Fundamentals of Pain Medicine: How to Diagnose and Treat by Dr. J.D. Hoppenfeld MD

By Dr. J.D. Hoppenfeld MD

Diagnose and deal with your sufferers with a bit of luck with Fundamentals of soreness Medicine. This complete new source addresses the troubles you face whilst treating your sufferers with acute and protracted discomfort. Chapters current the foremost soreness administration concepts to be had this day in addition to professional recommendation and perception into overcoming diagnostic and healing hindrances, together with prescribing medicinal drugs and fending off opioid abuse. as well as interventional and non-interventional remedies, multidisciplinary techniques akin to actual remedy, complementary remedy, and chiropractic therapy are presented.
Fundamentals of soreness Medicine is an important advisor for any general practitioner looking to enhance the standard of ache remedies and sufferers’ comfort.

  • eBook with searchable text, accessible picture financial institution, and sufferer schooling materials
  • Illustrations accompanying textual content with a variety of photographs and boxed elements
  • Numerous case examples and commonest remedies, suitable and acceptable to daily medical use
  • Step-by-step guideline on office-based procedures

 Now with the print version, benefit from the bundled interactive e-book variation, supplying capsule, cellphone, or on-line access 

  • Complete content material with stronger navigation
  • A strong 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 software for simpler reference of key content material through the text
  • Ability to take and percentage notes with acquaintances and colleagues
  • Quick reference tabbing to save lots of your favourite content material for future

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Extra info for Fundamentals of Pain Medicine: How to Diagnose and Treat your Patients

Example text

2-1). The pain of trigeminal neuralgia is most common in the V2 and V3 branches of the trigeminal nerve. It is a sharp, electric pain that radiates deep into the cheek, lips, and tongue, typically on one side of the face. During an attack, any sensory stimuli, even a stream of fastmoving air, may exacerbate the pain. Theories about the cause of trigeminal neuralgia remain controversial. One prevailing theory is that a small blood vessel wrapped around the branches of the trigeminal nerve causes periodic compression, leading to aberrant nerve firing.

The facet joints that link the vertebral bodies posteriorly can hypertrophy, which leads to both central canal and foraminal stenosis (Fig. 2-19). B Figure 2-19 A (axial view): Facet hypertrophy decreasing both central canal and foraminal diameter on the left. The right foraminal diameter is minimally affected. B (oblique view): Facet hypertrophy. indd 28 06/03/14 9:26 PM ChapteR 2 ■ Neuropathic Pain 29 Central herniated disc Minimal decrease in foraminal diameter Figure 2-20 Centrally herniated disc decreasing central spinal canal diameter with minimal effect of foraminal diameter.

The symptoms can be constant or come and go. It is possible to make the pain worse by leaning forward, because this position may put more pressure on the nerve root by further herniating the disc against the nerve root. On examination, the course that the pain travels helps identify which nerve root is affected (Fig. 2-12). The Figure 2-12 Dermatome map. A dermatome is an area of skin that is mainly supplied by a single nerve. indd 24 06/03/14 9:26 PM ChapteR 2 ■ Neuropathic Pain 25 A B C longitudinal extent of the pain appears to be proportional to the amount of pressure exerted on the nerve root,7 thus the further down toward the toes the pain spreads along the nerve root, the more affected it is.

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