Principles and Practice of Pain Medicine

Description

Learn a multidisciplinary approach to pain management

This concise yet comprehensive text is a true one-stop resource for anesthesiologists, specialists in pain medicine, neurologists, physiatrists, and primary care physicians wishing to understand more about pain medicine, and fellows and residents training in pain medicine. Every aspect of diagnosing and treating specific pain conditions and syndromes is covered, including general principles, anatomy, physiology, physical and laboratory diagnosis, psychology, and therapeutic interventions.

Each chapter represents a careful distillation of current science, key concepts, and clinical treatments of the subject, all presented in a highly accessible design. The authors have included an extensive list of references at the end of each chapter to encourage further research.

Highlights include:

• Authored by leaders who represent the many disciplines that comprise this evolving field
• Emphasizes the use of injections and nerve blocks as an aid to diagnosis, prognosis, and therapy
• Discusses pain categorized by anatomic location as well as syndrome
• Incorporates vivid illustrations depicting the physical symptoms and anatomy of each site, as well as key findings from MRI, CT, X-rays, and other imaging technologies
• Includes new coverage that goes beyond the clinical boundaries of pain medicine, such as law, ethics, and business administration
• Concise and comprehensive approach is geared for pain medicine board preparation and major section on headache medicine is designed to assist with preparation for board certification in headache medicine
• Illuminates the multidisciplinary perspective and interdisciplinary approach to managing chronic pain with many chapters on the psychology of pain and applications of psychotherapeutic and mind/body interventions

Contents

Preface
Introduction

Part I Pain: History and General Principles
1.Pain: Historical Perspectives
2. Current Concepts in the Neurological Assessment of Pain
3. Definitions and Classifications of Pain

Part II Pain: Anatomy, Physiology and Biology
4.Anatomy and Physiology of Pain
5. Molecular Biology of Pain
6.Pathophysiology of Pain

Part III Fundamentals of Pain Evaluation
7.Understanding the Patient in Chronic Pain
8. Radiological Evaluation of Spinal Disease
9. Role of Electrodiagnostics in Pain Assessments

Part IV Behavioral Concepts in Pain Medicine
10. Psychological Aspects of Pain
11. Essentials of Psychological Evaluation and Testing
12. Individual and Group Therapy/Pain and Mind-Body Medicine
13. Inpatient Model of Chronic Pain

Part V Pain By Anatomic Location
14. Epidemiology of Headaches
15. Historical Features in Primary Headache Syndromes
16. Pathophysiology of Headaches
17. Chronic Daily Headaches
18. Common Headache Syndromes
19. Refractory Headaches
20. Organic Headaches
21. Facial Pain
22. Oral/Dental Pain
23. Neck Pain
24. Failed Back Surgery Syndrome
25. Pain Management in Rheumatologic Disorders
26. Pain in the Extremities
27. Facet Syndrome
28. Abdominal Pain
29. Low Back Pain
30. Pelvic Pain
31. Perineal Pain
32. Foot Pain

Part VI Pain Associated with Surgery and Trauma
33. Acute Pain
34. Sports Medicine

Part VII Generalized Painful Syndromes
35. Fibromyalgia and Myofascial Pain Syndromes
36. Polyneuropathy
37. Advances in The Management of Ischemic Pain
38. Peripheral Vascular Disease
39. Cancer Pain Syndromes
40. Pain in HIV and AIDS Patients
41. Sickle Cell Disease
42. Visceral Pain
43. Central Pain Syndromes
44. Acute Pain in Children
45. Chronic Pain in Children
46. Cancer Pain and Palliative Care in Children
47. Reflex Sympathetic Dystrophy and Complex Regional Pain Syndrome
48. Pain in the Elderly
Part VIII Focal Pain Syndromes
49. Acute Herpes Zoster and Postherpetic Neuralgia

Part IX Pharmacologic Therapies for Pain
50. Psychopharmacology for Pain
51. Opioids
52. Common Opioid Related Side
53. NSAIDs
54. Adjuvant Analgesics
55. Pre-emptive Analgesia
56. Opioids for Non-Malignant Pain - Issues and Controversy
57. Neuraxial Drug Delivery
58. Medical Management of Cancer Pain

Part X Non Pharmacologic Therapies for Pain
59. Peripheral Nerve Blocks
60. Intraarticular Injections and Facet Blocks Tim Lamer
61. Diagnostic Injections for Spine Pain
62. Epidural Steroid Injections
63. Spinal Canal Endoscopy
64. Sympathetic Blocks
65. Neurolytic Blocks
66. Neuromodulation for Pain
67. Acupuncture
68. Neurosurgical Treatment of Pain
69. Physical Medicine and Rehabilitation
70. Cryonanalgesia and Radiofrequency Miles Day
72. Anesthetic Interventions in Cancer Pain
73. Complementary and Alternative Medicine in Pain Management
74. The Use of Botulinum Toxin in Pain Management

Part XI Pain, Administration and the Law
75. The Role of Pain Clinics
76. Setting up a Pain Treatment Facility
77 How to Manage a Pain Practice
78. Certification in Pain Medicine
79. Disability Assessment of Pain-Impaired Patients
80. Medical-Legal Considerations in Pain Management
81. End of Life Ethics
82. Palliative Care
83. Ethical Issues in Pain Medicine and Problems of Trust in the Management of Chronic, Non-Malignant Pain
84. Outcome Measurements in Pain Medicine
85. Radiation Safety for the Pain Specialist

Glossary
Abbreviations
Appendix A:Nerve Blocking Techniques
Appendix B: Pain Clinic Records
Appendix C: Local Anesthetics
Index

Authors

Zahid Bajwa, MD Assistant Professor of Anesthesia, Harvard Medical School; Director, Education and Clinical Pain, Beth Israel Deaconess Medical Center.

R. Joshua Wootton, MD, PhD Director of Pain Psychology, Arnold Pain Management Center, Beth Israel Deaconess Medical Center.

Carol Warfield, MD Edward Lowenstein Professor of Anesthesia, Beth Israel Deaconess Medical Center.