Clinical Management of Bone and Joint Pain

Overview

Provide your patients with effective treatment for their pain

Clinical Management of Bone and Joint Pain is a comprehensive, practical guide to specific pharmacological and non-pharmacological treatments of bone and joint pain. This comprehensive resource provides non-pain management specialists with information that enables them to provide their patients with logical, ...
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Overview

Provide your patients with effective treatment for their pain

Clinical Management of Bone and Joint Pain is a comprehensive, practical guide to specific pharmacological and non-pharmacological treatments of bone and joint pain. This comprehensive resource provides non-pain management specialists with information that enables them to provide their patients with logical, effective treatment options. It's an invaluable professional tool for rheumatologists, orthopedic physicians and surgeons, sports injury physicians, and general practitioners.

Remarkable advances have been made in recent years in the management of a wide range of bone and joint diseases. Clinical Management of Bone and Joint Pain offers medical professionals working on the frontline of clinical medicine and surgery with practical options for the treatment of pain. The book includes individual accounts of specific pharmacological and non-pharmacological treatments; an inclusive range of treatments for specific conditions; suggested doses for treatment outlines; insights into the mechanisms of pain arising from bones and joints; and an outline of pain treatment options. Each chapter includes a summary of the treatment described and suggestions for its practical use.

Topics examined in Clinical Management of Bone and Joint Pain include:

• Basic pain mechanisms
• Non-steroidal anti-inflammatory drugs (NSAIDs)
• The pain-relieving effects of capsaicin
• The topical applications of glyceryl trinitrate (GTN)
• The use of topical analgesics
• Intraarticular injections in the treatment of joint pain
• Using peripheral nerves block in pain management
• Using opioids in pain management
• Acetaminophen
• Glucosamine
• Glucocorticoids
• Hyaluronic acid in the treatment of joint pain
• Anti-rheumatic drugs
• Physical therapy
• Acupuncture
• Botulinum toxins
• Radiopharmaceuticals as a treatment option for advanced cancer pain
• Muscle relaxant drugs
• And much more
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Product Details

Meet the Author

Gary McCleane, MD, is a practicing consultant in pain management in Northern Ireland. His interests include the use of cholecystokinin antagonists in pain management and the use of tricyclic antidepressants and topical analgesics. He has published a number of studies examining the analgesic effect of CCK antagonists, capsaicin, topical TCAs, and anti-epileptics, including gabapentin, lamotrigine, phenytoin, fosphenytoin, and the novel anti-epileptic SPM 927. He has published a number of review papers examining current options for the treatment of neuropathic pain and cholecystokinin antagonists in human pain management.

Howard Smith, MD, is Academic Director of Pain Management in the Department of Anesthesiology at Albany Medical College, Albany, New York. He has also served on the faculty at the University of Pittsburgh School of Medicine and Harvard Medical School as Director of Pain Medicine - Presbyterian University Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania and Director of Cancer Pain - Beth Israel Deaconess Medical Center, Boston, Massachusetts, respectively. Dr. Smith also served as the Director of Pain Management and Director of Pain Fellowship at the Albany Medical College/Albany Medical Center Hospital. He is editor of the Journal of Neuropathic Pain & Symptom Palliation and the Journal of Cancer Pain & Symptom Palliation and is an editorial board member of the American Journal of Hospice and Palliative Care. Dr. Smith is the author of the forthcoming books Drugs for Pain and A Women's Guide to Ending Pain.

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Table of Contents

About the Editors

Contributors

Introduction (Gary McCleane)

PART I
Chapter 1. Basic Pain Mechanisms (Jana Sawynok)
Chapter 2. The Physiology and Basic Science of Bone and Joints (Helen Cohen and David Blake)

PART II
Chapter 3. NSAIDs (Jennifer A. Elliott and Howard S. Smith)
Chapter 4. Capsaicin (Gary McCleane)
Chapter 5. Nitrates (Gary McCleane)
Chapter 6. Topical Options (Charles Argoff)
Chapter 7A. Intra-Articular Injections (William Lavelle, Elizabeth Demers, and Lori Lavelle)
Chapter 7B. Nerve Blocks (Elizabeth Demers, William Lavelle, and Lori Lavelle)
Chapter 8. Opioids (Gary McCleane)
Chapter 9. Acetaminophen (Nisar Soomro)
Chapter 10. Glucosamine (William Lavelle, Elizabeth Demers, and Lori Lavelle)
Chapter 11. Clinical Pharmacology of Glucocorticoids (Muhammad Munir and Jun-Ming Zhang)
Chapter 12. Hyaluronic Acid (William Lavelle, Elizabeth Demers, and Lori Lavelle)
Chapter 13. Disease Modifying Antirheumatic Drugs (Lori Lavelle, William Lavelle, and Elizabeth Demers)
Chapter 14. Physical Therapy (Denis Martin)
Chapter 15. Acupuncture (Gira Patel)
Chapter 16. Botulinum Toxin (Charles Argoff)
Chapter 17. Radiopharmaceuticals (Rahul Parikh and Howard Smith)
Chapter 18. Muscle Relaxants (Gary McCleane)
Chapter 19. Other Options (Howard Smith and Mark Guerdan)

PART III
Chapter 20. Joint Pain (Gary McCleane)
Chapter 21. Fracture Pain (Gary McCleane)
Chapter 22. Pathophysiology and Analgesic Approaches to Painful Bone Metastasis (Howard Smith and Jennifer Elliott)
Chapter 23. Pain Arising from Tendons and Tendon Sheaths (Gary McCleane)
Chapter 24. When Is Pain Felt Over a Bone or Joint Not Bone or Joint Pain? (Gary McCleane)

Index

Reference Notes Included

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