Table of Contents
Contributors
Preface to 1st Edition
Preface
Pain: Historical Perspectives 1
Pt. I Pain: Biology, Anatomy and Physiology 11
1 Molecular Biology of Pain 13
2 Anatomy and Physiology of Pain 28
3 Pathophysiology of Pain 35
Pt. II Pain: General Principles and Evaluation 49
4 Definitions and Classifications of Pain 51
5 Understanding the Patient with Chronic Pain 55
6 Evaluating the Patient with Chronic Pain 61
7 Outcome Measurements in Pain Medicine 69
8 Radiological Evaluation of Spinal Disease 83
9 Role of Electrodiagnostics in Pain Assessments 112
10 Measuring Pain with Functional MRI 121
11 Diagnostic Injections for Spine Pain 125
Pt. III Psychological Evaluation and Treatment of Chronic Pain 137
12 Psychological Aspects of Pain 139
13 Psychosocial Assessment of Chronic Pain 148
14 Psychotherapeutic Management of Chronic Pain 157
15 Consulting on the Difficult Patient in Pain 170
16 Inpatient Model of a Chronic Pain Management Program 173
Pt. IV Pain by Anatomic Location 179
17 Epidemiology of Headaches 181
18 Historical Features in Primary Headache Syndromes 194
19 Pathophysiology of Headaches 204
20 Common Headache Syndromes 209
21 Refractory Headaches 216
22 Chronic Daily Headaches 221
23 Botulinum Toxins for the Treatment of Headaches 230
24 Headaches Associated with Organic Pathology 235
25 Facial Pain 246
26 Orofacial Pain 252
27 Neck Pain 260
28 Low Back Pain 273
29 Facet Syndrome 285
30 Failed Back Surgery Syndrome 292
31 Pain Management in Rheumatologic Disorders 303
32 Pain in the Extremities 315
33 Foot Pain 343
34 Abdominal Pain 350
35 Pelvic Pain 359
36 Perineal Pain 369
Pt. V Pain Syndromes 379
37 Polyneuropathy 381
38 Central Pain States 394
39 Complex Regional Pain Syndrome 405
40 Acute Herpes Zoster and Postherpetic Neuralgia
41 Preemptive Analgesia 430
42 Acute Pain Management in Adults 438
43 Assessment and Treatment of Pain in Sports Injuries 444
44 Cancer Pain Syndromes 456
45 Medical Management of Cancer Pain 465
46 Anesthetic Interventions in Cancer Pain 477
47 Pain Management in End of life: Palliative Care 492
48 Pain in HIV and AIDS 503
49 Fibromyalgia and Myofascial Pain Syndromes 513
50 Peripheral Vascular Disease 518
51 Advances in The Management of Ischemic Pain 528
52 Sickle Cell Disease 533
53 Acute Pain Management in Infants and Children 541
54 Chronic Pain in Infants and Children 553
55 Cancer Pain and Palliative Care in Children 561
56 Abdominal and Pelvic Pain in Children and Adolescents 568
57 Pain in the Elderly 571
Pt. VI Pain Therapies 581
58 Opioid Pharmacotherapy 583
59 Opioids for Nonmalignant Pain - Issues and Controversy 601
60 Common Opioid-Related Side Effects 612
61 Nonsteroidal Antiinflammatory Drugs 616
62 Adjuvant Analgesics 627
63 Psychopharmacology for the Pain Specialist 639
64 Antiepileptics for Pain 649
65 Epidural Steroid Injections 655
66 Spinal Canal Endoscopy 662
67 Intra-Articular Injections and Facet Blocks 667
68 Peripheral Nerve Blocks 684
69 Sympathetic Blocks 696
70 The Use of Botulinum Toxin in Pain Management 710
71 Neuraxial Drug Delivery 720
72 Neuromodulation for Pain 740
73 Neurolytic Blocks 747
74 Cryoanalgesia and Radiofrequency 751
75 Neurosurgical Treatment of Pain 765
76 Radiation Safety for the Pain Specialist 776
77 Complementary and Alternative Medicine in Pain Management 780
78 Acupuncture 785
79 Physical Medicine and Rehabilitation 792
Pt. VII Administration and the Law 811
80 The Role of Pain Clinics 813
81 Setting up a Pain Treatment Facility 825
82 How to Manage a Pain Practice 830
83 Certification in Pain Medicine 838
84 Disability Assessment of Pain-Impaired Patients 841
85 Medical-Legal Considerations in Pain Management 852
86 End-of-Life Ethics 859
87 Ethical Issues and Problems of Trust in the Management of Chronic Pain 863
Glossary 869
Abbreviations 873
App. A Nerve Blocking Techniques 875
App. B Pain Clinic Records 889
App. C Local Anesthetics 893
Index 895
Book Info
Harvard Medical School, Boston, MA. Discusses the fundamentals of
pain, the various diseases and disorders in which pain poses a major
problem, and the methods employed in its management. Emphasizes the
use of the analgesic block as an aid to diagnosis, prognosis, and
therapy. Previous edition, c1993, was titled Principles and Practice
of Pain Management. For physicians.
Book Description
The best textbook on pain management! This comprehensive resource
covers every aspect of diagnosing and treating specific pain
conditions and syndromes. Features a concise introduction to basic
concepts in pain management, plus an expanded section on evaluation
and assessment techniques