Textbook of Pain

Abstract

Part 1 Basic aspects: peripheral - peripheral neural mechnaisms of nociception, the course and termination of primary afferent fibres, teh pathophysiology of damaged peripheral nerves, functional chemistry of primary afferent neurons central - the dorsal horn, the origin and destination of pathways involved in pain transmission, visceral versus somatic mechanisms, experimental data related to nociception and pain at the supraspinal level, deafferentation and central pain, the central pharmacology of pain transmission, endogenous pain control mechanism psychological - emotional aspects of pain, cognitive aspects of pain, acute versus chronic pain, methods of assessing pain in animals, methods of testing pain mechanisms in normal man, testing pain mechanisms in persons in pain. Part 2 Clinical aspects of disease in which pain predominates: soft tissue, joints and bone - acute and postoperative pain, osteoarthritis, rheumatoid arthritis, orthopaedic pain after trauma, back pain, the failed back, evaluation of the patient presenting with upper-extremity pain, myosascial pain syndromes, headache, the pain of burns deep and visceral pain - heart, muscle, eye, orofacial, abdominal, gynaecologica, labour and genitourinary pain nerve and root damage - phantom pain and related phenomena after amputation, peripheral neuropathies, tic douloureux and atypical face pain, nerve root damage and arachnoiditis pain in children carcinoma - cancer pain, carcinoma invading nerve, psychological and social aspects of cancer pain, pain and impending death central nervous system - central pain due to spinal cord and brain stem damage, pain and psychological medicine. Part 3 Therapeutic aspects: pharmacology - non-narcotic analgesics, opioids, psychotropic drugs local blockade - local anaesthesia and regional blocks, epidural and anaesthetics and narcotics, pharmacological target blocks in painful dystrophic limbs lesions - peripheral nerve and root chemical lesions, sympathetic ganglion lesions, root, disc and orthopaedic surgery, operations in the brain stem and spinal canal, percutaneous cordotomy, stereotactic surgery, pituitary destruction, psychosurgery for pain stimulation - segmental afferent fiber-induced analgesia, folk medicine and the sensory modualation of pain, acupuncture analgesia and therpy, spinal cord stimulation, brain stimulation physiotherapy - ultrasound, shortwave, microwave, superficial heat and cold in the treatment of pain, manipulation and massage, movement education radiotherapy and chemotherapy pysychotherapy - pain and illness behaviour relaxation and biofeedback, a cognitive-behavioural approach to pain management, a collaborative model of care, behaviour therapy, hypnosis, pain and litigation.