As image-guided spine interventions have increasingly become a primary strategy for managing back pain, the tools and capabilities available to practitioners have grown significantly. This fully revised edition of Image-Guided Spine Interventions presents the latest procedures available to physicians who perform minimally invasive spine interventions. The comprehensive text covers the fundamentals -- such as spine anatomy, procedural materials, and pharmacological requirements -- along with chapters devoted to key topics such as discography, percutaneous descectomy, vertebroplasty and balloon kyphoplasty, epidural steroid injections, and autonomic nerve blocks. Additionally, three new chapters are included in the Second Edition, covering pulsed radiofrequency procedures, sacroplasty, and spinal cord stimulation. Each technique is presented in a straightforward manner that allows the reader to effectively evaluate and implement new procedures. The text is further enhanced by nearly 200 images and illustrations. Edited by Dr. John Mathis, a former president of the American Society of Spine Radiology, and Dr. Stanley Golovac, who both have clinical practices devoted solely to spine procedures and pain management, the book will be useful to all physicians dealing with back pain, including radiologists, pain anesthesiologists, spine neurosurgeons, and orthopedists. Physicians will once again find that Image-Guided Spine Interventions, 2nd Edition, is the pivotal authority on image-guided techniques for the spine.

The purpose of this text is to provide not only the science and current knowledge of pediatric pain management but a rationale for intervention. The book is ground-breaking in that it provides pearls for the recognition and management of multiple childhood chronic pain syndromes. Also, uncommon yet confounding issues such as pain management for epidermolysis bullosa are adequately addressed. Concerns unique to pediatric patients are reviewed. While there are no firm standards in pediatric chronic pain, a care plan is offered to help guide practitioners when possible. The book will consist of 24 chapters, many co-written by a physician and a psychologist. Chapter 1 covers the history of pediatric chronic pain, the advancement pediatric pain as a clinical subspecialty, development of pediatric pain clinics, and characterization of the common pain syndromes. Chapters 2-4 cover, respectively, the research on early pain exposure and neuroplasticity, theories on the common adolescent pain syndromes, and the demographics of chronic pain in children. Chapters 5-16 discuss approaches to assessment and intervention for specific pediatric and adolescent pain syndromes. Chapters 17-23 address interventional techniques such as therapeutic blocks, neurablation, implantable systems, physical therapy, complementary therapy, and pharmacology including opioid tolerance. The final chapter discusses the role of the nurse practitioner in pediatric chronic pain.

'Combines a career's worth of expertise with a long history of pain treatment. For anyone concerned with pain treatment, or anyone who has struggled to manage pain of any kind, it's an important read.' GQ Pain is a universal human experience, but we understand very little about the mechanics behind it. We hurt ourselves, we feel pain, we seek help from a professional or learn to avoid certain behaviours that cause pain. But the story of what goes on in our body is far from simple. Even medical practitioners themselves often fail to grasp the complexities between our minds and bodies and how they interact when dealing with pain stimulus. Common conception still equates pain with tissue damage but that is only a very small part of the story - the organ which produces pain is the brain. Case studies show that a woman who has undergone a caesarean reports dramatically less pain than a patient who has had a comparably invasive operation. The soldier who drags themselves to safety after being shot deals with pain in a remarkably different way from someone suffering a similar injury on a street. The truth is that pain is a complex mix of nerve endings, psychological state, social preconceptions and situational awareness. Using case studies and medical history, Dr Lalkhen guides us through all aspects of pain, from chronic to acute, and the current landscape of pain treatments - from medication (including opioids) to electrical nerve stimulation. Whether it's a mild ache or severe discomfort, we all encounter pain in our lives and this important and illuminating book enables us to understand and cope with an experience that for so many can become all-consuming.

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.

Essentials of Pain Management is a concise, evidence-based guide that stresses a multidisciplinary approach to pain and provides a thorough review of clinical principles and procedures. Edited by faculty from Yale and Harvard Medical Schools, Essentials provides a practical approach to pain management for every type of pain management practitioner. Features: * Extensive case vignettes illustrating specific pain management challenges and solutions * Multiple-choice questions with detailed answers useful for exam preparation * In-depth discussions of palliative medicine, end-of- life care, physical therapy and acupuncture, behavioral therapy, and pediatric and elderly pain * A formulary of commonly used drugs for an easy go-to reference for every office * Special considerations for nurses and dentists From career choices in pain management to the specific drugs, procedures, and therapies that can alleviate pain, Essentials of Pain Management is a valuable resource for all pain management practitioners.

In "The Pain Chronicles"," " Melanie Thernstrom traces conceptions of pain throughout the ages--from ancient Babylonian pain-banishing spells to modern brain imaging--to reveal the elusive, mysterious nature of pain itself. Interweaving first-person reflections on her own battle with chronic pain, incisive reportage from leading pain clinics and medical research, and insights from a wide range of disciplines, Thernstrom shows that when dealing with pain we are neither as advanced as we imagine nor as helpless as we may fear.

This important book fills a need in the developing area of Pain Medicine. It provides physicians with an up-to-date resource that details the current understanding about the basic science underlying the mechanism of action of the various CAM therapies used for pain. It summarizes the clinical evidence both for efficacy and safety, and finishes with practical guidelines about how such treatments could be successfully and safely integrated into a Pain practice.

close circle of anaesthetic scientists but, with the help of computer technology, has greatly influenced the practice of the modern clinical anaesthesiologist. The efforts of anaesthesiologists, pharmaceutical companies, and the development of the internet has lead to a situation that now almost every anaesthesiologist can be in close contact to anaesthetic pharmacology computer simulation pro grams and target controlled infusion devices. These two tools allow us to in crease our understanding and improve the controllability of anaesthetic drug administration, on site, in the operating theatre. In Europe the growing enthusi asm regarding the study and practice of intravenous anaesthesia has lead to an increased output of manuscripts on this subject, the initiation of workshops on the pharmacology of anaesthetic agents and the formation of a society that embodies this spirit; the European Society for Intravenous Anaesthesia, the EuroSIVA. EuroSIVA The concept of EuroSIVA has been to provide a forum to co-ordinate, facilitate and promote high quality presentations in the area of intravenous drug admini stration. The first two meetings held in 1988 in Barcelona and 1999 in Amster dam achieved these aims. During the Barcelona and Amsterdam meetings pre senters of over 10 countries shared their knowledge with 250 and 400 partici pants, respectively. In addition to the EuroSIVA meetings the international board aims to promote education for those involved with intravenous anaes thesia."

Principles of Airway Management, 4th Edition, reviews the essential aspects of airway management: anatomy, equipment, intubation, fiberoptic endoscopy, surgical approaches, intubating LMA (lightwand), pediatric airway, CPR, and mechanical ventilation. The book features well-balanced discussions of the complexities and difficult issues associated with airway management; excellent organization that ensures the material can be learned and applied to various situations; the latest equipment and techniques; summary boxes which highlight the most important points of each chapter; and more than 400 illustrations (many in color, for the first time), tables, and boxes.

The second edition of the Handbook of Pain Relief in Older Adults: An Evidence-Based Approach expands on the first edition by providing a number of timely new features. Most important of these are the revised recommendations from the American Geriatrics Society on prescribing that reflect the many new agents available since the last guidelines were released in 2001. Additionally, concepts such as synergy in prescribing for older adults have been better delineated in this edition. The most salient features of the original edition have been retained and updated, including the full range of approaches for pain assessment and prevention, interventional strategies, guidance on pharmacotherapy and nonpharmacologic pain relief strategies for seniors, preventive analgesia, the role of rehabilitation in sound pain treatment, legal and public policy issues in pain care for seniors, pain management in long-term care, and even the issue of spirituality as an adjunct to pain management. The second edition also includes a new chapter on resources, which includes organizations, internet websites, and guidance on acquiring additional consultation for pain intervention. Of particular interest is an updated discussion of the effect that electronic medical records and internet-based personal health records will have on pain relief in older adults and a new chapter that serves as a resource guide for patients and caregivers trying to navigate the waters of pain relief assistance. This issue has not been addressed substantively in the pain management literature and the ramifications for older adults are particularly poignant. Comprehensive and practical, the Handbook of Pain Relief in Older Adults: An Evidence-Based Approach (Second Edition) is a comprehensive resource with targeted, practical information that will be of vital importance for all clinicians who provide care for seniors.

From the time questions about the impact of wireless technology on public health were first raised in 1993 through the present, Wireless Technology Research, LLC (WTR) has been the largest independent surveillance and research program trying to identify and solve human health problems associated with wireless phones. In 1995 at the University "La Sapienza" of Rome, WTR sponsored the first comprehensive forum for the discussion of these issues. Papers from the 1995 State of the Science Colloquium were collected andpublished in Volume I ofthis series, Wireless Phones andHealth: Scientific Progress. This second volume assembles papers presented at WTR's Second State of the Science Colloquium in Long Beach, CA, in June 1999; it contains the most comprehensive research on the public health impact of wireless phones to date. The operating words for the proper understanding of these data are science and public health. Science is a tool for making public health decisions, but the framework in which we are operating is truly that of public health. We are looking for problems that have to do with wireless technology. We are trying to decide how this technology impacts on the public for one purpose and one purpose alone, and that purpose is to solve problems that are identified. I would like to challenge you, the reader, to suspend your parochial orientation as you consider these latest findings.

This is the second part in a two-volume work on neuromodulation. It describes the techniques and procedures applied by direct contact with the central nervous system or cranial nerves (in order to modulate the function of neural networks) or in deeply located structures inside the nervous system (in order to alter the function on specific networks).

Pain is a common symptom, yet it is frequently underevaluated and undertreated. It is difficult to define, describe-and sometimes to prove. It's pain, and suspicions of exaggerations often add further insult to a patients' injuries. Biobehavioral Approaches to Pain translates this highly subjective experience-and its physical, psychological, social, and cultural dimensions-into practical insights key to transforming the field of pain management.

This pathbreaking volume synthesizes a rich knowledge base from across disciplines, including neurobiologic, genetic, biobehavioral, clinical, narrative, substance abuse, health services, ethical and policy perspectives, for a deeper understanding of the impact of pain on individual lives and the larger society. Its international panel of contributors highlights special issues and review best practice guidelines, from placebo effects to cancer, Whiplash Associated Disorders to pain imaging to complementary medicine, phantom limb pain to gene therapies to AIDS. Among the topics covered:

• The distinction between acute and chronic pain: is it clinically useful?
• Improving clinical assessment of patients with pain.
• Age and sex differences in pain.
• The what, how and why of the placebo and nocebo effect
• Psychosocial and partner-assisted biopsychosocial interventions for disease-related pain
• Substance abuse issues in pain treatment.
• The personal, social and economic costs of chronic pain.

Biobehavioral Approaches to Pain offers clinical and health professionals, psychologists, as well as specialists in pain management or palliative care, new directions in their ongoing dialogue with patients. Given the prevalence of pain in the general population, it should also interest researchers and students in the field of public health.

Over the past two decades attention to family issues in relation to chronic pain has been on the rise. There has been a proliferation of research and clinical literature in the field since the first major review on this topic was conducted in 1982. However, no comprehensive review book has been published. Generally speaking, the role of the family in chronic pain literature has been reported from four perspectives: (1) family factors in the etiology of chronic pain; (2) role of spouse in the perpetuation of pain behaviors; (3) impact of chronic pain on family functioning and on the health of spouse and children; and (4) family therapy for these families.

The main thrust of this book will be the issues of impact on the family and therapy. The broader literature of family issues in medical disorders will be incorporated into the body of the book to allow the reader to become familiar with some of the common problems shared by medically ill and chronic pain families and many problems that appear to be specifically associated with chronic pain. The book will offer clinical guidelines in conducting family assessment and couple and family therapy for these patients. This book will not be simply an update, but will adopt a fresh approach to this complex clinical area. The book will have 10 chapters. Each chapter will report the current state of knowledge through a comprehensive review of the most recent literature, and discuss relevant clinical issues through extensive use of case illustrations. The chapters will be designed to bring the reader up to date on the literature as well as provide clinical guidelines for practice.

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.

It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography.

Caring for patients with fibromyalgia requires an understanding of the complex nature of this condition. Fibromyalgia: A Practical Clinical Guide is a state-of-the-art resource designed to clarify the controversy about fibromyalgia and to provide clinicians with the latest information about its pathogenesis and clinical evaluation, as well as evidence-based guidelines for effective treatment. This comprehensive title includes fully referenced, practical information on this fast-emerging field and provides useful clinical suggestions and practical office tools for effectively managing patients. The good news for fibromyalgia patients and their healthcare providers is that a wide range of medication, non-medication, and non-traditional therapies have been proven to effectively reduce some of the most problematic and disabling fibromyalgia symptoms. Brief case vignettes help describe many of the common presentations, concerns, and complexities typically seen in fibromyalgia patients. Invaluable graphic aids -- boxes, tables, and figures - are used widely to provide quick reference for the busy clinician seeking information. In addition, clinic-proven assessment and documentation tools for evaluating and monitoring fibromyalgia symptoms and severity are provided, along with handouts for patients to provide guidance on pain management techniques, including detailed exercise and relaxation technique instructions. A unique addition to the literature, Fibromyalgia: A Practical Clinical Guide is an indispensable reference for all clinicians who care for patients with fibromyalgia.

An indispensable resource that empowers fibromyalgia patients to take charge of a debilitating disease and get the health care they deserve.
Fibromyalgia--a painful, exhausting, and often misdiagnosed disease--affects up to 12 million Americans (90 percent of them women). And because many health care professionals are still learning how to diagnosis and treat its confusing symptoms, patients living with the disorder must become proactive and informed consumers for their own health. The expert advice found within The 10 Best Questions(TM) for Living with Fibromyalgia gives readers the answers they need to get the best care possible and enjoy a more normal life. This essential book provides the Best Questions that patients should ask their doctors, partners, children, and friends, accompanied by the "best answers" drawn from cutting edge research and extensive interviews with the top experts in the field. There are chapters on what to ask about your diagnosis, test results, second opinions, for ongoing disease management, to lose weight, get more sleep, and to make other healthy lifestyle changes. This practical and holistic book also offers Best Questions and advice for fibromyalgia patients for their relationships with partners, children, friends to ensure emotional, financial, and spiritual health. Each chapter concludes with The Magic Question(TM), the one crucial question most people never think to ask until it's too late.

This is the complete study guide to the pain management board review book Beyond Pain. This guide is designed to work in synchrony with the board review book and assess the user's mastery of the information contained in Beyond Pain. The study companion contains questions in multiple formats which correspond to each of the 38 chapters of the original board review book. Together, Beyond Pain and this Study Companion are an extremely useful tool in promoting active learning and in assuring complete mastery of the information needed to pass the Pain Management Board Certification Exam as administered by the ABA.

This comprehensive text describes the origins, mechanisms, beneficial applications and practical details of frequency specific therapy - a treatment technique that uses frequencies, micro amperage current and the principles of biological resonance to treat pain and a wide range of medical conditions. It includes condition specific frequency protocols for the treatment of various pain complaints, and multi-center clinical case reports documenting successful application of the technique. Each section includes a review of condition pathophysiology and differential diagnosis, plus current research. A website http://booksite.elsevier.com/9780443069765 features a lecture from the author, practical demonstrations of techniques, fully searchable text and downloadable images from the book!

Chronic pain is a complex phenomenon, which continues to remain undertreated in the majority of affected patients thus representing a significant unmet medical need, but the development of cellular, subcellular, and molecular methods of approaching this epidemic of pain shows great promise. In Analgesia: Methods and Protocols, experts in the field present thorough coverage of molecular analgesia research methods from target discovery through target validation and clinical testing to tolerance and dependence, with extensive chapters on emerging receptor classes as targets for analgesic drugs and innovative analgesic strategies. As a volume in the highly successful Methods in Molecular Biology series, the chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible protocols, and notes sections with tips on troubleshooting and avoiding known pitfalls.

Comprehensive and essential, Analgesia: Methods and Protocols promises to aid and enrich the research of all those scientists and clinicians who are interested in what the increasingly molecular future has in store for analgesia research, from the molecular research bench through the animal laboratory to the bedside.

This groundbreaking new text explains and documents the scientific basis of chronic pain in Joint Hypermobility Syndrome (JHS) and other heritable disorders of connective tissue from the physiological, epidemiological, genetic and clinical viewpoints. It asks the reader to consider the possibility of JHS, identify it clinically, understand its co-morbidities, including interdependencies with Fibromyalgia and Chronic Fatigue Syndrome, while managing the condition appropriately. Hypermobility, Fibromyalgia and Chronic Pain takes a multi-specialty and multidisciplinary approach to understanding JHS and its management, drawing together expertise from a broad group of internationally-recognized authors. The book is split into two sections. Section 1 deals with the clinical manifestations of JHS and Fibromyalgia, their epidemiology and pathophysiology. Section 2 covers clinical management. Here the reader will find chapters covering pharmacotherapeutics, psychotherapy and physical therapies that address the needs of patients from childhood to adulthood. It is hoped that Hypermobility, Fibromyalgia and Chronic Pain will advance knowledge of therapies and provoke further research while stimulating interest and encouraging debate. Comprehensively relates practical therapy to the nature of the underlying pathology Covers in one single text both the scientific and practical management aspect of Joint Hypermobility Syndrome and its allied pathologies Contributions from over 30 leading international experts Multidisciplinary approach will support all health professionals working in this field

Depending on their training, mental-health professionals are often either strongly in favor of, or firmly opposed to, the use of psychoactive medications such as Prozac, Ritalin, and Valium. Drugs and Clients: What Every Psychotherapist Needs to Know advocates a balanced perspective, presenting the advantages and disadvantages of many common psychoactive medications. It also focuses on how non-prescription psychoactive drugs such as alcohol, antihistamines, caffeine, cocaine, marijuana and nicotine affect the clients therapists treat on a daily basis. From alcohol to caffeine to Zoloft, therapists need to understand how these substances work, the nature of the risks and benefits, and how a drug or medication's presence, or absence, affects the process of psychotherapy. Drugs and Clients addresses the confusing and highly complex subject of psychopharmacology as it applies to psychotherapy in a clear, hands-on, practical style that makes it accessible to all mental-health professionals.

THREE OUT OF FIVE ADULTS WILL EXPERIENCE SIGNIFICANT BACK PAIN AT SOME POINT IN THEIR LIVES, MAKING BACK PAIN AMERICA'S NUMBER ONE AILMENT
NOW IN ITS THIRD EDITION, the classic back pain manual "Your Aching Back "has been revised and updated to ensure that you have the latest science to speed your recovery.
Drawing on new research as well as decades of clinical experience, leading specialists Dr. Augustus White and Dr. Preston Phillips give you everything you need to know to manage this frustrating condition. To help you hone in on the source of your pain, they give a short primer on the basics of back mechanics as well as a discussion of the wide array of possible causes.
Treatment is the primary focus of the book. Emphasizing evidence-based medicine, the authors give a full account of the risks and benefits associated with treatments from acupuncture to spine surgery. You will find out when self-care makes sense, when you need to see a doctor, what questions to ask, and how to tell if you need a second opinion. Along the way, you'll learn about exciting advances in implant technology, recent studies on ergonomics, cutting-edge imaging technology, the newest forms of alternative care, and much more. And because dealing with chronic back pain can have an effect on every aspect of your life, this book offers sensible, empathic advice on everything from sex and sports to the financial and emotional consequences of long-term disability.
In its trademark conversational and unintimidating style, "Your Aching Back "places you back in control of your health and puts you on the path toward relief.