Additional Information
Book Details
Abstract
This issue will cover everything from various therapies to alleviate symptoms or help patients learn to cope to regain normal function of their hand/or upper extremity and resume daily activities, to mechanism/anatomy and outcomes and measurement of pain.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Pain Management\r | i | ||
Copyright\r | ii | ||
Contributors | iii | ||
CONSULTING EDITOR | iii | ||
EDITOR | iii | ||
AUTHORS | iii | ||
Contents | v | ||
Preface: Pain Management\r | v | ||
Pain and Hand Function\r | v | ||
Self-Report Measures of Hand Pain Intensity: Current Evidence and Recommendations\r | v | ||
Pain Examination and Diagnosis\r | v | ||
Factors Associated with Greater Pain Intensity\r | v | ||
Pain Psychology and Pain Catastrophizing in the Perioperative Setting: A Review of Impacts, Interventions, and Unmet Needs\r | vi | ||
New Concepts in Complex Regional Pain Syndrome\r | vi | ||
Pharmacologic Management of Upper Extremity Chronic Nerve Pain\r | vi | ||
Hand Therapy Treatment\r | vi | ||
Surgical Treatment of Upper Extremity Pain\r | vi | ||
The Proper Use of Neurostimulation for Hand Pain\r | vii | ||
Future Directions for Pain Management: Lessons from the Institute of Medicine Pain Report and the National Pain Strategy\r | vii | ||
HAND CLINICS\r | viii | ||
FORTHCOMING ISSUES | viii | ||
May 2016 | viii | ||
August 2016 | viii | ||
November 2016 | viii | ||
RECENT ISSUES | viii | ||
November 2015 | viii | ||
August 2015 | viii | ||
May 2015 | viii | ||
Preface: Pain Management \r | ix | ||
REFERENCES | x | ||
Pain and Hand Function | 1 | ||
Key points | 1 | ||
INTRODUCTION | 1 | ||
PAIN | 2 | ||
ACUTE PAIN | 2 | ||
Transduction | 2 | ||
Transmission | 2 | ||
Perception | 2 | ||
Modulation | 2 | ||
CHRONIC PAIN | 2 | ||
NEUROPATHIC PAIN | 3 | ||
Complex Regional Pain Syndrome | 3 | ||
Phantom Limb Pain | 3 | ||
HAND FUNCTION | 3 | ||
MEASURING HAND FUNCTION AND PAIN | 6 | ||
SUMMARY | 8 | ||
REFERENCES | 8 | ||
Self-Report Measures of Hand Pain Intensity | 11 | ||
Key points | 11 | ||
INTRODUCTION | 11 | ||
ASSESSING HAND PAIN INTENSITY | 12 | ||
Single-Dimensional Pain Intensity Scales | 12 | ||
Visual analog scales | 12 | ||
Numerical rating scales | 14 | ||
Verbal rating scale | 14 | ||
Multi-Item Pain Intensity Scales | 15 | ||
The Australian/Canadian Osteoarthritis Hand Index | 15 | ||
The Patient-Rated Wrist/Hand Evaluation | 16 | ||
SUMMARY AND RECOMMENDATIONS | 16 | ||
REFERENCES | 17 | ||
Pain Examination and Diagnosis | 21 | ||
Key points | 21 | ||
INTRODUCTION | 21 | ||
Musculoskeletal Pain | 21 | ||
Neuropathic Pain | 21 | ||
Allodynia | 21 | ||
Dysesthesia | 21 | ||
Complex Regional Pain Syndrome | 21 | ||
HISTORY | 22 | ||
Pain Quality | 22 | ||
Pain Severity | 22 | ||
Pain Duration | 22 | ||
Pain Catastrophizing | 22 | ||
PHYSICAL EXAMINATION | 23 | ||
Inspection | 23 | ||
Motor | 23 | ||
Palpation | 23 | ||
Cold Perception | 24 | ||
Tinel Sign | 24 | ||
Scratch Collapse Test | 24 | ||
DIAGNOSTIC TESTING | 24 | ||
Nerve Conduction Studies | 24 | ||
Ultrasonography | 24 | ||
MRI | 24 | ||
Diagnostic Blocks | 25 | ||
SUMMARY | 25 | ||
REFERENCES | 25 | ||
Factors Associated with Greater Pain Intensity | 27 | ||
Key points | 27 | ||
INTRODUCTION | 27 | ||
VARIATION IN PAIN INTENSITY FOR A GIVEN NOCICEPTION | 28 | ||
MINDSET AND CIRCUMSTANCES | 28 | ||
THE LIMITS OF BIOMEDICAL TREATMENT | 29 | ||
PEACE OF MIND IS THE BEST PAIN RELIEVER | 30 | ||
SUMMARY | 30 | ||
REFERENCES | 30 | ||
Pain Psychology and Pain Catastrophizing in the Perioperative Setting | 33 | ||
Key points | 33 | ||
INTRODUCTION | 33 | ||
PAIN-RELATED PSYCHOLOGICAL FACTORS AND MUSCULOSKELETAL SURGERY OUTCOMES | 34 | ||
HAND SURGERY | 35 | ||
PRACTICAL IMPLICATIONS AND TREATMENTS | 36 | ||
PRESURGICAL PSYCHOBEHAVIORAL INTERVENTIONS | 36 | ||
SUMMARY AND FUTURE DIRECTIONS | 37 | ||
REFERENCES | 38 | ||
New Concepts in Complex Regional Pain Syndrome | 41 | ||
Key points | 41 | ||
INTRODUCTION | 41 | ||
ANIMAL MODELS OF COMPLEX REGIONAL PAIN SYNDROME | 42 | ||
SYMPATHETIC NERVOUS SYSTEM | 42 | ||
NEUROGENIC INFLAMMATION | 43 | ||
AUTOIMMUNITY | 44 | ||
CENTRAL NERVOUS SYSTEM CHANGES | 44 | ||
ACUTE VERSUS CHRONIC COMPLEX REGIONAL PAIN SYNDROME | 45 | ||
SUMMARY | 45 | ||
REFERENCES | 46 | ||
Pharmacologic Management of Upper Extremity Chronic Nerve Pain | 51 | ||
Key points | 51 | ||
GENERAL TENETS | 52 | ||
TRICYCLIC ANTIDEPRESSANTS | 55 | ||
DULOXETINE AND VENLAFAXINE | 56 | ||
GABAPENTINOIDS | 57 | ||
COMBINATIONS | 57 | ||
OPIOIDS | 58 | ||
LAMOTRIGINE | 58 | ||
TOPIRAMATE | 58 | ||
TOPICAL MEDICATIONS | 59 | ||
Lidocaine | 59 | ||
Capsaicin | 59 | ||
CONCLUSION | 59 | ||
REFERENCES | 59 | ||
Hand Therapy Treatment | 63 | ||
Key points | 63 | ||
INTRODUCTION | 63 | ||
IMPORTANCE OF PAIN | 63 | ||
PAIN MECHANISMS | 64 | ||
Peripheral Nociceptive | 64 | ||
Peripheral Neurogenic | 64 | ||
Central Pain or Central Sensitization | 65 | ||
TREATMENT OF PAIN MECHANISMS | 66 | ||
Treatment of Peripheral Nociceptive and Inflammatory Mechanism | 67 | ||
Treatment of Peripheral Neurogenic Symptoms | 67 | ||
Treatment of Central Sensitization Mechanism | 67 | ||
SUMMARY | 68 | ||
REFERENCES | 69 | ||
Surgical Treatment of Upper Extremity Pain | 71 | ||
Key points | 71 | ||
INTRODUCTION | 71 | ||
PATIENT PRESENTATION | 72 | ||
Typical Presentation One: The Cutaneous Neuroma | 72 | ||
Typical Presentation Two: Nerve Compression | 72 | ||
Typical Presentation Three: Joint Pain | 72 | ||
Typical Presentation Four: Complex Regional Pain Syndrome | 73 | ||
DIAGNOSTIC TESTING: NERVE BLOCKS | 73 | ||
NERVE COMPRESSION | 73 | ||
NEUROMA PAIN: NERVE RECONSTRUCTION | 74 | ||
NEUROMA PAIN: NEUROMA RESECTION AND MUSCLE IMPLANTATION | 74 | ||
JOINT PAIN OF NEURAL ORIGIN | 76 | ||
COMPLEX REGIONAL PAIN SYNDROME | 76 | ||
SUMMARY | 79 | ||
REFERENCES | 79 | ||
The Proper Use of Neurostimulation for Hand Pain | 81 | ||
Key points | 81 | ||
INTRODUCTION | 81 | ||
Cause of Neuropathic Pain of the Upper Extremity | 82 | ||
Conservative Treatment Options | 82 | ||
NEUROMODULATION OF THE UPPER EXTREMITY | 82 | ||
SPINAL CORD STIMULATION: DORSAL COLUMNS | 82 | ||
Background | 82 | ||
Mechanism of Action | 82 | ||
Indications and Patient Selection | 82 | ||
Technical Aspects for Both Trial and Implant Stages | 83 | ||
Outcomes | 83 | ||
DORSAL ROOT GANGLION SPINAL STIMULATION | 84 | ||
PERIPHERAL NERVE STIMULATION | 85 | ||
Spinal Cord Stimulation Equipment in the Periphery | 86 | ||
Ultrasound-Guided Percutaneous Lead Placement Technique | 86 | ||
Open Peripheral Nerve Paddle Lead Placement Stimulation | 86 | ||
Innovative Peripheral Nerve Stimulation–Specific Systems | 86 | ||
SUMMARY | 87 | ||
REFERENCES | 87 | ||
Future Directions for Pain Management | 91 | ||
Key points | 91 | ||
INTRODUCTION | 91 | ||
Relieving Pain in America: a Blueprint for Transforming Prevention, Care, Education, and Research | 92 | ||
THE NATIONAL PAIN STRATEGY | 94 | ||
Population Research | 94 | ||
Prevention and Care | 95 | ||
Disparities | 95 | ||
Service Delivery and Reimbursement | 95 | ||
Professional Education and Training | 95 | ||
Public Education and Communication | 95 | ||
National Pain Strategy Vision | 95 | ||
FUTURE NEEDS: LEARNING HEALTH SYSTEMS AND PRECISION PAIN MEDICINE | 96 | ||
REFERENCES | 97 | ||
Index | 99 |