Practical Management of Pain

Professor Emeritus of AnesthesiologyAssociate Chair for Academic Affairs and PromotionsNorthwestern University Feinberg School of MedicineChicago, Illinois John & Emma Bonica Endowed Chair for Anesthesiology and Pain Research Department of Anesthesiology and Pain MedicineUW Medicine University of Washington Seattle, Washington Executive Director, Pain Service Line Professor, Department of Anesthesiology, Translational Neuroscience and Public HealthDirector, Pain Outcomes LabCo-Director, NIH-HEAL MIRHIQL CenterWake Forest University of MedicineWinston-Salem, North Carolina Kasumi Arakawa Professor of Anesthesiology, Pain and Perioperative MedicineDirector, Fibromyalgia and Centralized Pain Exploration LabUniversity of Kansas Medical CenterKansas City, KS

"Overall, the book provides a high-quality and comprehensive approach to educating its audience on the broad realm of pain. It is particularly strong in providing updated content and a perspective that brings pain management into the context of society and the potential future." -©Doody’s Review Service, 2022, Efime Popovitz, B.S, M.D (Yale School of Medicine)

• SECTION 1. GENERAL CONSIDERATIONS1. History Is a Distillation of Rumor2. Classification of Acute Pain and Chronic Pain Syndromes3. Organizing an Inpatient Acute Pain Service4. Interdisciplinary Pain Management5. The Healthcare Policy of Pain Management6. Quality Assessment, Improvement, and Patient Safety in Pain Management7. Education, Training, and Certification in Pain MedicineSECTION 2. BASIC CONSIDERATIONS8. Neurophysiology of Pain. Peripheral, Spinal, Ascending, and Descending Pathways9. Neurochemistry of Nociception10. Neuroimaging Techniques11. Individual Differences in Experience and Treatment of Pain. Race, Ethnicity, and Sex12. Communication and Clinician Relationships to Improve Care for Patients With Chronic Pain13. Pharmacogenetics in Pain Management14. Psychosocial and Psychiatric Aspects of Chronic Pain15. Comprehensive Approach to Evaluating Patients With Chronic Pain16. Mechanism-Based Treatment and Precision Medicine17. Placebo and Nocebo Effects in Clinical Trials and Clinical PracticeSECTION 3. CLINICAL EVALUATION AND ASSESSMENT18. History and Physical Examination of the Patient With Pain19. Electromyography and Evoked Potentials20. Radiologic Assessment of Patient With Spine Pain21. Biomarkers of Pain. Quantitative Sensory Testing, Conditioned Pain Modulation, Punch Skin Biopsy22. Psychological and Behavioral Assessment23. Disability AssessmentSECTION 4. CLINICAL CONDITIONS. EVALUATION AND TREATMENT24. Chronic Post-surgical Pain Syndromes. Prediction and Preventive Analgesia25. Evaluation and Pharmacologic Treatment of Postoperative Pain26. Regional and Multimodal Treatments of Perioperative Pain27. Evaluation and Treatment of Postoperative Pain in Patients With Opioid Use Disorder28. Evaluation and Treatment of Acute Pain in Children29. Low Back Pain Disorders30. Buttock and Sciatica Pain31. Facet Pain. Pathogenesis, Diagnosis, and Treatment32. Neurosurgical Approaches to Pain Management33. Evaluation and Treatment of Cancer-Related Pain34. Evaluation and Treatment of Neuropathic Pain Syndromes35. Evaluation and Treatment of Complex Regional Pain Syndrome36. Evaluation and Treatment of Pain in Selected Neurologic Disorders37. Chronic Widespread Pain38. Headache Management39. Cervicogenic Headache, Post-meningeal Puncture Headache, and Spontaneous Intracranial Hypotension40. Orofacial Pain41. Visceral Pain42. Pelvic Pain43. Pediatric Chronic Pain Management44. Geriatric Pain Management45. Managing Pain During Pregnancy and Lactation46. Rheumatologic Conditions47. Pain Management in Patients With ComorbiditiesSECTION 5. PHARMACOLOGIC, PSYCHOLOGIC, AND PHYSICAL MEDICINE TREATMENTS AND ASSOCIATED ISSUES48. Major Opioids and Chronic Opioid Therapy49. Minor Analgesics. Non-Opioid and Opioid Formulations50. The U.S. Opioid Crisis and the Legal and Legislative Implications51. Evaluation for Opioid Management. Opioid Misuse Assessment Tools and Drug Testing in Pain Management52. Pain and Addictive Disorders. Challenge and Opportunity53. Anti-depressants54. Adjunct Medications for Pain Management55. Skeletal Muscle Relaxants56. Cannabinoids for Pain Management57. Topical Analgesics58. Psychological Approaches in Pain Management59. Evidence-Based Rehabilitation Approaches to Acute and Chronic Pain Management60. Physical Rehabilitation for Patients With Chronic Pain61. The Integrative Approach to Pain Management62. Patient Education and Self-ManagementSECTION 6. NEURAL BLOCK AND INTERVENTIONAL TECHNIQUES63. Neurolytic Agents, Neuraxial Neurolysis, and Neurolysis of Sympathetic Axis for Cancer Pain64. Head and Neck Blocks65. Interlaminar and Transforaminal Therapeutic Epidural Injections66. Radiofrequency Treatment67. Pain Interventions for the Knee, Hip, and Shoulder68. Myofascial Injections and Fascial Plane Blocks for Perioperative and Chronic Pain Management69. Minimally Invasive Procedures for Vertebral Compression Fractures70. Biopsychosocial Pre-screening for Spinal Cord and Peripheral Nerve Stimulation Devices71. Spinal Cord Stimulation, Peripheral Nerve Stimulation, Restorative Neurostimulation, Deep Brain Stimulation, and Motor Cortex Stimulation72. Intrathecal Drug Delivery73. Radiation Safety and Radiographic Contrast Agents74. Infection and Anticoagulation Considerations in Pain ProceduresSECTION 7. PAIN MANAGEMENT IN SPECIAL SITUATIONS AND SPECIAL TOPICS75. Pain Management in Primary Care76. Pain Management in the Emergency Department77. Management of Pain in Sickle Cell Disease78. Burn Pain79. Pain Evaluation and Management in Patients With Limited Ability to Communicate Because of Dementia80. Disparities in Pain Care. Descriptive Epidemiology-Potential for Primary Prevention81. Pain Management in the Critically Ill Patient82. Pain Management at the End of Life and Home Care for the Terminally Ill PatientSECTION 8. RESEARCH, ETHICS, HEALTHCARE POLICY, AND FUTURE DIRECTIONS IN PAIN MANAGEMENT83. Clinical Trial Design Methodology and Data Analytic Strategies for Pain Outcome Studies84. Outcome Domains and Measures in Acute and Chronic Pain Clinical Trials85. Ethical Issues in Pain Research86. Treatment Development. Directions and Areas in Need of Investigation