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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.
This long-awaited follow-up to the New York Times bestselling The MELT Method introduces a unique, scientific-based proactive training program for improving overall balance, performance, and control while preventing pain and injury. Are you an athlete facing constant injuries that hold you back from achieving peak performance? Are you someone who wants to stay fit, but are dealing with aches and pains that make it more difficult to work out? Do you want to exercise or train without being sidelined by stress fractures, strained ligaments, and painful joints? If you answered yes to any of these questions, you need MELT Performance. The conditioning you do to stay in shape and perfect and improve performance-running on a treadmill, doing squats or bicep curls, practicing our backhand, even doing downward dog-requires repetitive movements. Yet 80% of orthopedic injuries are the result of repetitive motion, not trauma or accidents. In MELT Performance, nationally recognized educator, manual therapist, and exercise physiologist Sue Hitzmann introduces a revolutionary program centered on neurological joint stability or Neurostrength, that will revolutionize your health and performance. The foundation of MELT Performance is stability. To stay injury free, our joints must stable before we do repetitive motions. Acquiring stability allows the body to respond to the demands of motion. It's the way we were designed to function-and allows us to move more efficiently, improve coordination, and save our joints. Knowing how to check in, restore, and reintegrate joint stability before it's compromised gives an unparalleled advantage to anyone who trains hard to perform at their best. Hitzmann's techniques are proven to work-they're already used by world renowned professional athletes and fitness enthusiasts. If you're ready to improve your performance and prevent injury, MELT Performance is essential no matter what sport or activity you pursue. MELT Performance includes black-and-white instructional images throughout.
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 provides comprehensive coverage of small fiber neuropathy (SFN), from diagnosis to therapy. It focuses on nerve degeneration and neuropathic pain, and their underlying pathology, physiology, psychophysics, genetics and imaging. In particular, this book describes and discusses the major advances in diagnostic techniques for assessing SFN. These include skin biopsy, evoked potentials, quantitative sensory testing and functional studies, as biomarkers of SFN. SFN is a common peripheral nerve disorder, but was often overlooked due to a lack of objective and specific diagnostic tests for the assessment of small nerve fibers. These fibers mediate thermal sensation, pain detection (nociception), and autonomic regulation. Major symptoms of SFN include neuropathic pain, impaired sensation and autonomic dysfunction. Neuropathic pain poses a diagnostic challenge to clinicians, an essential step for selecting appropriate treatment to relieve suffering. SFN frequently develops in systemic diseases such as diabetes mellitus, following chemotherapy, infections etc., or presents as a major feature of various genetic neuropathies (e.g. channelopathy and familial amyloidosis). In addition to describing these conditions which lead to SFN, this book also describes related syndromes of neurodegeneration and pain, including fibromyalgia, visceral pain and hypersensitivity. This definitive book covers both clinical aspects and research progress, which provides in-depth and up-to-date information on SFN. It would be immensely useful for clinicians, neurologists, neuroscientists, diabetologists, and pain specialists. Dr. Sung-Tsang Hsieh is a professor at Department of Neurology and Institute of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taiwan. He is also the associate dean of College of Medicine, National Taiwan University, Taiwan. Dr. Praveen Anand is a professor at Department of Clinical Neurology and head of Centre for Clinical Translation, Hammersmith Hospital, UK. Dr. Christopher Gibbons is an associate professor of Neurology, Harvard Medical School, Beth Israel Deaconess Medical Center, USA. Dr. Claudia Sommer is a professor of Neurology at the Department of Neurology, Wurzburg University Hospital, Germany.
This book offers an insight into all aspects of pain in order to provide practitioners with a balanced and holistic approach to pain management. Supported by evidence and research throughout, Management of Pain uses real-life clinical scenarios. The book provides the reader with practical advice and knowledge of modern methods of pain management.
Tips, Techniques, and Step-by-Step Color Photos to Get the Most Out of Your TENS Unit Pain can hinder every aspect of your life, making even the simplest of tasks unbearable. Instead of endlessly ingesting only partially effective over-the-counter painkillers or turning to dangerously addictive opioids from your doctor, there is now a powerful at-home alternative solution: TENS. Transcutaneous electrical nerve stimulation (TENS) units can decrease acute and chronic pain while significantly reducing, or even eliminating, the need for medication. For beginners to more advanced users, this book has solutions for everyone. It offers not only an overview of how the units work, but also how to properly place the electrodes and how much power to use to get the best results for various injuries and ailments throughout the body, including: Upper and Lower Back Pain Neck and Shoulder Tightness Hamstring and Calf Strains Fibromyalgia Peripheral Neuropathy Tension Headaches
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.
Explore the physiology of 30 key yoga poses, in-depth and from every angle, and master each asana with confidence and control. Did you know that yoga practice can help lower your blood pressure, decrease inflammation and prevent age-related brain changes? Recent scientific research now backs up what were once anecdotal claims about the benefits of yoga to every system in the body. Science of Yoga reveals the facts, with annotated artworks that show the mechanics, the angles, how your blood flow and respiration are affected, the key muscle and joint actions working below the surface of each pose, safe alignment and much more. With insight into variations on the poses and and a Q&A section that explores the science behind every aspect of yoga, look no further than Science of Yoga to achieve technical excellence in your practice and optimise the benefits of yoga to your body and mind.
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.
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.
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
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.
Back pain is very hard (often impossible) to diagnose and to specify, hence heavy painkillers are thrown at people. But the only way to beat the pain is to understand it. Based on cutting-edge research into back pain and the psychology of pain itself, David Rogers and Grahame Brown have set up the Functional Restoration Service at the Royal Orthopaedic Hospital in Birmingham - the UK's leading centre for back pain. Here they have developed the pioneering BIOPSYCHOSOCIAL approach: BIO - How your body processes pain; what physical triggers you have and why; where your body holds pain PSYCHO - where your pain is coming from; what exactly your pain is; the power of your mind to deal with and stop pain SOCIAL - all the environmental factors that will contribute to your back pain, and how, why and when to change them Based on this revolutionary and already hugely successful approach, Back to Life offers a whole new way of dealing with back pain: - Understand the psychology of pain - Debunk the myths - Find the source of your pain - Manage your pain - including all the emotions and anxiety that go with it - Master exercises and stretches - Identify and solve the social factors - Get lasting relief
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.
A fully updated new edition of this definitive, unrivalled, no-nonsense textbook, Central Pain Syndrome: Pathophysiology, Diagnosis and Management provides new treatment guidelines that aid the reader in effective management. * Encyclopedic coverage of all drug and surgical therapies, including the hot field of non-invasive and invasive cortical stimulation * 26 totally rewritten chapters include expanded sections on deep brain, spinal and other forms of stimulation, and a chapter on the efficacy of alternative and complementary medicine * Critical analysis of all current competing theories, including an expanded account of the leading dynamic reverberation theory which now incorporates a cortical attractor-based model * Clear-cut indications on drug usage, with black boxes for ineffective or dangerous drugs A classic textbook widely hailed on patients' websites, this is key reading for medical specialists and trainees in pain management, neurology, neurosurgery and anesthesiology, as well as for patients
A pioneering, one-stop manual which harvests the best proven approaches from physiotherapy research and practice to assist the busy clinician in real-life screening, diagnosis and management of patients with musculoskeletal pain across the whole body. Led by an experienced editorial team, the chapter authors have integrated both their clinical experience and expertise with reasoning based on a neurophysiologic rationale with the most updated evidence. The textbook is divided into eleven sections, covering the top evidence-informed techniques in massage, trigger points, neural muscle energy, manipulations, dry needling, myofascial release, therapeutic exercise and psychological approaches. In the General Introduction, several authors review the epidemiology of upper and lower extremity pain syndromes and the process of taking a comprehensive history in patients affected by pain. In Chapter 5, the basic principles of the physical examination are covered, while Chapter 6 places the field of manual therapy within the context of contemporary pain neurosciences and therapeutic neuroscience education. For the remaining sections, the textbook alternates the upper and lower quadrants. Sections 2 and 3 provide state-of-the-art updates on mechanical neck pain, whiplash, thoracic outlet syndrome, myelopathy, radiculopathy, peri-partum pelvic pain, joint mobilizations and manipulations and therapeutic exercises, among others. Sections 4 to 9 review pertinent and updated aspects of the shoulder, hip, elbow, knee, the wrist and hand, and finally the ankle and foot. The last two sections of the book are devoted to muscle referred pain and neurodynamics. The only one-stop manual detailing examination and treatment of the most commonly seen pain syndromes supported by accurate scientific and clinical data Over 800 illustrations demonstrating examination procedures and techniques Led by an expert editorial team and contributed by internationally-renowned researchers, educators and clinicians Covers epidemiology and history-taking Highly practical with a constant clinical emphasis
The book takes an integrated approach to pain rehabilitation and combines pain science, rehabilitation and yoga with evidence-based approaches from respected contributors. They demonstrate how to integrate the concepts, philosophies and practices of yoga and pain science in working with people in pain. An essential and often overlooked part of pain rehabilitation is listening to, working with, learning from, and validating the person in pain's lived experience. The book expounds on the movement to a more patient-valued, partnership-based biopsychosocial-spiritual model of healthcare where the patient is an active and empowered participant, as opposed to a model where the healthcare provider is 'fixing' the passive patient. It also explains how practitioners can address the entire human being in pain, and how to include the person as an expert for more effective and self-empowered care.
Looking at a decade's worth of chronic pain, a promise from God helped Joanne stand firm until He ultimately heals her.Once a trained athlete in peak condition, Joanne Moody suffered a post pregnancy injury that sidelined her for the next 14 years. Not one to give up easily, Moody fought to find an answer to her pain year after year. Countless doctors attempted to treat her until finally one recommended a surgeon in France. Joanne and her sisters make the trek only to stare death in the face again. At the moment of greatest pain, God reached down and gave her a promise. Minute by Minute will keep the pages turning as you join Joanne on her journey through a valley of pain and her eventual arrival at the pinnacle of faith and love.In Minute by Minute, you will see read a compelling story of:The power of prayerPerseverance through adversityChoosing to trust God amidst agonyAn intimate commitment from God to JoanneTrials and suffering being transformed by God's supernatural power
Concentrating on techniques rather than pain pathology, Spinal Interventions in Pain Management is focused purely on the spine. This practical handbook covers anatomy and imaging, how to choose patients, how to undertake procedures, and includes advice on potential pitfalls. Perfect reading for pain interventionalists and trainees before doing a procedure or before an exam, the book covers the most common spinal interventions for pain that pain specialists undertake, including epidurals, diagnostic facet interventions, the intra-articular injection of the sacroiliac joint and radiofrequency denervation, cervical, thoracic and lumbar discography, and neuromodulation (spinal cord stimulation and intrathecal drug delivery). Extensive illustrations, both x-rays and figures, make the book accessible and help to provide a clear understanding of the anatomy, which underpins spinal interventions.
WINNER OF BEST BOOK (POPULAR MEDICINE) AT THE BRITISH MEDICAL ASSOCIATION'S BOOK AWARDS 2014 Pain, suffering and stress can be intolerable - but it doesn't have to be this way. Mindfulness for Health reveals a series of simple practices that you can incorporate into your daily life to relieve chronic pain and the suffering and stress of illness. Clinical trials show that mindfulness meditation can be as effective as prescription painkillers and also enhances the body's natural healing systems. Mindfulness can also reduce the anxiety, depression, irritability, exhaustion and insomnia that can arise from chronic pain and illness. Mindfulness for Health is based on a unique meditation programme developed by Vidyamala Burch to help her cope with the severe pain of spinal injury. Taught at Breathworks in the UK - and its affiliates around the world - this programme has helped tens of thousands of people cope with pain, illness and stress. Breathworks' pioneering approach is praised by Professor Mark Williams of Oxford University, Jon Kabat-Zinn and Professor Lance McCracken of King's College London. The eight-week programme at the heart of this book takes just 10-20 minutes per day. It is particularly effective for the biggest causes of pain - back problems, arthritis, migraine and diabetes but works equally well for cancer (and its associated chemotherapy), heart disease, fibromyalgia, celiac disease, lupus, chronic fatigue syndrome, IBS, labour pain and even tinnitus. You will be surprised by how quickly your suffering melts away, leaving you able to live life to the full again.
In this book, headache experts summarize all the currently available therapies for primary headaches and most importantly, describe the `tricks' that can ensure the success of headache pharmacotherapy. Prevention and acute treatment of migraine and cluster headache receive particular attention and individual chapters are devoted to the treatment of primary headaches in special groups, i.e. children, pregnant women and the elderly. Further chapters focus on selected secondary headache disorders and cranial neuralgias for which pharmacotherapy is available. The book is designed to meet the daily practice needs of general physicians, general neurologists, neurologists in training and medical students. Headache remains a leading reason for people to seek medical consultation, and migraine and other primary headache disorders are classified by the WHO as among the most disabling medical conditions in the general population, often affecting individuals during their most productive years. Unfortunately, under treatment and mismanagement are the fate of many headache patients and this book provides a sound basis for optimizing treatment.
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