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Books > Medicine > Other branches of medicine > Anaesthetics > Pain & pain management
Specialists estimate that as many as 60 million Americans suffer
from chronic pain, and approximately 20 percent of the population
in most developed countries reports having chronic pain. According
to one study, chronic back pain alone afflicts more than four
million Americans, and nearly 50 percent of these are disabled by
it. Pain is the most frequent cause of disability in the United
States, with as many as 50 million Americans on short- or long-term
disability leave from work at any one time. As these figures
suggest, chronic pain is extremely difficult to treat
successfully-it is a complex and baffling phenomenon, poorly
understood even in the medical centers devoted to its diagnosis and
treatment. In Heal the Pain, Comfort the Spirit Dorene O'Hara, an
anesthesiologist with extensive training in pain management and
clinical pharmacology, explores treatment techniques developed over
many years of studying, treating, and lecturing on chronic pain.
She also examines the important contributions made by other
clinical professionals and by practitioners of alternative
medicine. Combining a general survey of the forms of pain therapy
with suggestions for how patients can find the most appropriate
treatment plan for themselves, Heal the Pain, Comfort the Spirit
provides needed answers for pain sufferers as well as
practitioners.
At its heart, Pelvic Pain Explained is the story of how patients
develop pelvic pain, the challenges patients and providers face
throughout the diagnosis and treatment process, the difficult task
of sifting through the different available treatment options, and
the impact that an "invisible" condition has on a patient's life
and relationships, and much more. Those who develop pelvic pain
find the path to proper diagnosis and treatment frustrating and
unsuccessful, oftentimes because they are trying to work within the
model of recovery they are used to; one in which they go to the
doctor, maybe take some tests and then get a very specific
diagnosis that dictates a very specific mode of treatment. This
simply is not the path to healing from pelvic pain. Pelvic pain is
a health issue that crosses the borders between medical disciplines
and requires the patient to be a proactive participant in the
healing process. Here, Stephanie Prendergast and Elizabeth Rummer
offer readers guidance on navigating a pelvic pain diagnosis and
treatment, helping them to better understand their pain from a
physiological perspective as well as how to digest the current
treatment options available and put them on the path to healing.
Providers, too, will gain a better understanding of the
effectiveness of an interdisciplinary treatment approach. Major
topics the book tackles include: the anatomy of the pelvic floor
with an explanation of the many ways pelvic pain occurs; the
different diagnoses and contributing factors associated with pelvic
pain; a discussion of the current treatment landscape with guidance
on how to navigate it; the vital role that PT plays in treatment;
male pelvic pain; pregnancy and pelvic pain; sex and pelvic pain;
the role of the patient in healing; the role of the brain in pelvic
pain; and much more. Anyone with pelvic pain will find here a
starting point on the road to healing and living pelvic pain free.
This long-awaited textbook addresses the treatment and management
of complex lower extremity pain, which can prove difficult to
treat, given the demands of human ambulation. Lower extremity pain
is oftentimes under-treated but can be obviated in many cases by
improving the delivery of effective care. To fill a notable void in
the field of pain management, Dr. Barrett and his co-authors assess
and provide insight on the most current ideas, concepts, and
techniques that the lower extremity surgeon, or practitioner, may
integrate into their practice. Clinical acumen and knowledge can be
extremely empowering to the provider and, as the reader will
discover, the expertise imparted throughout this text will prove to
be indispensable in improving patient care and outcomes.
This is the first comprehensive text-atlas that shows how to use
ultrasound technology and nerve stimulation techniques to guide
regional blockade in children. Clinical chapters follow a
sequential, highly illustrated format that provides step-by-step
guidance and include cases, clinical pearls, and troubleshooting
tips. Nearly 400 figures, consisting of ultrasound images, MRI
images, and schematics, have been assembled to maximize
understanding of pediatric neuroanatomy and its relationship to
surrounding anatomical structures. To help the novice user, the
book features side-by-side presentation of unlabeled and labeled
ultrasound images. Pediatric Atlas of Ultrasound- and Nerve
Stimulation-Guided Regional Anesthesia focuses on common
approaches, supplemented in clinical pearls and notes by
alternative approaches, and emphasizes dynamic and systematic
scanning techniques. It is intended for pediatric anesthesiologists
who wish to incorporate regional blockade into their repertoire and
designed as a refresher and resource for all regional
anesthesiologists seeking to refine their skills. Unique Selling
Points: Internationally renowned experts Presents two technologies
proven to improve block success when used together Superb coverage
of pediatric anatomy in relation to regional anesthesia Equipment,
set-up, pain assessment, local anesthetic pharmacology, and patient
safety considerations f or child patients
This comprehensive, practical guide provides information for
medical staff supervising patient controlled analgesia including
drug regimens, physical and psychological effects, and issues of
safety
Osteoporose, Rheuma, Fibromyalgie und andere Erkrankungen des
Bewegungssystems sind haufig mit Schmerzen und Funktionsstoerungen
verbunden. In dem Werk prasentieren die Autoren einen
Therapieansatz, der sich nicht an der Diagnose, sondern an
Funktionsstoerungen orientiert. Wird diese funktionelle Therapie
gezielt angewendet, kann sie die Schmerzen rasch lindern. Fur alle
AErzte, die Patienten mit Schmerzen des Bewegungssystems behandeln:
Schmerztherapeuten, Orthopaden, Neurologen, Allgemeinmediziner,
AErzte fur Physikalische und fur Manuelle Medizin.
A collection of writings on psychodynamic theory, psychotherapy and
physical illness. Issues addressed include the links between
biopsychosocial and psychodynamic approaches to health care; the
emotional needs of patients; and clinical interventions with
psychosomatically ill patients.
Since pain management became a speciality in its own right and
following the tremendous breakthroughs made by several pioneer
researchers, we have seen major developments in the field and a
growing international interest represented at the many national
conferences and the World Pain Congress and European Congress. But
there is still much to do, as there are still groups
under-represented in the research such as children, older adults
and people with intellectual and developmental disabilities. Also,
we do not have all the answers and pain is an area, where
traditional medicine may well be complemented by the field of
complementary and alternative therapies. In this book, we have
gathered recent papers related to many aspects of pain and pain
management and it is our hope that you will all benefit from the
wisdom in the many research papers.
More than fifty million Americans suffer today from chronic pain.
Dr. Scott Brady was one of them. Doctors told him he would live
with his back pain for the rest of his life. Having exhausted all
options offered by conventional medicine, Dr. Brady overcame his
pain using a mind-body-spirit approach'in an incredible four weeks.
In 2000, he founded the Brady Institute, where more than 80 percent
of his patients have achieved 80-100 percent pain relief, without
surgery or drugs. In Pain Free For Life, Dr. Brady sets a clear
course for readers to diagnose what is really causing their pain
'autonomic overload syndrome, which is brought on by the repression
of harmful negative emotions with profiles of pain-prone
personalities and an innovative spiritual health inventory. He
reveals the techniques behind his remarkably effective recovery
plan, including the practice of depth journaling and prescriptions
to boost the power of personal belief. Dr. Brady's approach has
helped his patients overcome such conditions as chronic back pain,
nagging neck and shoulder pain, migraine or tension headaches,
muscle pain, irritable bowel syndrome, insomnia, and many other
chronic pain-associated ailments. The principles and techniques
described in Pain Free For Life will be illustrated by in-depth
case studies. His proven 6-week program produces results in as
little as thirty minutes a day.
Theodore H. Stanley, M.D. Anesthesiology and Pain Management
contains the Refresher Course manuscripts of the presentations of
the 36th Annual Postgraduate Course in Anesthesiology which took
place at The Cliff Conference Center in Snowbird, Utah, February
22-26, 1991. The chapters reflect new data and concepts within the
general framework of "pain research and basic science," "clinical
topics in pain management." The purposes of the textbook are to 1)
act as a reference for the anesthesiologists attending the meeting,
and 2) serve as a vehicle to bring many of the latest concepts in
anesthesiology to others within a short time of the formal
presentation. Each chapter is a brief but sharply focused glimpse
of the interests in anesthesia expressed at the conference. This
book and its chapters should not be considered complete treatises
on the subjects addressed but rather attempts to summarize the most
salient points. This textbook is the ninth in a continuing series
documenting the proceedings of the Postgraduate Course in Salt Lake
City. We hope that this and the past and future volumes reflect the
rapid and continuing evolution of anesthesiology in the late
twentieth century. ix list of Contributors Ashburn, Michael A.
Department of Anesthesiology, University of Utah, Salt Lake City,
Utah Basbaum, Allan Department of Anatomy & Physiology,
University of California - San Francisco, San Francisco, California
Bonica, John J. Department of Anesthesiology, The University of
Washington, Seattle, Washington Cousins, Michael J.
Anesthesia for the New Millenium: Modern Anesthetic Clinical
Pharmacology contains the refresher course lectures of the 1999
meeting and is a review of the current state of the art in
anesthesia clinical pharmacology. The authors of the individual
chapters are among the world's most widely recognized experts in
the pharmacology of perioperative medicine. The book features
sections on new pharmacology concepts, new drug delivery
techniques, recently released drugs and novel thinking about older
drugs. It also addresses several areas that have recently emerged
as very hot clinical and research topics, including depth of
anesthesia monitoring technology and anesthesia drug interactions.
The textbook is the seventeenth in a continuing series documenting
the proceedings of the postgraduate course.
This book presents current research in the study of analgesics.
Topics discussed include the role of intravenous NSAIDs in the
multimodal management of postoperative pain; analgesic use in the
management of painful diabetic neuropathy; modulation of the
development of morphine antinociceptive tolerance by endoplasmic
reticulum chaperones; analgesics effect on traditional medicine
through their modulation on tetrodotoxin-resistant sodium channel
and transient potential vanilloid receptor 1 and the efficacy of
neurotropin in chronic fatigue syndrome. (Imprint: Nova)
Nerve growth factor (NGF) has a key role not only in the
development of sensory and autonomic neurons, but also in the
processes of nociception. Several central and peripheral mechanisms
have been postulated as the basis of effects of NGF in nociceptive
pathways. It has been implicated both in inflammatory and
neuropathic pain mechanisms and strategies against NGF, its
receptors, and down-stream intracellular signalling activated by
this neurotrophin (NT) have been proposed for the treatment of
these pathological conditions. This book examines recent evidence
of the involvement of NGF in painful diseases and suggests the
potential usefulness of anti-NGF strategies as novel analgesics for
these disabling pathological conditions.
In the past years, neuroimaging techniques provided a better
insight into mechanisms involved in the development and maintenance
of chronic pain. Chronic pain does not develop as a simple direct
result of activity in nociceptive fibres following a traumatic
event, but rather represents a consequence of dynamic plastic
changes in sensory, affective and cognitive systems and related
neuronal networks. The functional neural changes associated with
pain include both adaptive compensatory changes, as well as
maladaptive changes that may contribute to dysfunction of involved
anatomical and physiological systems. In accordance, research
findings indicated that patients with some chronic pain syndromes
developed functional reorganisation of certain brain structures
(for example in somatosensory -- or motor cortices). Since research
studies have shown that reversal of pathological cortical changes
in chronic-pain patients is accompanied by pain relief, a
modulation of brain excitability seems to be a promising approach
to address pain related to central hyperexcitability. This book
discusses this topic and how brain stimulation techniques aim to
selectively enhance adaptive patterns of neural activity, suppress
the maladaptive ones, and restore the balance in disturbed neuronal
networks.
This brief uses California's CURES (Controlled Substance
Utilization Review and Evaluation System) 2.0 data to analyze
county-level opioid prescribing rates in California from 2012 to
2017 from multiple perspectives. The book summarizes California's
county-level opioid prescribing trends, examines potential
correlates of opioid prescribing rates, and assesses the
association of opioid prescribing on both criminal justice and
public health outcomes. Finally, the authors discuss their
principal findings and the implications for policy and practice,
including the significant and lasting consequences of the opioid
crisis on the criminal justice system and the importance of a
multi-disciplinary approach to effectively address the crisis.
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