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This highly engaging title offers a concise, state-of-the-art overview of the management of sciatica and chronic pain. Written by a well-known neurologist, the book explores the multifaceted approach to the management of sciatica and chronic pain from many viewpoints, including the pharmacologic and surgical, as well as less orthodox methods. In discussing the many different aspects of pain - including neural networks, neural transmitters and genetic viewpoints - the book also provides a thorough review of how various factors interact to make us perceive pain. Importantly, the neuroscience and medical jargon that goes with the field is minimized by the author by defining terms as they are introduced and providing a glossary with definitions of key terms. Contributing to the unique nature of this highly instructive book, three patients with sciatica and chronic pain are followed serially throughout the text to illustrate important concepts that are discussed. A wide range of charts, figures and tables help clarify new concepts as well. Practical and illustrative, Sciatica and Chronic Pain: Past, Present and Future will be of great interest to a wide audience, including medical trainees and practicing physicians at all stages of their careers. Patients may find the book of significant value as well.
This cutting-edge book is a quick reference guide to the evidence-based evaluation, diagnosis, and management of the broad spectrum of orofacial disorders. Each chapter is devoted to a particular disease or disorder and presents advances in our understanding of the condition, the most recent evaluation and diagnostic strategies, and up-to-date treatment approaches. In addition, strategies for integration of care into routine dental practice are explained, and information provided on how to comprehensively diagnose and manage orofacial disorders. The coverage encompasses the latest technological advances in the field, such as novel pharmaceuticals, diagnostic tools, gene transfer techniques, radiotherapy modalities, and a vast array of interdisciplinary and multidisciplinary approaches including complementary and alternative therapies for orofacial disorders.Although the management of orofacial disorders is emerging as a distinct field of dentistry, many dentists and physicians are unfamiliar with recent advances in the care of patients with these disorders including orofacial pain, oral lesions and cancer, malodor, xerostomia, obstructive sleep apnea, bruxism and oral parafunctional behaviors, temporomandibular disorders, occlusal dysesthesias, orofacial neuropathic pains, and headaches. This book, written by world class experts, is deliberately geared to the level of understanding of a clinician. It will serve as an ideal evidence-based reference and source of specific clinical recommendations in daily practice.
Schmerz stellt ein Bio-Psycho-Soziales System dar. Im Sinne einer ganzheitlichen Therapie wird auch von einer interdisziplinaren Schmerztherapie gesprochen. Vor allem Patienten mit chronischen Schmerzen moechten neben der klassischen Schulmedizin auch zunehmend uber alternative Methoden informiert werden. Dieses Buch liefert Ihnen dazu einen profunden UEberblick. Nach allgemeinen Informationen zur Schmerzentstehung und Placeboeffekt werden gangige Naturheilverfahren, wie Traditionelle Chinesische Medizin, psychotherapeutischen Verfahren, physikalische und andere haufig verwendete Methoden ausfuhrlich vorgestellt. Einzelne Kapitel widmen sich der Musiktherapie, Akupressur, medizinischen Trainingstherapie, dem Schamanismus, Ayurveda und der Phytotherapie. Um einem wissenschaftlichen Anspruch gerecht zu werden, wird auf die Sinnhaftigkeit der Anwendung und moegliche Indikationen/Kontraindikationen grosser Wert gelegt. Soweit moeglich, ist die Wirkung im Sinne der Evidence-Based-Medicine beschrieben.
Despite today's historically low maternal and infant mortality rates in the United States, labor continues to evoke fear among American women. Rather than embrace the natural childbirth methods promoted in the 1970s, most women welcome epidural anesthesia and even Cesarean deliveries. In "Deliver Me from Pain," Jacqueline H. Wolf asks how a treatment such as obstetric anesthesia, even when it historically posed serious risk to mothers and newborns, paradoxically came to assuage women's anxiety about birth.
Each chapter begins with the story of a birth, dramatically illustrating the unique practices of the era being examined. "Deliver Me from Pain" covers the development and use of anesthesia from ether and chloroform in the mid-nineteenth century; to amnesiacs, barbiturates, narcotics, opioids, tranquilizers, saddle blocks, spinals, and gas during the mid-twentieth century; to epidural anesthesia today.
Labor pain is not merely a physiological response, but a phenomenon that mothers and physicians perceive through a historical, social, and cultural lens. Wolf examines these influences and argues that medical and lay views of labor pain and the concomitant acceptance of obstetric anesthesia have had a ripple effect, creating the conditions for acceptance of other, often unnecessary, and sometimes risky obstetric treatments: forceps, the chemical induction and augmentation of labor, episiotomy, electronic fetal monitoring, and Cesarean section.
As American women make decisions about anesthesia today, "Deliver Me from Pain" offers them insight into how women made this choice in the past and why each generation of mothers has made dramatically different decisions.
This handy, well-illustrated manual has been designed to meet the need of interventional pain physicians to understand the radiologic imaging involved in the performance of non-spinal pain procedures. It provides information on such topics as radiologic anatomy, the radiologic manifestations of indications and contraindications to interventional procedures, and the radiologic appearance of complications that may arise from these procedures. In addition, it will be useful for the diagnostic radiologist, who may be unaware of many of the interventional pain procedures. The chosen format will ensure that the reader is quickly able to reference any given procedure. As this is a guidebook, it does not encompass every pathologic entity that may be encountered; however, the commonly performed non-spinal pain procedures are included. This text will prove essential for any interventionalist who does not have easy access to a radiologist and vice versa.
This comprehensive text is the definitive academic pain medicine resource for medical students, residents and fellows. Acting as both an introduction and continued reference for various levels of training, this guide provides practitioners with up-to-date academic standards. In order to comprehensively meet the need for such a contemporary text-treatment options, types of pain management, and variables affecting specific conditions are thoroughly examined across 48 chapters. Categories of pain conditions include orofacial, neuropathic, visceral, neck, acute, muscle and myofascial, chronic urogenital and pelvic, acute, and regional. Written by renowned experts in the field, each chapter is supplemented with high-quality color figures, tables and images that provide the reader with a fully immersive educational experience. Academic Pain Medicine: A Practical Guide to Rotations, Fellowship, and Beyond is an unprecedented contribution to the literature that addresses the wide-spread requisite for a practical guide to pain medicine within the academic environment.
This volume addresses neuronal pain mechanisms at the peripheral, spinal and supraspinal level which are thought to significantly contribute to pain and which may be the basis for the development of new treatment principles. Chapters on nociceptive mechanisms in the peripheral nociceptive system address the concept of hyperalgesic priming, the role of voltage-gated sodium channels in different inflammatory and neuropathic pain states, the hyperalgesic effects of NGF in different tissues and in inflammatory and neuropathic pain states, and the contribution of proteinase activated receptors (PAR) to the development of pain in several chronic pain conditions. Chapters on nociceptive mechanisms in the spinal cord address the particular role of NO and of glial cell activation in the generation and maintenance of inflammatory and neuropathic pain and it discusses the potential role of local inhibitory interneurons, of the endogenous endocannabinoid system and the importance of non-neuronal immune mechanisms in opioid signaling in the control of pain. Furthermore, it is presented how spinal mechanisms contribute to the expression of peripheral inflammation.
Whether initiated by injury or disease, induced and sustained by changes in the nervous system, or manifested by society and culture, chronic pain can change one's first-person experience of the body and the world, and ultimately impacts cognitions, emotions, and behavior. Many fine medical books address the causes and management of chronic intractable pain, but rarely do they focus on the ways that such pain creates illness and is experienced and expressed by persons in pain. Maldynia: Multidisciplinary Perspectives on the Illness of Chronic Pain is about chronic pain that has progressed to a multidimensional illness state in and of itself. Although often dismissed as such, this pain is not imaginary, but rather represents an interaction of neurobiological processes, emotional and behavioral responses, and socio-cultural effects and reactions that become enduring elements in the life and world of the pain patient, and often remain enigmatic for those who provide care. Taking a comprehensive approach that covers science, humanities, and culture, this volume emphasizes the need for researchers, clinicians, and caregivers to regard the ways in which chronic intractable pain becomes illness and affects a patient's biological, social, and psychological states, as well as his or her sense of self. Edited by neuroscientist and neuroethicist James Giordano, this book contains 17 insightful chapters representing medicine, neuroscience, psychology, philosophy, ethics, history, art, and the ministry. This exceptional volume also looks at representations of pain in and through the arts, addresses the assignation of values and meaning in pain assessment and treatment, and considers ways to conjoin the sciences and humanities so as to inform the practice of pain medicine and improve the care of those suffering the illness of chronic pain.
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. GET YOUR HIGHEST SCORE POSSIBLE ON THE PAIN MEDICINE CERTIFICATION AND RECERTIFICATION EXAM WITH THIS ALL-IN-ONE REVIEWThis concise yet comprehensive review, edited by two of today's leading pain clinicians/scientists, is the perfect tool to prepare for certification and recertification. It is also an outstanding clinical companion when time is of the essence and authoritative information is needed quickly. Featuring insights from renowned experts, the book's high-yield bulleted presentation condenses and simplifies essential must-know information for the easiest and most time-efficient learning and retention possible. HERE'S WHY THIS IS THE BEST REVIEW OF PAIN MEDICINE AVAILABLE TODAY: Every chapter contains key points that encapsulate the most importantinformation for a given topic Valuable opening section on Test Preparation and Planning reviewsimportant aspects of test taking such as planning study time, planningmaterial to cover, study skills, and taking the actual exam Section on Basic Principles covers key topics such as Pain Physiology,Epidemiology, Gender Issues, Placebo Response, Pain Taxonomy, and Ethics Other sections include: Evaluation of the Patient, Analgesic Pharmacology,Acute Pain Management, Regional Pain, Chronic Pain Management, andSpecial Techniques in Pain Management--which covers the latest advancesin interventional pain Coverage includes alternative treatments such as acupuncture and TENS Numerous photographs and drawings enhance the text
Pain is immediate and searing but remains a deep mystery for sufferers, their physicians, and researchers. As neuroscientific research shows, even the immediate sensation of pain is shaped by psychological state and interpretation. At the same time, many individuals and cultures find meaning, particularly religious meaning, even in chronic and inexplicable pain.
This ambitious interdisciplinary book includes not only essays but also discussions among a wide range of specialists. Neuroscientists, psychiatrists, anthropologists, musicologists, and scholars of religion examine the ways that meditation, music, prayer, and ritual can mediate pain, offer a narrative that transcends the sufferer, and give public dignity to private agony. They discuss topics as disparate as the molecular basis of pain, the controversial status of gate control theory, the possible links between the relaxation response and meditative practices in Christianity and Buddhism, and the mediation of pain and intense emotion in music, dance, and ritual. The authors conclude by pondering the place of pain in understanding--or the human failure to understand--good and evil in history.
A longtime standard for military healthcare personnel, the second edition of Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA) has been thoroughly revised and updated. Although the MARAA handbook initially gained its reputation as a useful resource for managing pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance provides pertinent and practical guidance for managing vital acute pain services in all civilian and military clinical settings. Opening chapters review equipment, local anesthesia and additives, and physics of ultrasound and nerve stimulation. Much of the book is devoted to step-by-step guidance on performing various regional anesthesia nerve blocks organized by pertinent neuroanatomy, use of nerve stimulation, and use of ultrasound. The concluding group of chapters discusses organization of the acute pain service and staff, a review of multidisciplinary care, basics of pediatric regional anesthesia, first-aid acupuncture, and more.
Highly Commended, BMA Medical Book Awards 2015 Comprehensive acute pain management no longer means only caring for patients with pain resulting from postoperative and trauma-related causes-it now includes managing patients with acute pain arising from a wide variety of conditions. Acute Pain Management: A Practical Guide provides health professionals with simple and practical information to help them manage patients with acute pain safely and effectively. The book also helps them to identify and manage acute pain in more complex patients, for whom effective treatment can be challenging. In this new edition, chapters have been revised and updated, often extensively, to reflect current knowledge and practice. This resource will undoubtedly be helpful to a variety of professionals in assessing and managing acute pain.
Following amputation, up to 80% amputees perceive pain in the missing part of the arm or leg, known as phantom limb pain. Why phantom limb pain occurs has not been fully understood and the pain can be very difficult to relieve. This Ph.D. dissertation describes diverse features, existing treatments, and possible causes of phantom limb pain. Particularly it focuses on a promising treatment by proving sensory feedback that is lost in amputees due to removal of a limb. The results of the research studies involved in the thesis may contribute to develop a non-invasive, drug-free pain management approach for those amputee patients suffering from phantom limb pain.
This text provides a comprehensive review and expertise on various interventional cancer pain procedures. The first part of the text addresses the lack of consistency seen in the literature regarding interventional treatment options for specific cancer pain syndromes. Initially, it discusses primary cancer and treatment-related cancer pain syndromes that physicians may encounter when managing cancer patients. The implementation of paradigms that can be used in treating specific groups of cancer such as breast cancer, follows. The remainder of the text delves into a more common approach to addressing interventional cancer pain medicine. After discussing interventional options that are commonly employed by physicians, the text investigates how surgeons may address some of the more severe pain syndromes, and covers the most important interventional available for our patients, intrathecal drug delivery. Chapters also cover radiologic options in targeted neurolysis and ablative techniques, specifically for bone metastasis, rehabilitation to address patients' quality of life and function, and integrative and psychological therapies. Essentials of Interventional Cancer Pain Management globally assesses and addresses patients' needs throughout the cancer journey. Written by experts in the field, and packed with copious tables, figures, and flow charts, this book is a must-have for pain physicians, residents, and fellows.
Vitamine sind essentielle Nahrungsbestandteile. Wenn es gilt, Mangelzustande aus- zugleichen, koennen Vitamine in den Grenzbereich zu den Pharmaka geraten, sei es, weil eine die Vitaminresorption behindernde Krankheit uberspielt werden muss, sei es, weil zur Behebung des Mangels Dosen oder Applikationswege verwendet werden mussen, die "unphysiologisch" sind. Daruber hinaus koennen Vitamine aufgrund ihrer Struktur auch Pharmaka eigener Art sein, deren Wirkung mit dem dem Vitamin zuzuschreibenden physiologischen Effekt nicht erkennbar zu tun hat. Bei- spiele hierfur sind die Senkung der Plasmacholesterinspiegel durch Nikotinsaure oder die Produktion einer "metabolischen" Acidose zum Zweck der Ansauerung des Urins durch hohe Dosen Ascorbinsaure. Die Abgrenzung der Physiologie von der Pharmakologie einer Substanz ist stets kunstlich. Substanzen, die den Stoffwechsel beeinflussen, tun dies aufgrund ihrer Struktur. Im Wechselspiel der Vorlaufer, Coenzyme und Metabolite am Enzym- molekul, an Grenzflachen, in betroffenen Transportsystemen, geht es letzten Endes um die relativen Konzentrationen. Ob die Ergebnisse entsprechender Reaktionen dann wunschenswert, d. h. therapeutisch, oder unerwunscht, d. h. toxisch, sind, ist zum Teil eine Frage der Pharmakologie, zum Teil aber auch eine Frage der Nomenklatur. Jede Substanz, die in hoher intra- oder parazellularer Konzentration toxisch wirken kann, kann gegebenenfalls auch therapeutisch wirksam sein. Wer die Toxizitat hoher Dosen von Vitaminen akzeptiert, akzeptiert zwangslaufig auch die Moeglichkeit therapeutischer Wirkungen.
Experiential evidence shows that pain is associated with common meanings. These include a meaning of threat or danger, which is experienced as immediately distressing or unpleasant; cognitive meanings, which are focused on the long-term consequences of having chronic pain; and existential meanings such as hopelessness, which are more about the person with chronic pain than the pain itself. This interdisciplinary book - the second in the three-volume Meanings of Pain series edited by Dr Simon van Rysewyk - aims to better understand pain by describing experiences of pain and the meanings these experiences hold for the people living through them. The lived experiences of pain described here involve various types of chronic pain, including spinal pain, labour pain, rheumatic pain, diabetic peripheral neuropathic pain, fibromyalgia, complex regional pain syndrome, endometriosis-associated pain, and cancer-related pain. Two chapters provide narrative descriptions of pain, recounted and interpreted by people with pain. Language is important to understanding the meaning of pain since it is the primary tool human beings use to manipulate meaning. As discussed in the book, linguistic meaning may hold clues to understanding some pain-related experiences, including the stigmatisation of people with pain, the dynamics of patient-clinician communication, and other issues, such as relationships between pain, public policy and the law, and attempts to develop a taxonomy of pain that is meaningful for patients. Clinical implications are described in each chapter. This book is intended for people with pain, their family members or caregivers, clinicians, researchers, advocates, and policy makers.
This book is designed to focus on the role of Calcitonin Gene-Related Peptide (CGRP) in health and disease. This peptide, originally discovered in the 1980s as a sensory neuropeptide with cardiovascular effects, is now known to play a distinct role in the pain processing of migraine. The various chapters address the origin, localization and function of CGRP and its receptor in the peripheral nervous system, in the cardiovascular system, and in other tissues and organs. Further attention is paid to the drug discovery pathway where recent findings show the beneficial effect of small molecule antagonists of the CGRP receptors for the relief of the migraine attack and of monoclonal antibodies against CGRP or the CGRP receptor for migraine prevention.
Patients undergoing bariatric surgery are special subjects, as they present different conditions that make it more difficult to facilitate correct postoperative management. A medical staff is often not used to managing these patients and they do not consider that different measures or doses of drugs should be employed. Moreover, several approaches performed in the general population cannot be offered to morbidly obese subjects because of their particular anatomical conditions.The correct management of postoperative pain is essential for the adequate evolution in a postoperative course, as a patient experiencing pain will not be able to mobilize. Moreover, analgesic resources are usually morphic drugs, which might cause nausea and vomiting, impeding correct oral intake.Multimodal analgesia is actually considered the gold standard for postoperative pain control after bariatric surgery, implying the administration of drugs or performance of different analgesic or anesthetic techniques in order to reduce the need for postoperative morphine.For the correct application of postoperative analgesia, it is essential to know the physiopathology of postoperative pain and the mechanism of action for each analgesic technique.The aim of this book is to revise the actual evidence about the management of postoperative pain in morbidly obese patients undergoing bariatric surgery.
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.
This empowering book provides a comprehensive resource to help readers of all ages understand pain, seek the right diagnosis and treatment, and allow them to take control of their pain. Unfortunately, pain is a universal human experience. For many, their experience of pain transcends an occasional or nagging discomfort and disrupts their lives. Understanding Pain: What You Need to Know to Take Control presents insights that will be useful to anyone who wants to be more knowledgeable about recognizing pain conditions through symptoms and telltale signs, and needs to be fully informed about the various treatment options available. Providing information that is at once cutting-edge, comprehensive, and easy-to-understand, the chapters also provide the resources needed to obtain further information about the topic. The book covers all major pain syndromes in a manner accessible to those without backgrounds in science or pain treatment, explicitly explaining symptoms, tests that may be needed, and treatments and rehabilitation techniques that are possible. The last section of the text discusses pain issues of specific populations, such as children, the elderly, and women during childbirth. Contributions from experts from across the country in their respective fields-real-life, dedicated practitioners who treat patients and conduct research
This multimedia handbook and video atlas provides an interactive learning experience for practitioners who perform interventional procedures with radiographic guidance for acute or chronic pain. The print text is a formatted portable reference for reviewing anatomy, indications, physical examination findings, set-up, technique, and risks and complications for a wide range of head, neck, spine, and pelvic interventions. Buyers receive a downloadable enhanced ebook with purchase which includes high quality procedural videos with voice-over narration, putting you in the operating suite as each procedure unfolds. Shot from the perspective of the interventionalist with a split screen view of the fluoroscopic images, the videos demonstrate real-time decision making as the moving of the practitioner's hands is correlated with the positioning and progression of the needle to the target. These videos offer the opportunity to "stand in" on actual procedures with an expert, and demonstrate proper injection technique, effective targeting, and live contrast review to build skills in interventional pain management.
The aim of this book is not only to introduce readers with a broad spectrum of biological actions of the NOP receptor, but also to feature a detailed look at the N/OFQ-NOP receptor system, medicinal chemistry, pharmacology, and clinical data of NOP-targeted ligands. This special volume book - for the first time focusing on the NOP receptor - is designed to serve as a useful reference, stimulate more research on the N/OFQ-NOP receptor system, and lead to more development of NOP-related ligands for several therapeutic applications.
"This book is a comprehensive, very specific, clinical guide for health care providers..."--Dimensions of Critical Care Nursing
"This well-written and well-organized book is a much needed 'middle ground' resource between oversimplified introductions to pain management and a thick textbook."--Clinical Nurse Specialist
"The "Compact Clinical Guide to Acute Pain Management" provides an excellent overview of the process of pain management for adult patients in any setting."--Critical Care Nurse
This book provides much-needed guidelines that are presented in an easy-to-use, systematic format for quick access to core concepts on acute pain management. It is designed to help busy practitioners accurately assess pain in a variety of patient populations, and select patient-appropriate medications and interventions to achieve optimal pain management for adult patients.
Intended for use in primary care, internal medicine, and acute- and long-term care settings, this book covers the topics of acute pain assessment, both pharmacologic and nonpharmacologic treatment options, current information from national guidelines, along with regional anesthesia techniques, patient-controlled analgesia, and epidural pain management. Key Features:
Offers important new perspective on combination use of pain scales to accurately predict individual pain management needs for more customized and effective management Delivers information on how to treat acute pain in hospitalized patients who also suffer from chronic pain and substance abuse Offers new information on opioid polymorphisms and their surprising effect on pain medication effectiveness Includes a special chapter on managing pain in difficult-to-treat patient populations
This is an essential reference for primary care providers in clinics, hospitals, specialty care, and critical care to assess pain in general populations and provide tips for performing pain assessment on patients with acute pain.
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