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| dr kreiner pain management: Pain Management and the Opioid Epidemic National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Sciences Policy, Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse, 2017-09-28 Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring. |
| dr kreiner pain management: Urogenital Pain Michael Sabia, Jasjit Sehdev, William Bentley, 2017-04-07 This book provides an up to date, comprehensive, review of the common urogenital painful conditions. It will serve as a valuable resource for clinicians, urologists, surgeons, gynecologists, palliative care physicians, and many other medical providers. The book reviews presenting signs and symptoms, diagnostic workup, differential diagnoses, interventional treatments, and alternative medical therapy for painful conditions that occur in the urogenital region. The text also provides a clear understanding of how pain is transmitted along with what patient populations are at increased risk in suffering these conditions. The risks, benefits, and indications are discussed in detail for the variety of interventional injections that are available to help manage these conditions. |
| dr kreiner pain management: Deer's Treatment of Pain Timothy R. Deer, Jason E. Pope, Tim J. Lamer, David Provenzano, 2019-08-01 Designed and written by a team of clinically established academics, this is a unique book that is an excellent manual for physicians practicing pain medicine or treating pain in neurosurgery, orthopedic, neurology, or family practice clinics. As a practical resource, this book is written to be more accessible to the reader and is designed to be more clinically-focused and useful in day-to-day practice. This 102 chapter volume is divided into seven separate sections: Anatomy and Physiology of Pain, Psychology of Pain, Pharmacological Treatment of Pain, Interventional Treatment of Pain, Adjuvant Therapies for Pain and Suggested Reading. The calculated organization of this book is supplemented by key photos, drawings and a self-assessment of four key questions at the end of each chapter -- thus making it an indispensable, pragmatic resource that will benefit anyone working in the pain management field. Deer's Treatment of Pain: An Illustrated Guide for Practitioners contains pearls for improving knowledge and improving one’s practice as a physician. |
| dr kreiner pain management: Optimal Pain Management for the Dental Team Tara Renton, 2022-01-31 This book is a concise guide to the correct diagnosis and management of dental pain and anxiety. It covers psychology theories about pain, dentine sensitivity, hypersensitivity and cracked tooth syndrome. Chronic pain, temporomandibular disorders and local anesthesia are discussed, and optimal medical and perioperative pain management explained. The book is written by leading experts in the field and provides an up to date, pragmatic perspective on optimizing pain and anxiety management in the dental patient. It includes an overview of differential diagnoses of non-odontogenic orofacial pain. As well as meeting the needs of dentists, the book will be a “must read” for whole dental team. |
| dr kreiner pain management: Treatment of Chronic Pain Conditions Jason E. Pope, Timothy R Deer, 2017-09-01 There is an unmet need in both acute and chronic care settings for a comprehensive, clinically focused, fast reference on pain management. Written by high-profile, internationally recognized experts in field, Pain Treatment for Acute and Chronic Conditions: A Comprehensive Handbook is one of the first manuals of its kind to provide balanced and comprehensive coverage of pain medicine modalities. The book is structured into sixteen sections with each chapter providing key points for quick reference, followed by a more detailed overview of the topic at hand with extensive tables and figures to illustrate. Beautifully laid out and extensively furnished with both research and experience, this book is a necessary resource in the field of pain medicine. |
| dr kreiner pain management: Pain Management in Primary Care Yvonne D'Arcy, MS, APN-C, CNS, FAANP, Deborah Kiley, DNP, ANP, NP-C, FNP-BC, FAANP, 2020-09-21 Covers the entire scope of pain management with evidence-based guidance Written specifically for APRNs and PAs, this evidence-based text delivers practical guidance on how to assess, treat, and manage patients with pain in the primary care and family practice setting. Written by pain management experts well versed in both pharmacologic and non-pharmacologic therapies, the text encompasses the entire scope of pain management. Following an overview of the sources and physiology of pain, Pain Management in Primary Care delineates a multidimensional assessment approach and guides readers in developing a patient care plan. With an emphasis on strategies for safe prescribing, an extensive portion of the book addresses regulatory considerations, special populations, and thorough coverage of how to safely prescribe opioids. This includes risk screening, proper management, and identification and treatment of withdrawal. Woven throughout is a focus on the importance of interprofessional communication and collaboration in effective pain management. The text also provides concise, easy-to-reference information about medications, supplements, and non-opioid therapeutics. Abundant case scenarios and clinical pearls help readers apply knowledge to their own practice. Key Features: Covers the entire scope of pain management with evidence-based guidance on assessment, treatment, and pain management Emphasizes strategies for safely prescribing medications Includes detailed information on non-opioid and over-the counter-medications, opioids, and interventional pain management options Provides risk-screening tools and tips for proper selection, titration, and tapering of medications Describes how to identify and treat opioid withdrawal Illustrates application of knowledge to practice with case scenarios and clinical pearls |
| dr kreiner pain management: Orthopaedic Knowledge Update: Spine 5 Eeric Truumees, Heidi Prather, 2018-05-16 OKU: Spine 5, developed in a partnership between the American Academy of Orthopaedic Surgeons (AAOS) and the North American Spine Society (NASS), is a balanced review of the vastly expanding body of increasingly specialized spine clinical and surgical knowledge to keep you in the forefront of adult and pediatric spine care. |
| dr kreiner pain management: Challenging Cases and Complication Management in Pain Medicine Magdalena Anitescu, Honorio T. Benzon, Mark S. Wallace, 2017-11-17 This comprehensive book provides reviews of pain management complications that arise in clinical practice. Organized into sections focused on types of pain therapy and procedures, each chapter is based on actual complications; starting with a case description that delineates the context with a short past medical and surgical history, pain management technique and outcome it is followed by a comprehensive review of the topic described in the first section. Authors emphasize the elements of differential diagnosis that pointed towards establishing of the complication and describe the best way to treat the identified complication. Physicians treating pain patients will be presented the necessary tools in identifying and treating unanticipated complications following pain interventions, thus providing safer care for their patients. |
| dr kreiner pain management: Practical Management of Pain E-Book Honorio Benzon, James P. Rathmell, Christopher L. Wu, Dennis Turk, Charles E. Argoff, Robert W Hurley, 2022-02-10 For more than 30 years, Practical Management of Pain has offered expert guidance to both clinicians and trainees, covering every aspect of acute and chronic pain medicine for adult and pediatric patients. The fully revised 6th Edition brings you fully up to date with new developments in patient evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. Edited by a team of renowned pain clinicians led by Dr. Honorio Benzon, this authoritative reference is a comprehensive, practical resource for pain diagnosis and treatment using a variety of pharmacologic and physical modalities. - Presents a wealth of information in a clearly written, easily accessible manner, enabling you to effectively assess and draw up an optimal treatment plan for patients with acute or chronic pain. - Takes a practical, multidisciplinary approach, making key concepts and techniques easier to apply to everyday practice. - Shares the knowledge and expertise of global contributors on all facets of pain management, from general principles to specific management techniques. - Discusses the latest, best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents such as topical analgesics. - Covers recent global developments regarding opioid induced hyperalgesia, neuromodulation and pain management, and identification of specific targets for molecular based pain. - Includes current information on the use of cannabinoids in pain management and related regulatory, professional, and legal considerations. - Includes the latest guidelines on facet injections and safety of contrast agents. - Provides new, evidence-based critical analysis on treatment modality outcomes and the latest information on chronic pain as a result of surgical interventions. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. |
| dr kreiner pain management: Orofacial Pain Biomarkers Jean-Paul Goulet, Ana Miriam Velly, 2017-03-23 This book provides up-to-date information on all aspects of orofacial pain biomarkers. It opens by presenting background information on clinical phenotypes and the neurobiological substrates underlying chronic orofacial pain and by explaining the potential role of biomarkers in the diagnosis, prognostic evaluation, and treatment of orofacial pain. The main section of the book examines the contribution of human and animal studies to the field of biomarkers for orofacial pain and discusses biomarkers for masticatory muscle pain, temporomandibular joint pain, neuropathic face pain, and autonomic nervous system involvement in trigeminal facial pain. The potential impacts of the immune system on orofacial pain biomarkers and candidate gene phenotypes with possible links to chronic orofacial pain conditions are also addressed, and differences and similarities between saliva and serum biomarkers for pain are explained as well. The final section covers research-related issues in assessment methods and statistical analyses used in evaluating biomarkers, identifies future challenges and suggests new directions in the field. |
| dr kreiner pain management: Orthopaedic Knowledge Update® Spine 6 Eeric Truumees, Heidi Prather, 2021-06-01 This comprehensive resource covers all aspects of the spine in a single, convenient volume. Developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS) and edited by Drs. Eeric Truumees and Heidi Prather, Orthopaedic Knowledge Update®: Spine 6 presents relevant, evidence-based information, discusses its practical application, and provides supporting references, all tailored to the needs of today’s practicing orthopaedists and trainees. Written, edited, and peer-reviewed by more than 90 interdisciplinary contributing authors, it offers a complete guide to the diagnosis, treatment, and management of spinal injuries and disorders, supported by the latest evidence. |
| dr kreiner pain management: Catastrophic Perioperative Complications and Management Charles J. Fox, III, Elyse M. Cornett, G. E. Ghali, 2019-03-19 For years the administrative of anesthesia was extremely dangerous and risky. Because of this the surgeon and anesthesiologist had to balance the risks and benefits for each patient before proceeding with surgery. In the last two decades the care of the surgical patient has changed dramatically. New equipment, monitors and pharmacologic agents have transformed surgical technique and improved outcomes. Patients once deemed “too sick” for the operating room are found frequently on operating room schedules nationwide. Today, anesthesiology for the healthy patient in most developed countries is extremely safe. However, perioperative complications still occur. These events can be catastrophic for patients and may have serious implications for residents, surgical and anesthesiology staff and nurses. Prompt recognition and management of these incidents may reduce or negate complications. This is based on a fundamental base of knowledge acquired through several avenues and practiced with other team members to maximize outcomes. Engagement of all caregivers impacts outcomes. Many organizations do not have the structural components or education to recognize or manage these catastrophic events. This textbook will provide educational material for the many students, as well as nurses, residents or attending physicians who participate in perioperative medicine. It will focus on the most serious perioperative complications and include a discussion of the pathophysiologic and pharmacologic implications unique to each. Additionally, it will provide medicolegal information pertinent to those providing care to these patients. All chapters will be written with the most current and relevant information by leading experts in each field.The layout and format is designed to be purposeful, logical and visually effective. Other features include review questions and answers, chapter summaries and shaded call-out boxes to facilitate learning. Catastrophic Perioperative Complications and Management will be of great utility for medical and nursing students, anesthesiology residents, student nurse anesthestists, surgical residents, nurses involved in perioperative medicine as well as surgical and anesthesiology attending physicians. |
| dr kreiner pain management: Medications for Opioid Use Disorder Save Lives National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Sciences Policy, Committee on Medication-Assisted Treatment for Opioid Use Disorder, 2019-06-16 The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€like evidence-based medicationsâ€are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed. |
| dr kreiner pain management: Cohen's Pathways of the Pulp - E-Book Louis H. Berman, Kenneth M. Hargreaves, 2020-09-08 **Selected for Doody's Core Titles® 2024 with Essential Purchase designation in Dentistry** Stay up on the latest research and techniques in endodontics with Cohen's Pathways of the Pulp, 12th Edition. Written by a team of internationally renowned experts and trusted for more than 40 years, this definitive guide covers the science, theory, and practice of endodontics. Full color illustrations and detailed radiographs guide readers through each step of endodontic care — from diagnosis and treatment planning to proven techniques for managing pulpal and periapical diseases. This new twelfth edition also boasts the very latest evidence-based research and techniques, reorganized and condensed chapters, plus other features designed to help you locate important information quickly and easily. Complete with access to Expert Consult, it's everything you need to stay ahead in the field of endodontics. - Extensive illustration collection includes over 2,000 full-color photos, line art, and radiographs to clearly demonstrate core concepts and reinforce the essential principles and techniques of endodontics. - Video clips and case studies demonstrate key procedures such as palpation of the masseter muscle, introsseous anesthesia with the X-tip system, dentin hypersensitivity, and more. - Diverse and respected contributor pool includes experts from many national- and international-based dental education programs. - NEW! Updated content and new images incorporate the most recent developments in research and clinical endodontic techniques. - NEW! Additional topics cover pulp biology, pathobiology, diagnosis, treatment planning, pain control, isolation, access, cleaning and shaping, obturation, restoration, assessment of outcomes, emergencies and surgery. Each online topic comes with assigned reading lists, a PowerPoint lecture, written lesson objectives, and example exam questions. - NEW! Compliance with the Commission on Dental Accreditation Curriculum ensures that the needs of all dental programs are met. - NEW! Reorganized sections now divide chapters by those covering clinical endodontics, those covering the biological basis of endodontics, and chapters which detail endodontics in private practice to make content easier for both clinicians and students to navigate. - NEW! Condensed chapters remove unnecessary duplication of content across the text and make the physical text lighter and easier to use. |
| dr kreiner pain management: The War on Drugs David Farber, 2021-11-30 A revealing look at the history and legacy of the War on Drugs Fifty years after President Richard Nixon declared a War on Drugs, the United States government has spent over a trillion dollars fighting a losing battle. In recent years, about 1.5 million people have been arrested annually on drug charges—most of them involving cannabis—and nearly 500,000 Americans are currently incarcerated for drug offenses. Today, as a response to the dire human and financial costs, Americans are fast losing their faith that a War on Drugs is fair, moral, or effective. In a rare multi-faceted overview of the underground drug market, featuring historical and ethnographic accounts of illegal drug production, distribution, and sales, The War on Drugs: A History examines how drug war policies contributed to the making of the carceral state, racial injustice, regulatory disasters, and a massive underground economy. At the same time, the collection explores how aggressive anti-drug policies produced a “deviant” form of globalization that offered economically marginalized people an economic life-line as players in a remunerative transnational supply and distribution network of illicit drugs. While several essays demonstrate how government enforcement of drug laws disproportionately punished marginalized suppliers and users, other essays assess how anti-drug warriors denigrated science and medical expertise by encouraging moral panics that contributed to the blanket criminalization of certain drugs. By analyzing the key issues, debates, events, and actors surrounding the War on Drugs, this timely and impressive volume provides a deeper understanding of the role these policies have played in making our current political landscape and how we can find the way forward to a more just and humane drug policy regime. |
| dr kreiner pain management: Spine Pain Care Jianren Mao, 2019-11-07 This multi-faceted book provides readers with comprehensive guidance to spine pain care. Unique in structure, the contents integrate various specialties involved in spine pain care, thereby bringing in new prospective and expanding readership. This six part reference begins with a review on the epidemiology and economic impacts that present clinical and financial challenges for spine pain care. Part two then brings the reader into a review of the anatomy, pathophysiology, and etiology of spine pain. Subsequent parts then dive into clinical evaluation tactics, unique disease conditions and treatment options. Finally, the book closes with two chapters discussing the challenges of spine pain medicine and the potential future directions of the field. Written by experts in their respective fields, Spine Pain Care - A Comprehensive Clinical Guide is a first-of-its-kind, barrier breaking work designed for all professionals involved in spine pain care, including physicians and nurses, as well as medical students, residents and fellows as a supplementary educational material. |
| dr kreiner pain management: Multidisciplinary Spine Care Carl E. Noe, 2022-06-27 This book presents multiple aspects of spine care from the perspective of different disciplines. It's organized by sections focused on non-operative care, spine injections and procedures, perioperative care, operative care, pediatric care, and special topics. Each chapter has been written by a clinician whose active practice involves the topic of their chapter. Practical and clinically relevant, this book educates any practitioner who cares for patients with back and neck pain and other spine conditions about implementing a multidisciplinary team to treat the spine. |
| dr kreiner pain management: Neuromodulation Techniques for the Spine - E-Book Alaa Abd-Elsayed, 2023-02-02 Neuromodulation Techniques for the Spine, a volume in the Atlas of Interventional Pain Management series, is a concise, practical guide that provides clinicians with detailed, step-by-step guidance on how to perform spinal nerve stimulation procedures for patients with chronic pain. This comprehensive, easy-to-follow guide offers expert coverage of how to deliver safe, accurate, and cost-effective pain relief to patients using all clinically useful imaging modalities, including ultrasound-guided techniques and fluoroscopy. With high-quality images and clear, authoritative guidance throughout, it shows exactly how to evaluate the causes of pain, identify the most promising stimulation technique, locate the site with precision, and deliver effective relief. - Offers a comprehensive overview of the latest techniques used in spinal neuromodulation. - Features clinically relevant anatomic drawings and radiologic images that provide step-by-step instruction on techniques. - Provides clear guidance on the risks and benefits, as well as indications and contraindications, for each procedure. - Covers key topics such as Spinal Cord Stimulation (percutaneous and paddle lead placements); Dorsal Root Ganglion; Dorsal Root Ganglion Implants; and Intrathecal Pump (implants, refills). - Includes easy-to-follow, templated content on patient selection, preoperative prep, and post-operative care. - Contains full-color line drawings, photographs, and ultrasound images that provide you with a firm grasp of the anatomy and equipment involved with each procedure. - Highlights potential pitfalls for each technique and offers clinical pearls on how to avoid them. |
| dr kreiner pain management: Management of Temporomandibular Disorders and Occlusion - E-Book Jeffrey P. Okeson, 2012-05-16 Covering both new and proven techniques in this rapidly changing field, this classic text helps you provide solutions to many common occlusal and TMD problems. Clear descriptions and a new full-color design promote a complete understanding of normal, abnormal, and dysfunctional occlusal relationships and masticatory function and dysfunction. With its conservative, cost-effective approach, this book shows you how to achieve treatment goals while keeping your patients' best interests in mind. - Solid foundation of the anatomical, physiological, and biomechanical aspects of the masticatory system gives you the basic foundation for clinical use. - Detailed how-to information on clinical examination, data gathering, and differential diagnosis for temporomandibular disorders helps you learn to correctly plan treatment. - Clinical Comment boxes give you critical thinking points and instructions on how to apply these to everyday clinical practice. - NEW! Robust Q-website features an image library, case studies, and NBDE-style questions. - NEW! Full-color design offers more vivid clinical photos, illustrations, and information. - NEW! Major revisions to Part II with specific detail to Etiology provides more up-to-date information on this critical area. - NEW! Patient education sheets include the most common TMDs. - NEW! Updated treatment algorithms are included for each TMD. |
| dr kreiner pain management: Opioid Use in Critical Care Jose L. Pascual, Timothy G. Gaulton, 2021-07-21 This book provides a concise yet comprehensive overview on the use of opioids in the ICU, offering practical, real-world recommendations on opioid utilization and alternative therapies. The text explains the physiology and assessment of pain and the need for analgesia in the ICU, details the pharmacology of opioids and their use in providing analgesia, sedation, and comfort for patients during critical illness, and summarizes advanced pharmaceutical and surgical approaches to pain management and procedural applications that can supplement, minimize, or replace opioids for the ICU patient. The book also includes algorithms and step-by-step approaches on navigating the delicate balance between the relief of suffering and the adverse effects of opioids, as well as a dedicated section on the management of critically ill patients with preexisting opioid tolerance. Written by experts in the field, Opioid Use in Critical Care: A Practical Guide is a valuable resource for ICU providers who treat and manage critically ill patients with opioids. |
| dr kreiner pain management: Pre-surgery physiotherapy and pain thresholds in patients with degenerative lumbar spine disorders Yvonne Lindbäck, 2019-01-31 Background: Patients scheduled for spinal surgery often experience long duration of pain, which may influence the pain-regulation system, function and health and have an impact on post-surgery outcome. Prehabilitation potentially augments functional capacity before surgery, which may have beneficial effects after surgery. Aim: The overall aim of the thesis is to study pre-surgery physiotherapy and somatosensory function in patients with degenerative lumbar spine disorders and to explore the patients’ experiences of pre-surgery physiotherapy. Methods: Somatosensory function was measured with quantitative sensory testing (QST). Pre-surgery physiotherapy was evaluated with patient-reported outcome measures (n = 197). Patients’ experiences of how symptoms are explained and their experiences of the influences on back-related health after pre-surgery physiotherapy were explored. Results: Half of the patients reported back or leg pain for more than 2 years. On a group level, the somatosensory profiles were within the reference range. On an individual level, an altered somatosensory profile was found in 23/105 patients, these were older, more often women, and reported higher pain, larger pain distribution and worse SF-36 MCS (mental health component summary). Patients with disc herniation, more sensitive to pressure pain in the hand presurgery, was associated with poorer function, self-efficacy, anxiety and depression score pre-surgery, worse function, self-efficacy and leg pain 3 months post-surgery and worse health related quality of life, self-efficacy, depression score 1 year postsurgery. The results for sensitivity for cold pain were similar, except that it even was associated with poorer function and pain 1 year post-surgery. The pre-surgery physiotherapy group had less back pain, better function, health, self-efficacy, fear avoidance score, depression score and physical activity level than the waiting-list group after the pre-surgery intervention. The effects were small. Both groups improved significantly after surgery, with no differences between groups, except that the higher physical activity level in the physiotherapy group remained at the 1-year follow-up. Only 58% of the patients reported a minimum of one visit for rehabilitation during the 1 year preceding the decision to undergo surgery. Patients experienced that pre-surgery physiotherapy had influenced symptoms, physical function, coping, well-being and social functioning to various degrees. Pre-surgery physiotherapy was experienced as a tool for reassurance and an opportunity to reflect about treatment and lifestyle. The patients mainly used biomedical explanatory models based on image reports to explain their backrelated symptoms. Both broader and more narrow, as well as lack of explanations of symptoms emerged. Further, wanting and sometimes struggling to be wellinformed about symptoms and interventions were described. Conclusions: Being more sensitive to pressure- and cold pain in the hand, as a sign of widespread pain pre-surgery, was associated with poorer function, pain and health at post-surgery in patients with disc herniation. Pre-surgery physiotherapy decreased pain, fear avoidance, improved health related quality of life; and it decreased the risk of a worsening in psychological well-being before surgery. The improvements were small, and improvements after surgery were similar for both groups. At the 1-year follow-up, the physiotherapy group still had a higher activity level than the waiting list group. The pre-surgery physiotherapy was well tolerated. Patients’ reported experiences also illustrates the influence on function, pain and health. Patients experienced that pre-surgery physiotherapy provided reassurance and gave time to reflect on treatments and lifestyle. Symptoms were mainly described in line with a biomedical explanatory model. Those using a broader explanation were confident that physiotherapy and self-management could influence their back-related symptoms. |
| dr kreiner pain management: Pain Imaging Maria Assunta Cova, Fulvio Stacul, 2019-03-06 This book addresses all pain imaging aspects related to both the central nervous system and the body (thorax, abdomen and pelvis), thus updating the international literature on the topic. By adopting a clinical-radiological approach and offering a comprehensive differential diagnosis for a number of painful syndromes (many of which can mimic one other), the work aims to support and enhance the diagnostic management of these patients, suggesting the most appropriate diagnostic algorithm. The book is divided into separate sections for each anatomical macro-area, and the chapters cover the respective topics from both clinical and radiological perspectives. Further, the book includes extensive electronic supplementary material. As such, it offers an invaluable tool for radiologists, neuroradiologists and clinicians working in internal medicine, surgery and neurology, and could also be used in residency programs for these groups. |
| dr kreiner pain management: Cohen. Vías de la Pulpa Louis.H. Berman, Kenneth M. Hargreaves, 2022-01-14 - Se han actualizado todos los capítulos para reflejar los cambios en la literatura desde la última edición. - Los doce capítulos de la parte I se centran en los conceptos clínicos fundamentales para los estudiantes de odontología, mientras que los de las partes II y III proporcionan información que los estudiantes avanzados, los residentes y los profesionales de la endodoncia deben saber. - En esta duodécima edición se incluye un capítulo totalmente nuevo titulado «Lesiones que imitan la patología endodóncica», que explica y diferencia las lesiones que parecen tener un origen endodóncico. Es un complemento perfecto para los capítulos sobre «Diagnóstico» e «Interpretación radiológica». - En el contenido electrónico se incluyen tres capítulos adicionales. - La amplia colección de ilustraciones incluye imágenes a todo color, dibujos y radiografías para demostrar claramente los conceptos básicos y reforzar los principios y técnicas esenciales de la endodoncia. |
| dr kreiner pain management: Therapeutic Exercise Carolyn Kisner, Lynn Allen Colby, John Borstad, 2017-10-18 Here is all the guidance you need to customize interventions for individuals with movement dysfunction. YouÕll find the perfect balance of theory and clinical techniqueÑin-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines. |
| dr kreiner pain management: Pain Control in Ambulatory Surgery Centers Kanishka Rajput, Nalini Vadivelu, Alan David Kaye, Rinoo Vasant Shah, 2021-03-08 This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services. An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact. |
| dr kreiner pain management: Endodontic Pain Paul A. Rosenberg, 2014-06-05 Endodontic pain is a complex symptom that poses unique challenges for the dentist. This book is a concise, well-structured guide to the assessment and treatment of patients who present with endodontic pain, in which step-by-step descriptions are complemented by informative images and flow charts. The advantages, disadvantages, and significance of specific diagnostic and treatment procedures are clearly described, as is a pharmacotherapeutic approach to the prevention and treatment of pain. In addition, the causes and biological basis of endodontic pain are explained and guidance is provided on further strategies for pain prevention. The crisp narrative, efficient design and visual detail are notable features of this book that will make it an ideal chairside resource for the clinician and a dependable reference for the student. |
| dr kreiner pain management: Physical Therapy Neeraj D Baheti, Moira K Jamati, 2016-04-10 Physical Therapy – Treatment of Common Orthopedic Conditions is a highly illustrated, evidence-based guide to the treatment of a range of common orthopaedic disorders, edited by US based experts in the field. Divided into sixteen chapters, across three sections, the book begins with a section on upper extremity, including conditions such as thoracic outlet syndrome, rotator cuff impingement, and carpal tunnel syndrome. The second section covers the spine, including sprains and strains, and cervical radiculopathy. The final section focuses on lower extremity, covering conditions such as hamstring strain, tendinopathy, and medial tibial stress syndrome. Each chapter begins with an overview of important information for diagnosis, followed by detailed evaluation and treatment approaches, which include conservative therapy, as well as complimentary, alternative, medical and surgical interventions. The text is enhanced by 850 full colour images and illustrations. Physical Therapy – Treatment of Common Orthopedic Conditions references more than 1700 journal articles and books, ensuring authoritative content throughout this valuable resource for physiotherapists. Key Points Evidence-based guide to the treatment of a range of common orthopaedic conditions USA-based, expert editorial team References from over 1700 authoritative journal articles and books 850 full colour images and illustrations |
| dr kreiner pain management: Symptom Oriented Pain Management D K Baheti, 2012-07-31 A comprehensive guide to help practitioners diagnose the cause of pain based on symptoms presented, and facilitate its management with appropriate treatment. Beginning with an introduction to clinical examination and radiology, the following sections each examine pain in a different part of the body and possible causes and treatment. The final sections discuss alternative pain management with physiotherapy, psychotherapy and allied therapy. |
| dr kreiner pain management: Common Pathways Linking Neurodegenerative Diseases – The Role of Inflammation Grzegorz Kreiner, Andrii Domanskyi, Małgorzata Kujawska, 2021-11-01 |
| dr kreiner pain management: Image Guided Interventions of the Spine Majid Khan, Sergiy V. Kushchayev, Scott H. Faro, 2021-10-18 This book is a comprehensive review of image guided interventions of the spine. Beginning with a chapter dedicated to the history of image guided spinal interventions, authors set the stage for the role these procedures have and will play in the field. Chapters cover the key procedures, techniques, and considerations to maximize effectiveness and patient care. Some major topics covered include: imaging osseo-ligamentous spine anatomy, percutaneous vertebroplasty, image guided tumor ablation, and vascular spine intervention. Additional features include high-quality illustrations with concise descriptions and clinical cases discussions. This is an ideal guide for interventional neuroradiologists, radiologists, pain management physicians, neurosurgeons, orthopedic spine surgeons, and related residents, fellows, and students wanting in depth information on image guided interventions of the spine. |
| dr kreiner pain management: Relieving Pain in America Institute of Medicine, Board on Health Sciences Policy, Committee on Advancing Pain Research, Care, and Education, 2011-10-26 Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority. |
| dr kreiner pain management: Cohen's Pathways of the Pulp Expert Consult Louis H. Berman, DDS, FACD, Kenneth M. Hargreaves, 2015-10-02 Find the latest evidence-based research and clinical treatments! Cohen's Pathways of the Pulp, 11th Edition covers the science, theory, and practice of endondontics with chapters written by internationally renowned experts. Full-color illustrations and detailed radiographs guide you through each step of endodontic care - from diagnosis and treatment planning to proven techniques for managing pulpal and periapical diseases. New to the print edition are seven new chapters, and the eBook version adds three more. As an Expert Consult title, Cohen's Pathways of the Pulp lets you search the entire contents of the book on your desktop or mobile device, and includes videos, case studies, and more. Edited by noted specialists Kenneth Hargreaves and Louis Berman, this book is the definitive resource in endodontics! Print version of the text includes 27 comprehensive chapters and meets the CODA requirements for endodontic dental education. EBook version of the text consists of 30 searchable chapters, including the 27 chapters in the print version, and features videos, PowerPoint® slides, review questions, case studies, and more; this expanded version makes it easy to find clinical answers quickly, and meets the needs of students, clinicians, and residents in endodontics. Videos and animations demonstrate key procedures such as palpation of the masseter muscle, introsseous anesthesia with the X-tipT system, dentin hypersensitivity, indirect ultrasound, palpation of the temporomandibular joint, and ultrasonic settling. Over 2,000 illustrations include full-color photos and line art, along with a wide range of radiographs, clearly demonstrating core concepts and reinforcing the essential principles and techniques of endodontics. NEW co-editor Dr. Louis H. Berman joins lead editor Dr. Kenneth M. Hargreaves for this edition, and a respected team of contributors includes experts from many U.S.-based dental education programs, as well as programs in Canada, the U.K., Norway, Sweden, France, Germany, Italy, and Switzerland. NEW chapter organization reflects the chronology of endodontic treatment with three comprehensive sections: Clinical Endodontics, focusing on core clinical concepts, and Biological Basis of Endodontics and Endodontics in Clinical Practice, both with information that advanced students, endodontic residents, and clinicians need to know. NEW! Three chapters are available in the eBook: Understanding and Managing the Anxious Patient, Endodontic Records and Legal Responsibilities, and Endodontic Practice Management. NEW Radiographic Interpretation chapter clarifies the diagnostic process with coverage of imaging modalities, diagnostic tasks, three-dimensional imaging, cone beam computed tomography, intra- or post-operative assessment of endodontic treatment complications, and more. NEW Pain Control chapter addresses the management of acute endodontic pain with coverage of local anesthesia for restorative dentistry and endodontics, along with nonnarcotic analgesics and therapeutic recommendations. NEW Evaluation of Outcomes chapter helps you achieve optimal treatment outcomes with information on topics such as the reasons for evaluating outcomes, outcome measurements for endodontic treatment, and the outcomes of vital pulp therapy procedures, non-surgical root canal treatment, non-surgical retreatment, and surgical retreatment. NEW Root Resorption chapter covers the early detection, diagnosis, and histological features of root resorption, as well as external inflammatory resorption, external cervical resorption, and internal resorption. NEW Iatrogenic Endodontics chapter addresses failed treatment scenarios with key information on the event itself, the etiology, soft and hard tissue implications and symptoms, and treatment options and prognosis; the events include cervico-facial subcutaneous emphysema, sodium hypochlorite accidents, perforations (non-surgical), inferior alveolar nerve injury, surgical, sinus perforation, instrument separation, apical extrusion of obturation materials, and ledge formation. NEW Vital Pulp Therapy chapter provides an overview of new treatment concepts for the preservation of the pulpally involved permanent tooth, covering topics such as the living pulp, pulpal response to caries, procedures for generating reparative dentin, indications and materials for vital pulp therapy, MTA applications, and treatment recommendations. NEW Bleaching chapter addresses procedures that can be utilized during and following endodontic treatment to eliminate or reduce any discoloration issues, reviewing internal and external bleaching procedures and their impact on pulpal health/endodontic treatment - with presentations of cases and clinical protocols. |
| dr kreiner pain management: The Back Book Martin Roland, 2002 This is the second edition of the booklet which contains practical advice on how to deal with back problems and stay active. It is based on the latest research and the information has been shown to be effective in clinical trials. It is suitable for anyone suffering back pain, and doctors or therapists can use it to help patients cope with early management of symptoms. It is linked with the Royal College of General Practitioners and the Faculty of Occupational Medicine guidelines for coping with back pain. The publication is also available in packs of 10 copies (ISBN 0117029505), as well as a video based on the booklet (Get back active, ISBN 0117029408). |
| dr kreiner pain management: Medical Acupuncture Jacqueline Filshie, Adrian White, Mike Cummings, 2016-03-10 Comprehensively revised and expanded with vital new content, the second edition of Medical Acupuncture continues to explore the realistic integration of acupuncture into conventional medicine. Advocating the Western medical acupuncture approach (WMA), this science-based compendium provides the trained practitioner with all the latest research on the effectiveness of WMA and its associated mechanisms, techniques, clinical practice and evidence. Medical Acupuncture demonstrates a variety of needling techniques and clinical applications within the context of WMA and its evolution from traditional Chinese acupuncture using current knowledge of anatomy, physiology and pathology alongside the principles of evidence-based medicine. Split into seven sections the book begins by establishing the roots of WMA in the Introduction and then progresses on to describe the mechanisms of action in Section 2, including peripheral components of stimulation and evidence from neuroimaging. Sections 3 and 4 cover clinical approaches (eg, superficial needling, electroacupuncture, safety of acupuncture) and techniques related to acupuncture (TENS, laser therapy). Section 5 takes a closer look at the difficulties faced by trials and reviews while Section 6 goes on to showcase 21 clinical uses of WMA, ranging from chronic pain, mental health, obstetrics and primary care to sports medicine, respiratory conditions and neurology. The final reference section contains dermatome/myotome maps, meridian/channel charts and standard international nomenclature. - Comprehensive coverage of the scientific evidence and clinical application of acupuncture in medicine - Balances the genuine benefits of acupuncture against unfounded claims - Presents a wide range of treatable conditions from psychiatry and palliative care through to the pain clinic and veterinary medicine - Clinical points boxes highlight key knowledge and learning - Illustrated with over 130 drawings and photographs - Content restructure and overhaul with contributions from over 40 world leading experts - Individual chapters on the use of acupuncture for a wide range of medical conditions including gynaecology and infertility, cancer and palliative care, drug dependence, obesity, sports medicine, dentistry and veterinary practice - Updated with the latest scientific evidence - Expanded information on neuroanatomical and neurophysiological considerations in relation to the mechanisms of acupuncture |
| dr kreiner pain management: Oral and Maxillofacial Surgery Raymond J. Fonseca, 2009 In three volumes, this resource provides in-depth information to help you perfect your oral and maxillofacial surgical technique and provide state-of-the-art care for your patients. The full scope of the field is represented with up-to-date, evidence-based coverage of every surgical procedure performed today, including orthognathic surgery, trauma surgery, surgical pathology, surgery of TM disorders, placement of dental implants, cleft palate correction, dentoalveolar surgery, craniofacial surgery, cosmetic surgery, and reconstructive surgery. More than 2,600 high-quality images and illustrations, plus 32-page color inserts in each volume, serve as valuable visual references. Youll also find complete guidelines for a wide range of practice issues such as anesthesia, diagnostic imaging, treatment planning, rehabilitation and physical therapy, psychological considerations, and office design and ergonomics. A new team of volume and section editors offers a fresh perspective on oral and maxillofacial surgery, bringing their experience and expertise to the topics featured in this edition. Over 100 new, highly-detailed illustrations created by a leading medical illustrator help you quickly visualize and retain new concepts and techniques. Case reports throughout the book enable you to follow the treatment progress of patients with a variety of disorders and conditions, from preoperative to postoperative. |
| dr kreiner pain management: INTERNATIONAL UCLA FACIALPAIN DISCUSSIONS 2006-2010 Maurice . Vahedifar, D.M.D., M.S., 2011-03-12 This book would be great value for benefit to those interested in matters of the current FACIALPAIN subject's listservers, and has followed the listserve postings for several years and felt that there would be great value to those interested in matters orofacial to have an organized and searchable collection of the communications arranged by topic or subject. As you go through this book, you will appreciate the tremendous effort tirelessly to bring all of the posting to the FACIALPAIN listserve into a book format, that he has been put forth for our benefit, this book represents posting on a variety of subjects and contains much controversy that we in OFP are still struggling with. Nevertheless, the book's value is in the organization of the material that can be searched by subject matter. It should be understood that the diagnoses and treatments are only suggestions and do not represent standards of care but help us to move toward those standards. |
| dr kreiner pain management: The Dental Reference Manual Geraldine M. Weinstein, Mitchell T. Zientz, 2016-11-29 This book is designed to meet the needs of both dental students and dentists by providing succinct and quickly retrievable answers to common dental questions. Students will find both that it clearly presents the particulars which should be familiar to every dentist and that it enables them to see the big picture and contextualize information introduced to them in the future. Practicing dentists, on the other hand, will employ the book as a daily reference to source information on important topics, materials, techniques, and conditions. The book is neither discipline nor specialty specific. The first part is wide ranging and covers the essentials of dental practice while the second part addresses individual specialties and the third is devoted to emergency dental treatment. Whether as a handy resource in the student s backpack or as a readily available tool on the office desk, this reference manual fills an important gap in the dental literature. |
| dr kreiner pain management: Local Infiltration Analgesia Dennis R. Kerr, 2016-04-19 The concept of integrating pain management into the surgical process as a single entity is new and exciting. The use of local anaesthetic to block post-operative pain at the site of its generation is here refined into a management program allowing early mobilisation and dramatic pain control in the early post-operative period. This multimodal techn |
| dr kreiner pain management: The Oxford Handbook of Organizational Identity Michael G. Pratt, Majken Schultz, Blake E. Ashforth, Davide Ravasi, 2016 The topic of organizational identity has been fast growing in management and organization studies in the last 20 years. Identity studies focus on how organizations define themselves and what they stand for in relation to both internal and external stakeholders. Organizational identity (OI) scholars study both how such self-definitions emerge and develop, as well as their implications for OI, leadership and change, among others. We believe there are at least four inter-related reasons for the growing importance of OI. OI addresses essential questions of social existence by asking: Who are we and who are we becoming as a collective? It is a relational construct connecting concepts and ideas that are often viewed as oppositional, such as us and them or similar and differen. OI is also nexus concept serving to gather multiple central constructs, also represented in this Handbook. Finally, OI is inherently useful, as knowing who you are is the foundation for being able to state what you stand for and what you are promising to others, no matter their relation with the organization. The Handbook provides a road-map to the OI field organized in over 25 chapters across seven sections. Each chapter not only offers a broad overview of its particular topic, each also advances new knowledge and discusses the future of research in its area of focus. |
| dr kreiner pain management: Vertebral Augmentation Douglas P. Beall, 2020 |
James Dimitroff, M.D. - Esse Health Corporate
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I’m grateful for Dr. Kreiner and Dr. Barron’s support in my year-long thesis project. Dr. Kreiner had meetings with me every other week throughout the year. He’s ... Glen Kreiner Associate …
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Pain Management Agreement - treating pain
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Treatment Guide Chronic Pain - Cleveland Clinic
Pain management specialists often work in collaboration with neurological special-ists who also perform Botox treatments. Other treatment options for headaches may include the implant of …
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Dr. Jorge Learreta Dr. Lidia Graciela Yavich President Publicist
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Classification of Pain Physiological Classification of Pain Nociceptive Pain: (nocere – injure, Latin). Nociception is the activity of peripheral nervous system that transmits or processes the …
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treatment of pain in patients who do not meet criteria for OUD is restricted to DEA-X waivered providers within the Veterans Health Administration. Clinical encounters should indicate the …
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Guidelines on the Management of Postoperative Pain
to various interventions and management strategies for postoperative pain. After a review of the evi-dence, the expert panel formulated recommendations that addressed various aspects of …
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Sample Opiate/Pain Management Agreement* The purpose of this Agreement is to prevent misunderstandings about certain medications you will be taking for pain management. This …
Dr. Jorge Learreta Dr. Lidia Graciela Yavich President Publicist
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Prospective, randomized, multicenter study of intraosseous ...
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Pain Management - UPMC
Dr. Holden says the field of pain management has expanded rapidly in recent years, along with the understanding of how to best treat their patients. “In the past, we’ve used different …
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