Headache and Chronic Pain Syndromes (eBook)

Series Editor’s Introduction 6
Preface 7
Acknowledgment 8
Contents 9
Introduction 10
CHAPTER HIGHLIGHTS 10
1. DISTINGUISHING ACUTE FROM CHRONIC PAIN 11
2. UNDERSTANDING THE PHYSIOLOGY OF CHRONIC PAIN 12
3. DEVELOPING A TARGETED ASSESSMENT 14
4. TARGETED CHRONIC PAIN MANAGEMENT 16
REFERENCES 18
Pain in the Head 19
CHAPTER HIGHLIGHTS 19
1. EVALUATING HEAD PAIN 20
1.1. Developing a High-Yield Targeted Evaluation of Head Pain 23
1.2. Applying the Targeted Exam to Each Patient 23
2. TREATING HEAD PAIN 31
2.1. Migraine 31
2.2. Migraine In Children and Adolescents 34
2.3. Cluster Headache 36
2.4. Probable Medication-Overuse Headache 38
2.5. Temporal or Giant-Cell Arteritis 40
3. SUMMARY 40
REFERENCES 41
Pain in the Mouth 44
CHAPTER HIGHLIGHTS 44
1. EVALUATING MOUTH PAIN 45
1.1. Developing a High-Yield Targeted Evaluation of Mouth Pain 45
1.2. Applying the Targeted Exam to Each Patient 46
2. TREATING MOUTH PAIN 49
2.1. Trigeminal Neuralgia 49
2.2. Temporomandibular Dysfunction 53
2.3. Atypical Odontalgia or Neuropathic Oral Pain 54
3. SUMMARY 55
REFERENCES 56
Pain in the Neck 59
CHAPTER HIGHLIGHTS 59
1. EVALUATING NECK PAIN 60
1.1. Developing a High-Yield Targeted Evaluation of Neck Pain 62
1.2. Applying the Targeted Exam to Each Patient 64
2. Treating Neck Pain 69
2.1. Cervical Radiculopathy 70
2.2. Migraine With Neck Pain 72
2.3. Osteoarthritis With Cervicogenic Headache 74
3. SUMMARY 76
REFERENCES 76
Pain in the Thorax 79
CHAPTER HIGHLIGHTS 79
1. EVALUATING THORAX PAIN 80
1.1. Developing a High-Yield Targeted Evaluation of Thorax Pain 80
1.2. Applying the Targeted Exam to Each Patient 81
2. TREATING THORACIC PAIN 89
2.1. Osteoporosis 89
2.2. Post-Herpetic Neuralgia 92
2.3. Myofascial Pain 94
3. SUMMARY 96
REFERENCES 96
Pain in the Low Back 99
CHAPTER HIGHLIGHTS 99
1. EVALUATING LOW BACK PAIN 100
1.1. Developing a High-Yield Targeted Evaluation of Low Back Pain 100
1.2. Applying the Targeted Exam to Each Patient 103
2. TREATING LOW BACK PAIN 108
2.1. Lumbar Radiculopathy 109
2.2. Myofascial Low Back Pain 110
2.3. Lumbar Stenosis 114
3. SUMMARY 115
REFERENCES 115
Pain in the Hand 119
CHAPTER HIGHLIGHTS 119
1. EVALUATING HAND PAIN 119
1.1. Developing a High-Yield Targeted Evaluation of Hand Pain 120
1.2. Applying the Targeted Exam to Each Patient 122
2. TREATING HAND PAIN 128
2.1. De Quervain’s Syndrome 128
2.2. Carpal Tunnel Syndrome 130
2.3. Complex Regional Pain Syndrome 132
3. SUMMARY 133
REFERENCES 133
Pain in the Foot 137
CHAPTER HIGHLIGHTS 137
1. EVALUATING FOOT PAIN 138
1.1. Developing a High-Yield Targeted Evaluation of Foot Pain 138
1.2. Applying the Targeted Exam to Each Patient 140
2. TREATING FOOT PAIN 147
2.1. Plantar Fasciitis 147
2.2. Peripheral Neuropathy 148
2.4. Tarsal Tunnel Syndrome 151
2.5. Morton’s Neuroma 151
3. SUMMARY 154
REFERENCES 154
Pain in the Abdomen 156
CHAPTER HIGHLIGHTS 156
1. EVALUATING ABDOMINAL PAIN 157
1.1. Developing a High-Yield Targeted Evaluation of Abdominal Pain 157
1.2. Applying the Targeted Exam to Each Patient 159
2. TREATING ABDOMINAL PAIN 164
2.1. Chronic IBS 165
2.2. Functional Bowel Syndrome 167
3. SUMMARY 167
REFERENCES 168
Pain in the Whole Body 170
CHAPTER HIGHLIGHTS 170
1. EVALUATING WIDESPREAD BODY PAIN 171
1.1. Developing a High-Yield Targeted Evaluation of Widespread Body Pain 172
1.2. Applying the Targeted Exam to Each Patient 174
2. TREATING CHRONIC WIDESPREAD BODY PAIN 181
2.1. Fibromyalgia 182
2.2. Treating Arthritis 185
3. SUMMARY 186
REFERENCES 186
General Chronic Pain Management Techniques 190
CHAPTER HIGHLIGHTS 190
1. MEDICATIONS 191
1.1. Preventive Therapy 191
1.2. Flare Management 191
1.3. Pain Medications During Pregnancy 194
2. HERBS, MINERALS, AND VITAMINS 194
3. NONMEDICATION TREATMENT 195
3.1. Physical Therapy 195
3.2. Occupational Therapy 196
3.3. Psychological Treatment 196
3.4. Healthy Lifestyle Recommendations 198
4. SUMMARY 201
REFERENCES 201
Index 204