Bandolier's Little Book of Pain

Bandolier's Little Book of Pain

by Andrew Moore, Jayne Edwards, Jodie Barden, Henry McQuay
     
 

Acute and chronic pain place a huge burden on our society. Approximately 10% of the population in Western countries report suffering from chronic pain, and both chronic and acute pain are responsible for high absenteeism in the workplace. It is therefore crucial that we have effective ways of treating pain. Unfortunately though, we have no objective measures of

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Overview

Acute and chronic pain place a huge burden on our society. Approximately 10% of the population in Western countries report suffering from chronic pain, and both chronic and acute pain are responsible for high absenteeism in the workplace. It is therefore crucial that we have effective ways of treating pain. Unfortunately though, we have no objective measures of pain - no blood tests, no urine dipsticks. We have to rely on what the patient tells us. So how then do we know what are and what are not effective pain treatments? It is here that the principles of evidence-based medicine have been of great value - helping us to understand the most effective forms of pain treatment. Bandolier's Little Book of Pain is a unique portable guide to evidence-based pain treatments. For each possible treatment, the book provides the evidence supporting the efficacy of the treatment, along with a clinical bottom line, for those requiring immediate information. Written by world leaders in the field of evidenced-based pain treatments, the book will be indispensible for the multi-disciplinary professionals managing acute and chronic pain in primary and secondary care, including GPs, nurses, and pharmacists.

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Product Details

ISBN-13:
9780192632470
Publisher:
Oxford University Press, USA
Publication date:
08/14/2003
Pages:
468
Product dimensions:
7.00(w) x 4.10(h) x 0.70(d)

Related Subjects

Table of Contents

Introduction
Sect. 1Understanding EBM
1.1Pain - there's a lot of it about2
1.2Measuring pain7
1.3Outcomes14
1.4Clinical trial methods19
1.5Systematic review and meta-analysis28
1.6Size42
1.7Outputs and utility55
1.8Adverse events61
1.9Placebo68
1.10Being sure of a result74
Sect. 2Acute pain
2.1Introduction86
2.2League table of analgesics in acute pain91
2.3Aspirin in postoperative pain101
2.4Ibuprofen in postoperative pain101
2.5Paracetamol (acetaminophen) in acute postoperative pain104
2.6Paracetamol (acetaminophen) with codeine in acute postoperative pain108
2.7Diclofenac in postoperative pain113
2.8Injected morphine in postoperative pain116
2.9Dihydrocodeine in postoperative pain118
2.10Oral codeine in acute postoperative pain120
2.11Dextropropoxyphene alone and with paracetamol in postoperative pain122
2.12Intramuscular pethidine in postoperative pain125
2.13Naproxen in postoperative pain128
2.14Oral tramadol in postoperative pain131
2.15Paracetamol plus tramadol for acute pain134
2.16Oral rofecoxib in postoperative pain136
2.17Transcutaneous electrical nerve stimulation (TENS) in acute postoperative pain and labour pain138
2.18Topically applied non-steroidal anti-inflammatory drugs in acute pain141
2.19Analgesics for dysmenorrhoea144
2.20Other acute pain interventions with evidence of efficacy147
2.21Other acute pain interventions without evidence of efficacy150
2.22Do NSAIDs inhibit bone healing?153
Sect. 3Migraine and headache
3.1Introduction162
3.2Diagnosing headache and migraine170
3.3Migraine: league tables of relative efficacy175
3.4Aspirin plus metoclopramide for acute migraine183
3.5Paracetamol for acute migraine185
3.6Ibuprofen for acute migraine188
3.7Sumatriptan for acute migraine191
3.8Oral naratriptan for acute migraine195
3.9Oral rizatriptan for acute migraine197
3.10Oral zolmitriptan for acute migraine201
3.11Oral eletriptan for acute migraine204
3.12Which migraine treatment strategy is most effective?208
3.13Prophylaxis for migraine211
Sect. 4Chronic pain
4.1Introduction218
4.2Antidepressants for diabetic neuropathy and postherpetic neuralgia228
4.3Anticonvulsants for diabetic neuropathy and postherpetic neuralgia234
4.4Topical capsaicin for pain relief238
4.5TENS for chronic pain241
4.6Fibromyalgia242
4.7Back pain245
4.8Epidural corticosteroids for back pain256
4.9Steroid injection for shoulder and elbow disorders260
4.10Systemic local anaesthetic-type drugs in chronic pain263
4.11Cognitive behaviour therapy and behaviour therapy for chronic pain266
4.12Intravenous regional sympathetic blockade for reflex sympathetic dystrophy269
4.13Treatments for intermittent claudication271
4.14Cannabis for pain relief and for spasticity279
Sect. 5Arthritis
5.1Arthritis and joints288
5.2Lifestyle and exercise293
5.3NSAIDs for treating Osteoarthritis299
5.4Topically applied NSAIDs for chronic pain303
5.5Coxibs for treating rheumatoid and osteoarthritis307
5.6Adverse effects of NSAIDs and coxibs317
5.7Paracetamol (acetaminophen) for osteoarthritis331
5.8TNF antibodies and rheumatoid arthritis334
5.9Fish oil for rheumatoid arthritis339
5.10Sulfasalazine for rheumatoid arthritis340
Sect. 6Complementary and alternative therapies
6.1Complementary and alternative therapies344
6.2Supplements and herbal remedies355
6.3Acupuncture364
6.4Homeopathy371
6.5Other complementary or alternative therapies for pain376
Sect. 7Cancer and palliative care
7.1Cancer and palliative care392
7.2Non-steroidal anti-inflammatory drugs for cancer pain401
7.3Radiotherapy for painful bone metastases403
7.4Strontium 89 therapy for painful bony metastases405
7.5Intracerebroventricular opioid therapy compared with epidural and subarachnoid opioids for intractable cancer pain407
7.6Neurolytic coeliac plexus block (NCPB) for cancer pain410
7.7Nilutamide plus orchidectomy for metastatic prostatic cancer413
7.8Complementary therapy at the end of life415
7.9Palliative care delivery systems417
Sect. 8Management issues
8.1Easy targets are not always the right ones420
8.2Better prescribing of NSAIDs425
8.3Quality improvement by audit: Pain relief after day surgery427
8.4Improving oral postoperative analgesia429
8.5Do-it-yourself pain control432
Sect. 9Appendices
App. 9.1Glossary436
App. 9.2Using the Oxman and Guyatt scoring system for reviews441
App. 9.3Bandolier's 10 tips for healthy living443
App. 9.4Cochrane Collaboration and Pain445
App. 9.5Evidence based organisations, websites and resources450

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