Chapters on pain definition and assessment, basic mechanisms, and epidemiology provide a foundation for a detailed discussion of the most common pain syndromes. The identification and treatment of specific syndromes are highlighted in separate chapters on headache, neuropathic pain, low back pain, fibromyalgia and myofascial pain, arthritis and cancer pain. An entire section devoted to therapeutics provides current information about a broad spectrum of analgesic approaches, including drug therapy, anesthetic techniques, surgery, physiatric modalities, and psychologic interventions.
Author(s): Russell K. Portenoy, Ronald M. Kanner
Edition: 1
Year: 1996
Language: English
Pages: 384
CONTENTS......Page 10
Part I. Introduction......Page 18
DEFINITION OF PAIN......Page 20
CHARACTERISTICS OF PAIN......Page 22
ASSESSMENT OF PAIN-RELATED DISTURBANCES......Page 29
FORMULATION OF A TREATMENT PLAN......Page 31
NEURAL SUBSTRATE OF PAIN TRANSMISSION......Page 36
NEUROPHYSIOLOGIC CHANGES UNDERLYING CLINICAL PAIN......Page 41
NEURAL SUBSTRATE OF PAIN MODULATION......Page 45
ACTIVATION OF PAIN-MODULATING SYSTEMS......Page 48
DIFFICULTIES WITH DATA INTERPRETATION......Page 57
RESULTS OF GEOGRAPHIC SURVEYS......Page 58
RESULTS OF AGE-SPECIFIC SURVEYS......Page 59
SURVEYS OF PAIN IN MEDICAL ILLNESS......Page 60
DISABILITY SURVEYS......Page 61
Part II. Pain Syndromes......Page 66
CLASSIFICATION OF HEADACHES......Page 68
CLINICAL APPROACH TO THE PATIENT WITH HEADACHE......Page 69
ACUTE HEADACHE......Page 71
SUBACUTE HEADACHE SYNDROMES......Page 73
CHRONIC RECURRENT HEADACHE SYNDROMES......Page 75
FACIAL PAIN......Page 84
Appendix I......Page 96
NEUROPATHIC PAIN SUSTAINED BY CENTRAL MECHANISMS......Page 100
NEUROPATHIC PAIN DUE PRIMARILY TO PERIPHERAL CAUSES......Page 123
MECHANISMS OF BACK PAIN......Page 143
CLINICAL APPROACH TO PATIENTS WITH BACK PAIN......Page 144
REVIEW OF COMMONLY USED THERAPEUTIC MODALITIES......Page 157
FIBROMYALGIA......Page 162
MYOFASCIAL PAIN SYNDROME......Page 179
SCOPE OF THE PROBLEM OF MUSCULOSKELETAL PAIN......Page 187
ANATOMIC AND PHYSIOLOGIC BASES FOR JOINT AND BONE PAIN......Page 190
PATHOPHYSIOLOGY OF JOINT AND BONE PAIN AND HYPERALGESIA......Page 193
CLINICAL ASSESSMENT OF JOINT AND BONE PAIN......Page 195
MANAGEMENT......Page 198
9. PAIN SYNDROMES IN PATIENTS WITH CANCER......Page 208
ASSESSMENT OF CANCER PAIN......Page 209
PAIN SYNDROMES ASSOCIATED WITH TUMOR INVOLVEMENT......Page 211
PAIN SYNDROMES ASSOCIATED WITH CANCER THERAPY......Page 222
Part III. Therapeutic Interventions......Page 234
NONOPIOID ANALGESICS......Page 236
ADJUVANT ANALGESICS......Page 242
PRINCIPLES OF OPIOID PHARMACOLOGY......Page 265
OPIOID TOLERANCE AND DEPENDENCE......Page 271
OPIOIDS IN THE MANAGEMENT OF CANCER PAIN......Page 276
OPIOIDS IN THE MANAGEMENT OF CHRONIC NONMALIGNANT PAIN......Page 281
ROLE OF THE ANESTHETIST AND ANESTHETIC TECHNIQUES IN PAIN MANAGEMENT......Page 294
TECHNIQUES FOR PAIN CONTROL: THE CENTRAL NERVOUS SYSTEM......Page 295
TECHNIQUES FOR PAIN CONTROL: THE SYMPATHETIC NERVOUS SYSTEM......Page 301
RECENT ADVANCES AND FUTURE DIRECTIONS......Page 303
INDICATIONS FOR SURGERY AND AN APPROACH TO CLASSIFICATION......Page 307
SURGICAL TREATMENT OF SELECTED PAIN SYNDROMES......Page 309
THE ROLE OF PHYSIATRIC APPROACHES......Page 329
PHYSIATRIC THERAPEUTICS......Page 330
TREATMENT OF PAIN ASSOCIATED WITH TRIGGER POINTS......Page 336
CONCEPTUAL MODELS OF PAIN......Page 340
COMPREHENSIVE ASSESSMENT OF PSYCHOLOGIC FACTORS......Page 345
THERAPEUTIC INTERVENTIONS......Page 347
INTERDISCIPLINARY PAIN CLINICS......Page 350
A......Page 354
B......Page 356
C......Page 357
D......Page 359
F......Page 360
H......Page 361
J......Page 362
M......Page 363
N......Page 365
O......Page 366
P......Page 367
R......Page 370
S......Page 371
T......Page 372
V......Page 373
W......Page 374
