Clinical Pain Management

Largely reorganised and much expanded in this second edition, Practice and Procedures brings together in a single volume general methods of pain assessment and presents the wide range of therapies that can be provided by a range of health care disciplines. Authored by a multidisciplinary team of experts, chapters can stand alone for readers looking for a general overview of the methods of techniques for pain management available to them or work to complement chapters in the preceeding three volumes, providing practical procedures and applications in the management of acute, chronic and cancer pain. The book is divided into three parts.
Part One covers the principles of measurement and diagnosis, including history taking and examination, the selection of pain measures, diagnostic tests and novel imaging techniques.
Part Two discusses the full range of therapeutic protocols available, from pharmacological therapies, through psychological techniques, physical therapy and international procedures, to techniques specific to pain assessment and management in paediatric patients.
Part Three provides information on planning, conducting, analysing and publishing clinical trials, with invaluable guidance on the techniques of systematic review and meta-analysis in pain research.
Part Four considers the role of multidisciplinary pain management teams, their organization, their place within different health care systems, and how best to manage change when implementing such a service.
Part Five concludes the volume, investigating the use of guidelines, standards and quality improvement initiatives in the management of post-operative pain, and discussing the expert medicolegal report.

Harald Breivik Professor, Department of Anaesthesiology, Rikshospitalet University Hospital, Oslo, Norway William I Campbell Consultant in Anaesthesia and Pain Medicine, The Ulster Hospital, Belfast, UK Michael K Nicholas Director, ADAPT Pain Management Programme, Pain Management Research Institute, University of Sydney at Royal North Shore Hospital, Sydney, Australia

PART I PRINCIPLES OF MEASUREMENT AND DIAGNOSIS 1 History-taking and examination of the patient with chronic pain - Paul R Nandi and Toby Newton-John 2 Practical methods for pain intensity measurements - William I Campbell and Kevin E Vowles 3 Selecting and applying pain measures - Johannes van der Merwe and Amanda C de C Williams 4 Sensory testing and clinical neurophysiology - Ellen JÃ-rum and Lars Arendt-Nielsen 5 Pharmacological diagnostic tests - Andrew P Baranowski and Natasha C Curran 6 The role of biochemistry and serology in pain diagnosis - Hilde Berner Hammer 7 Diagnostic algorithms for painful peripheral neuropathy - David Bennett 8 Novel imaging techniques - Michael Lee and Irene Tracey PART II THERAPEUTIC PROTOCOLS 9 After assessment, then what? Integrating findings for successful case formulation and treatment tailoring - Steven J Linton and Michael K Nicholas Section A: Pharmacological therapies 10 Treatment protocols for opioids in chronic nonmalignant pain - Harald Breivik 11 Subcutaneous drug infusion protocols for the control of cancer pain - 12 Antiepileptics, antidepressants and local anesthetic drugs - Harald Breivik and Andrew SC Rice Section B: Psychological techniques 13 Self-regulation skills training for adults, including relaxation - David Spiegel 14 Biofeedback - Frank Andrasik and Herta Flor 15 Contextual cognitive behavioural therapy - Lance M McCracken 16 Graded exposure in vivo for pain-related fear - Johan WS Vlaeyen, Jeroen de Jong, Peter HTH Heuts and Geert Crombez Section C: Physical therapy and rehabilitation protocols 17 Transcutaneous electrical nerve stimulation - Timothy P Nash 18 Acupuncture - Mike Cummings