Oxford Pain Management Library – serie

Breakthrough pain is a common occurrence in patients with cancer pain, and is often associated with a deleterious effect on daily life, impairing quality of life substantially. It is a heterogeneous condition, and management needs to be individualized.This valuable pocketbook discusses the clinical features of breakthrough cancer pain and the different strategies for management. It covers assessment, treatment, and reassessment. It also reviews the evidence for pharmacological interventions, like rapid onset opioids, as well as non-pharmacological interventions and disease modifying treatments. This new edition has been thoroughly updated to account for recent developments within the field. These updates ensure that Cancer-Related Breakthrough Pain (Oxford Pain Management Library) continues to be an invaluable resource for specialists and trainees in palliative care and pain management, as well as being a quick reference guide for GPs, specialist nurses, and other healthcare professionals.

Trigeminal neuralgia and other cranial neuralgias comprise a group of facial pain conditions, characterised by disabling pain attacks that selectively respond to specific treatments. Although not as common migraine, they affect over 1% of the population and must be recognised and adequately treated in clinical practice. The spectrum of cranial neuralgias is wide and as a consequence the conditions are managed by a range of different specialists. Studies show that delayed diagnoses and mismanagement are common and can lead to depression and suicide. 36 recognised experts from nine countries have contributed to OPML Trigeminal Neuralgia and Other Cranial Neuralgias to guide you through the maze of pathophysiology, clinical features, diagnosis-making, and condition-specific treatments. The approach is practical and evidence-based and ready for real-world applications. The value of phenotyping, targeted investigations, and treatment algorithms is emphasised. The editors and contributors subscribe to the view that there needs to be a holistic approach with multidisciplinary teams working together and with patients being at the centre of this process. Psychologists and patent support groups can help to ensure that patients are managed holistically and share the decision-making process. Their involvement in the handbook has helped to emphasis this. There remain considerable challenges, but the field is rapidly evolving and there are increasing number of opportunities opening up to improve our understanding of these conditions and hence their management.The editors and contributors have included case scenarios, algorithms, self-administered tools for training in diagnosis and management, clinical tips and carefully chosen references. Each chapter includes a lay summary and key points and can be read as a stand-alone unit.

Pain in later life is both quite common and disabling, and it differs significantly in terms of its aetiology, diagnosis and treatment from pain in the general adult population. Older people often have complicated co-morbidities, have a high prevalence of mental health problems (e.g., anxiety, cognitive impairment, and depression) and respond to treatment in different ways compared to younger people. Their specific needs are rarely discussed specifically in more general texts.Part of the "Oxford Pain Management Library," this pocketbook will serve as a concise companion for healthcare professionals who manage older patients suffering with pain. Concise chapters will summarise up-to-date research literature in a practical style that will have direct relevance to busy clinicians. Introductory chapters will include the epidemiology of pain in older people as well as the proper assessment of older patients with pain conditions. Later chapters will focus on specific painful conditions common in the elderly, including arthritis and rheumatism, osteoporosis, abdominal pain, and cancer. The book will appeal to a wide variety of health care professionals in both primary care and secondary care services such as geriatric medicine, rheumatology, orthopaedics, surgery, pain management and palliative medicine. The book will also be of relevance to nurses, physiotherapists, occupational therapists, clinical psychologists, pharmacists and other health care providers.

Acute pain is experienced primarily in relation to surgery and trauma, but is also present in patients with burns, cancer, and other medicalconditions. This compact volume of the Oxford Pain Management Library serves as a concise guide to treating acute pain in its manymanifestations. Providing a background of basic science, this book covers the fundamentals of pain, the pharmacology of drugs used, and summarises the current evidence base for the management of acute pain. It provides practical direct clinical applications for busyhealthcare professionals to follow and strategies for the management of specific medical conditions and specific patient groups such as the elderly. This pocketbook, written by highly respected multidisciplinary European experts within the field, will appeal to trainee clinicians and above in both primary and secondary care, and all related healthcare professionals.

Neuropathic pain is increasingly recognized as a chronic disabling condition. It is frequently thought of as harder to treat than other pain types, and it often results in a poorer quality of life. Around 30% of adults in the UK alone have some type of chronic pain and some estimates suggest that one in five of these will have symptoms of neuropathic pain.This second edition of the popular pocketbook has been fully updated to include recent developments in the diagnosis and management of neuropathic pain. It includes new chapters on the clinical assessment of neuropathic pain and the use of screening tools in its diagnosis. This edition also includes a new chapter focusing on neuropathic lower back pain, a newly emerging clinical entity which is thought to be the most prevalent type of neuropathic pain in developed countries.

Back pain is one of the most common reasons cited by patients seeking medical help, and it is a leading cause of time off work and long term disability. Causes of back pain are complex and many health care professionals devote a substantial amount of their time dealing with it. The initiating event leading to back pain is often compounded by other factors leading to maladaptive behaviour and prolongation of pain. This pocketbook will summarise the current literature on management of back pain and provide evidence-based, practical guidelines for clinicians.