Pain management (also called pain medicine) is the discipline concerned with the relief of pain. Acute pain, such as occurs with trauma, often has a reversible cause and may require only transient measures and correction of the underlying problem. In contrast, chronic pain often results from conditions that are difficult to diagnose and treat, and that may take a long time to reverse. Some examples include cancer, neuropathy, and referred pain. Often, pain pathways (nociceptors) are set up that continue to transmit the sensation of pain even though the underlying condition or injury that originally caused pain has been healed. In such situations, the pain itself is frequently managed separately from the underlying condition of which it is a symptom, or the goal of treatment is to manage the pain with no treatment of any underlying condition (e.g. if the underlying condition has resolved or if no identifiable source of the pain can be found.Pain management generally benefits from a multidisciplinary approach that includes pharmacologic measures (analgesics such as narcotics or NSAIDs and pain modifiers such as tricyclic antidepressants or anticonvulsants), non-pharmacologic measures (such as interventional procedures, physical therapy and physical exercise, application of ice and/or heat), and psychological measures (such as biofeedback and cognitive therapy). This new book presents the latest research in this growing field.
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Accidental falls are the leading cause of death among older adults in the United States. One third of all adults aged 65 and older report falling each year. Elders living in institutions have 3 times the chance of falling compared to those living in their homes. Accidental falls are also very common in children of all ages. Young children learning to walk and toddlers are at greater risk of accidental falls resulting in possible cranio-cerebral injury. Practical implications for fall-prevention programs such as balance-training programs or mobility aids to reduce restrictions on lateral stepping movements can reduce accidental falls. This book presents research findings on the causes, preventions and interventions that impact fall risk.
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