Pain, its mechanisms and neurosurgical control

by White, James Clarke

Publisher: Thomas in Springfield, Ill

Written in English
Published: Pages: 736 Downloads: 59
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  • Pain.
  • Edition Notes

    Includes bibliography.

    Statementby James C. White and William H. Sweet, with assistance in the psychiatric sections of chapters IV and X from Stanley Cobb and Frances J. Bonner.
    ContributionsSweet, William Herbert, 1910- joint author.
    LC ClassificationsRC73 .W43 1955
    The Physical Object
    Pagination736 p.
    Number of Pages736
    ID Numbers
    Open LibraryOL6156739M
    LC Control Number54010802

A contemporary reference on the current state of pain surgery. A contemporary reference on the current state of pain surgery. Surgical Management of Pain, Second Edition, is a completely updated state-of-the-art reference on neurosurgical pain management. This new edition is in full color and includes the following sections: Anatomic and Physiologic Foundations for Nociceptive and Neuropathic. Mechanisms of Pain Processing. The mechanism of processing pain is very complex. The dorsal horn is divided into 10 layers called the Rexed laminae. The A-delta and C fibers transmit information primarily to nociceptive-specific neurons located in Rexed laminae I and II. pain mechanism: the network that communicates unpleasant sensations and the perceptions of noxious stimuli throughout the body in association with physical disease and trauma involving tissue damage. The gate control theory of pain is an attempt to explain the role of the nervous system in the pain response. It states that pain signals that. A famous theory concerning how pain works is called the Gate Control Theory devised by Patrick Wall and Ronald Melzack in This theory states that pain is a function of the balance between the information traveling into the spinal cord through large nerve fibers and information traveling into the spinal cord through small nerve fibers.

Ramachandran invented mirror therapy which is now used to treat amputees with phantom limb pain and also to help restore motor control in stroke victims with weakened limbs. Ramachandran's popular books Phantoms in the Brain (), The Tell-Tale Brain (), and others describe neurological and clinical studies of people with synesthesia. Pain is a complex experience that is largely a product of brain function. The pain is in the brain, not in the nociceptors that respond to the injury. Pain also involves emotional factors, so previous experiences with pain can have an impact on a more recent experience. All of these variables must be addressed concurrently in order to treat pain. Find complete monographs for more than 3, generic, brand-name, and combination drugs—including essential details on 63 NEW FDA-approved drugs—with important nursing and safety considerations for each and every one in the 41st edition of the Nursing Drug Handbook. Monographs are consistently formatted for ease of use and focus on the practical information that nurses need.   Mindfulness meditation, a practice premised on directing nonjudgmental attention to arising sensory events, reduces pain by engaging mechanisms supporting the cognitive control of pain. However, it remains unknown if mindfulness-meditation-based analgesia is mediated by opioids, an important consideration for using meditation to treat chronic pain.

Surgery. In extreme cases, surgeons may have to sever pain pathways by altering areas of the brain associated with pain perception -- or performing a rhizotomy (which destroys portions of peripheral nerves) or a chordotomy (destroys ascending tracts in the spinal cord). These surgeries are usually a last resort. Surgical interventions can be aimed at eradicating the source of the pain.   Mechanism-based Symptoms At the bedside examination, neuropathic pain can been distinguished from spontaneous pain, (i.e., stimulus independent) and provoked pain. [] Spontaneous pain .

Pain, its mechanisms and neurosurgical control by White, James Clarke Download PDF EPUB FB2

The treatment of severe pain by surgical means is a fairly recent innovation. Only in the last 20 years has its mechanisms and neurosurgical control book subject grown to sufficient size to warrant a book such Pain this.

The authors have analyzed the records of patients suffering Pain persistent severe pain on whom operation was. This is a PDF-only article. The first page of the PDF of this article appears above.

Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (K), or click on a page image below to browse page by page. Download PDF: Sorry, we are unable to provide the full text but you may find it at the following location(s): g (external link).

Pain Its Mechanisms and Neurosurgical Control. Postgraduate Medical Journal, 01 Mar32(): PMCID: PMC Review Free to read. Share this article Share with email Share with twitter Share with linkedin Share with facebook.

Abstract. No abstract provided. Free full text. Pain is a warning of danger and ipso facto performs one of the primary functions of the nervous system. For this reason destruction of the recording mechanism is to be viewed with concern and a very careful assessment must be made of the balance sheet weighing up the benefits to be obtained from control of the pain against other disadvantages which may result.

Pain, Its Anatomy, Physiology, and Treatment offers a comprehensive understanding of pain and pain management to the reader. In its preface, he notes specifically that the book is not only written for students, doctors, and researchers, but also for Reviews: Conversely, pain can be perceived in the brain in the absence of any peripheral nociception; a situation that can be fostered by a powerful facilitating system in the brainstem.

The mechanisms by which these processes occur are outlined in this chapter. Persistent or chronic pain is the primary reason people seek medical care, yet current therapies are either inadequate for certain types of pain or cause intolerable side effects.

Recently, pain neurobiologists have identified a number of cellular and molecular processes that lead to the initiation and maintenance of pain. Understanding these underlying mechanisms has given significant promise.

In this textbook, physical therapists Adriaan Louw and Emilio Puentedura deliver an evidence-based perspective on how the body and brain collaborate to create pain, teach how to convey this view of pain to patients and demonstrate how to integrate therapeutic neuroscience education into a practice.

Written by Adriaan Louw and Emilio s: Neurosurgical Management of Pain presents the full range of procedures for the management of chronic, intractable pain. Criteria for patient selection, the details of operative techniques, risks, complications, and expected outcomes are offered for a wide variety of anatomic, ablative, and augmentative neurosurgical procedures for the treatment of pain.

The most widely accepted and current definition of pain, established by the International Association for the Study of Pain (IASP), is "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage."[1] Although several theoretical frameworks have been proposed to explain the physiological basis of pain, not one theory has.

Presents the practice-proven experience of Steven D. Waldman, MD - author of numerous groundbreaking pain management references - along with world leading experts. Uses a templated, color-coded format to facilitate fast and easy reference.

Offers state-of-the-art techniques for the diagnosis and treatment of pain syndromes. 1. Pain management in neurosurgical patients Dr. Tushar kumar DA,DNB PDCC Neuroanaesthesiology 2.

Introduction: • In neurosurgical patients pain has often being overlooked and traditionally has been a subject of inconsistent research. • No consensus regarding the standardization of pain control.

The experience of pain serves as one of the most important protective mechanisms of the body. Consistent with its important role, the physiology of pain spans the entire nervous system, from peripheral nociceptors to central thalamocortical loops.

In this chapter we describe the physiology and pathophysiology of pain. Gate Control theory. The first pain modulatory mechanism called the "Gate Control" theory was proposed by Melzack and Wall in the mid s. The concept of the gate control theory is that non-painful input closes the gates to painful input, which results in prevention of the pain sensation from traveling to the CNS (i.e., non-noxious input.

The most common indication is the pain of the "failed back" syndrome, relieved in 50% of patients; leg pain seems to respond better than back pain. 10 Spinal cord stimulation is also strikingly effective for the ischemic pain of peripheral vascular disease, 4 Raynaud disease, and angina, although these indications are more common in Europe than.

He was very interested in understanding the mechanisms of pain, and in along with Dr. Sweet published, “Pain: Its Mechanism and Neurosurgical Control”.

Their recognition of the major psychiatric factors in pain allowed the doctors to collaborate with Stanley Cobb. Estimated costs for treating chronic pain, both directly and indirectly, are close to $50 billion a year. Neurosurgeons treat chronic pain with state-of-the-art medical technology.

The most commonly treated conditions that cause pain are atypical facial pain, failed spinal surgery, phantom limb pain.

Melzack and Wall introduced their "gate control" theory of pain in with their landmark article in Science called "Pain Mechanisms: A New Theory". This proposed theory revolutionized how clinicians and researchers approach pain research and provided a theory of pain that most accurately accounts for the physical and psychological aspects of.

The PAIN GATE THEORY or GATE CONTROL THEORY OF PAIN, put forward by Ron Melzack and Patrick Wall inis the idea that physical pain is not a direct result of activation of pain receptor neurons, but rather its perception is modulated by interaction between different neurons.

They suggested that there is a "gating system" in the central nervous system that opens and closes to let pain. Introduction. Pain is a survival mechanism that serves as a warning sign of ongoing or impending tissue damage. According to an Institute of Medicine report released inone in three Americans experiences chronic pain—more than the total number affected by heart disease, cancer, and diabetes combined.1 In Europe, the prevalence of chronic pain is %.2 About a fifth of people.

Pain, a complex experience consisting of a physiological and a psychological response to a noxious is a warning mechanism that protects an organism by influencing it to withdraw from harmful stimuli; it is primarily associated with injury or the threat of injury.

Pain is subjective and difficult to quantify, because it has both an affective and a sensory component. Human brain mechanisms of pain perception and regulation in health and disease A.

Vania Apkarian a,*, M. Catherine Bushnell b, Rolf-Detlef Treede c, Jon-Kar Zubieta d a Department of Physiology, Northwestern University Medical School, E. Chicago Avenue, WardChicago, ILUSA b Department of Anesthesia, McGill University, Montreal, Canada c Institute of Physiology and.

out the emotional reality of chronic pain without re-ally addressing it (Alexander, ). Neurological changes associated with pain also occur in relation to numerous other causal factors in - cluding physical pathology, genetics, psychological trauma, stress, and even culture.

For example, com-plex regional pain syndrome (CRPS) is caused by a. Studies in the neurobiological underpinnings of social information processing by psychologists, neurobiologists, psychiatrists, radiologists, and neurologists, using methods that range from brain imaging techniques to comparative neuroscience uses the methodologies and tools developed to measure mental and brain function to study social cognition, emotion, and behavior.

The mechanism of gate control theory can be used therapeutically. Gate control theory thus explains how stimulus that activates only nonnociceptive nerves can inhibit pain. The pain seems to be lessened when the area is rubbed because activation of nonnociceptive fibers inhibits the.

Pain perception and response: central nervous system mechanisms. Can J Neurol Sci ; 2 – (94) Zhuo M. Canadian Association of Neuroscience review: cellular and synaptic insights into physiological and pathological pain.

This book selects key areas of pain processing for in depth coverage: molecular mechanisms of peripheral and central nociception; ascending pathways; plasticity; targets for analgesics; drug delivery; imaging; and selected pain syndromes, such as neuropathic pain, headache, and cancer pain.

Querky formatting distinguishes US and UK authors by words such as “behavior” and “behaviour”. The Neurosurgical Treatment of Pain Cole A. Giller, PhD, MD T he referral of a patient to a neurosurgeon for pain relief was once considered bad news, because the choice of procedures was limited to the creation of lesions offering signifi-cant risk and only modest success.

The good news is that much has changed. Advances. Neurobiology of Pain is an international journal for the publication of basic and translational research on the mechanisms of acute and chronic pain. It focuses on experimental studies of pain mechanisms at every level from molecular and cellular to brain imaging and behavioural.

Chronic pain, Tracey said, is now understood as “something new, with a life of its own, with its own biology and its own mechanisms, most of which we really don’t understand at all.”. Mindfulness meditation reduces pain in experimental and clinical settings. However, it remains unknown whether mindfulness meditation engages pain-relieving mechanisms other than those associated with the placebo effect (e.g., conditioning, psychosocial context, beliefs).

To determine whether the analgesic mechanisms of mindfulness meditation are different from placebo, we .