Chronic Pain Doesn't Have to be a Life Sentence!
Suffering from chronic pain can be incredibly isolating and frustrating. Visiting doctor after doctor can leave you feeling as if there is no treatment for your pain. If you or a loved one is suffering from chronic pain, this book can be a first step to understanding treatments that can help manage pain.
Though doctors have tried to treat patients in pain throughout history, more recently, focused training and certification in pain medicine has resulted in the emergence of a new specialty designed to help people suffering from chronic pain.
Pain-Wise also includes expert advice on:
• Identifying what parts of your body are in pain, using a simple anatomy guide
• How to choose a pain specialist that is right for you
• Getting the most out of your doctor’s visits
• Basic explanations of common interventional pain management techniques
• How to follow-up on treatment
Written by three doctors with years of experience in pain management, Pain-Wise is a patient’s guide to simplifying the confusing and often overwhelming process of finding treatment for chronic pain. It will teach you the basics of how pain works, explain different interventional pain therapies in layman’s terms, and help you find a doctor that can manage, and potentially relieve, your chronic suffering.
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About the Author
David Kloth, M.D. is an anesthesiologist specializing in pain management. Dr. Kloth founded Connecticut Pain Care, where he continues to serve as the President and Medical Director and is the Founder and Executive Director of the Connecticut Pain Society. He now serves as an examiner for the American Board of Interventional Pain Physicians.
Andrea Trescot, M.D. is a Fellow of Interventional Pain Practice and an examiner for the World Institute of Pain. Dr. Trescot has 20 years of experience as a pain clinic Director in private practice. For more information about Dr. Trescot, visit www.drtrescot.com.
Francis Riegler, M.D. M.B.A. is President of the California Society of Interventional Pain Physicians as well as President and Co-Founder of Universal Pain Management. Dr. Riegler currently lectures resident and fellow physicians about healthcare economics.
Table of Contents
1 A Brief History of Pain Medicine 1
2 Not All Pain Physicians Are the Same: 5
Choosing the Right Physician for Your Problem 6
3 What to Expect from Interventional Pain Management 11
4 Anatomy: An Explanation of the Parts of You That You Can't See in the Mirror 15
5 Diagnostic Testing: 19
Radiology: A Look Inside the Body 20
Electrodiaynostic Medicine: More Tests to Complete the Picture 23
6 Comprehensive Pain Therapy: Other Pieces of the Puzzle 25
7 Medications: So Much More than Just Pain Pills 29
8 Trigger Point Injections: Treating Tight and Restricted Muscles 43
9 Peripheral Nerve Blocks: Injections in Other Places and Spaces 47
10 Epidural Injections: Not Just for Childbirth 53
11 Facet Injections: Treating Arthritis of the Spine 61
12 Sacroiliac Injections: Another Common Cause of Back Pain 67
13 Radiofrequency Ablation and Cryoneuroablation: Making the Pain Stay Away 69
14 Adhesiolysis: Washing Away the Scar Tissue 71
15 Regenerative Therapy: Rebuilding the Body's Normal Tissue 75
16 Discography: A Better Look at Your Discs 79
17 Minimally Invasive Disc Surgery: When Less Is More 83
18 Complex Regional Pain Syndrome: One Small Nerve Causing Big Problems 89
19 Post-Herpetic Neuralgia (PHN): Early Treatment Is the Key to Success 95
20 Implantable Techniques 99
Spinal Cord Stimulation 99
Spinal Drug Delivery Systems 102
Peripheral Nerve/Field Stimulation 106
21 Cancer Pain: Effective Control Is Usually Possible 109
22 Insurance: Copays, Coinsurance, Deductibles, Oh My! 115
23 Workers' Compensation: How It Works and What to Do If It Doesn't 121
24 Conclusion 125
Online Resources 143