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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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