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    Fundamentals of pain medicine : how to diagnose and treat your patients / J.D. Hoppenfeld.

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    • Title:Fundamentals of pain medicine : how to diagnose and treat your patients / J.D. Hoppenfeld.
    •    
    • Author/Creator:Hoppenfeld, J. D. (Jon-David), author.
    • Published/Created:Philadelphia, PA : Wolters Kluwer Health, [2014]

    • Holdings

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    • Library of Congress Subjects:Pain.
      Pain--Treatment.
    • Medical Subjects: Pain Management.
      Pain--diagnosis.
    • Description:xi, 275 pages ; 29 cm
    • Summary:"Some patients present with a primary complaint of pain while others complain of pain secondary to a more generalized disease process or procedure. As a healthcare professional, you are trained to diagnose the pathology and then treat it. A patient presents with pneumonia, your work-up supports the diagnosis; you treat it, then the patient gets better. However, another layer of patient care needs more focus in the medical community. If the patient with pneumonia complains of intercostal pain secondary to a violent cough, we have the ability to manage the symptoms of pain effectively, and should not hesitate to do so promptly. Our actions to alleviate pain will not hinder our ability to treat the underlying disease. Yet modern medicine often considers these goals mutually exclusive, with pain management a distance second. As medical professionals, when we have an incomplete understanding of how to treat a condition, we under treat it, erring on the side of do no harm. This book will give you the confidence to confront your patient's discomfort and succeed in conquering the pain"-- Provided by publisher.
    • Notes:Includes bibliographical references and index.
    • ISBN:9781451144499 (hardback : alk. paper)
      1451144490 (hardback : alk. paper)
    • Contents:Machine generated contents note: pt. I Symptoms and Conditions
      1. Musculoskeletal Pain
      Pain in the Shoulder
      Bursitis
      Arthritis
      Rotator Cuff Injury
      Adhesive Capsulitis
      Pain in the Elbow
      Tendinitis
      Olecranon Bursitis
      Traumatic Arthritis
      Pain in the Neck (Cervical Spine)
      Pain in the Lower Back (Lumbar Spine)
      Muscles and Ligaments
      Vertebral Bodies
      Facet Joints
      Vertebral Discs
      Pain in the Hip
      Arthritis
      Ischemic (Avascular) Necrosis
      Fractures
      Pain in the Buttock
      Sacroiliac Joint
      Greater Trochanteric Bursitis
      Ischiogluteal Bursitis
      Pain in the Knee
      Arthritis
      Meniscal Tear
      Patellar Tendonitis
      Osteochondritis
      2. Neuropathic Pain
      Pain in the Face: Trigeminal Neuralgia
      History and Examination
      Treatment
      Pain in the Thumb, Index, Middle, and Half of the Ring Finger: Carpal Tunnel Syndrome
      History and Examination
      Treatment
      Pain in the Thoracic Region: Postherpetic Neuralgia
      History and Examination
      Treatment
      Pain in the Back or Neck and Down the Leg or Arm: Radicular Pain
      History and Examination
      Treatment
      Pain in the Back or Neck and Possibly Down the Legs or Arms: Spinal Canal Stenosis
      History and Examination
      Treatment
      Pain on the Top and Lateral Aspect of the Thigh: Lateral Femoral Cutaneous Neuropathy (Meralgia Paresthetica)
      History and Examination
      Treatment
      Pain in the Feet or Hands: Peripheral Neuropathy
      History and Examination
      Treatment
      Pain in the Stump and Phantom Limb Pain
      History and Examination
      Treatment
      Postsurgical Neuropathic Pain Syndromes
      Post-thoracotomy Pain Syndrome
      Postsurgical Pelvic Nerve Pain
      3. Cancer Pain
      Metastatic Bone Pain
      Visceral Pain
      Neuropathic Pain
      Headache
      Spinal Cord Compression due to Tumor
      Pain Caused by Surgery for Cancer
      Pre-existing Painful Conditions
      Treatment
      Clinical WHO Analgesic Guidelines
      Spinal Cord Compression due to Tumor
      Cancer Blocks
      Radiation
      4. Abdominal Pain
      Visceral
      Somatic
      Chronic Pain Post Abdominal Surgery
      Referred Pain
      Treatment
      Lifestyle Modification
      Treatment by Category
      5. Pelvic Pain
      Common Causes of Chronic Pelvic Pain
      Common Known Diagnosis of Chronic Pelvic Pain
      Visceral Pelvic Pain
      Somatic Pelvic Pain
      Neuropathic Pelvic Pain 49 Treatment
      Medications
      Injections
      Surgery
      6. Podiatric (Foot and Ankle) Pain
      Pain in the Heal and Bottom of the Foot
      Plantar Fasciitis
      Pain on the Side of the Big Toe
      Hallux Valgus (Bunion)
      Pain Between 3RD & 4th Toe
      Morton's Neuroma
      Pain from the Medial Malleolus into the Foot
      Tarsal Tunnel Syndrome
      Pain in Both Feet
      Diabetic Peripheral Neuropathy
      7. Miscellaneous Pain Disorders that Affect Multiple Areas of the Body
      Complex Regional Pain Syndrome (Formerly Known as Reflex Sympathetic Dystrophy or Causalgia)
      History and Examination
      Treatment
      Fibromyalgia
      History and Examination
      Treatment
      Sickle Cell Anemia
      History and Examination
      Treatment
      8. Postoperative Pain
      '. Effects of Postoperative Pain
      Physiologic Effects
      Functional Effects
      Psychological Effects
      Chronic Pain Effects
      Treatment
      IV Bolus Medication
      Patient-controlled Analgesia (PCA)
      Epidural Analgesia
      Patient-controlled Analgesia Versus Epidural Analgesia
      pt. II Noninterventional Treatments
      9. Nonsteroidal Anti-inflammatory Drugs
      When to Use
      How to Use
      When Not to Use and Potential Side Effects
      Gastrointestinal
      Renal
      Cardiovascular
      10. Acetaminophen (Tylenol)
      When to Use
      How to Use
      When Not to Use and Potential Side Effects
      11. Topical Pain Medications
      When to Use
      How to Use
      When Not to Use and Potential Side Effects
      12. Muscle Relaxants
      When to Use
      How to Use
      When Not to Use and Potential Side Effects
      13. Antidepressant Medications Used for Neuropathic Pain
      When to Use
      Neuropathic Pain
      Fibromyalgia
      How to Use
      When Not to Use and Potential Side Effects
      14. Antiseizure Medications Used for Neuropathic Pain
      When to Use
      Neuropathic Pain
      Fibromyalgia
      How to Use
      When Not to Use and Potential Side Effects
      15. Opioids
      When to Use
      How to Use
      Hospital Setting: Intravenous Opioids
      Hospital or Outpatient Setting
      Short-acting Oral Opioid Medication Choices
      Outpatient Setting
      Long-acting (Time-release) Opioid Medication Choices
      Breakthrough Pain Management
      Other Narcotics and Narcotic-like Pain Medications
      When Not to Use and Potential Side Effects
      16. Patient-controlled Analgesia
      When to Use
      How To Use
      Choosing the Opioid
      Choosing the Demand Dose
      Choosing the Lock-out Period
      Choosing the Continuous Rate
      Choosing the 4-hour Limit
      Adjusting the Settings
      When Not to Use and Potential Side Effects
      17. Epidural Catheter Analgesia
      When to Use
      Surgical Setting
      Childbirth Setting
      How to Use
      Surgical Setting
      Childbirth Setting
      When Not to Use and Possible Side Effects
      Anticoagulation Guidelines
      Hypotension
      Motor Block
      Headache
      Other Effects
      18. Radiation Therapy
      When to Use
      Pain from a Solid Tumor
      Pain from Bone Metastases
      Cord Compression Due to Tumor
      How to Use
      When Not to Use and Potential Side Effects
      pt. III Interventional Treatments
      19. Epidural Steroid Injections
      When to Use
      How to Perform the Procedure
      Interlaminar Epidural Steroid Injection
      Transforaminal Lumbar Epidural Steroid Injection
      Caudal Epidural Steroid Injection
      Reasons for a Nontherapeutic Response to an Epidural Steroid Injection and Modes of Correction
      Contraindications and Potential Complications
      20. Facet Joint Procedures: Facet Joint Injections, Medial Branch Blocks, and Radiofrequency Ablation of the Medial Branches of the Spinal Nerve Roots
      When to use
      Diagnostic Injection Versus Diagnostic Therapeutic Injection
      Facet Joint Injections Versus Medial Branch Blocks
      How to Perform the Procedure
      Facet Joint Injections
      -Lumbar Spine
      Medial Branch Blocks
      Radiofrequency Ablation of the Medial Branches of the Spinal Nerve Roots
      Contraindications and Potential Complications
      21. Sacroiliac Joint Injections
      When to Use
      How to Perform the Procedure
      Diagnostic Sacroiliac Joint Injections
      Therapeutic Sacroiliac Joint Injection
      Sacroiliac Joint Radiofrequency
      Contraindications and Potential Complications
      22. Trigger Point Injections for Myofascial Pain
      When to Use
      How to Perform the Procedure
      Contraindications and Potential Complications
      23. Joint and Associated Bursa Injections: Shoulders, Elbows, Hips, and Knees
      When to Use
      How to Perform the Procedure
      Shoulder Region
      Elbow Region
      Hip Region
      Knee Region
      Contraindications and Potential Complications
      24. Sympathetic Blocks: Stellate, Celiac, Lumbar, Superior Hypogastric, and Ganglion Impar
      When to Use
      How to Perform the Procedure
      Stellate Ganglion Block
      Celiac Plexus Block
      Neurolytic Celiac Plexus Block for Cancer Pain
      Lumbar Sympathetic Ganglion Block (Paravertebral block)
      Superior Hypogastric Plexus Block
      Neurolytic Superior Hypogastric Block for Cancer Pain
      Ganglion Impar (Ganglion of Walther) Block
      Neurolytic Ganglion Impar Block for Cancer Pain
      Contraindications and Potential Complications
      25. Vertebroplasty and Kyphoplasty
      When to Use
      How to Perform the Procedures
      Contraindications and Potential Complications
      26. Injections for Headache (Occipital Nerve Blocks and Botulinum Toxin Injections)
      When to Use
      Occipital Nerve Block
      Botulinum Toxin Injections for Headache
      How to Perform the Procedures
      Occipital Nerve Block
      Botulinum Toxin Injections for Headache
      Contraindications and Potential Complications
      27. Common Nerve Blocks
      When to Use
      How to Perform the Procedure
      Trigeminal Nerve Block: Ophthalmic (V1), Maxillary (V2), and Mandibular (V3) Branches
      Median Nerve Block
      Suprascapular Nerve Block
      Intercostal Nerve Block
      Pelvic Nerve Block: Ilioinguinal, Iliohypogastric, and Genitofemoral Nerves
      Lateral Femoral Cutaneous Nerve Block
      Posterior Tibial Nerve Block
      Contraindications and Potential Complications
      28. Discogenic Pain: Lumbar Discography
      When to Use
      How to Perform the Procedure
      Contraindications and Potential Complications
      29. Spinal Cord Stimulation
      When to Use
      How to Perform the Procedure
      Trial
      -Lower Body Pain
      Trial
      -Upper Body Pain
      Full Implant
      Contraindications and Potential Complications
      30. Programmable Intrathecal Pain Pump
      When to Use
      How to Perform the Procedures
      Trial
      Full Implantation
      Pump Refills
      Contraindications and Potential Complications
      31. Percutaneous Lumbar Disc Decompression
      When to Use
      How to Perform the Procedure
      Contraindications and Potential Complications
      pt. IV Multimodal Approach to Pain
      32. Physical Therapy
      When to Use
      How to Use
      Balance
      Endurance
      Stretching/Range of Motion
      Strengthening
      Low Back Exercises
      Other Modalities
      Heat
      Therapeutic Ultrasound
      Transcutaneous Electrical Nerve Stimulation
      Compliance
      Contents note continued: 33. Complementary Treatments
      Acupuncture
      Cognitive Behavioral Therapy
      Biofeedback
      Therapeutic Massage
      Hypnosis
      34. Chiropractic Treatment
      Manipulation and Mobilization
      35. Avoiding Opioid Abuse
      Curtailing Abuse and Diversion
      Determine if the Patient Needs an Opioid
      Realistic Expectations, Prescribing Opioids, and the Narcotic Agreement
      Monitoring Patients Taking Opioids
      Handling Abuse and Diversion Once Discovered
      Addressing Violations of the Narcotic Agreement
      Discharging Patients from the Practice.
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