Topical Issues In Pain 1

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Topical Issues in Pain 1

Author : Louis Gifford
Publisher : AuthorHouse
ISBN 13 : 149187676X
Total Pages : 238 pages
Book Rating : 4.4/5 (918 download)

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Book Synopsis Topical Issues in Pain 1 by : Louis Gifford

Download or read book Topical Issues in Pain 1 written by Louis Gifford and published by AuthorHouse. This book was released on 2013-09-09 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain is the most frustrating condition a physiotherapist encounters. This is the first yearbook of the Physiotherapy Pain Association for Chartered Physiotherapists. It considers two challenging aspects of pain in physiotherapy practice and provides insights and approaches to management that can be applied by all clinicians. Part 1 critically reviews pathology, pain mechanisms and current therapies and offers a biopsychosocial approach to assessment, prevention, and management of pain following whiplash injury. It assists the reader to understand and work with people who have developed chronic pain. Part 2 considers the relationship between fear and anxiety and activity and exercise behaviour; it describes an approach to back pain rehabilitation that incorporates an understanding of the key elements of fear-avoidance. In particular, it shows how the language that clinicians use may assist patients to develop positive attitudes that foster coping mechanisms. The Physiotherapy Pain Association Yearbooks are written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice.

Topical Issues in Pain 5

Author : Louis Gifford
Publisher : AuthorHouse
ISBN 13 : 1491876808
Total Pages : 445 pages
Book Rating : 4.4/5 (918 download)

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Book Synopsis Topical Issues in Pain 5 by : Louis Gifford

Download or read book Topical Issues in Pain 5 written by Louis Gifford and published by AuthorHouse. This book was released on 2013-09-09 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: Volumes of the Topical Issues in Pain series are now a common sight in Physiotherapy departments and practices throughout the UK. More and more students are using them to learn clinical skills and as key references for study and research. The accolades the series has received from within and outside the profession are both moving and cheering for Physiotherapy. This 5th volume energetically moves the boundaries of Physiotherapy on, divided into 5 sections, it considers some of the most important issues and challenges facing clinicians and society today. The section on return to work (3) examines the financial and human costs of work absence, the difficulties that surround and often prevent people in pain from returning to work and finally details practical ways of helping patients actually get there. It is becoming increasingly clear that the traditional treatments being offered for common and benign pain states, whether by therapists, Drs or Surgeons, are ineffective when measured in terms of return to work and confident function - why is this? The answers most likely lie in the broader, multidimensional, understanding of pain biology (section 5) that is embraced in the principles and practice of cognitive-behavioural therapies and approaches (section 4), especially when they are used alongside physical rehabilitation programmes (sections 1, 2, 3 & 4). Vitally, these proven approaches are patient-orientated requiring highly trained experts in listening, explaining and communicating (sections 1 & 2). This book acknowledges that there no simple ‘fix’ that takes a hurting human being from a state of vulnerability back to one of physical confidence and full working potential. What it is does though, is breathe a breath of optimism into the current state-of-the-art of the physical pain-management process that, when skilfully applied, actually does help a great deal. The Topical Issues in Pain series derives from the work, study days and seminars of the Physiotherapy Pain Association and is written by clinicians for clinicians.

Topical Issues in Pain 2

Author : Louis Gifford
Publisher : AuthorHouse
ISBN 13 : 1491876743
Total Pages : 241 pages
Book Rating : 4.4/5 (918 download)

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Book Synopsis Topical Issues in Pain 2 by : Louis Gifford

Download or read book Topical Issues in Pain 2 written by Louis Gifford and published by AuthorHouse. This book was released on 2013-09-09 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the second volume in the series stimulated by/deriving from the work and study days of the Physiotherapy Pain Association. This volume is about some fundamental changes in practice which aim to prevent chronic incapacity from musculoskeletal pain problems. It is also about our relationships with our patients, and theirs with their pain and their families. As such, the information provided is essential to all professions involved in physical rehabilitation and prevention of chronic incapacity. When practice changes there is a necessary extension of traditional thinking into new territories and new skills to be taken on. In particular, all the chapters in this book underline the recognition that while musculoskeletal pain has a biomedical origin, there are also important psychosocial components that require management within a biopsychosocial framework. Authors provide background knowledge and practical guidance to help readers integrate the biopsychosocial model and biopsychosocial assessment into patient management. The material in this book is as important to the management of acute pain as it is to chronic pain states. Importantly, the book is not about categorising patients as having either real or not real pain. It represents a determined effort by all the authors to present clinicians with tools that will help them to better understand their patients; help prevent them becoming disabled, and help most to lead far more active and productive lives – no matter how complex the presentation. Volumes in the Topical Issues in Pain series are written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice. I look forward to this series and to the activities of the Physiotherapy Pain Association because they promise to revolutionise the morale, dignity and way of thinking of physiotherapists and thereby to affect everyone concerned with pain. Patrick Wall Physiotherapy 95(2):101-2

Topical Issues in Pain 4

Author : Louis Gifford
Publisher : Author House
ISBN 13 : 1491876778
Total Pages : 289 pages
Book Rating : 4.4/5 (918 download)

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Book Synopsis Topical Issues in Pain 4 by : Louis Gifford

Download or read book Topical Issues in Pain 4 written by Louis Gifford and published by Author House. This book was released on 2013-09 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This fourth volume contains further ground-breaking and highly relevant work. Taking on the placebo and nocebo phenomenon, pain management and muscles and pain the volume yet again promotes the forward thinking and cutting edge work of the Physiotherapy Pain Association. In Part 1 a number of internationally renowned clinicians and researchers have come together to produce the first published attempt to broadly address and critically appraise the placebo and nocebo phenomenon from a clinical perspective for physiotherapists. The information and the way the material is presented should fascinate as well as challenge readers to think and work differently. Understanding the placebo fully requires a radical shift in thinking about human recovery mechanisms and the way in which treatments can be triggered to work at their most efficient. Part 2 takes on three more pain management topics - the integration of pain management approaches and techniques for individual therapists working with individual patients or in 'out-patient' settings; information giving for patients and addressing the taxing problem of improving fitness in patients with chronic pain related incapacity. The last part is devoted to some major issues surrounding the relationship of muscles to pain. Many current beliefs about the role of muscles come under scrutiny and some are constructively challenged by new proposals. Perhaps the most exciting aspect of the work presented here is that physiotherapy, if it fully integrates the information provided into clinical practice, should be increasingly recognised as the central and essential component of modern management of musculoskeletal pain states. The Topical Issues in Pain series derives from the work, study days and seminars of the Physiotherapy Pain Association and is written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice.

Topical Issues in Pain 3

Author : Louis Gifford
Publisher : Author House
ISBN 13 : 1491877707
Total Pages : 253 pages
Book Rating : 4.4/5 (918 download)

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Book Synopsis Topical Issues in Pain 3 by : Louis Gifford

Download or read book Topical Issues in Pain 3 written by Louis Gifford and published by Author House. This book was released on 2013-09 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book challenges some long-held beliefs, models of treatment, and clinical reasoning about pain. It presents the current evidence on whatwe know about the sympathetic nervous system and the implications it has for patients with complex regional pain syndromes. Part 1 tackles controversial issues surrounding the role of the sympathetic nervous system in pain states and explores clinical challenges and questions that surround the topic. Can visceral disease precipitate musculoskeletal disorder? What do we know about mind body pathways? Where does the immune system fit in? What is complex regional pain syndrome? What is sympathetic maintained pain? How is it managed and treated? What are sympathetic blocks? Do they work? What happens to tissues when they are immobilised or under-used? What role does the sympathetic nervous system play in oedema, ischaemia and supersensitivity development? How can it cause pain? Part 2 is devoted to pain management. A single and highly authoritative chapter provides the information and clinical tools for us to deal more effectively with the distress and anger shown by some patients with back pain. There are excellent guidelines for clinicians seeking to further their 'Yellow Flag' assessment and management skills Part 3 addresses clinical effectiveness. It introduces, explains and discusses the concept and provides a rich resource for further research and investigation of the topic. There is also a critical look at 'evidence' and research into the effectiveness of acupuncture and TENS to help our understanding of the systematic review process and the pitfalls that so often occur in clinical research. The Topical Issues in Pain series derives from the work, study days and seminars of the Physiotherapy Pain Association and is written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice.

Topical Issues in Pain

Author : Louis Gifford
Publisher :
ISBN 13 : 9780953342310
Total Pages : 222 pages
Book Rating : 4.3/5 (423 download)

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Book Synopsis Topical Issues in Pain by : Louis Gifford

Download or read book Topical Issues in Pain written by Louis Gifford and published by . This book was released on 2000 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Compounded Topical Pain Creams

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030967218X
Total Pages : 353 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Compounded Topical Pain Creams by : National Academies of Sciences, Engineering, and Medicine

Download or read book Compounded Topical Pain Creams written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-07-21 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain is both a symptom and a disease. It manifests in multiple forms and its treatment is complex. Physical, social, economic, and emotional consequences of pain can impair an individual's overall health, well-being, productivity, and relationships in myriad ways. The impact of pain at a population level is vast and, while estimates differ, the Centers for Disease Control and Prevention reported that 50 million U.S. adults are living in pain. In terms of pain's global impact, estimates suggest the problem affects approximately 1 in 5 adults across the world, with nearly 1 in 10 adults newly diagnosed with chronic pain each year. In recent years, the issues surrounding the complexity of pain management have contributed to increased demand for alternative strategies for treating pain. One such strategy is to expand use of topical pain medicationsâ€"medications applied to intact skin. This nonoral route of administration for pain medication has the potential benefit, in theory, of local activity and fewer systemic side effects. Compounding is an age-old pharmaceutical practice of combining, mixing, or adjusting ingredients to create a tailored medication to meet the needs of a patient. The aim of compounding, historically, has been to provide patients with access to therapeutic alternatives that are safe and effective, especially for people with clinical needs that cannot otherwise be met by commercially available FDA-approved drugs. Compounded Topical Pain Creams explores issues regarding the safety and effectiveness of the ingredients in these pain creams. This report analyzes the available scientific data relating to the ingredients used in compounded topical pain creams and offers recommendations regarding the treatment of patients.

Topical Issues in Pain 1

Author : Louis Gifford
Publisher : Author House
ISBN 13 : 1491876735
Total Pages : 245 pages
Book Rating : 4.4/5 (918 download)

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Book Synopsis Topical Issues in Pain 1 by : Louis Gifford

Download or read book Topical Issues in Pain 1 written by Louis Gifford and published by Author House. This book was released on 2013-09 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain is the most frustrating condition a physiotherapist encounters. This is the first yearbook of the Physiotherapy Pain Association for Chartered Physiotherapists. It considers two challenging aspects of pain in physiotherapy practice and provides insights and approaches to management that can be applied by all clinicians. Part 1 critically reviews pathology, pain mechanisms and current therapies and offers a biopsychosocial approach to assessment, prevention, and management of pain following whiplash injury. It assists the reader to understand and work with people who have developed chronic pain. Part 2 considers the relationship between fear and anxiety and activity and exercise behaviour; it describes an approach to back pain rehabilitation that incorporates an understanding of the key elements of fear-avoidance. In particular, it shows how the language that clinicians use may assist patients to develop positive attitudes that foster coping mechanisms. The Physiotherapy Pain Association Yearbooks are written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice.

Pain Management and the Opioid Epidemic

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Magnesium in the Central Nervous System

Author : Robert Vink
Publisher : University of Adelaide Press
ISBN 13 : 0987073052
Total Pages : 354 pages
Book Rating : 4.9/5 (87 download)

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Book Synopsis Magnesium in the Central Nervous System by : Robert Vink

Download or read book Magnesium in the Central Nervous System written by Robert Vink and published by University of Adelaide Press. This book was released on 2011 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: The brain is the most complex organ in our body. Indeed, it is perhaps the most complex structure we have ever encountered in nature. Both structurally and functionally, there are many peculiarities that differentiate the brain from all other organs. The brain is our connection to the world around us and by governing nervous system and higher function, any disturbance induces severe neurological and psychiatric disorders that can have a devastating effect on quality of life. Our understanding of the physiology and biochemistry of the brain has improved dramatically in the last two decades. In particular, the critical role of cations, including magnesium, has become evident, even if incompletely understood at a mechanistic level. The exact role and regulation of magnesium, in particular, remains elusive, largely because intracellular levels are so difficult to routinely quantify. Nonetheless, the importance of magnesium to normal central nervous system activity is self-evident given the complicated homeostatic mechanisms that maintain the concentration of this cation within strict limits essential for normal physiology and metabolism. There is also considerable accumulating evidence to suggest alterations to some brain functions in both normal and pathological conditions may be linked to alterations in local magnesium concentration. This book, containing chapters written by some of the foremost experts in the field of magnesium research, brings together the latest in experimental and clinical magnesium research as it relates to the central nervous system. It offers a complete and updated view of magnesiums involvement in central nervous system function and in so doing, brings together two main pillars of contemporary neuroscience research, namely providing an explanation for the molecular mechanisms involved in brain function, and emphasizing the connections between the molecular changes and behavior. It is the untiring efforts of those magnesium researchers who have dedicated their lives to unraveling the mysteries of magnesiums role in biological systems that has inspired the collation of this volume of work.

Back Pain - A Movement Problem

Author : Josephine Key
Publisher : Elsevier Health Sciences
ISBN 13 : 0702049085
Total Pages : 399 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Back Pain - A Movement Problem by : Josephine Key

Download or read book Back Pain - A Movement Problem written by Josephine Key and published by Elsevier Health Sciences. This book was released on 2010-03-08 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: Back Pain: a movement problem is a practical manual to assist all students and clinicians concerned with the evaluation, diagnosis and management of the movement related problems seen in those with spinal pain disorders. It offers an integrative model of posturomovement dysfunction which describes the more commonly observed features and related key patterns of altered control. This serves as a framework, guiding the practitioner's assessment of the individual patient. - Examines aspects of motor control and functional movement in the spine, its development, and explores probable reasons why it is altered in people with back pain - Maps the more common clinical patternsof presentation in those with spinal pain and provides a simple clinical classification system based upon posturomovement impairments - Integrates contemporary science with the insights of extensive clinical practice - Integrates manual and exercise therapy and provides guiding principles for more rational therapeutic interventions: - which patterns of movement in general need to be encouraged - which to lessen and how to do so - Abundantly illustrated to present concepts and to illustrate the difference between so-called normal and dysfunctrional presentations - Written by a practitioner for practitioners

Chronic Pain

Author : Dawn Marcus
Publisher : Springer Science & Business Media
ISBN 13 : 159259882X
Total Pages : 335 pages
Book Rating : 4.5/5 (925 download)

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Book Synopsis Chronic Pain by : Dawn Marcus

Download or read book Chronic Pain written by Dawn Marcus and published by Springer Science & Business Media. This book was released on 2007-11-06 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, leading pain specialist Dawn A. Marcus, MD, offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad of painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Using an engaging case-based approach, the author simplifies the often complex care of patients with chronic pain by providing practical strategies for targeting important symptoms, establishing realistic treatment goals, and efficiently and effectively managing patients. Clinic-friendly instructional sheets (questionnaires, diaries, and chart documentation tools) can be copied directly from the book and used for both education and the monitoring of therapeutic compliance and response. Importantly, Dr. Marcus offers all of these practical applications in the context of the busy office practice. The author also presents invaluable guidelines for prescribing medications and nonmedicative therapies, and provides descriptions, illustrations, and diagnostic criteria to help identify specific, commonly occurring syndromes that produce chronic pain. Additional features include sections on opioid therapy and on chronic pain in special patient groups such as children and adolescents, pregnant women, and geriatrics. Also included is a value-added compact disk containing a companion ebook version of the book for downloading and use in the reader's computer or PDA, and continuing medical education (CME) questions that provide the opportunity to acquire 5 AMA/PRA category 1 CME credits from the American Society of Contemporary Medicine and Surgery. Comprehensive and case-oriented, Chronic Pain: A Primary Care Guide to Practical Management offers busy health care providers a practice-friendly approach to assessing and managing the often complex and time-consuming problems of chronic pain.

Relieving Pain in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030921484X
Total Pages : 383 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Relieving Pain in America by : Institute of Medicine

Download or read book Relieving Pain in America written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-26 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

Understanding and Treating Fear of Pain

Author : Gordon J. G. Asmundson
Publisher :
ISBN 13 : 9780198525141
Total Pages : 398 pages
Book Rating : 4.5/5 (251 download)

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Book Synopsis Understanding and Treating Fear of Pain by : Gordon J. G. Asmundson

Download or read book Understanding and Treating Fear of Pain written by Gordon J. G. Asmundson and published by . This book was released on 2004 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: People who suffer from chronic pain are typically found to be more anxious and fearful of pain than those who do not. Recent evidence has shown that the fear itself serves as a mechanism through which chronic pain is maintained over time. Even once the muscle or tissue damage is healed, a fearof further pain can lead to avoidance behaviour, which over time, leads to deconditioning (e.g. decreased mobility, weight gain). This in turn leads to further pain experiences, negative expectancies, and strengthened avoidance. It is the reciprocal relationship between fear and avoidance that isthought to be responsible for maintaining pain behaviour and disability. With fear of pain known to cause significant suffering and functional disability, there is a need for a greater understanding of this condition. This is the first book to explore this topic. It starts by introducing the current theoretical positions regarding pain-related fear and anxiety alongwith relevant empirical findings. It then provides comprehensive coverage of assessment issues and treatment strategies. Finally, the book suggests further areas for investigation. Pain-related fear and anxiety are now receiving considerable attention, and efficient and effective treatments are fast becoming available. This book will help guide and extend our understanding of a condition that has been shown to be associated with substantial suffering and disability.

Case Studies in Pain Management

Author : Alan David Kaye
Publisher : Cambridge University Press
ISBN 13 : 1107682894
Total Pages : 547 pages
Book Rating : 4.1/5 (76 download)

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Book Synopsis Case Studies in Pain Management by : Alan David Kaye

Download or read book Case Studies in Pain Management written by Alan David Kaye and published by Cambridge University Press. This book was released on 2014-10-16 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.

Pain

Author : Alaa Abd-Elsayed
Publisher : Springer
ISBN 13 : 3319991248
Total Pages : 1175 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Pain by : Alaa Abd-Elsayed

Download or read book Pain written by Alaa Abd-Elsayed and published by Springer. This book was released on 2019-05-10 with total page 1175 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise but comprehensive guide covers common procedures in pain management necessary for daily practice, and includes topics on international pain medicine curricula, for example, the American Board of Anesthesiology, World Institute of Pain/Fellow of Interventional Pain Practice, and American Board of Pain Medicine. Treatments for pain are discussed, including nerve blocks (head, neck, back, pelvis and lower extremity). Chapters have a consistent format including high yield points for exams, and questions in the form of case studies. Pain: A Review Guide is aimed at trainees in pain medicine all over the world. This book will also be beneficial to all practitioners who practice pain.

Topical Issues in Pain 3

Author : Louis Gifford
Publisher : AuthorHouse
ISBN 13 : 1491877723
Total Pages : 249 pages
Book Rating : 4.4/5 (918 download)

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Book Synopsis Topical Issues in Pain 3 by : Louis Gifford

Download or read book Topical Issues in Pain 3 written by Louis Gifford and published by AuthorHouse. This book was released on 2013-09-10 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book challenges some long-held beliefs, models of treatment, and clinical reasoning about pain. It presents the current evidence on whatwe know about the sympathetic nervous system and the implications it has for patients with complex regional pain syndromes. Part 1 tackles controversial issues surrounding the role of the sympathetic nervous system in pain states and explores clinical challenges and questions that surround the topic. Can visceral disease precipitate musculoskeletal disorder? What do we know about mind body pathways? Where does the immune system fit in? What is complex regional pain syndrome? What is sympathetic maintained pain? How is it managed and treated? What are sympathetic blocks? Do they work? What happens to tissues when they are immobilised or under-used? What role does the sympathetic nervous system play in oedema, ischaemia and supersensitivity development? How can it cause pain? Part 2 is devoted to pain management. A single and highly authoritative chapter provides the information and clinical tools for us to deal more effectively with the distress and anger shown by some patients with back pain. There are excellent guidelines for clinicians seeking to further their ‘Yellow Flag’ assessment and management skills Part 3 addresses clinical effectiveness. It introduces, explains and discusses the concept and provides a rich resource for further research and investigation of the topic. There is also a critical look at ‘evidence’ and research into the effectiveness of acupuncture and TENS to help our understanding of the systematic review process and the pitfalls that so often occur in clinical research. The Topical Issues in Pain series derives from the work, study days and seminars of the Physiotherapy Pain Association and is written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice.