Raj's Practical Management of Pain / Edition 4

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Get the core knowledge in pain medicine you need from one of the most trusted resources in the field. The new fourth edition guides you through every aspect of pain medicine with concise descriptions of evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. From commonly seen pain syndromes, including headaches, trunk pain, orofacial pain, back pain, and extremity pain…through specific pain management challenges such as postoperative pain, pain due to cancer, phantom pain, and pain in the management of AIDS patients…this popular text will equip you with the know-how you need to effectively manage even your most challenging cases.

• A practical, multidisciplinary approach to pain management makes key concepts and techniques easier to apply to everyday practice.

• Expert contributors provide the latest knowledge on all aspects of pain management, from general principles through to specific management techniques.

• Detailed discussions of the latest concepts and treatment plans help you provide the best possible outcomes for all your patients.

• Extensively updated chapters acquaint you with the most current trends and techniques in pain management.

• A new section on complications helps you avoid and manage potential pitfalls.

• A new editorial team ensures that you are getting the freshest, most clinically relevant information available today.

• New, full-color art clarifies key concepts and techniques.

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Editorial Reviews

Doody's Review Service
Reviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This update of an abridged book of basic information for pain physicians and pain fellows comes with a new set of editors and many new topics. The previous edition was published in 2000.
Purpose: In addition to serving as a text for pain fellows and residents, the book is a quick reference source for pain physicians in their daily practice. It is somewhat successful in achieving these goals.
Audience: It is targeted at pain physicians, pain fellows, and residents interested in pain, as well as anyone who wants a brief review of a pain topic. This multiauthored collaboration is written by people who have written or edited work in this area in the past.
Features: The book follows the familiar format used in the third edition as well as by other pain textbooks. The 72 chapters are grouped into nine sections. The first three sections deal with the history of pain, the organization and management of pain services, and policy issues such as quality control and pain certification, followed by pain physiology and clinical evaluation of pain patients with history, examination, and radiological and electrical testing. The fourth section covers management of different acute and chronic pain conditions, such as headache, phantom pain, back pain, and pain in the elderly, children, and pregnant women. Chapters cover incidence, clinical features, pathophysiology, and management. Conditions are discussed in broad terms. Most of the chapters include brief descriptions under each heading and provide no algorithms or specific treatment guidelines. Section four deals with pharmacology of pain medication as well noninjection treatment modalities, such as acupuncture, physical therapy, and psychological interventions. Again the discussion is brief and informative, providing just enough information so that the modalities can be recommended to patients, but there is no evidence-based critical analysis. Sections six and seven cover different pain procedures commonly done in acute or chronic pain settings. The well done chapter on facet radiofrequency goes into technical detail, but most of the procedures are described in cursory detail and have few images to support the text. The procedure discussion follows a familiar format of indications, anatomy, and complications. Section eight deals with pain control in special situations like in the ICU, at home, and at the end of life. This section includes an important chapter on radiation safety, a topic that is often ignored. It includes useful information on the optimal use of the fluoro machine, optimizing radiation safety, and the pharmacology of radiocontrast agents. The five chapters in the last section evaluate the outcome and efficiency of different interventions in acute and chronic pain conditions. This is the best part of the book. Very helpful information appears at the end of the book in the form of CPT codes, evaluation and management coding templates, and useful Internet resources for journals and professional societies. The book is comprehensive in its approach and tries to cover as much as possible without being overwhelming, although the quality of chapters is inconsistent. It has something on every topic and there are plenty of images and tables. It is more of an outline of pain management than a book on practical pain management. Management is discussed primarily in general terms; techniques are not described in detail and not at all for a few procedures. There are no guidelines for the starting dosage for any drugs. It lacks a section on ultrasound-guided injection therapies and does not cover chronic joint pain or joint injections as such.
Assessment: This update is much better than the previous edition. It has shed many dreary details and the editors have added many new relevant topics. The book is very presentable and easier to read. It is neither a manual of injection techniques nor a comprehensive textbook of pain medicine, but is somewhere in between. It would help pain fellows or physicians to begin to understand a disease or an injection therapy and would start them on a path to learn more.
From the Publisher
"Continues to be a cornerstone in the library of the pain physician."—Journal of Pain and Symptom Management, review of the previous edition.

"This update is much better than the previous edition. It has shed many dreary details and the editors have added many new relevant topics. The book is very presentable and easier to read...It would help pain fellows or physicians to begin to understand a disease or an injection therapy and would start them on a path to learn more." - DOODY'S BOOK REVIEW, 3 Stars

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Product Details

  • ISBN-13: 9780323041843
  • Publisher: Elsevier Health Sciences
  • Publication date: 3/7/2008
  • Edition description: New Edition
  • Edition number: 4
  • Pages: 1344
  • Product dimensions: 8.60 (w) x 11.10 (h) x 1.90 (d)

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

Part I: General Considerations (H.T. Benzon and J. Rathmell, editors)

1. The History of Pain Medicine, Winston C.V. Parris and Benjamin Johnson

2. Taxonomy and Classification of Chronic Pain Syndromes, Harold Merskey

3. Organizing an Inpatient Acute Pain Management Service, Beth M. Minzter and Alex Cahana

4. Pain Medicine Practice: Development of Outpatient Services for Chronic Pain, David Walega

5. Health Care Policy, Quality Improvement, and Patient Safety in Pain Medicine Practice, Douglas G. Merrill

6. Education, Training, and Certification in Pain Medicine, James P. Rathmell and David L. Brown

Part II. Basic Considerations (D. Turk and C. Argoff, editors)

7. Pain Pathways: Peripheral, Spinal, Ascending, and Descending Pathways, Karin N. Westlund High

8. A Review of Pain-Processing Pharmacology, Tony L. Yaksh

9. Pain and Brain Changes, A.V. Apkarian

Part III. Evaluation and Assessment (C. Argoff and J. Rathmell, editors)

10. History and Physical Examination of the Pain Patient, Irfan Lalani and Charles E. Argoff

11. Electromyography and Evoked Potentials, Bernard M. Abrams and Howard J. Waldman

12. Radiologic Assessment of the Patient with Spine Pain, Timothy P. Maus

13. Psychological and Behavioral Assessment, Alicia Heapy and Robert D. Kerns

Part IV. Clinical Conditions (H.T. Benzon and C. Wu, editors)

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