For more than 30 years, Practical Management of Pain has offered expert guidance to both clinicians and trainees, covering every aspect of acute and chronic pain medicine for adult and pediatric patients. The fully revised 6th Edition brings you fully up to date with new developments in patient evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. Edited by a team of renowned pain clinicians led by Dr. Honorio Benzon, this authoritative reference is a comprehensive, practical resource for pain diagnosis and treatment using a variety of pharmacologic and physical modalities.
Presents a wealth of information in a clearly written, easily accessible manner, enabling you to effectively assess and draw up an optimal treatment plan for patients with acute or chronic pain.
Takes a practical, multidisciplinary approach, making key concepts and techniques easier to apply to everyday practice.
Shares the knowledge and expertise of global contributors on all facets of pain management, from general principles to specific management techniques.
Discusses the latest, best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents such as topical analgesics.
Covers recent global developments regarding opioid induced hyperalgesia, neuromodulation and pain management, and identification of specific targets for molecular based pain.
Includes current information on the use of cannabinoids in pain management and related regulatory, professional, and legal considerations.
Includes the latest guidelines on facet injections and safety of contrast agents.
Provides new, evidence-based critical analysis on treatment modality outcomes and the latest information on chronic pain as a result of surgical interventions.
1. Cover Image - p. i 2. Title Page - p. iii 3. Copyright - p. iv 4. Dedication - p. v 5. Contributors - p. vi 6. Preface - p. xix 7. Table of Contents - p. xxi 8. Part 1 General Considerations - p. 1 9. 1 History Is a Distillation of Rumor - p. 3 10. 2 Classification of Acute Pain and Chronic Pain Syndromes - p. 11 11. 3 Organizing an Inpatient Acute Pain Service - p. 16 12. 4 Interdisciplinary Pain Management - p. 39 13. 5 The Healthcare Policy of Pain Management - p. 57 14. 6 Quality Assessment, Improvement, and Patient Safety in Pain Management - p. 67 15. 7 Education, Training, and Certification in Pain Medicine - p. 87 16. Part 2 Basic Considerations - p. 93 17. 8 Neurophysiology of Pain: Peripheral, Spinal, Ascending, and Descending Pathways - p. 95 18. 9 Neurochemistry of Nociception - p. 110 19. 10 Neuroimaging Techniques - p. 125 20. 11 Individual Differences in Experience and Treatment of Pain: Race, Ethnicity, and Sex - p. 138 21. 12 Communication and Clinician Relationships to Improve Care for Patients With Chronic Pain - p. 146 22. 13 Pharmacogenetics in Pain Management - p. 151 23. 14 Psychosocial and Psychiatric Aspects of Chronic Pain - p. 159 24. 15 Comprehensive Approach to Evaluating Patients With Chronic Pain - p. 173 25. 16 Mechanism-Based Treatment and Precision Medicine - p. 183 26. 17 Placebo and Nocebo Effects in Clinical Trials and Clinical Practice - p. 194 27. Part 3 Clinical Evaluation and Assessment - p. 205 28. 18 History and Physical Examination of the Patient With Pain - p. 207 29. 19 Electromyography and Evoked Potentials - p. 219 30. 20 Radiologic Assessment of Patient With Spine Pain - p. 232 31. 21 Biomarkers of Pain: Quantitative Sensory Testing, Conditioned Pain Modulation, Punch Skin Biopsy - p. 290 32. 22 Psychological and Behavioral Assessment - p. 299 33. 23 Disability Assessment - p. 315 34. Part 4 Clinical Conditions: Evaluation and Treatment - p. 331 35. 24 Chronic Post-surgical Pain Syndromes: Prediction and Preventive Analgesia - p. 333 36. 25 Evaluation and Pharmacologic Treatment of Postoperative Pain - p. 347 37. 26 Regional and Multimodal Treatments of Perioperative Pain - p. 355 38. 27 Evaluation and Treatment of Postoperative Pain in Patients With Opioid Use Disorder - p. 374 39. 28 Evaluation and Treatment of Acute Pain in Children - p. 385 40. 29 Low Back Pain Disorders - p. 396 41. 30 Buttock and Sciatica Pain - p. 413 42. 31 Facet Pain: Pathogenesis, Diagnosis, and Treatment - p. 432 43. 32 Neurosurgical Approaches to Pain Management - p. 453 44. 33 Evaluation and Treatment of Cancer-Related Pain - p. 461 45. 34 Evaluation and Treatment of Neuropathic Pain Syndromes - p. 479 46. 35 Evaluation and Treatment of Complex Regional Pain Syndrome - p. 500 47. 36 Evaluation and Treatment of Pain in Selected Neurologic Disorders - p. 507 48. 37 Chronic Widespread Pain - p. 520 49. 38 Headache Management - p. 530 50. 39 Cervicogenic Headache, Post-meningeal Puncture Headache, and Spontaneous Intracranial Hypotension - p. 545 51. 40 Orofacial Pain - p. 560 52. 41 Visceral Pain - p. 582 53. 42 Pelvic Pain - p. 593 54. 43 Pediatric Chronic Pain Management - p. 620 55. 44 Geriatric Pain Management - p. 637 56. Part 5 Pharmacologic, Psychologic, and Physical Medicine Treatments and Associated Issues - p. 687 57. 45 Managing Pain During Pregnancy and Lactation - p. 647 58. 46 Rheumatologic Conditions - p. 663 59. 47 Pain Management in Patients With Comorbidities - p. 675 60. 48 Major Opioids and Chronic Opioid Therapy - p. 689 61. 49 Minor Analgesics: Non-Opioid and Opioid Formulations - p. 703 62. 50 The U.S. Opioid Crisis and the Legal and Legislative Implications - p. 720 63. 51 Evaluation for Opioid Management: Opioid Misuse Assessment Tools and Drug Testing in Pain Management - p. 727 64. 52 Pain and Addictive Disorders: Challenge and Opportunity - p. 734 65. 53 Anti-depressants - p. 743 66. 54 Adjunct Medications for Pain Management - p. 752 67. 55 Skeletal Muscle Relaxants - p. 763 68. 56 Cannabinoids for Pain Management - p. 769 69. 57 Topical Analgesics - p. 777 70. 58 Psychological Approaches in Pain Management - p. 782 71. 59 Evidence-Based Rehabilitation Approaches to Acute and Chronic Pain Management - p. 792 72. 60 Physical Rehabilitation for Patients With Chronic Pain - p. 800 73. 61 The Integrative Approach to Pain Management - p. 809 74. 62 Patient Education and Self-Management - p. 823 75. Part 6 Neural Block and Interventional Techniques - p. 833 76. 63 Neurolytic Agents, Neuraxial Neurolysis, and Neurolysis of Sympathetic Axis for Cancer Pain - p. 835 77. 64 Head and Neck Blocks - p. 857 78. 65 Interlaminar and Transforaminal Therapeutic Epidural Injections - p. 874 79. 66 Radiofrequency Treatment - p. 892 80. 67 Pain Interventions for the Knee, Hip, and Shoulder - p. 908 81. 68 Myofascial Injections and Fascial Plane Blocks for Perioperative and Chronic Pain Management - p. 924 82. 69 Minimally Invasive Procedures for Vertebral Compression Fractures - p. 939 83. 70 Biopsychosocial Pre-screening for Spinal Cord and Peripheral Nerve Stimulation Devices - p. 950 84. 71 Spinal Cord Stimulation, Peripheral Nerve Stimulation, Restorative Neurostimulation, Deep Brain Stimulation, and Motor Cortex Stimulation - p. 957 85. 72 Intrathecal Drug Delivery - p. 963 86. 73 Radiation Safety and Radiographic Contrast Agents - p. 980 87. 74 Infection and Anticoagulation Considerations in Pain Procedures - p. 996 88. Part 7 Pain Management in Special Situations and Special Topics - p. 1013 89. 75 Pain Management in Primary Care - p. 1015 90. 76 Pain Management in the Emergency Department - p. 1034 91. 77 Management of Pain in Sickle Cell Disease - p. 1039 92. 78 Burn Pain - p. 1045 93. 79 Pain Evaluation and Management in Patients With Limited Ability to Communicate Because of Dementia - p. 1052 94. 80 Disparities in Pain Care: Descriptive Epidemiology-Potential for Primary Prevention - p. 1059 95. 81 Pain Management in the Critically Ill Patient - p. 1069 96. 82 Pain Management at the End of Life and Home Care for the Terminally Ill Patient - p. 1076 97. Part 8 Research, Ethics, Healthcare Policy, and Future Directions in Pain Management - p. 1093 98. 83 Clinical Trial Design Methodology and Data Analytic Strategies for Pain Outcome Studies - p. 1095 99. 84 Outcome Domains and Measures in Acute and Chronic Pain Clinical Trials - p. 1111 100. 85 Ethical Issues in Pain Research - p. 1123 101. 86 Treatment Development: Directions and Areas in Need of Investigation - p. 1128 102. Index - p. 1139
For more than 30 years, Practical Management of Pain has offered expert guidance to both clinicians and trainees, covering every aspect of acute and chronic pain medicine for adult and pediatric patients. The fully revised 6th Edition brings you fully up to date with new developments in patient evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. Edited by a team of renowned pain clinicians led by Dr. Honorio Benzon, this authoritative reference is a comprehensive, practical resource for pain diagnosis and treatment using a variety of pharmacologic and physical modalities.
Presents a wealth of information in a clearly written, easily accessible manner, enabling you to effectively assess and draw up an optimal treatment plan for patients with acute or chronic pain.
Takes a practical, multidisciplinary approach, making key concepts and techniques easier to apply to everyday practice.
Shares the knowledge and expertise of global contributors on all facets of pain management, from general principles to specific management techniques.
Discusses the latest, best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents such as topical analgesics.
Covers recent global developments regarding opioid induced hyperalgesia, neuromodulation and pain management, and identification of specific targets for molecular based pain.
Includes current information on the use of cannabinoids in pain management and related regulatory, professional, and legal considerations.
Includes the latest guidelines on facet injections and safety of contrast agents.
Provides new, evidence-based critical analysis on treatment modality outcomes and the latest information on chronic pain as a result of surgical interventions.
1. Cover Image - p. i 2. Title Page - p. iii 3. Copyright - p. iv 4. Dedication - p. v 5. Contributors - p. vi 6. Preface - p. xix 7. Table of Contents - p. xxi 8. Part 1 General Considerations - p. 1 9. 1 History Is a Distillation of Rumor - p. 3 10. 2 Classification of Acute Pain and Chronic Pain Syndromes - p. 11 11. 3 Organizing an Inpatient Acute Pain Service - p. 16 12. 4 Interdisciplinary Pain Management - p. 39 13. 5 The Healthcare Policy of Pain Management - p. 57 14. 6 Quality Assessment, Improvement, and Patient Safety in Pain Management - p. 67 15. 7 Education, Training, and Certification in Pain Medicine - p. 87 16. Part 2 Basic Considerations - p. 93 17. 8 Neurophysiology of Pain: Peripheral, Spinal, Ascending, and Descending Pathways - p. 95 18. 9 Neurochemistry of Nociception - p. 110 19. 10 Neuroimaging Techniques - p. 125 20. 11 Individual Differences in Experience and Treatment of Pain: Race, Ethnicity, and Sex - p. 138 21. 12 Communication and Clinician Relationships to Improve Care for Patients With Chronic Pain - p. 146 22. 13 Pharmacogenetics in Pain Management - p. 151 23. 14 Psychosocial and Psychiatric Aspects of Chronic Pain - p. 159 24. 15 Comprehensive Approach to Evaluating Patients With Chronic Pain - p. 173 25. 16 Mechanism-Based Treatment and Precision Medicine - p. 183 26. 17 Placebo and Nocebo Effects in Clinical Trials and Clinical Practice - p. 194 27. Part 3 Clinical Evaluation and Assessment - p. 205 28. 18 History and Physical Examination of the Patient With Pain - p. 207 29. 19 Electromyography and Evoked Potentials - p. 219 30. 20 Radiologic Assessment of Patient With Spine Pain - p. 232 31. 21 Biomarkers of Pain: Quantitative Sensory Testing, Conditioned Pain Modulation, Punch Skin Biopsy - p. 290 32. 22 Psychological and Behavioral Assessment - p. 299 33. 23 Disability Assessment - p. 315 34. Part 4 Clinical Conditions: Evaluation and Treatment - p. 331 35. 24 Chronic Post-surgical Pain Syndromes: Prediction and Preventive Analgesia - p. 333 36. 25 Evaluation and Pharmacologic Treatment of Postoperative Pain - p. 347 37. 26 Regional and Multimodal Treatments of Perioperative Pain - p. 355 38. 27 Evaluation and Treatment of Postoperative Pain in Patients With Opioid Use Disorder - p. 374 39. 28 Evaluation and Treatment of Acute Pain in Children - p. 385 40. 29 Low Back Pain Disorders - p. 396 41. 30 Buttock and Sciatica Pain - p. 413 42. 31 Facet Pain: Pathogenesis, Diagnosis, and Treatment - p. 432 43. 32 Neurosurgical Approaches to Pain Management - p. 453 44. 33 Evaluation and Treatment of Cancer-Related Pain - p. 461 45. 34 Evaluation and Treatment of Neuropathic Pain Syndromes - p. 479 46. 35 Evaluation and Treatment of Complex Regional Pain Syndrome - p. 500 47. 36 Evaluation and Treatment of Pain in Selected Neurologic Disorders - p. 507 48. 37 Chronic Widespread Pain - p. 520 49. 38 Headache Management - p. 530 50. 39 Cervicogenic Headache, Post-meningeal Puncture Headache, and Spontaneous Intracranial Hypotension - p. 545 51. 40 Orofacial Pain - p. 560 52. 41 Visceral Pain - p. 582 53. 42 Pelvic Pain - p. 593 54. 43 Pediatric Chronic Pain Management - p. 620 55. 44 Geriatric Pain Management - p. 637 56. Part 5 Pharmacologic, Psychologic, and Physical Medicine Treatments and Associated Issues - p. 687 57. 45 Managing Pain During Pregnancy and Lactation - p. 647 58. 46 Rheumatologic Conditions - p. 663 59. 47 Pain Management in Patients With Comorbidities - p. 675 60. 48 Major Opioids and Chronic Opioid Therapy - p. 689 61. 49 Minor Analgesics: Non-Opioid and Opioid Formulations - p. 703 62. 50 The U.S. Opioid Crisis and the Legal and Legislative Implications - p. 720 63. 51 Evaluation for Opioid Management: Opioid Misuse Assessment Tools and Drug Testing in Pain Management - p. 727 64. 52 Pain and Addictive Disorders: Challenge and Opportunity - p. 734 65. 53 Anti-depressants - p. 743 66. 54 Adjunct Medications for Pain Management - p. 752 67. 55 Skeletal Muscle Relaxants - p. 763 68. 56 Cannabinoids for Pain Management - p. 769 69. 57 Topical Analgesics - p. 777 70. 58 Psychological Approaches in Pain Management - p. 782 71. 59 Evidence-Based Rehabilitation Approaches to Acute and Chronic Pain Management - p. 792 72. 60 Physical Rehabilitation for Patients With Chronic Pain - p. 800 73. 61 The Integrative Approach to Pain Management - p. 809 74. 62 Patient Education and Self-Management - p. 823 75. Part 6 Neural Block and Interventional Techniques - p. 833 76. 63 Neurolytic Agents, Neuraxial Neurolysis, and Neurolysis of Sympathetic Axis for Cancer Pain - p. 835 77. 64 Head and Neck Blocks - p. 857 78. 65 Interlaminar and Transforaminal Therapeutic Epidural Injections - p. 874 79. 66 Radiofrequency Treatment - p. 892 80. 67 Pain Interventions for the Knee, Hip, and Shoulder - p. 908 81. 68 Myofascial Injections and Fascial Plane Blocks for Perioperative and Chronic Pain Management - p. 924 82. 69 Minimally Invasive Procedures for Vertebral Compression Fractures - p. 939 83. 70 Biopsychosocial Pre-screening for Spinal Cord and Peripheral Nerve Stimulation Devices - p. 950 84. 71 Spinal Cord Stimulation, Peripheral Nerve Stimulation, Restorative Neurostimulation, Deep Brain Stimulation, and Motor Cortex Stimulation - p. 957 85. 72 Intrathecal Drug Delivery - p. 963 86. 73 Radiation Safety and Radiographic Contrast Agents - p. 980 87. 74 Infection and Anticoagulation Considerations in Pain Procedures - p. 996 88. Part 7 Pain Management in Special Situations and Special Topics - p. 1013 89. 75 Pain Management in Primary Care - p. 1015 90. 76 Pain Management in the Emergency Department - p. 1034 91. 77 Management of Pain in Sickle Cell Disease - p. 1039 92. 78 Burn Pain - p. 1045 93. 79 Pain Evaluation and Management in Patients With Limited Ability to Communicate Because of Dementia - p. 1052 94. 80 Disparities in Pain Care: Descriptive Epidemiology-Potential for Primary Prevention - p. 1059 95. 81 Pain Management in the Critically Ill Patient - p. 1069 96. 82 Pain Management at the End of Life and Home Care for the Terminally Ill Patient - p. 1076 97. Part 8 Research, Ethics, Healthcare Policy, and Future Directions in Pain Management - p. 1093 98. 83 Clinical Trial Design Methodology and Data Analytic Strategies for Pain Outcome Studies - p. 1095 99. 84 Outcome Domains and Measures in Acute and Chronic Pain Clinical Trials - p. 1111 100. 85 Ethical Issues in Pain Research - p. 1123 101. 86 Treatment Development: Directions and Areas in Need of Investigation - p. 1128 102. Index - p. 1139
