Nerve Block for Common Pain / Edition 1

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The approach in this book is direct and simple. The author deals only with nerve block for the most common pain syndromes that the average practitioner will encounter frequently. This option is highly effective, but often not used simply because oral analgesics and anti-inflammatories are more familiar methods. The clear writing style leads step-by-step to the appropriate nerve block procedure. The author also discusses succinctly practical psychological issues of pain, placebos, etc.

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Editorial Reviews

Neurologist Cytowik examines the reasons that physicians cling to traditional and often ineffective methods of pain and relief, namely oral analgesics and anti-inflammatories, and then discusses the general principles of nerve block, as well as common misconceptions and factors that inhibit this method. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780387971476
  • Publisher: Springer New York
  • Publication date: 7/1/1990
  • Edition description: 1990
  • Edition number: 1
  • Pages: 96
  • Product dimensions: 5.00 (w) x 8.00 (h) x 0.22 (d)

Table of Contents

1 Introduction.- Background.- Hyperstimulation Analgesia.- General Principles of Nerve Block.- Misconceptions and Management of Chronic Pain.- Placebos.- Acute Versus Chronic Pain.- Characteristics of Patients with Chronic Pain.- Compensation, Litigation, Malingering, and Unemployment.- Behavioral Approaches to Pain.- Narcotic Analgesics and Fear of Analgesic Abuse.- Summary.- Further Reading.- Diagnosis and Evaluation.- 2 The Muscular Origin of Pain.- Basic Concepts.- Location of Trigger Points.- Active Versus Latent Trigger Points.- Clinical Diagnosis and Physical Examination.- Most Common Symptomatic Complaints.- Treatment.- Trigger Points After Injury.- Further Reading.- 3 General Techniques and Indications.- General Indications.- Other Indications.- Positive and Negative Effects of Nerve Blocks.- Choice and Concentration of Anesthetic Agent.- Preparing the Patient.- Placebo and Nocebo Responses.- Follow-Up Treatment After Block.- Adverse Effects and Contraindications.- Use During Pregnancy.- 4 Specific Applications.- Blocks for Headache.- Greater Occipital Nerve Block.- Superficial Cervical Plexus Block.- Temporalis Injection for Temporal Headaches.- Neck Pain and Cervical Myodystonia: Tension Headache.- Carpal Tunnel Syndrome.- Intercostal Block for Herpes Zoster.- Technique of Intercostal Block.- Low Back Pain.- Degenerative Joint Disease.- Herniated Disk with Radiculopathy.- Lumbar Myodystonia.- Technique of Lumbar Somatic Nerve Block.- Meralgia Paresthetica: Block of the Lateral Femoral Cutaneous Nerve.- Stellate Ganglion Sympathetic Block.- Diagnosis and Therapy.- Technique and Anatomy.- 5 Cognitive Aspects of Pain.- Factors That Modulate Pain.- The Minnesota Multiphasic Personality Inventory (MMPI).- Psychological Contributions to Pain.- Appendix A.- Appendix B.- References.

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