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.

Das Buch beinhaltet ubersichtlich und pragnant eine Zusammenstellung aller in der Schmerztherapie wichtigen Arzneimittel, deren Wirkungen, Nebenwirkungen und Kombinationsmoeglichkeiten. Somit leistet es einen wertvollen Beitrag zur Umsetzung einer adaquaten, an die individuelle Situation des Patienten angepassten Schmerztherapie. In der 7. Auflage wurden die Inhalte komplett uberarbeitet und auf den aktuellen Wissensstand gebracht. Des Weiteren wird der Einsatz von Cannabinoiden diskutiert und die Therapie von Migrane mit CGEP Antikoerper sowie CGRP Antigonisten neu behandelt. Ferner wird das Nebenwirkungsspektrum gut bekannter Schmerzmittel neu diskutiert.

Rainer Thiele deals with chiropractic and examines two questions: Is chiropractic treatment of lower back pain a successful therapeutic approach? Is chiropractic treatment a standard treatment for headaches? On the topic of chiropractic in lower back pain, a congress abstract was published by the author using the latest randomized clinical studies and discussed as a poster contribution to the 16th Congress for Health Services Research in Berlin. A systematic review answers the question about chiropractic treatment of headaches. About the author: Dr. scient. med. Rainer Thiele wrote this work as part of his doctoral studies in medical science at the UFL (Private University of Liechtenstein) as a cumulative dissertation. He is managing director of the specialist practice for Chiropractic / Osteopathy and Sports Medicine in Munich.

Chronischer Beckenbodenschmerz (CPPS) ist ein vorwiegend in der Urologie beheimatetes Krankheitsbild, das aber haufig auch interdisziplinar auftreten kann und dann fachubergreifend diagnostiziert und behandelt werden muss. Walter Merkle betrachtet in diesem UEberblick vor allem die urologischen Erscheinungsformen, arbeitet jedoch die interdisziplinaren Zusammenhange ein. Er pladiert an die AErzteschaft, das Krankheitsbild des CPPS verstarkt zu beachten, da dieses oft unzureichend diagnostiziert und behandelt wird. Essentiell ist dabei, sich von der alleinigen Sichtweise aus dem Fachgebiet der Urologie zu loesen und sich unbedingt interdisziplinar auf Empathie, Psychosomatik und Osteopathie sowie Biofeedbacktherapie einzulassen, um erfolgreich diagnostizieren und behandeln zu koennen. Der Autor: Dr. Walter Merkle war im Fachbereich Urologie der Deutschen Klinik fur Diagnostik GmbH in Wiesbaden tatig.

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.

Breakthrough pain is a common occurrence in patients with cancer pain, and is often associated with a deleterious effect on daily life, impairing quality of life substantially. It is a heterogeneous condition, and management needs to be individualized. This valuable pocketbook discusses the clinical features of breakthrough cancer pain and the different strategies for management. It covers assessment, treatment, and reassessment. It also reviews the evidence for pharmacological interventions, like rapid onset opioids, as well as non-pharmacological interventions and disease modifying treatments. This new edition has been thoroughly updated to account for recent developments within the field. These updates ensure that Cancer-Related Breakthrough Pain (Oxford Pain Management Library) continues to be an invaluable resource for specialists and trainees in palliative care and pain management, as well as being a quick reference guide for GPs, specialist nurses, and other healthcare professionals.

Written in a succinct format, this book presents a variety of pain conditions seen in acute or sub-acute rehabilitation hospitals and in outpatient clinical settings. Bio-medical and bio-psychosocial perspectives, as well as theory, clinical practice, and practical aspects of managing pain are offered throughout this volume. Chapters are organized by sections, beginning with an introduction to pain as well use of the multi-disciplinary treatment approach. Additional sections cover headache management, pain diagnostics, medication management, rehabilitation, injections and procedures, behavioral management, complementary and alternative medicine, neuromoduation, neuroablation, surgical management of pain, and novel techniques. Business and legal perspectives of pain medicine are also addressed. Comprehensive Pain Management in the Rehabilitation Patient is a handy resource for any medical, interventional, surgical, rehabilitative, behavioral, or allied health provider who treats pain across the rehabilitation continuum.

This comprehensive guide covers prescribing controlled substances for patients with acute or chronic pain and provides a balanced discussion on appropriate treatment, addiction, safety and complications. Chapters feature evidence-based strategies and clinical modalities that address diagnostic challenges, treatment guidance, alternatives to opioid management and the significant legal risks within the current regulatory environment. Authored by leaders in pain medicine, physicians and appropriate health care professionals will find Controlled Substance Management in Chronic Pain to be an indispensable resource.

Veronika Schneider gibt in diesem essential in Kurzform AErzten aller Fachgebiete einen UEberblick uber Ursachen, Symptomatik, Diagnostik, Differenzialdiagnosen und Therapie des Restless-Legs-Syndroms - auch bekannt als Willis-Ekbom-Disease oder Wittmaack-Ekbom-Syndrom. Damit bietet die Autorin eine Hilfestellung bei der Diagnosestellung und gibt eine UEbersicht uber die Therapiemoeglichkeiten und ihre Nebenwirkungen.

Rainer Thiele beschaftigt sich in diesem Buch mit der Chiropraktik und untersucht dabei zwei Fragestellungen: Ist chiropraktische Behandlung bei unteren Ruckenschmerzen ein erfolgreicher Therapieansatz? Ist chiropraktische Behandlung bei Kopfschmerzen eine Standardtherapie? Zur Thematik Chiropraktik bei unteren Ruckenschmerzen wurde mittels neuester randomisierten klinischen Studien ein Kongress-Abstract veroeffentlicht, welches als Posterbeitrag zum 16. Kongress fur Versorgungsforschung in Berlin diskutiert wurde. Eine systematische UEbersichtsarbeit beantwortet die Frage zum Thema chiropraktische Behandlung bei Kopfschmerzen. Der Autor Rainer Thiele verfasste diese Arbeit im Rahmen seines Doktoratsstudiums im Fach Medizinwissenschaften an der UFL (Private Universitat Liechtenstein) als kumulative Dissertation. Er ist Geschaftsfuhrer der Gemeinschaftspraxis fur amerik. Chiropraktik/Osteopathie und Sportheilkunde in Munchen.

This book, which describes in detail the most common procedures employed in inguinal hernia surgery, is exceptional in reflecting fully the most recent advances, as well as the most established techniques, in knowledge and practice. The role of recently developed and emerging technologies, including robotics, minimally invasive surgery, and biological meshes, is clearly explained, highlighting useful tips and tricks. The descriptions of traditional procedures, such as the Lichtenstein repair, are brought fully up to date and take into account the novel perceptions that professionals have of them, for example regarding the important role of nurses. The reader will also find guidance on established and new treatments for specific pain conditions, including postoperative chronic pain, the pubic inguinal pain syndrome, and obscure groin pain in women. The need for such an update on inguinal hernia surgery became clear at the 1st World Conference on Abdominal Wall Hernia Surgery, which highlighted the huge differences in the approaches adopted by scientists around the world and was chaired by the editor of this book. Inguinal Hernia Surgery will be a useful tool for all health care practitioners involved in hernia surgery.

Dieses handliche Buch für die Kitteltasche wendet sich an alle Ärzte im Krankenhaus oder niedergelassenen Bereich, die keine ausgewiesenen Schmerztherapeuten sind. Von A wie Arthrose bis Z wie Zosterneuralgie findet der Leser in dem Werk Krankheitsbilder, die häufig mit Schmerzen assoziiert sind und wie es gelingt, diese rasch und effektiv in den Griff zu bekommen. Daneben wird auf die Therapie postoperativer Schmerzen eingegangen, z.B. nach abdominellen, intrathorakalen, unfallchirurgischen/orthopädischen, neurochirurgischen Operationen oder Eingriffen im HNO Bereich, ebenso wie auf die Tumorschmerztherapie. Hinweise auf die Besonderheiten bei Leber-und Niereninsuffizienz, bei Demenz, im Alter, bei Kindern, Adipositas, Laktose- und Histaminintoleranz, bei Sucht sowie in Schwangerschaft und Stillzeit, runden das Werk ab und machen es besonders praxistauglich und ubiquitär einsetzbar. Ein Werk, in dem Ärzte aller Fachdisziplinen das erforderliche "Know-How" finden, um die häufigsten Schmerzzustände ihrer Patienten schnell und effektiv zu behandeln.

Pain is a giant, unforgiving equalizer. It doesn't care about race, gender, class, or any other variable. "Real life" can get lost behind endless pills, appointments, and diagnoses. Going beyond mere survival-living a life true to oneself, free of judgement and full of adventure-is as big a battle as fighting the pain itself.

Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority. Table of Contents Front Matter Summary 1 Introduction 2 Pain as a Public Health Challenge 3 Care of People with Pain 4 Education Challenges 5 Research Challenges 6 A Blueprint for Transforming Pain Prevention, Care, Education, and Research Glossary Appendix A: Data Sources and Methods Appendix B: Summary of Written Public Testimony Appendix C: The Economic Costs of Pain in the United States Appendix D: Committee and Staff Biographies Index

*A bestseller that's helped over 200,000 people; includes audio and worksheet downloads; updates feature the latest science and current resources. *A 10-step program that is scientifically supported--unlike most competing titles. *Used in pain clinics and hospitals. *New "Quick Skill" feature provides at least one "something to try right now" suggestion. *Mind-body approach addresses both medical and psychological aspects of pain. *From a board certified, respected authority.

Pain therapy, effective and cost-effective, easy to learn A highly effective, low-risk pain management therapy to include in your patient services, Injection Therapy in Pain Management provides a practical, step-by-step approach that will allow physicians, including those without extensive prior experience, to manage pain through the injection of local anesthetics. Its clear, symptom-oriented format and detailed directions show how to recognize clinically recurring pain patterns, administer the correct treatment, and manage pain syndromes successfully. Special Features: Precise instructions for implementing injection techniques safely and efficiently - even for more complex pain such as headache and in the shoulder Nearly 100 clear anatomic illustrations that use a simple color key to demonstrate injection points and areas of pain distribution - an ideal visual learning aid Concise descriptions of indications; differential diagnoses; materials and techniques; insertion points, direction and depth; possible risks and side effects; and concomitant therapies for pain treatment A straightforward double-page format with text on one side and anatomic drawings on the facing page for easy mastery of techniques For all busy clinicians whose aim is to relieve pain quickly and effectively, and add a valuable, cost-effective service to their practice, this atlas-style teaching reference is essential. Orthopedists, sports medicine physicians, physical therapists, and practitioners of manual medicine will find a wealth of information and a "roadmap" of techniques that can be seamlessly integrated into everyday practice.

The Atlas of Image-Guided Intervention in Regional Anesthesia and Pain Medicine is a practical guide for practitioners who perform interventional procedures with radiographic guidance to alleviate acute or chronic pain. The author provides an overview of each technique, with detailed full-color illustrations of the relevant anatomy, technical aspects of each treatment, and a description of potential complications. For this revised and expanded Second Edition, the author also discusses indications for each technique, as well as medical evidence on the technique's applicability. The new edition features original drawings by a noted medical artist and for the first time includes three-dimensional CT images that correlate with the radiographic images and illustrations for a fuller understanding of the relevant anatomy.

Written in a succinct format, this book presents a variety of pain conditions seen in acute or sub-acute rehabilitation hospitals and in outpatient clinical settings. Bio-medical and bio-psychosocial perspectives, as well as theory, clinical practice, and practical aspects of managing pain are offered throughout this volume. Chapters are organized by sections, beginning with an introduction to pain as well use of the multi-disciplinary treatment approach. Additional sections cover headache management, pain diagnostics, medication management, rehabilitation, injections and procedures, behavioral management, complementary and alternative medicine, neuromoduation, neuroablation, surgical management of pain, and novel techniques. Business and legal perspectives of pain medicine are also addressed. Comprehensive Pain Management in the Rehabilitation Patient is a handy resource for any medical, interventional, surgical, rehabilitative, behavioral, or allied health provider who treats pain across the rehabilitation continuum.