Surgical Management Of Pain

This text for clinicians and scientists addresses the area of surgery devoted to the treatment of pain. In addition to material on surgical procedures, the 80 contributions by leading international experts include material on the medical aspects of pain, (anatomy, physiology, pharmacology of pain and nociception, specific pain syndromes and diagnoses), guidelines for analysis and assessment, non-surgical treatments, rehabilitative treatments, management of opiates and other analgesics, myofacial treatments, the ethics of pain control, and pain clinic organization. Each chapter is followed by commentary representing various perspectives and opinions. Illustrated with b&w images and drawings. Edited by Kim Burchiel (neurological surgery, Oregon Health Science U.). Annotation copyrighted by Book News, Inc., Portland, OR

A contemporary reference on the current state of pain surgery Surgical Management of Pain, Second Edition, is a completely updated state-of-the-art reference on neurosurgical pain management. This new edition is in full color and includes the following sections: Anatomic and Physiologic Foundations for Nociceptive and Neuropathic Pain, Pain Medicine, Pain Diagnoses, Surgical Procedures for Pain, and New Directions for Pain Surgery. The chapters in the book focus on procedures that are currently performed by neurosurgeons to relieve pain. Key Features: Emphasizes "best evidence" treatment options Free online access to videos demonstrating surgical techniques described in the book Explores nonsurgical and pharmacologic methods of pain control Beautifully illustrated drawings convey the wisdom of expert surgeons This book is a must-have for all neurosurgeons treating patients suffering from acute and/or chronic pain. Includes bonus videos! Sign up for a free account at http://mediacenter.thieme.com and add this title to your Favorites to view the videos. nbsp;

Not since White and Sweet published Pain and the Neurosurgeon in the 1960s has there been a comprehensive review of the entire field of neurosurgical pain management. You will find a complete synthesis of all current concepts of pain neuroanatomy, physiology, and pathophysiology; new procedures that minimize invasiveness and postoperative neurological deficits; and the entire scope of surgical and medical management of chronic pain. In addition, you will benefit from the expertise of the international board of contributors, a virtual who's who in pain medicine, management, and surgery. Special features of this encyclopedic resource: * Special Considerations highlighting important practical, clinical information * Point/Counterpoint giving the pros and cons of different treatment methods * Expert commentary offering insights and alternative views of each topic

Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.

Surgical Pain Management is an essential, step-by-step guide to surgical techniques and the perioperative management of chronic pain patients whose treatment includes implantable therapies. Chapters review the steps necessary for defining a potential candidate for implant and the infrastructure to support the perioperative period and beyond, controversies in approaches for both intrathecal and spinal cord stimulation implants, healthcare education for patients with these devices, neuroaxial drug delivery, electrical stimulation of the peripheral and central nervous system, and a variety of invasive procedures for chronic and cancer pain. Appendices provide supplemental information regarding guidelines, physiology, technologies available, troubleshooting, and documentation required to organize an interventional service. This book details a range of approaches from basic implant therapies to more advanced therapies, making it an ideal companion to an advanced training program in interventional pain management and a useful resource for developing a team that will optimize care for some of the most difficult to treat chronic pain patients.

This book focuses on the modern clinical management of acute and chronic pain syndromes. It not only presents information in a clinically illuminating format, but in a manner that is cognizant of the current prescription opioid epidemic. Divided into seven sections, this book covers acute pain, common pain conditions, regional pain problems, interdisciplinary evaluation and treatment, medical treatments and pain in different stages of life. Concluding with the exploration of several special topics, the last section includes an important discussion on the regulatory and legal issues in the use of controlled substances. Chapters are concise and relevant, with an emphasis on treatment based upon evidence from clinical trials and interpretation by practitioners in the field. Expertly written text is further supplemented by high-quality figures, images and tables outlining proven treatments with drug, dose or other information describing details of treatment. Timely, informative, and socially conscious, Pain Management for Clinicians: A Guide to Assessment and Treatment is a valuable reference for clinicians who manage patients with chronic and common pain problems.

This book presents the essential steps involved in diagnosing and treating pain due to peripheral nerve injury and compression. In the first chapter, the relevant anatomy and diagnostic tools to identify peripheral-nerve-related issues are described. The main part of the book, however, deals with the surgical techniques to address specific types of peripheral nerve pain, e.g. neuroma, thoracic outlet or migraine. A step-by-step, practical approach is provided, including important aspects to consider both pre- and post-op. The procedures presented are minimally-invasive and maximally effective. Each chapter features detailed surgical illustrations and anatomical images. Chronic pain control is a growing need and minimally invasive yet effective surgical techniques, combining the competences of neurosurgery, plastic surgery, orthopedics, general surgery, pain management and neurology are in high demand. The increasing demand on the part of patients suffering from neuropathic pain is to date not matched by adequate practical training in peripheral nerve surgery to control pain. The authors are experts in this discipline “from head to toe” and present a valuable guide that provides medical students and experienced clinicians alike with useful information for their daily practice.

The second edition presents the current diagnostic and surgical treatments for low back pain as well as the anatomic and physiologic rationale for their application. New sections cover the evidence-based assessment of emerging biological strategies for the treatment of degenerative disk disease and more.