Pain has many dimensions; biological, psychological and social. All of these warrant attention in clinical management and research. Despite advances in pain management and understanding, chronic pain in particular continues to be a major health concern. Many challenging problems persist in our efforts to understand and manage chronic pain. This revised and updated second edition of Clinical Pain Management: A Practical Guide draws attention to the challenges that exist for people living with chronic pain conditions, for the clinician trying to provide effective management of the patient's pain, for the scientist seeking to unravel the mechanisms underlying pain, and for society as a whole.

This book offers the opportunity for clinicians to improve their knowledge about pain and apply that knowledge for the benefit of their patients. This second edition has built upon the first edition, which was distinctive in its integration of the clinical, psychosocial and basic science topics related to the different types of pain and their management. With up-to-date information throughout the 44 chapters of this second edition, this book provides a valuable resource about pain from a variety of perspectives.

Clinical Pain Management: A Practical Guide, Second Edition, will be particularly valuable not only for clinicians to help them assist with their patients experiencing an acute pain or suffering from chronic pain, but also for scientists who wish to gain more insights into these pain conditions and their underlying processes.

ABOUT THE AUTHOR

About the Editors

Mary E. Lynch, MD, FRCPC, Founder (Pain Medicine) is a Clinician, Researcher and Entrepreneur who has dedicated her career to improving the lives of people living with chronic pain conditions. She is a Professor of Anesthesia, Pain Management and Perioperative Medicine, Psychiatry and Pharmacology at Dalhousie University, Nova Scotia and a Founder of Pain Medicine at the Royal College Physicians and Surgeons, Canada.



Kenneth D. Craig, OC, PhD, FCAHS is a Clinician/Scientist focused upon psychosocial features of acute and chronic pain published in over 250 peer-reviewed papers, edited chapters in professional and scientific volumes, and books. He is Professor Emeritus of Psychology at the University of British Columbia.



Philip H. Peng, MBBS, FRCPC, Founder (Pain Medicine) is a Clinical Professor in Anesthesiology and Pain Medicine at the University of Toronto. He is a leader, researcher and educator in pain medicine as well as a pioneer in the application of ultrasound for pain medicine. His innovative research led to new procedures in pain intervention. He received numerous international and national awards and was granted the Founder of Pain Medicine at the Royal College Physicians and Surgeons, Canada. He has edited 8 books and published 240 peer-reviewed publications and book chapters.


Foreword/ preface

Foreword to first edition



Part 1: Basic Understanding of Pain Medicine

1 The challenge of pain: a multidimensional phenomenon

2 Epidemiology and economics of recurrent and chronic non-cancer pain

3 Basic mechanisms and pathophysiology

4 Psychosocial Aspects of Pain

5 Identification of risk and protective factors in the transition from acute to chronic post-surgical pain

6 Placebo/nocebo: a two-sided coin in the clinician's hand

7 Knowledge transfer to patients experiencing pain and poor sleep and sleep disorder



Part 2: Assessment of Pain

8 Clinical assessment in adult patients

9 Measurement and assessment of pain in pediatric patients

10 Laboratory investigations, imaging, and neurological assessment in pain management

11 Psychological assessment of persons with chronic pain



Part 3: Management

12 Introduction to management

13 Managing chronic pain in primary care

14 Medical nutrition therapy for chronic pain management

15 Physical therapy and rehabilitation



Part 4: Pharmacotherapy

16 Antidepressant analgesics in the management of chronic pain

17 Anticonvulsants in the management of chronic pain

18 Opioids

19 Topical analgesics

20 Cannabinoids and other agents

21 Combined pharmacotherapy for chronic pain management



Part 5: Interventional

22 Diagnostic and therapeutic blocks

23 Neuromodulation therapy

24 Neurosurgical management of pain



Part 6: Psychological

25 Pain self-management: theory and process for clinicians

26 Psychological interventions: a focus on cognitive behavioral therapy

27 Pain catastrophizing and fear of movement: detection and intervention



Part 7: Complementary Therapies

28 Complementary and integrative health approaches for pain relief



Part 8: Specific Clinical States

29 Low Back Pain

30 Fibromyalgia syndrome and myofascial pain syndromes

31 Clinical pain management in the rheumatic diseases

32 Headache

33 Orofacial Pain

34 Visceral Pain

35 Pelvic and Urogenital Pain

36 Neuropathic Pain

37 Complex Regional Pain Syndrome

38 Cancer Pain

39 Pain and Addiction



Part 9: Special Populations

40 Pain in older adults: a brief clinical

41 Pain in Children

42 Pain in individuals with intellectual disabilities

43 Pain and Psychiatric Illness

44 Basic principles in acute and perioperative pain in patients with opiod tolerance



Subject index