This book will provide a concise practical approach to the clinical management of acute and chronic pain syndromes. Written for the non-pain specialist, the book will contain a step-by-step guide to treatment as well as an overview of basic principles andthe pharmacology of anesthetic and analgesic agents. Dr. Irving in addition to being the director of the UT-Houston Pain Center is also the program director for teaching pain management to residents and fourth year medical students.
SECTION 1 INTRODUCTION OVERVIEW of PAIN and HOW to USE the BOOK A: Acute Vs Chronic Benignvs Cancer Pain B: Definitions: Dysesthesia. Hyperalgesia. Hyperesthesia. Allodynia. Nociceptive Vs Neuropathic Pain. Etc, C: What Is a Pain Clinic?
SECTION II BASIC OVERVIEW of PAIN PHYSIOLOGY, PHARMACOLOGY and ANATOMY
SECTION III EVALUATION of the PAIN PATIENT
SECTION IV PSYCHOLOGY of PAIN
SECTION V BASIC NARCOTIC PHARMACOLOGY and GUIDELINES for PRESCRIBING
SECTION VI NON-NARCOTIC ANALGESICS and GUIDELINES for PRESCRIBING Antidepressants Tramadol NSAIDS Anticonvulsants Local Anesthetic Derivatives Alpha Blockers Miscellaneous I.E. Capsaicin Antihistamines, Etc
SECTION VII MANAGEMENT of SPECIFIC PAIN SYNDROMES With ALGORITHMS and CASE HISTORIES: Acute Low Back Pain (With and Without Radiculopathy). Chronic Low Back. Acute Herpes Zoster. Post-Herpetic Neuralgia. Headache. Myofascial Pain Including Primary Fibromyalgia and Chronic Fatigue Syndrome. Abdominal Pain. Cancer Pain. Reflex Sympathetic Dystrophy. Arthritis. Diabetic Neuropathy. AIDS and Pain Syndromes. Central Pain. Spasticity. Neck Pain. Temporomandibular Dysfunction. Post-Mastectomy/Post-Thoracotomy Pain. Chronic Perineal Pain
SECTION VIII the DIFFICULT PATIENT the Drug Seeker. Chemical Dependence. Psychiatric Disorders and Chronic Pain
SECTION IX NON-PHARMACOLOGIC THERAPIES for PAIN TENS. TEAM. Physical Therapy. Biofeedback and Relaxation Techniques. Dry Needling. Acupuncture
SECTION X WHEN to MAKE a PAIN CLINIC REFERRAL
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