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  SPECIFICATION
SYMPTOM ORIENTED PAIN MANAGEMENT (hb)2012
Author: D. K. BHETI
ISBN: 9789350257975
Year: 2012
Publisher: JAYPEE BROTHERS MEDICAL PUBLISHERS PVT LTD.
Category: GENERAL PRACTICE
Edition: 1
Format: Hard Cover
Language: English
Pages: 591
 ABOUT THE TITLE
A comprehensive and practical book inclusive of various types of pains concerning the individuals as well the treating physicians. Accurately present the techniques for diagnosing the etiology and mechanism of different types of pains which often causes a dilemma for physicians. Depicts appropriate clinical management of pains with pharamacotherpay as well as alternative interventional procedures wherever necessary. Gives tips to reach a correct diagnosis to facilitate management and achieve maximum pain relief in a simplistic manner.
Author: D K Bheti / Sanjay Bakshi / Sanjeeva Gupta and R P Gehdoo

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 TABLE OF CONTENTS
SECTION A—CLINICAL EXAMINATION
1. General Clinical and Patient Examination Form 1
Nankar YL
Name of the pain management clinic 1
Presenting symptoms 1
Pain behavior chart 2
Pain treatment history 4
Personal history 4
General examination 5
Systemic examination 5
Local examination 5
Investigations 5
Working diagnosis 6
Plan of treatment 6
Results 6
Remarks 6
2. Informed Consent 7
DK Baheti
3. Clinical Examination and Evaluation of Cervical Spine 10
Vivek Mehta, Vishwanath Siddalingaiah
Causes 10
History 12
Examination 15
4. Clinical Examination and Evaluation of Lumbar Spine 22
Aydin Steve M
Causes 22
Signs and symptoms 23
Clinical examination 24
Investigations 27
Differential diagnosis 28
Treatment protocol 28
SECTION B—RADIOLOGY
5. Interpretation of X-ray Spine 30
M Chandramohan
Aims 30
Role of X-ray in pain medicine 30
Radiological anatomy of spine 30
Key point 35, 36, 38
How to interpret a spine X-ray? 38
6. Interpretation of CT Scan for Interventional Pain Treatment Procedures 46
Manoj Deshmukh, Mahesh Goti
CT-guided interventional pain procedures 46
Facetal arthropathy—CT-guided intrafacetal injections 48
Percutaneous cementoplasty 52
7. Interpretation of MRI for Pain Practice 55
Makrand Kulkarni
Degenerative spinal disease 55
Cervical spine 60
Vertebral body collapse 62
Spinal tumors 66
Bone marrow pathologies 66
Spinal infections 68
MRI in postoperative spinal pain 69
MRI in chronic abdominal pain 71
8. Role of Electrodiagnosis in the Management of Neck and Back Pain 75
Mansukhani Khusnuma
How does ENMG help? 75
Why ENMG in back and neck pain? 75
Protocol 76
Equipment 76
ENMG tests 76
9. Interpretation of Bone Mineral Density and Its Treatment 88
Harsh Merchant
Basic considerations 88
Diagnosis of osteoporosis 89
Conventional radiographs and osteoporosis 89
Radiogrammetry and radiographic absorptiometry 90
SECTION C—LOW BACK PAIN
10. Focal Back Pain and Its Management 98
Sanjeeva Gupta, Shamim Haider
Causes 98
Mechanical causes of focal low back pain 98
Nonmechanical causes of focal low back pain 102
Description of some common causes of nonmechanical focal low back
pain encountered in the pain clinic 104
11. Lumbosacral Radiculopathy Pain and Its Management 110
Cherrie Weiss, Peter Staats
Physical examination 111
Diagnostic tests 112
Medical management of pain 115
Interventional therapies 116
12. Lumbar Facet Pain Syndrome and Its Management 125
Abrahmsen Gerard, Sanjay Bakshi
Causes 126
Signs and symptoms 126
Clinical examination 127
Diagnostic criteria 127
Treatment 128
13. Lumbar Spinal/Canal Stenosis and Its Pain Management 131
Aydin Steve M
Causes 131
Signs and symptoms 132
Clinical examination and findings 133
Diagnostic criteria and imaging 134
Treatment options 135
14. Lumbar Diskogenic Back Pain and Its Management 139
Neel Mehta, Sudhir Diwan
Causes 139
Signs and symptoms 140
Clinical examination 141
Diagnostic criteria 141
Investigations 142
Differential diagnosis 144
Follow-up 148
15. Sacroiliac Joint Pain Syndrome and Its Management 150
AR Cooper
Causes of SIJ pain syndrome 151
Symptoms and signs 151
Clinical examination 151
Diagnostic criteria 153
Investigations 153
Differential diagnosis 155
Treatment protocol 155
Follow-up advice 156
16. Coccygodynia: Causes and Pain Management . 158
Manjushree Ray, MM Ray
Signs and symptoms 159
Management 160
17. Piriformis and Iliopsoas Pain Syndromes and Its Pain Management 163
DK Baheti
Piriformis syndrome 163
Psoas or iliopsoas syndrome 167
SECTION D—CERVICAL NECK PAIN
18. Headache: Causes and Treatment Modalities 172
K Ravishankar
Causes 172
Clinical examination 174
Diagnostic criteria 177
Investigations 177
Differential diagnosis 178
Emergency treatment 181
Headache clinic 181
19. Trigeminal Neuralgia: Causes and Treatment . 183
Umesh Vengsarkar
Etiology 184
Diagnosis 184
Distribution of pain 185
Differential diagnosis 185
Investigations 186
Treatment 187
Radiofrequency lesion: Basic principle 187
An epilogue: The future 189
20. Cervical Radiculopathy Pain and Its Management 191
G Baranidharan
Causes 191
Symptoms and signs 192
Clinical examination 193
Diagnostic criteria 194
Follow up advice 198
21. Cervical Facet Joint Pain and Its Management 199
Sherdil Nath
Causes 199
Symptoms and signs 199
Clinical examination 199
Diagnostic criteria 199
Investigations 200
Differential diagnosis 200
Problem definition 201
22. Cervical Diskogenic Pain and Its Management 206
Anil K Sharma
Causes 206
Symptoms and sign 206
Clinical examination 207
Diagnostic criteria 207
Investigations 207
Differential diagnosis 207
Diagnosis and treatment algorithm 207
Cervical diskography 209
Treatment 211
SECTION E—CANCER PAIN
23. Head and Neck Cancer Pain Management . 212
Manohar Lal Sharma, Devajit Srivastava
Prevalence of pain in head and neck cancer 213
Etiology of head and neck cancer pain 213
Assessment of head and neck cancer pain 216
Management of head and neck cancer pain 216
24. Carcinoma Breast: Pain and Its Management 221
PN Jain
Etiology of pain 221
25. Carcinoma Lung: Pain and Its Management 225
Arun Bhaskar
Causes 225
Symptoms and signs 226
Clinical examination 227
Diagnostic criteria 228
Investigations 228
Differential diagnosis 229
Treatment 229
Follow-up advice 237
26. Upper Abdominal Malignancy Pain and Its Management 242
DK Baheti
Causes 244
Symptoms and signs 244
Diagnostic criteria 244
Investigations 245
Treatment protocol 245
Complications 247
27. Malignant Pelvic Pain and Its Management 251
Subhash Jain
Pathophysiology of pelvic pain 251
Anatomical consideration 253
Testicular tumors 257
Coccydynia 258
Treatment of pelvic pain 258
28. Metastatic Bone Pain Management . 267
RP Gehdoo
Clinical features 268
Diagnosis 270
Treatment options 272
SECTION F—UROGENITAL AND PELVIC PAIN
29. Nonmalignant Urogenital Pain Management 286
Ashish Gulve, John Hughes
Neuroanatomy of pelvis and perineum 287
Chronic prostatitis (chronic prostate pain) 287
Orchialgia/testicular pain 291
Bladder pain syndrome (interstitial cystitis) 292
Vulvar pain syndrome (vulvodynia) 293
Urethral pain syndrome 295
Anorectal pain syndromes 295
Pudendal neuralgia 297
Coccygodynia 298
Generalized treatment of urogenital pain 299
30. Nonmalignant Pelvic Pain Management 307
Kyriakides K
Definitions 307
Epidemiology 308
Etiology and diagnosis 308
Assessment 309
Management/treatment options 311
SECTION G—NEUROPATHIC PAIN
31. Diabetic Neuropathy: Pain and Its Management 316
Satish Khadilkar, A Mukadana, SS Deshmukh
Clinical features 316
Pathogenesis of diabetic neuropathies 318
Treatment of neuropathic pain 319
32. Neuropathic Pain: Pathophysiology and Pain Management 328
Jitendra Jain
Causes and pathophysiology 328
Symptoms, signs and assessment 331
Treatment 332
Follow-up 334
SECTION H—ISCHEMIC PAIN
33. Peripheral Vascular Disease: Causes and Pain Management 336
Kailash Kothari
Etiopathophysiology 336
Pathophysiology 337
Classification 338
Clinical examination 341
Laboratory studies 341
Imaging studies 342
Other tests 343
Treatment 343
Immediate management 344
Inhospital management 344
Acute limb ischemia 345
Amputation 350
Pain relief 350
SECTION I—MYOFASCIAL PAIN
34. Back and Related Muscle Spasm: Causes and Pain Management 355
VT Ingalhalikar
Definition of muscle spasm 355
Causes 355
Symptoms, signs and clinical examination 357
Important diagnostic points 363
Treatment 363
35. Fibromyalgia: Causes and Pain Management 367
Ashok Saksena
Diagnosis of fibromyalgia 367
Epidemiology 368
Clinical presentation 368
Investigations 369
Fibromyalgia assessment 370
Pathophysiology 370
Management 372
SECTION J—SCAR PAIN
36. Post Herniorrhaphy Pain and Its Management 380
Vas Laxmi, Renuka Pai
Anatomy of inguinal canal 385
An approach to chronic post herniorrhaphy pain 391
37. Post CABG Scar Pain and Its Management 402
Madhuri Lokapur
Causes 402
Signs and symptoms 403
Clinical examination 403
Investigations 403
Treatment protocol 403
SECTION K—CHALLENGING PAIN
38. Complex Regional Pain Syndrome (CRPS): Causes and Pain Management 406
Samyadeva Datta
Causes 406
Symptoms and signs 407
Diagnostic criteria 407
Investigations suggested 408
Treatment protocol 408
39. Phantom Limb Pain: Causes and Pain Management 416
JD Hoopenfeld
Symptoms and signs 416
Causes 417
Clinical examination 418
Diagnostic criteria 418
Investigations 418
Treatment protocol 419
40. Post Herpetic Neuralgia: Causes and Pain Management 421
Daknis Charles
Symptoms and signs 421
Clinical examination 422
Treatment options 424
41. Post Laminectomy Pain and Its Management 430
Preeti Doshi
Etiology 430
Pathophysiology 431
Clinical evaluation 432
History 433
Examination 434
Differential diagnosis 436
Investigations 436
Management 438
42. Restless Leg Syndrome: Causes and Pain Management 449
DK Baheti
Causes 449
Symptoms and signs 450
Clinical examination 450
Investigations 450
Treatment protocol 451
SECTION L—PHYSIOTHERAPY
43. Role of Physiotherapy in Treatment of Spinal Pain during Acute Inflammatory Phase 453
Naber Rob
Causes of spinal pain 454
Symptoms 456
Clinical examination 457
Treatment 459
44. Role of Physiotherapy in Management of Spinal Pain during Subacute Reparative Phase 469
Neeraj D Baheti
Goals 469
Signs and symptoms 470
Clinical examination 470
Investigations 471
Treatment 471
45. Role of Physiotherapist in Management of Chronic Pain 488
Saroj Sanghavi, Dakshesh Sanghavi
Causes 489
Evaluation of pain 489
Goals of treatment 490
Electrotherapeutic modalities 490
Follow-up 497
SECTION M—PSYCHOTHERAPY
46. Psychiatric Medications in Chronic Pain Management 499
Mundhara VK
Signs and symptoms 499
Medications 500
47. Pain Psychology and Its Treatment Options 504
Anjali Chhabaria, Shraddha Sidhwani
Causes 505
Signs and symptoms 505
Pain and depression 506
Pain and anxiety 506
Diagnostic criteria 507
Investigations 508
Differential diagnosis 508
Treatment 508
SECTION N—ALLIED THERAPY
48. Role of Radiation Therapy in Chronic Pain Management 513
Krishna B
Types of radiation 513
Mechanism of pain relief by radiation 513
49. Role of Chemotherapy in Chronic Pain Management 516
Lokeshwar N, Gopal R
Chemotherapy 516
Targeted therapy 521
Hormone therapy 521
Bisphosphonates 521
50. Role of Oncosurgery in Chronic Pain Management 523
Sanjay Sharma
Epidemiology 523
Etiology 524
Pathophysiology 524
Classification of cancer pain 524
Types of pain 525
Measurement (staging) of pain 525
Classification of patients with cancer pain 525
Clinical assessment of pain 526
Management of cancer pain 526
51. Role of Yoga and Relaxation Exercises in Chronic Pain Management 533
Guru Ma—Nita Khare
Explanation 540
Pranayama and migraine 540
Back pain—joint pain 541
Breath and emotions 543
Benefits of pranayama 543
Yoga pranayama and medical science 544
Tasyapi nirodhe sarva nirodhannirbeeja samadhi 548
Benefits of pratyahaar 549
SECTION O—MISCELLANEOUS
52. Management of Chronic Ophthalmic Pain 551
Salil Mehta
Causes of chronic ocular pain 553
Treatment of ophthalmic complications 558
53. Interpretation of Blood Levels of Drugs Used in Chronic Pain Management 560
Doshi M, Thatte Urmilla
General principles of therapeutic drug monitoring (TDM) 560
TDM of chronic pain medications 564
54. How to Set up Pain Management Clinic? 578
Nankar YL
The conditions treated in pain clinic 578
Space 578
Equipment 579
Multidisciplinary team 579
Personnel 579
Pain physician role 580
Index 583
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