Essentials of Pain Medicine and Regional Anesthesia

Overview

This book is primarily intended as a comprehensive review for practitioners preparing for exams in pain management. It also serves as an accessible, concise overview of both the theory and current practice of pain medicine. In keeping with the clinical orientation of exams, the book details specific strategies for the evaluation and management of pain syndromes.

The book contains black-and-white illustrations.

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Overview

This book is primarily intended as a comprehensive review for practitioners preparing for exams in pain management. It also serves as an accessible, concise overview of both the theory and current practice of pain medicine. In keeping with the clinical orientation of exams, the book details specific strategies for the evaluation and management of pain syndromes.

The book contains black-and-white illustrations.

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Product Details

  • ISBN-13: 9780443065095
  • Publisher: Elsevier Health Sciences
  • Publication date: 3/24/1999
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 501

Meet the Author

Professor of Anesthesiology
Senior Associate Chair for Academic Affairs
Feinberg School of Medicine
Northwestern University
Chief, Division of Pain Medicine
Northwestern Memorial Hospital
Chicago, IL

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Table of Contents

1 Anatomy and physiology of somatosensory and pain processing 1
2 Neurochemistry of somatosensory and pain processing 7
3 Taxonomy : definition of pain terms and chronic pain syndromes 15
4 Physical examination of the pain patient 18
5 Pain assessment 29
6 Psychological evaluation and testing 35
7 Neurophysiologic testing for pain 41
8 Anatomy, imaging, and common pain-generating degenerative pathologies of the spine 50
9 Determination of disability 80
10 Opioid receptors 87
11 Major opioids in pain management 94
12 Minor and short-acting opioids 106
13 Opioid therapy : adverse effects including addiction 113
14 Psychopharmacology for pain medicine 124
15 Membrane stabilizers 134
16 NSAIDs and COX-2-selective inhibitors 141
17 Muscle relaxants 159
18 Pharmacology for the interventional pain physician 166
19 Diagnostic nerve blocks 181
20 Neurosurgical procedures for treatment of intractable pain 190
21 Physical medicine and rehabilitation approaches to pain management 197
22 Acupuncture 203
23 Psychological interventions for chronic pain 209
24 Substance use disorders and detoxification 212
25 Pain management in the emergency department 222
26 Preemptive analgesia : physiology and clinical studies 229
27 Patient-controlled analgesia 235
28 Intrathecal opioid injections for postoperative pain 239
29 Epidural opioids for postoperative pain 246
30 Intraarticular and intraperitoneal opioids for postoperative pain 253
31 Pediatric postoperative pain 259
32 Pain management during pregnancy and lacation 264
33 Pain control in the critically ill patient 269
34 Classification of headache 277
35 Migraine headache and cluster headache 282
36 Tension-type headache, chronic tension-type headache, and other chronic headache types 289
37 Postdural puncture headache and spontaneous intracranial hypotension 293
38 Cervicogenic headache and orofacial pain 301
39 Overview of low back pain disorders 311
40 Interlaminar epidural steroid injections for lumbosacral radiculopathy 331
41 Selective nerve root blocks and transforaminal epidural steroid injections for back pain and sciatica 341
42 Facet syndrome : fact joint injections and facet nerve blocks 348
43 Pain originating from the buttock : sacroiliac joint dysfunction and piriformis syndrome 356
44 Myofascial pain syndrome 366
45 Fibromyalgia 371
46 Complex regional pain syndrome : terminology and pathophysiology 376
47 Complex regional pain syndrome : diagnosis and treatment 380
48 Herpes zoster and postherpetic neuralgia 386
49 Phantom pain 394
50 Central pain states 399
51 Pelvic pain 407
52 Sickle cell anemia 413
53 Diabetic and other peripheral neuropathies 418
54 Entrapment neuropathies 426
55 Chronic pain management in children 433
56 Geriatric pain 443
57 Spinal cord stimulation 454
58 Implanted drug delivery systems for control of chronic pain 465
59 Lumbar discography 474
60 Intradiscal techniques : intradiscal electrothermal therapy and nucleopasty 485
61 Osteoporosis and percutaneous vertebroplasty 494
62 Fluoroscopy and radiation safety 516
63 Approach to the management of cancer pain 525
64 Management of pain at end of life 535
65 Neurolytic visceral sympathetic blocks 542
66 Intrathecal and epidural neurolysis 550
67 Local anesthetics : clinical aspects 558
68 Spinal anesthesia 566
69 Epidural anesthesia 575
70 Combined spinal-epidural technique 582
71 Caudal anesthesia 587
72 Head and neck blocks 598
73 Brachial plexus blocks : techniques above the clavicle 607
74 Brachial plexus block : techniques below the clavicle 622
75 Truncal blocks : intercostal, paravertebral, interpleural, suprascapular, ilioinguinal, and iliohypogastric nerve blocks 636
76 Lumbar plexus, femoral, lateral femoral cutaneous, obturator, saphenous, and fascia iliaca blocks 645
77 Sciatic nerve block 659
78 Ankle block 672
79 Issues in peripheral nerve blocks : use of nerve stimulators, multiple- versus signle-injuection techniques, and use of adjuvants 677
80 Peripheral sympathetic blocks 687
81 Complications after peripheral nerve block 694
82 Complications after neuraxial blockade 702
83 Anticoagulants and neuraxial anesthesia 708
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