- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This update of a 2003 overview of pain uses a question and answer format to cover topics ranging from basic neurophysiology and pharmacology to psychological issues and regulatory issues in opioid therapy.
Purpose: This handy, quick reference is intended to answer specific questions about pain conditions, setting out scientifically validated facts along with clinically useful points acquired by the authors over their years in the field. This well intentioned book meets its objectives for the most part.
Audience: Although the primary target audience is pain specialists, those in training and primary care physicians will find it more useful. It also can be a useful for physicians taking recertification examinations in pain or anesthesia.
Features: The book starts with the top 100 secrets about pain, which include excellent points about pain management. Thereafter, the book is divided into eight sections containing 47 chapters. The first section is an overview of pain classification, definitions, and the neurophysiology of pain. Chapters in the second section deal with clinical and psychological ways of evaluating pain patients. The physical examination chapter has an excellent table explaining different tests and how they are performed. The next two sections cover a litany of pain conditions, grouped into primary pain conditions or pain as part of a disease process. Two good chapters cover pediatric and geriatric pain. The pharmacotherapy section contains a nice discussion on addiction and regulatory issues related to opioid management. Pain procedures are discussed briefly, with a focus on their usefulness. The unique chapter on pain clinics stresses the multidisciplinary nature of a pain clinic, over purely an injection clinic. The last chapter has a very limited discussion of alternative medical therapies. Chapters bring out the salient features of a topic by raising a pertinent question and then answering it, a format that ensures readers do not lose sight of the point. Key points are summarized and presented again at the end of each chapter. This is a quick read where every topic is presented concisely. Basic questions are posed and answered to make it a very practical book, and all important points are covered. The book doesn't go into detail, but references are provided at the end for interested readers.
Assessment: This is an excellent handbook that does justice to its title. It's not a procedure-oriented pain book, instead addressing the more basic and pertinent questions before any therapy can be initiated. It is must-read book for pain fellows and anesthesia residents. In addition, primary care physicians will be much better prepared to help their patients and communicate effectively with pain physicians after reading this book.