxial and Regional Analgesia and Anesthesia; Fetal pain and surgery; Vulnerable Populations, Palliative Care; Infant Pain in the Home and Community, Developing Countries; Health Policy and Health Economics related to Infant Pain; Complementary and Alternative Approaches to Pain in Infancy; and Future Direction.

Over the last ten years, and after treating nearly 6,000 patients, physiotherapist Peter Dornan has found that many conditions that may have -resisted -traditional medical intervention such as:pain in the scrotum, labia, perineum or anorectal region, penis;dysuria (painful urination);urinary and faecal urge incontinence;pain during or after ejaculation;sexual and erectile dysfunction;are often associated with pelvic girdle dysfunction -involving the -sacroiliac joint.In this book he outlines methods and -evidence-based treatment for the dysfunction and management of symptoms, using helpful -illustrations and photos to highlight the concepts and techniques that are covered.Pelvic Pain: a Musculosketal Approach for Treatment will prove useful to patients as well as health professionals who have an -interest in pelvic pain, particularly musculoskeletal therapists.

There is a decreased tolerance for error when pediatric patients undergo medical procedures. It is, therefore, important to accomplish procedures as quickly and accurately as possible. Pediatric Anesthesia Procedures is designed to provide rapid access to information in order to solve a clinical problem as it is occurring. Its pictorial, highly visual format will allow anesthesiologists and other clinicians to review and 'see' the procedures during planning stages, making it a practical resource to keep in the operating room for quick and easy reference during time-pressured situations. This will make it especially useful for practitioners doing procedures that they perform infrequently-or must perform for the first time during an emergent or urgent situation. The chapters within cover a wide variety of basic and advanced pediatric anesthesia procedures and provide generously illustrated step-by-step guidelines for performing them. Each is introduced with an accessible description, followed by a variety of high-quality graphic images-including detailed photographs, magnetic resonance images, computed tomography images, and ultrasound images-and detailed instructions.

"I found this book extremely easy to read. It does much more than tell us what pain is and how to limit or prevent it. It explains the ethical aspects of pain management and makes us think about why and how we should manage patients' pain, and what our rights and duties are in pain management. The book takes us from an explanation of pain, through pain assessment, pharmacology and management, and informs us how to plan for pain management, rather than only focussing on reactive pain control. It also looks at pain from the patient's perspective and teaches us how to assess pain using a variety of recognised tools ... I will use this book again and again, and would recommend it to fellow students who are placed on wards where pain management and planning is required." Conor Hamilton, Student Nurse, Queens University Belfast, UKThis practical introductory text provides an accessible guide to pain and how it affects patients and care giving. It considers: Different pain types including acute, chronic and palliativeAssessing painTreatment and pharmacology of pain controlChallenging situations and dilemmasCommunicating with patients in painEthical and legal aspects of treating pain The book also considers the experience of pain from the patients' perspective, to help healthcare students better understand the needs of patients who are in pain and how they can improve the care they give. Case studies, tools for decision making, insights on patient experiences and reflective exercises provide opportunities for you to reflect upon your own practice and to develop problem-solving and critical thinking skills.Principles and Practice of Managing Pain is ideal for students preparing to practice in a health care environment.Contributor: Maria Parry, Senior Lecturer Palliative Care, University of Glamorgan, UK

With new chapters on herbs and vitamins, "triptans," headache during breast feeding, menstrual migraine, opiate abuse, cervicogenic causes of headache, and exercise and sexual headache plus full revisions and updates, Management of Headache and Headache Medication presents a full and indepth range of information for the management of headache by primary care physicians and neurologist.

Based on an 8-week Mindfulness-based Cognitive Therapy programme, this guide addresses the increasing need for adapted mindfulness in the management of ME/CFS, fibromyalgia, Long Covid, and other chronic fatigue conditions. Using current understanding and theoretical approaches to Long Covid and ME/ CFS, this book allows practitioners to understand how they can adapt their teaching to accommodate patients with specific needs and challenges, including adaptations for brain fog, approaches to rest, movement, daily activity and accompanying difficult thoughts and emotions. Contributions from people who manage ME, fibromyalgia and chronic fatigue through mindfulness are included alongside practical guidance and detailed week-by-week session plans whether that's in-person or online. Filled with helpful diagrams and illustrations, practitioners can use this guide to greatly widen the scope of who they can reach and gently empower clients living with often isolating conditions on how to apply this approach in the long-term to their everyday lives.

Local-regional anesthesia and pain therapy represent two areas of common interest for all physicians. A thorough preparation in functional anatomy and general pharmacology, including familiarity with local anesthetics and analgesics, is considered fundamental background for further study or clinical application of such techniques. Knowledge of the mechanisms of action, efficacies and side effects of the relevant drugs is essential, as is appreciation of possible drug interactions to evaluate eventual toxic effects. Local-regional anesthesia and pain management are being increasing used in diverse medical specialties, including those requiring manual dexterity. In contemporary medicine correct evaluation of the medical outcome becomes essential, especially in relation to the cost-benefit balance, not only in terms of the resources consumed, also and more importantly for the quality of life of the patient.

Within the last decade music therapists have developed their work with people who have life-threatening illnesses and with those who are dying. This book presents some of that work from music therapists working in different approaches, in different countries, showing how valuable the inclusion of music therapy in palliative care has already proved to be. It is important for the dying, or those with terminal illness, that approaches are used which integrate the physical, psychological, social and spiritual dimensions of their being. The contributors to this book emphasize the importance of working not only with the patient but with the ward situation, friends and family members. By offering patients the chance to be creative they become something other than patients - they become expressive beings, and there is an intimacy in music therapy that is important for those who are suffering. Many of the contributors write in their own personal voice, providing a particular insight which will be valuable not only to other music therapists seeking to enrich their own ways of working, but to all those involved in caring for the sick and the dying. Contributors describe their work with both children and adults living with HIV/AIDS, cancer and other chronic degenerative diseases.

Chapters on pain definition and assessment, basic mechanisms, and epidemiology provide a foundation for a detailed discussion of the most common pain syndromes. The identification and treatment of specific syndromes are highlighted in separate chapters on headache, neuropathic pain, low back pain, fibromyalgia and myofascial pain, arthritis and cancer pain. An entire section devoted to therapeutics provides current information about a broad spectrum of analgesic approaches, including drug therapy, anesthetic techniques, surgery, physiatric modalities, and psychologic interventions.