Physical examination serves to further explore and confirm the findings from the clinical history. Objective data obtained from the examination are essential to accurately diagnose the etiology of the pain….
CASE 11.1 A 58-year-old Asian male with no significant past medical history presents with acute herpes zoster in the left T4 dermatome. Presenting signs and symptoms include severe localized pain…
Change, alternatively referred to as reorganization or plasticity, is a fundamental property of the brain that enables it to adapt and thus enhance survival of the organism. It has been…
In the early 1900s, Sir Charles Sherrington designated high-intensity stimuli that signaled a potential injury to the body as being nociceptive in character. The application of such stimuli to the…
Introduction The neural circuits that are responsible for pain and the reactions to pain can be termed the pain system or, perhaps more appropriately, the pain systems . The pain…
This chapter covers both quality assessment and improvement systems and patient safety issues. These are in some cases distinct and in others inextricably interrelated. They are each debated on national…
The Evolution of Pain Medicine as a Subspecialty As knowledge expands and the need for detailed skills arises, specialization ensues. This is a natural progression, and it has become impossible…
Introduction Chronic pain is a major cause of suffering, disability, lost productivity, and diminished quality of life across the entire life course. Cross-sectional studies have revealed that upward of 55%…
Introduction Chronic pain is an urgent public health concern that significantly impairs the physical, psychological, and social functioning of those experiencing it and their significant others. The Institute of Medicine…
The Rationale An estimated 48 million inpatient surgical procedures are performed annually in the United States (National Center for Health Statistics, National Hospital Discharge Survey: 2009, cdcinfo@cdc.gov ). Although it…
