CHRONIC PAIN

Author: Dawn Marcus, M.D.
Affiliation: University of Pittsburgh School of Medicine
Publisher: Humana Press
Publication Date: 2009
ISBN 10: 1603274642
ISBN 13: 9781603274647
Edition: 2nd

Description:

Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, Second Edition, leading pain specialist Dawn A. Marcus, MD, again offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Sections addressing pain management in children, pregnant women, and seniors are also included. This new edition is designed to provide a pragmatic approach to assessing and treating the complex issues and characteristics of chronic pain patients. New chapters expand upon the evidence-based recommendations and practical office tools previously provided, with the addition of new chapters addressing risk management; pain syndromes in the shoulder, upper extremity, and lower extremity; and cancer and end-of-life pain.

Table of Contents

Front Matter

  • ABOUT
  • Series Editor’s Introduction
  • Preface

Part I Introduction

    Chronic Pain and Headache Overview

    • Case History
    • Chronic Pain: Epidemiology
    • Chronic Pain Assessment Tools
    • Summary
    • References

    Summary of Pain Management Issues: Frequent Concerns in Treating Chronic Pain Patients

    • Do People Really Have Chronic Pain Long After They Have Recovered From an Injury?
    • Is It Unusual for Children to Report Chronic Pain?
    • Are Aches and Pain Part of the Normal Aging Process?
    • I Have Heard That You Cannot Really Treat Chronic Pain and Patients Just Need to “Learn to Live With It”. Are There Really Any Effective Treatments for Chronic Pain?
    • Are Opioids Effective for Patients With Chronic Pain, or Do They Usually Lead to Addiction?
    • Is Caring for Chronic Pain Patients Too Time-Consuming for a Busy Practice?
    • Is It Really Important to Address Chronic Pain? Is My Office Time Better Spent Focusing on “Real” Medical Problems, Like Diabetes, Heart Disease, and Hypertension?

    Risk Management in Chronic Pain Practice

    • Case History
    • Introduction
    • Implementing Pain Management Practice Guidelines
    • Summary
    • Test Your Knowledge
    • References

Part II Pathogenesis

    Physiology of Chronic Pain

    • Case History
    • Introduction
    • Pathophysiology of Chronic Pain
    • Expected Course of Chronic Pain
    • Predictors of Chronic Pain
    • Identifying the Malingerer
    • Summary
    • Test Your Knowledge
    • References

Part III Common Chronic Pain Conditions

    Headache

    • Case History
    • Introduction
    • Epidemiology and Impact of Chronic Headache
    • Evaluation of Headache Complaints
    • Headache Diagnosis
    • Headache Treatment
    • Summary
    • References

    Neck and Upper Extremity Pain

    • Case History
    • Introduction
    • Epidemiology of Neck and Upper Extremity Pain
    • Evaluation of Neck and Upper Extremity Pain
    • Treatment
    • Summary
    • Test Your Knowledge
    • References

    Back and Lower Extremity Pain

    • Case History
    • Introduction
    • Epidemiology
    • Evaluation of Back and Lower Extremity Pain
    • Treatment
    • Summary
    • Test your Knowledge
    • References

    Abdominal Pain

    • Case History
    • Introduction
    • Epidemiology
    • Evaluation
    • Treatment
    • Summary
    • Test Your Knowledge
    • References

    Arthritis

    • Case History
    • Introduction
    • Epidemiology
    • Arthritis Evaluation
    • Arthritis Treatment
    • Summary
    • Test Your Knowledge
    • References

    Neuropathic Pain

    • Case History
    • Introduction
    • Epidemiology of Common Neuropathic Pain Syndromes
    • Evaluation of Neuropathic Pain
    • Treatment of Neuropathic Pain
    • Summary
    • Test Your Knowledge
    • References

    Myofascial Pain

    • Case History
    • Introduction
    • Epidemiology
    • Evaluation
    • Treatment
    • Summary
    • Test Your Knowledge
    • References

    Fibromyalgia

    • Case History
    • Introduction
    • Epidemiology
    • Evaluation
    • Treatment
    • Summary
    • Test Your Knowledge
    • References

    Cancer Pain

    • Case History
    • Introduction
    • Epidemiology of Cancer-Related Pain
    • Cancer Pain Assessement
    • Cancer Pain Treatment
    • Summary
    • Test Your Knowledge
    • References

Part IV Special Groups

    Pediatric Pain

    • Case History
    • Introduction
    • Common Chronic Pain Syndromes in Children and Adolescents
    • Assessment
    • Treatment
    • Summary
    • Test Your Knowledge
    • References

    Pregnancy and Pain

    • Case History
    • Introduction
    • Common Pain Syndromes During Pregnancy
    • Testing During Pregnancy
    • Treatment
    • Summary
    • Test Your Knowledge
    • References

    Geriatrics and Chronic Pain

    • Case History
    • Introduction
    • Common Chronic Pain Complaints
    • Assessment Tools
    • Treatment
    • Summary
    • Test Your Knowledge
    • References

    Gender and Ethnic Differences in Pain Experience

    • Case History
    • Introduction
    • Gender Differences in Pain Experience
    • Ethnic/Cultural Differences in Pain Experience
    • Summary
    • Test Your Knowledge
    • References

Part V Chronic Pain Treatment

    Lifestyle and Psychological Issues

    • Case History
    • Introduction
    • Obesity
    • Sleep
    • Smoking
    • Abuse
    • Psychological Distress
    • Summary
    • Test Your Knowledge
    • References

    Analgesics and Opioids

    • Case History
    • Introduction
    • Selecting Pain Relief Medication
    • Summary
    • Test Your Knowledge
    • References

    Managing Pain at End of Life

    • Case History
    • Introduction
    • Defining End-of-Life Care
    • Assessment
    • Treatment
    • Summary
    • Test Your Knowledge
    • References

    Appendices: Patient Educational Materials

    • Case Histories
    • References

Appendix A: Rationale Behind Pain Management

Appendix B: Exercise and Pain Management

Appendix C: Psychological Screening and Pain Management Skills

Appendix D: Pain Medications

Appendix E: Chronic Headache

Appendix F: Neuropathic Pain

Appendix G: Fibromyalgia

Appendix H: Pain Drawing