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A practical and empathetic guide to a revolutionary approach to living well with chronic pain, based on the fundamental principles that: all pain experienced is real; wherever the trouble originates in the body, pain is experienced in the brain; all pain is unique to the individual sufferer; the key to overcoming pain is not to strive to be pain-free but to minimise the experience of it. Dr Miranda, based on her medical practice as a pain specialist and on her experience as a pain patient, shows how to do this through a series of clearly explained tools and strategies.
From a mild headache to crippling arthritis, pain is part of many people's everyday experience. But there is a natural alternative to pharmaceutical medicine. This book is your indispensable guide to relieving pain the natural way, using a wide variety of methods including breathing and relaxation techniques, diet, yoga, massage, herbal poultices, balms, compresses, teas and rubs. Did you know pineapple has anti-inflammatory properties? And peppermint can relieve a headache? Or that you can alleviate joint pain by massaging specific points on the wrist? Featuring key insights into understanding pain and why we feel it, plus scientifically proven techniques that can help make it go away, this essential handbook is your painkilling arsenal for combating a whole range of common ailments.
Take control of chronic or recurring pain yourself to achieve life-changing results. New science has revealed the effectiveness of trigger-point massage to target pain - from migraines to back pain to repetitive strain injury. Pain felt in one part of the body can often be traced to knots of muscle and connective tissue elsewhere. By locating and manipulating these "trigger points", you can dramatically relieve pain and prevent its return. With detailed illustrations, learn to identify and locate trigger points accurately, and follow reliable expert advice on how to massage your trigger points for maximum benefit. Experience immediate and long-term relief with regular self-treatment. With this book, leading Harley Street therapist Amanda Oswald brings trigger-point therapy to you in a uniquely accessible package.
Use breathwork to transform every area of your life. New science has revealed the effectiveness of breathwork to balance the body, relieve stress, control anxiety, boost self-esteem and more. In a beautifully illustrated package, Breathwork gives you 50 step-by-step practices that you can use at home, each with expert advice on body position, depth of breath, speed of breath, visualization, duration and repetition. Techniques include conscious connected breathing, pranayama and qigong breathwork. With internationally renowned author and teacher Nathalia Westmacott-Brown, you'll learn how to breathe mindfully and with control, using different breath practices for targeted outcomes - from overcoming insomnia to releasing anger or relieving depression. Breathing with purpose can help you to heal - and become the healthiest and happiest you can be.
Scars, Adhesions and the Biotensegral Body - science, assessment and treatment explains the effects of scars and adhesions on the body through the lens of biotensegrity, a concept that recognizes the role of physical forces on their formation, structure and treatment. It includes contributions from specialists in the fields of fascial anatomy, biotensegrity, movement, surgery and other manual therapies. Together they combine to explain why an appreciation of three-dimensional connectivity, integrated body architecture, posture and movement essential to more effective scar management. The potentially disastrous consequences of scars and adhesions to health and well-being must be familiar to virtually every health-care practitioner, yet the causes and the paths to their resolution can be difficult to manage and remain controversial. Even the most innocent-looking scar can generate internal adhesions that cause tissue stiffness, restrictions and functional issues locally and at some distance from the original insult. Scars, Adhesions and the Biotensegral Body takes a comprehensive approach to a better understanding of these complex issues and will be valuable to every hands-on practitioner.
In recent years the field of regional anesthesia, in particular peripheral and neuraxial nerve blocks, has seen an unprecedented renaissance following the introduction of ultrasound-guided regional anesthesia. This comprehensive, richly illustrated book discusses traditional techniques as well as ultrasound-guided methods for nerve blocks and includes detailed yet easy-to-follow descriptions of regional anesthesia procedures. The description of each block is broken down into the following sections: definition; anatomy; indications; contraindications; technique; drug choice and dosage; side effects; potential complications and how to avoid them; and medico-legal documentation. A checklist record for each technique and a wealth of detailed anatomical drawings and illustrations offer additional value. Regional Nerve Blocks in Anesthesia and Pain Medicine provides essential guidelines for the application of regional anesthesia in clinical practice and is intended for anesthesiologists and all specialties engaged in the field of pain therapy such as pain specialists, surgeons, orthopedists, neurosurgeons, neurologists, general practitioners, and nurse anesthetists.
Nearly half of us at some point in our lives will suffer chronic pain. We go to the doctor, where the standard treatment on offer is either medication - which only masks the problem - or surgery - which can make things worse. For renowned osteopath Nick Potter, the reason why traditional medicine doesn't work is because chronic pain often has less to do with twisted muscles and more to do with far deeper-rooted anxieties. An expert on pain in all its forms, Potter has had nearly 30 years' clinical experience of treating people - ranging from elite athletes and hedge-funders to over-stretched families - who come to him with real symptoms and real physical pain for which there appears to be no root cause. In this fascinating book, he takes us on a journey into biology, evolution and contemporary social behaviour and anthropology to examine our relationship with pain. He presents his own roadmap for wellbeing (including his acclaimed theory of breathing), along with success stories from the consulting room, and shows us how to spot the signs and break the vicious cycle of stress, pain and anxiety before the damage is done.
Since the third edition of Grieve's Modern Manual Therapy was published in 2005, the original concepts of manipulative therapy have grown to embrace new research-generated knowledge. Expansions in practice have adopted new evidence which include consideration of psychological or social moderators. The original manual therapy or manipulative therapy approaches have transformed into musculoskeletal physiotherapy and this is recognized by the change in title for the new fourth edition - Grieve's Modern Musculoskeletal Physiotherapy. Grieve's Modern Musculoskeletal Physiotherapy continues to bring together the latest state-of-the-art research, from both clinical practice and the related basic sciences, which is most relevant to practitioners. The topics addressed and the contributing authors reflect the best and most clinically relevant contemporary work within the field of musculoskeletal physiotherapy. With this as its foundation and a new six-strong editorial team at its helm, the fourth edition now expands its focus from the vertebral column to the entire musculoskeletal system. For the first time both the spine and extremities are covered, capturing the key advances in science and practices relevant to musculoskeletal physiotherapy. The book is divided into five parts containing multiple sections and chapters. The first part of the book looks at advances in the sciences underpinning musculoskeletal physiotherapy practice. Here there is commentary on topics such as movement, the interaction between pain and motor control as well as neuromuscular adaptations to exercise. Applied anatomical structure is covered in addition to the challenges of lifestyle and ageing. A new section highlights the important area of measurement and presents the scope of current and emerging measurements for investigating central and peripheral aspects relating to pain, function and morphological change. Another section discusses some contemporary research approaches such as quantitative and qualitative methods as well as translational research. Part III contains sections on the principles of and broader aspects of management which are applicable to musculoskeletal disorders of both the spine and periphery. Topics include models for management prescription, communication and pain management and contemporary principles of management for the articular, nervous and sensorimotor systems. In recognition of the patient centred and inclusive nature of contemporary musculoskeletal practice, there is also discussion about how physiotherapists may use cognitive behavioural therapies when treating people with chronic musculoskeletal disorders. The final part of the book focuses on selected contemporary issues in clinical practice for a particular region, condition or the most topical approaches to the diagnosis and management of a region. A critical review of the evidence (or developing evidence) for approaches is given and areas for future work are highlighted. The only textbook which covers the breadth of musculoskeletal physiotherapy practice, bringing together the work and opinions of leading international experts Presents the latest science, research evidence and clinical practices for assessment and management of spinal and extremity disorders Uses contemporary knowledge in diagnostics and future directions to demonstrate how to manage both acute and chronic musculoskeletal pain Considers important aspects underpinning clinical practice across the biopsychosocial domains Now covers the musculoskeletal systems of the upper and lower limbs as well as the spine Title, topics, prominent editors and authors - all reflect the evolution in knowledge, models of diagnosis and contemporary practice Overviews of the latest advances in: the basic sciences relevant to musculoskeletal physiotherapy clinical science and practice imaging and measurement techniques Over 300 illustrations Colour plate section
Written by a leading neuroscientist, Splitting tells the fascinating true story about headaches, and the secrets they reveal about your brain and overall health. Did you know... - chocolate doesn't give you a headache - and may in fact prevent one happening? - 30% of us sneeze at sunlight? - you can see off a headache with an orgasm? - that you shouldn't wear a striped top if your spouse gets migraines? From migraines to sinus pain to tension headaches - and everything in between - Splitting separates fact from fiction, putting you in control and helping you practise habits that will protect you from headache.
This book focuses on the features of pelvic pain in the different cancer diseases, the pain assessment tools, as well as the pharmacological and non-pharmacological approaches. Pelvic cancer pain is a common and debilitating symptom, and pain control is a one among the main therapeutic goals throughout the duration of the disease. Because pelvic cancer pain due to primitive cancer, recurrence or metastasis is a complex clinical pathology, no single technique is often guaranteed to produce a complete pain relief. Thus, there are many treatment options, but in most cases a correct approach to pain control should be provided by a multidisciplinary team under the responsibility of a pain specialist coordinating several professionals. This book will aid several figures of practitioners, like anesthesiologists, oncologists or surgeons, in making the correct decisions in individual patients affected by cancer pain due to pelvic diseases.
This handbook is a clinically-focused guide on the diagnosis and evidence-based treatment of migraine, the third most common medical condition on the planet. It is a concise yet thorough guide for management of migraine in clinical practice settings as informed by current scientific literature and clinical guidelines. This handbook incorporates diagnostic criteria from the most recent edition of the International Classification of Headache Disorders (ICHD-3). The first half of the handbook provides information on assessment of migraine (including headache red flags and indications for neuroimaging), screening for common comorbid conditions, and essential lifestyle recommendations for all migraine patients. The second half covers both acute and preventive headache medications and relevant treatment algorithms and indications, as well as other medical therapies and behavioral interventions for migraine. This clinician's manual is easy to read and includes numerous tables and other content valuable to all providers wanting a go-to resource on clinical management of migraine. It is an ideal companion for busy general practitioners and neurologists, nurses and mid-level providers, neurology trainees and residents, as well as patients wishing to gain a better understanding of their condition.
This book serves as a practical resource for pain medicine providers. It presents important clinical concepts while covering critical pain medicine fundamentals. Chapters were carefully chosen to cover common aspects of clinical pain medicine and also follow a common format to facilitate quick look-up. Each chapter includes a concise discussion of the latest supporting evidence as well as relevant case scenarios. The coverage is clinically and board relevant, evidence-based and up-to-date. It will appeal to residents preparing for the written board examination and practitioners preparing for board re-certification, which now occurs every 10 years. Beyond these groups, the book has the potential to appeal to learners and practitioners around the world; pain medicine is burgeoning globally, and there is great need for concise, clinically relevant resources.
Chronic pain is a silent epidemic, with one in five people suffering in their day-to-day life. An indispensible guide to understanding why your pain persists, what is going on inside your body and the symptoms that pain triggers, Manage Your Pain presents possible medical treatments and guides you through practical exercises for daily life. Dr Nicholas and Dr Molloy's strategies make it possible to set short and long term goals that will minimise the impact of pain on both work and leisure. In short, this book offers clarity and control. - Draws on the authors' extensive experience and the latest research - Clearly explains the causes of pain - Offers positive and practical ways to minimise the impact of pain - Revised and updated - Includes a chapter on pain management for older people
A thirty-year quest, from genes to pain-signaling neurons to people with a rare genetic disorder that makes them feel they are on fire. Two soldiers, both with wounds injuring the same nerve, show very different responses: one is disabled by neuropathic pain, unable to touch the injured limb because even the lightest contact triggers excruciating discomfort; the other notices numbness but no pain at all. Could the difference lie in their genes? In this book, described in the foreword by Nobel Laureate James Rothman as "so well written that it reads like a detective novel," Stephen Waxman recounts the search for a gene that controls pain-a search spanning more than thirty years and three continents. The story moves from genes to pain-signaling neurons that scream when they should be silent to people with a rare genetic disorder who feel they are on fire. Waxman explains that if pain-signaling neurons are injured by trauma or disease, they can become hyperactive and send pain signals to the brain even without external stimulus. Studying the hyperactive mutant pain gene in man on fire syndrome has pointed the way to molecules that produce pain more broadly within the general population, in the rest of us. Waxman's account of the many steps that led to discovery of the pain gene tells the story behind the science, of how science happens.
Edited by Sudhir Diwan, a former Director of Pain Medicine fellowship program at Ivy League Weill Cornell Medical College, and Timothy R. Deer, an internationally renowned expert in neuromodulation and minimally invasive spinal procedures, this atlas covers advanced procedures that normal residency and fellowship programs may not cover. It consolidates information pain fellows usually amass by traveling throughout the country to various specialized weekend courses. Advanced Procedures for Interventional Pain Management: A Step-by-Step Atlas is for physicians that know the fundamentals of pain medicine and want to push their knowledge further. Through easy-to-digest bullet points, extensive diagrams, hundreds of figures, and expanded legends beneath each illustration, this compendium covers techniques such as fluoroscopic guidance and radiation safety, endoscopic transforaminal discectomy, endoscopic direct-percutaneous discectomy, transforaminal myelogram, percutaneous facet fusion, percutaneous sacroplasty, vertebral augmentations, percutaneous tumor ablation, percutaneous spinal fusion, minimally invasive spinal decompression (MILD), Interspinous Spacer Placement and advanced neuroaugmentation techniques like high frequency stimulation and DRG stimulation. This book also has a dedicated section on Regenerative Medicine with chapters on platelet rich plasma, stem cell therapy, and intradiscal regenerative therapy. Each chapter has a strict chapter format that includes the indications and contraindications for each procedure, a list of equipment and drugs, a step-by-step illustration-focused how-to, a list of possible post-procedural complications, and bullet-pointed clinical pearls and pitfalls. Within each chapter the authors will also cover the variations of each procedure due to different equipment. This book is ideal for pain medicine fellows, spine surgeons, and interventional pain physicians who want access to the best minds and specialized procedures in a single package.
What if some of your health problems were caused by an organ you never even knew existed - your fascia? Fascia is a single, interconnected web of tissue that runs from the top of your head to the bottoms of your feet. It surrounds every organ, every muscle, every bone and every nerve fibre. And it has an astonishing range of functions. At Complete Wellness, New York City's #1 pain management clinic, director Dr Daniel Fenster is using both high-tech and low-tech fascia therapies to change the lives of thousands of people for the better. With this book, you'll learn if you have fascia-related problems - and if so, how serious they are. If self-therapy is the right choice for you, Dr Fenster outlines a simple, effective 'Fix Your Fascia' Plan, a holistic programme including stretching, foam rolling, destressing (meditation), fascia-friendly eating, hydration and self-massage. Dr Fenster also offers an insider's perspective on the most powerful tools in fascial manipulation: medical massage, acupuncture, cryotherapy, trigger point therapy and trigger point injections.
This concise and handy manual provides straightforward, up-to-date guidance for cardiologists and other practitioners on the management of cancer patients with cardiac problems, whether they be due to the cancer itself or to antineoplastic treatment. Detailed attention is devoted to the various forms of cardiotoxicity associated with chemotherapy and radiotherapy. The drugs commonly responsible for each toxicity are identified and clear advice is offered on monitoring techniques and treatment approaches. In addition, the issue of cardiotoxicity due to cancer treatment in particular patient groups - children, the elderly, and those with pre-existing cardiac disease - is addressed separately, with guidance on when and how antineoplastic (and/or cardiological) treatments should be modified. Further sections describe the correct responses to cardiac problems secondary to the cancer itself, including thromboembolic disorders and electrolyte imbalances, and the diagnosis, treatment, and follow-up of cardiac tumors. A closing section considers how to improve cooperation between oncologists, cardiologists, and general practitioners to ensure that cancer patients' cardiovascular needs are met in a multidisciplinary approach.
Pain in one form or another is probably the most common symptom presented to medical and healthcare professionals. Long a subject of biomedical interest, more recent biopsychosocial theories have extended the study of pain as a concept which is highly individual in the way it is experienced. Today s landscape offers a broad array of approaches to understanding pain and, crucially, to alleviating its impact. This concise and accessible volume aims to make sense of what is at first sight an eclectic mix of theoretical and practical work on pain, from a distinctly sociological perspective. While there has been much quantitative medical research on pain, in exploring sociology s important contributions to this field Elaine Denny offers insight into the world of those living with pain and the meaning it has in their lives. She provides readers with a range of explanations of pain and various influences on the experience of pain, critically analysing competing schools of thought and embedding this work in the everyday practice of providing care. The result is an illuminating volume for students of health and medical professions studying pain, the body, and the sociology of health and illness.
Presents findings on the effects of hypnosis in reducing anxiety and pain in children with cancer and suggests that hypnotherapy offers real promise of pain relief without drugs.First published in 1991. Routledge is an imprint of Taylor & Francis, an informa company.
From over-the-counter cough syrups and prescribed painkillers to street economies of heroin and fentanyl, opioid substances and uses have ignited global debates about national drug policy reform. This book is the first to focus on these issues in South Africa, through a range of disciplinary perspectives.
In twelve chapters, scholars from community medicine, pharmacology, social science and the humanities, along with civic actors and researchers, present their evidence-based arguments and insights, and explore possibilities for harm reduction approaches in South Africa. Chapters cover three core areas: dilemmas of drug policy; contradictions of care and treatment; and the issue of stigma.
Opioids in South Africa invites wider conversation, asking us to imagine policy responses that can better protect the constitutional dignity, health and access to healthcare of people using drugs as well as of their families and communities.
Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.
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