Managing Chronic Pain, An Issue of Medical Clinics of North America

Charles E. Argoff

Description

This issue of Medical Clinics of North America, Guest Edited by Charles Argoff, MD is devoted to Chronic Pain Management. Dr. Argoff has assembled a group of expert authors to review the following topics: Chronic Pain Management: An Overview of Taxonomy, Conditions Commonly Encountered, and Assessment; The Acute to Chronic Pain Transition: Can Chronic Pain Be Prevented?; What Do We Know About the Pathophysiology of Chronic Pain? Implications for Treatment Considerations; An Overview of Pharmacologic Management of Chronic Pain; An Overview of Nonmedical Treatment of Chronic Pain; Managing Chronic Headache Disorders; Managing Osteoarthritis and Other Chronic Musculoskeletal Pain Disorders; Managing Neuropathic Pain; Managing Low Back and Other Spinal Pain Disorders; Exploring the Use of Chronic Opioid Therapy for Chronic Pain: When, How and for Whom?; The Role of Invasive Pain Management Modalities in the Treatment of Chronic Pain; Multimodal Management of Chronic Pain: What is the Evidence?; Managing Chronic Pain in Special Populations; and The Future of Pain Management as a Subspecialty: Meeting the Needs of the Patients We Care For.

Sujets

• Médecine
• Spécialités médicales
• Médecine Générale
• Internal Medicine
• Medical

Informations

• Publié par: Elsevier
• Date de parution: 19 janvier 2016
• Nombre de lectures: 0
• EAN13: 9780323413411
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Managing Chronic Pain
Medical Clinics of North America
Editor
Charles E. Argoff, MD
Department of Neurology, Albany Medical College, Comprehensive Pain Center, Albany Medical Center, Albany, NY, USA
Consulting Editors
Douglas S. Paauw
Edward R. Bollard

Clinics Review Articles

www.medical.theclinics.com

January 2016 Volume 100 Number 1
Table of Contents
Cover image
Title page
Copyright
Forthcoming Issues
Forthcoming Issues
Recent Issues
Contributors
Consulting Editors
Editor
Authors
Foreword. The Management of Chronic Pain: What Do We Know, What Do We Do, and How Should We Redesign Our Comprehensive Assessment and Treatment in order to Provide for More Patient-Centered Care?
Preface. Yes, You Can Manage Chronic Pain
Background
Chronic Pain Management: An Overview of Taxonomy, Conditions Commonly Encountered, and Assessment
Key points
The experience of pain
The biology of chronic pain
Pain taxonomy
Pain categories based on organ system or region
Assessment of pain
Pain assessment instruments
Qualitative scales, disability scales, and discriminative instruments
Category-specific pain assessment instruments
Assessing risk and benefit of opioid therapy
Assessments of psychological state and trait in pain management
Putting it all together: a sample pain management consultation
References
The Acute to Chronic Pain Transition: Can Chronic Pain Be Prevented?
Key points
Introduction
Risk factors for development of chronic postsurgical pain
Prediction of postoperative pain
Proposed mechanisms of chronic postsurgical pain
Prevention
The ideal acute to persistent pain study
Future considerations/Summary
References
What Do We Know About the Pathophysiology of Chronic Pain?: Implications for Treatment Considerations
Key points
Pain signal transmissions
Inhibitory pathways
Nociceptive pain
Neuropathic pain
Neuropathic pain transmission
Challenges in chronic neuropathic pain
Peripheral nerve injury
Wind-up pain
Central sensitization
Pathophysiology of central sensitization
Central sensitization and clinical pain phenotype
Blocking nerve conduction in perioperative periods: preemptive strikes?
Psychological factors
Medication management of neuropathic pain, current recommendations
Summary
References
Chronic Pain Treatment Approaches
Biopsychosocial Approach to Assessing and Managing Patients with Chronic Pain
Key points
Introduction
Current approach to pain treatment
Chronic pain care in the primary care setting
Biopsychosocial approach to pain
Initial encounter with patient with chronic pain
Biopsychosocial diagnostic evaluation/interview
Biopsychosocial treatment program
Future considerations/summary
Acknowledgments
References
Multimodal Treatment of Chronic Pain
Key points
Introduction
Pharmacologic treatment
Theory behind combined pharmacologic treatment
Studied combinations of analgesic medications in common pain conditions
Psychological approaches
Interventions
Interdisciplinary pain rehabilitation programs
Complementary and alternative medicine and self-management
Summary
References
An Overview of Pharmacologic Management of Chronic Pain
Key points
Overview of the pharmacologic management of chronic pain
Classes of medications
Opioids
Antidepressants
Anticonvulsants
Topical agents
Cannabinoids
Botulinum toxin
Intrathecal drug therapy
Summary
References
Exploring the Use of Chronic Opioid Therapy for Chronic Pain: When, How, and for Whom?
Key points
Introduction
Initial evaluation and assessment
Treatment initiation, titration, and maintenance
Reassessment and follow-up
Monitoring parameters
High-risk patients and special populations
Summary
References
The Role of Invasive Pain Management Modalities in the Treatment of Chronic Pain
Key points
Introduction
Procedure 1: corticosteroid injections
Procedure 2: epidural steroid injections
Procedure 3: nerve root blocks
Procedure 4: sympathetic nerve blocks
Stellate ganglion block
Celiac plexus block
Procedure 5: radiofrequency ablation
Part II: spinal cord stimulation, intrathecal drug delivery, and peripheral nerve stimulation
Procedure 7: intrathecal pumps (intrathecal drug delivery)
Summary
References
Common Chronic Pain Conditions
Managing Chronic Headache Disorders
Key points
Initial evaluation of headaches
Four common secondary headache disorders
Migraine management
Epidemiology
Treatment
Acute treatment
Prophylaxis
Interventional treatment
Peripheral nerve stimulation for the treatment of primary headaches
Complementary therapy
Management of menstrual migraines
Management of migraines during pregnancy and lactation
Prophylaxis
Emergency treatment
Tension-type headache
Cluster headache
Inpatient treatment of migraine, tension headache, and cluster and other autonomic cephalgias
References
Managing Osteoarthritis and Other Chronic Musculoskeletal Pain Disorders
Key points
Introduction
Etiology of osteoarthritis
Treatment options
Pharmacologic options
Alternatives
References
Managing Neuropathic Pain
Key points
Assessment of neuropathic pain
Management
Summary
References
Acute and Chronic Low Back Pain
Key points
Magnitude of the problem
Risk and prognostic factors
Presentation
Physical examination
Imaging
Treatment
Summary
References
Managing Chronic Pain in Special Populations with Emphasis on Pediatric, Geriatric, and Drug Abuser Populations
Key points
Introduction
Pediatric chronic pain
Geriatric chronic pain
Substance abusers: a special population
Genetics as a fundamental vulnerability across the lifespan
Summary
References
Emerging Treatment
Is Platelet-Rich Plasma a Future Therapy in Pain Management?
Key points
Introduction
What is platelet-rich plasma and how is it created?
How platelet-rich plasma can help to relieve neuropathic pain
Intervertebral disc degeneration and the role of platelet-rich plasma as a therapeutic option
Information for physicians using platelet-rich plasma therapy
Future consideration/summary
References
Index
Copyright
ELSEVIER
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MEDICAL CLINICS OF NORTH AMERICA Volume 100, Number 1
January 2016 ISSN 0025-7125, ISBN-13: 978-0-323-41340-4
Editor: Jessica McCool
Developmental Editor: Alison Swety
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