Fundamentals of pain medicine : how to diagnose and treat your patients /

Fundamentals of pain medicine : how to diagnose and treat your patients /

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Bibliographic Details
Author / Creator:Hoppenfeld, J. D. (Jon-David), author.
Imprint:Philadelphia, PA : Wolters Kluwer Health, [2014]
Description:1 online resource (xi, 275 pages)
Language:English
Subject:
Pain.
Pain -- Treatment.
Pain Management
Pain -- diagnosis
Pain
Pain
Pain -- Treatment
Format: E-Resource Book
URL for this record:http://pi.lib.uchicago.edu/1001/cat/bib/13395694
Hidden Bibliographic Details
ISBN:9781451144499
1451144490
9781469885308
1469885301
9781496323781
1496323785
Notes:Includes bibliographical references and index.
Print version record.
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.
Other form:Print version: Hoppenfeld, J.D. (Jon-David). Fundamentals of pain medicine. Philadelphia, PA : Wolters Kluwer Health, [2014] 9781451144499
Table of Contents:
  • Introduction
  • Part I. Symptoms and Conditions
  • 1. Musculoskeletal Pain: Common Causes
  • Pain in the Shoulder
  • Bursitis
  • Arthritis (Glenohumeral and Acromioclavicular)
  • Rotator Cuff Injury
  • Adhesive Capsulitis
  • Pain in the Elbow
  • Tendinitis
  • Tennis Elbow (Lateral Epicondylitis)
  • Golfer's Elbow (Medial Epicondylitis)
  • Olecranon Bursitis
  • Traumatic Arthritis
  • Pain in the Neck (Cervical Spine)
  • Pain in the Low Back (Lumbar Spine)
  • Muscles and Ligaments
  • Vertebral Bodies
  • Facet Joints
  • Vertebral Disc
  • Pain in the Hip
  • Arthritis
  • Ischemic (Avascular) Necrosis of the Hip
  • Fractures
  • Pain in the Buttock
  • The Sacroiliac Joint (SI joint)
  • Greater Trochanteric Bursitis
  • Ischiogluteal Bursitis
  • Pain in the Knees
  • Osteoarthritis of the Knee Joint
  • Meniscal Tear
  • Patellofemoral Arthritis
  • Patellar Tendonitis
  • Osteochondritis
  • Case Studies
  • 2. Neuropathic pain
  • In the Face: Trigeminal Neuralgia
  • In the Thumb, Index, and Middle Finger: Carpal Tunnel Syndrome
  • In the Thoracic Region: Postherpetic Neuralgia
  • In the Back or Neck and Down the Leg or Arm: Radicular Pain
  • Down the Legs or Arms: Spinal Canal Stenosis
  • On the Top and Lateral Aspect of the Mid-Thigh: Lateral Femoral Cutaneous Neuropathy (Meralgia Paresthetica)
  • In the Feet or Hands: Peripheral Neuropathy
  • In a Stump and Phantom Limb Pain
  • Postsurgical Neuropathic Pain Syndromes:
  • Post-Thoracotomy Pain Syndrome
  • Postsurgical Pelvic Nerve Entrapment: The Iliohypogastric Nerve, Ilioinguinal Nerve, and Genitofemoral Nerve
  • Case Studies
  • 3. Cancer Pain
  • History and Exam
  • Metastatic Bone Pain
  • Visceral Pain
  • Neuropathic Pain Related to Cancer
  • Intracranial Primary or Metastatic Tumor Pain, Headache
  • Spinal Cord Compression
  • Pain caused by surgery for cancer
  • Preexisting painful conditions
  • Treatment
  • Case Study
  • 4. Abdominal Pain
  • Visceral Abdominal Pain
  • Somatic Abdominal Pain
  • Referred pain
  • History and Exam
  • Treatment
  • Case Studies
  • 5. Pelvic Pain
  • History and Exam
  • Visceral Pelvic Pain
  • Somatic Pelvic Pain
  • Neuropathic Pelvic Pain
  • Treatment
  • Medications
  • Injections
  • Surgery
  • Case Study
  • 6. Podiatric Pain, Foot and Ankle
  • Plantar fasciitis
  • Hallux valgus (bunion)
  • Morton's neuroma
  • Tarsal tunnel syndrome
  • Diabetic peripheral neuropathy
  • History and Exam
  • Treatment
  • Case Studies
  • 7. Miscellaneous Pain Disorders that Affect Multiple Areas of the Body: Complex Regional Pain Syndrome (CRPS, formerly known as Reflex Sympathetic Dystrophy), Fibromyalgia, and Sickle Cell Pain
  • Complex Regional Pain Syndrome (CRPS, Formerly Known as Reflex Sympathetic Dystrophy)
  • History and Exam
  • Treatment
  • Case Study
  • Fibromyalgia
  • History and Exam
  • Treatment
  • Case Study
  • Sickle Cell Pain
  • History and Exam
  • Treatment
  • Case Study
  • 8. Postoperative Pain Management
  • History and Exam
  • Treatment
  • Case Studies
  • Part II. Noninterventional Treatments
  • 9. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
  • When to Use
  • How to Use
  • When Not to Use and Potential Side Effects
  • Case Study
  • 10. Acetaminophen (Tylenol)
  • When to Use
  • How to Use
  • When Not to Use and Potential Side Effects
  • Case Study
  • 11. Topical Pain Medications
  • When to Use
  • How to Use
  • When Not to Use and Potential Side Effects
  • Case Study
  • 12. Muscle Relaxants
  • When to Use
  • How to Use
  • When Not to Use and Potential Side Effects
  • Case Study
  • 13. Antidepressant Medications Used for Neuropathic Pain
  • When to Use
  • How to Use
  • When Not to Use and Potential Side Effects
  • Case Study
  • 14. Antiseizure Medications Used for Neuropathic Pain
  • When to Use
  • How to Use
  • When Not to Use and Potential Complications
  • Case Study
  • 15. Opioids
  • When to Use
  • How to Use
  • Hospital setting: Intravenous Opioids
  • Hospital or outpatient setting: Short-acting oral narcotics
  • Outpatient setting, chronic pain: Long-acting oral narcotics
  • Long-Acting (Time-Release) Opioid Medication Choices
  • Breakthrough Pain Management
  • Other Narcotic-Like Pain Medication
  • When Not to Use and Potential Complications
  • Case Study
  • 16. The Patient Controlled Analgesia Device (PCA)
  • When to Use
  • How to Use
  • When Not to Use and Potential Complications
  • Case Study
  • 17. Epidural Catheter Analgesia
  • When to Use
  • Surgical Setting
  • Childbirth Setting
  • How to Use
  • Surgical Setting
  • Childbirth Setting
  • When Not to Use and Potential Complications
  • Case Studies
  • 18. Radiation Therapy
  • When to Use
  • Pain from a Solid Tumor
  • Metastatic Bone Pain
  • Cord Compression
  • How to Use
  • When Not to Use and Potential Complications
  • Case Study
  • Part III. Interventional Treatments:
  • 19. Epidural Steroid Injections
  • When to Use
  • How the Procedure is Done
  • Intralaminar Epidural Steroid Injection
  • Transforaminal Lumbar Epidural Steroid Injection
  • Reasons for a nontherapeutic response to an epidural steroid injection and modes of correction
  • When Not to Use and Potential Complications
  • Case Study
  • 20. Facet Joint Procedures: Facet Joint Injections, Medial Branch Nerve Blocks, and Radiofrequency Ablation of the Medial Branch Nerves
  • Diagnostic Injection vs. Diagnostic Therapeutic Injection
  • Facet Joint injections vs. Medial Branch Nerve Block
  • When to Use
  • How the Procedure is Done
  • Facet Joint Injections (diagnostic and therapeutic injection)
  • Medial Branch Nerve Blocks
  • Radiofrequency Ablation of the Medial Branch Nerve
  • When Not to Use and Potential Complications
  • Case Studies
  • 21. Sacroiliac Joint Injections
  • When to Use
  • How the Procedure is Done
  • Diagnostic SI Joint Injections
  • Therapeutic SI Joint Injection
  • SI Joint Radiofrequency
  • When Not to Use and Potential Complications
  • Case Study
  • 22. Trigger Point Injections for Myofascial Pain
  • When to Use
  • How the Procedure is Done
  • When Not to Use and Potential Complications
  • Case Study
  • 23. Joint and Associated Bursa Injections: Shoulders, Elbow, Hip and Knees
  • When to Use
  • How the Procedure is Done
  • Shoulder region
  • Shoulder (glenohumeral) joint injection
  • Shoulder (acromiclavicular) joint injection
  • Shoulder (subacromial bursa) injection
  • Elbow
  • Lateral epicondyle (tennis elbow) injection
  • Medial epicondyle (golfer's elbow) injection
  • Elbow Joint Injection
  • Olecranon bursa injection
  • Hip
  • Intra-articular hip injection
  • Greater trochanteric bursa injection
  • Knee
  • Intra-articular knee joint injection (cortisone and viscosupplementation)
  • When Not to Use and Potential Complications
  • Case Studies
  • 24. Sympathetic Blocks: Stellate, Celiac, Lumbar, Superior Hypogastric and Ganglion Impar
  • When to Use
  • How the Procedure is Done
  • Stellate Ganglion Block
  • Celiac Plexus Block
  • Neurolytic Celiac Plexus Block for Cancer Pain
  • Lumbar Sympathetic Block (Paravertebral block)
  • Superior Hypogastric Block (Ganglion of Walther)
  • Neurolytic Superior Hypogastric Block for Cancer Pain
  • Ganglion Impar Block
  • Neurolytic Ganglion Impar Block for Cancer Pain
  • When Not to Use and Potential Complications
  • Case Studies
  • 25. Vertebroplasty and Kyphoplasty
  • When to Use
  • How the Procedures Are Done
  • When Not to Use and Potential Complications
  • Case Study
  • 26. Injections for Headache (Occipital Nerve Blocks and Botulinum Toxin Injections)
  • Occipital Nerve Block
  • Botulinum Toxin Injection
  • When to Use
  • How the Procedures are Done
  • Occipital Nerve Block
  • Botulinum Toxin Injections for Headache
  • When Not to Use and Potential Complications
  • Case Studies
  • 27. Common Nerve Blocks
  • When to Use
  • How the Procedure Is Done
  • Trigeminal Nerve Block (Trigeminal Neuralgia)
  • Median Nerve Block (Carpal Tunnel Syndrome)
  • Suprascapular Nerve Block (Frozen Shoulder)
  • Intercostal Nerve Block
  • Pelvic Nerve Block (Iliohypogastric, Ilioinguinal and Genitofemoral)
  • Lateral Femoral Cutaneous Nerve Block (Meralgia Paresthetica)
  • Tibial Nerve Block (Tarsal Tunnel Syndrome)
  • When Not to Use and Potential Complications
  • Case Studies
  • 28. Discogenic Pain: Lumbar Discography
  • Introduction
  • When to Use
  • How the Procedure is Done
  • When Not to Use and Potential Complications
  • Case Study
  • 29. Implantable Pain Devices: Spinal Cord Stimulators
  • When to Use
  • How the Procedure is Done
  • Trial--Lower Body Pain
  • Trial--Upper Body Pain
  • Full Implant
  • When Not to Use and Potential Complications
  • Case Study
  • 30. Implantable Pain Device: Programmable Intrathecal Pain Pumps
  • When to Use
  • How the Procedures Are Done
  • The Trial
  • Full Implementation
  • Pump Refills
  • When Not to Use and Potential Complications
  • Case Study
  • 31. Percutaneous Lumbar Disc Decompression
  • When to Use
  • How the Procedure is Done
  • When Not to Use and Potential Complications
  • Case Study
  • Part IV. Multimodal Approach to Pain
  • 32. Physical Therapy
  • When to Use
  • How to Use
  • Balance
  • Building Endurance
  • Stretching/Range of Motion
  • Strengthening
  • Other Modalities: Heat, Ultrasound, Transcutaneous Electrical Nerve Stimulation (TENS)
  • When Not to Use
  • Case Studies
  • 33. Complementary Treatments
  • Acupuncture
  • Cognitive Behavioral Therapy (CBT)
  • Biofeedback
  • Therapeutic Massage
  • Hypnosis
  • Case Study
  • 34. Chiropractic Treatment
  • When to Use
  • How to Use
  • When Not to Use
  • Case Study
  • 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 on opioids: structured follow-up appointments, assessing function, urine drug screens, and prescription monitoring programs
  • Handling Abuse and Diversion Once Discovered
  • Addressing violations of the narcotic agreement
  • Discharging patients from the practice

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