By Dr. J.D. Hoppenfeld MD
Fundamentals of discomfort Medicine is an important consultant for any health practitioner trying to enhance the standard of discomfort remedies and sufferers’ comfort.
Features:
- eBook with searchable text, accessible snapshot financial institution, and sufferer schooling materials
- Illustrations accompanying textual content with quite a few pictures and boxed elements
- Numerous case examples and most typical remedies, proper and appropriate to daily scientific use
- Step-by-step guide on office-based procedures
- Complete content material with greater navigation
- A robust seek that draws effects from content material within the e-book, your notes, or even the web
- Cross-linked pages, references, and extra for simple navigation
- Highlighting instrument for less complicated reference of key content material through the text
- Ability to take and percentage notes with associates and colleagues
- Quick reference tabbing to avoid wasting your favourite content material for future
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Additional info for Fundamentals of Pain Medicine: How to Diagnose and Treat your Patients
Sample text
These impulses travel in a regular pattern when the nervous system is working properly. When injured, this regular controlled transmission of impulses fails and nerves fires aberrantly. Injured nerves, no longer triggered solely by appropriate stimuli, develop pathologic activity manifesting as abnormal excitability to normal chemical, thermal, and mechanical stimuli. The brain interprets this aberrant nerve firing as pain. With neuropathic pain, the patient usually reports an electric, shooting, burning pain rather than an achy, dull pain.
X-rays, which she has brought to the office, show joint space narrowing. You diagnose the patient with osteoarthritis of the right knee and prescribe an NSAID and physical therapy. At a 1-month follow-up examination, the woman states that the NSAID helps but that she went to physical therapy only once because it made her right knee worse. You both agree that proceeding with a knee injection would both help the pain and allow her to participate in physical therapy. 25% bupivacaine. You stress diet to reduce weight bearing on the knee and the importance of resuming physical therapy.
In addition, in cases of severe pain, narcotic therapy may be useful. As shown in anecdotal evidence, transcutaneous electrical nerve stimulation (TENS) placed at the stump of the missing limb can be helpful for phantom limb pain. It is inherently safe, which adds to its value as a treatment modality. A significant limitation to the use of TENS is the need for electrode placement and use of a prosthesis. Spinal cord stimulation may also be a successful remedy for the treatment of phantom limb pain.
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