Characterized by chronic widespread pain, fibromyalgia presents complex problems in both its diagnosis and treatment. Fibromyalgia is a fairly common condition, affecting 2-4% of the population. The condition's prevalence has increased dramatically since 1990. The condition is not new, but has been known by various names, such as fibrositis and myofascial pain syndrome until 1990, when the American College of Rheumatology (ACR) published new classification criteria and first used the name fibromyalgia. The absence of objective diagnostic testing and the overlap with other condition often leads to a significant delay in diagnosis. There is a general misconception that the condition is unresponsive to treatment. However, published research shows that diagnosing and managing fibromyalgia leads to meaningful improvement in the patient's symptons and quality of life. Patients with fibromyalgia often demonstrate symptons additional to pain and are consquently diagnosed with one or more co-occurring syndromes and conditions, complicating diagnosis and treatment. The comorbidities most commonly associated wtih fibromyalgia are sleep disturbance, depression, anxiety, and other psychiatric disorders. Another condition frequently demonstrated by fibromylgia patients is irritable bowel syndrome. Chronic fatigue syndrome also commonly co-occurs, and is often confused wtih fibromyalgia upon initial diagnosis. Numerous pharmacological therapy options exist to treat pain and related symptons of fibromyalgia. Achievement of desired treatment outcomes requires careful patient selection, drug administration and monitoring. Accurate diagnosis of chronic pain syndromes is critical, as some commonly used medications to treat many pain conditions are relatively ineffective wtih fibromyalgia. Despite increasing recognition as a relatively common cause of chronic pain, fibromyalgia continues to generate controversy among clinicians. Given the intricate and challenging nature of treating fibromyalgia and comorbid disorders, it is imperative to educate primary care providers on the initial symptons, complications, and treatment strategies for fibromyalgia, as most patients with the condition will see a primary care provider for initial diagnosis/referral, and follow-up-care. In the years since the release of the ACR criteria, increasing recognition and advances in research have provided key insights into the etiology of fibromyalgia, resulting in the use of several successful pharmacological, as well as non-pharmacological, treatment approaches. However, despite the efforts of professional medical organizations and patient care groups, awareness of the current state of clinical assessment and treatment of fibromyalgia by healthcare professionals continues to be lacking. This book is designed to provide a succint and practical guide to help primary care physicians, internists, specialists, and allied health professionals effectively diagnose and manage patients with fibromyalgia. This concise volume will provide an essential understanding of the pathophysiology of the pain, subtypes, and pitfalls in the diagnosis of this chronic condition.
The essential book on CBD as medicine This practical, accessible guide to using CBD-dominant cannabis contains a wealth of information for both first-time explorers and experienced patients who want to know more about safely treating a number of health conditions with remarkable results and low to no psychoactivity or negative side effects. CBD (cannabidiol) is a component of cannabis that can provide relief for conditions such as seizures, pain, inflammation, anxiety, depression, arthritis, and a number of other issues. This book offers guidance on various forms of the medicine such as oil infusions, alcohol-based tinctures, capsules, and CO2 concentrated extracts. The information is organized by health condition and also by recommended CBD-rich strains, which do not produce the "highs" associated with THC. With dosage suggestions, potential side effects and contraindications, and the pharmacology of the plant, this is an essential guide for both doctors and patients looking for a nontoxic alternative to opiate-based pain medications and other pharmaceuticals. While cannabis has been used for medicinal and recreational purposes for thousands of years, only in the last fifty years have scientists begun to shed light on the chemistry of the plant and its interactions with the human body. Research has led to the discovery of a whole new system in the body, the endocannabinoid system, which plays a role in mediating functions such as appetite, immunity, mood, pain response, and memory. The authors present case studies, interviews with doctors who prescribe cannabidiol products, and the latest research regarding other active phytocannabinoids and terpenoids present in cannabis that are being studied for medical use. They also address the difference between CBD products derived from industrial hemp or in a lab, versus those made from medical marijuana using the whole plant. In addition to offering the most up-to-date and comprehensive information on CBD-dominant cannabis therapy for humans, this book is the first to offer guidance for using the medicine for animals, with suggestions for dosage and delivery and useful forms and strains for common health issues in pets. Finally, the authors take a look at the future of cannabis medicine, charting trends in the legalization movement and suggesting how CBD might be used to fight the opioid epidemic.
Obtain all the core knowledge in pain management you need from one of the most trusted resources in the field. The new edition of Practical Management of Pain gives you completely updated, multidisciplinary overview of every aspect of pain medicine, including evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. In print and online, it is all the expert guidance necessary to offer your patients the best possible relief. "In summary, this is the best explanation of what lies behind MRI that I have read, taking what can be a dry subject and making it readily understandable and really interesting. I would recommend it to anyone starting their MRI training and anyone trying to teach MRI to others." Reviewed by RAD Magazine, June 2015 Understand and apply the latest developments in pain medicine with brand-new chapters covering disability assessment, central post-stroke pain, chronic widespread pain, and burn pain. Effectively ease your patients' pain with today's best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics). Access up-to-the-minute knowledge on all aspects of pain management, from general principles to specific management techniques, with contributions from renowned experts in the field. Read the full text and view all the images online at expertconsult.com. Understand and apply the latest developments in pain management with brand-new chapters covering disability assessment, central post-stroke pain, widespread chronic pain, and burn pain. Effectively ease your patients' pain with today's best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics).
All disease begins in the gut. —HIPPOCRATES, The Father of Medicine) ARE YOU ONE OF 45 MILLION AMERICANS SUFFERING WITH A TRIAD OF DIGESTIVE SYMPTOMS? • Abdominal pain/discomfort, • Abdominal bloating, distention/enlargement, flatulence, and/or noisy sounds, and • Bowel dysfunction (constipation, diarrhea, or both) DO YOU HAVE ONE OR MORE OF THE DIAGNOSES IN THE BOOK SUBTITLE? DO YOU ALSO SUFFER WITH OTHER SYMPTOMS? • Sleep disturbance • Chronic pain • Anxiety • Depression • Low energy/fatigue and/or • Brain fog The gut isn't like Las Vegas. What happens in the gut doesn't stay in the gut. —ALESSIO FASANO, renowned Harvard pediatric gastroenterologist DO YOU WANT TO BE HEALTHY? For those who consult with medical professionals, diagnosis of irritable bowel syndrome (IBS) is usually made in the absence of “red flag” concerning features. Treatment is unsatisfactory, quality of life usually impaired, ability to function and work often compromised, and unnecessary health care utilization and costs result. IMPORTANTLY, INITIAL DIAGNOSIS OF IBS IS A MISTAKE, BECAUSE EFFECTIVE TREATMENT DEPENDS UPON ACCURATE DIAGNOSIS! IBS is a Disorder of Gut-Brain Interaction, which can be treated. The problem isn't "all in the head," a psychosomatic disorder, or directly caused by stress. However, there are 6 other common and specifically treatable causes that either mimic IBS or occur with it. These can be identified with blood, stool, and breath testing. Colonoscopy usually isn't necessary! THERE ARE THREE REALITIES MOST PEOPLE AND DOCTORS DON'T UNDERSTAND: • Impaired function or dysfunction of gut-brain interaction has a lot to do with the cause of chronic GI disorders. • The resident microbes (gut microbiome) are very important for both gut and whole health. • We’re all in an epidemic of chronic illness and disease. A root cause, operating at the microscopic cellular level, links them. BOTH PATIENTS AND MEDICAL PROFESSIONALS ARE FRUSTRATED AND DISSATISFIED. Integrative gastroenterologist WILLIAM B. SALT II, MD, takes you on a journey where you’ll learn how fire in the gut leads to fire in the body. He’ll show you how to put out the fire, heal, and discover whole health. You’re on Fire includes nearly 250 illustrations prepared by Dr Salt.
Six million people in the United States meet the criteria for fibromyalgia, which is a disorder characterized by a combination of pain, fatigue, and related symptoms. On average, these patients see about four doctors before they are correctly diagnosed, and many are convinced they have a life-threatening illness such as an advanced stage of cancer. About $600 billion is spent annually in the United States to diagnose or manage chronic pain, including litigation fees, and it is estimated that fibromyalgia patients run up $20 billion in medical expenses annually. Despite these alarming numbers, there is a lack of understanding and a dearth of reliable information about fibromyalgia for patients. This fully updated edition of Making Sense of Fibromyalgia distills complex concepts and symptoms into an easily understandable narrative. Daniel J. Wallace, a leading rheumatologist at Cedars-Sinai Medical Center, and Janice Brock Wallace, an expert medical writer, have updated the original classic resource, which has sold over 100,000 copies since 1999. Making Sense of Fibromyalgia provides clear answers to common questions, explains findings from the latest research, and discusses treatment options for complex symptoms. Detailed information is provided about topics such as who gets fibromyalgia and why; how stress, hormones, and your immune system interact and relate to fibromyalgia; what conditions are associated with it; why and how you might be misdiagnosed; how to overcome fibromyalgia; and how to understand your prognosis. The authors share all there is to know about the syndrome as well as how our understanding of it has changed over time. This comprehensive companion covers the entire spectrum of issues for those suffering from fibromyalgia, as well as their families, friends, caretakers, primary care physicians, and other health professionals.
In this revised edition of his popular handbook, Dr. McIlwain offers his proven seven-step treatment program that includes the very latest in medications and specific exercises to reduce deep muscle pain, to increase strength and energy, and to alleviate stress and anxiety. 10 line drawings.
Integrative Rheumatology offers a new and much-needed perspective in disease and symptom management, blending conventional medicine with alternative approaches not typically included in a Western medical practice. While conventional treatments can provide considerable symptomatic relief and can even slow the progression of many rheumatologic conditions, integrative treatment incorporating lifestyle interventions, mind-body approaches, and practices such as acupuncture and meditation into conventional medical therapies can improve quality of life, reduce medication dosages, and are generally better tolerated. In this book, researchers and clinicians highlight specific gaps in conventional rheumatologic care and examine how alternative approaches may be ideally suited to address these missed opportunities. Here, the authors introduce topics not typically addressed in conventional rheumatology texts, including nutritional therapies, exercise, herbal medicine, mind/body approaches, Ayurveda, and energy medicine. The contributors, all of whom have a background in academic medicine, share the approaches that they have found most effective in their own practices, basing their work on the best scientific evidence available. Ultimately, an understanding of complementary and alternative approaches to healing can help clinicians care for their patients using the best proven therapies to modify disease progress and relieve pain and disability.
The Groundbreaking Guide Every Woman Needs With The V Book, women will learn everything they need to know about the basics of vulvovaginal—or “V”–health, an essential yet often overlooked area of women’s health. Dr. Elizabeth G. Stewart, the nation’s foremost expert in vulvovaginal care and sexual-pain disorders, answers the questions about the all too common “V” ailments that women are embarrassed to discuss even with their doctors. Drawing upon the latest medical research and two decades of experience treating thousands of women in her specialized gynecological practice, Dr. Stewart has compiled a wealth of information and advice. This comprehensive and authoritative guide for women of all ages includes: • How your vulvovaginal concerns change throughout the life cycle, from your teens through menopause and beyond • How to pick a good gynecologist, and how to ask the right questions • Dos and don’ts of V hygiene—and why sometimes less is better • The safest use of tampons, pads, and pantiliners • How to handle common symptoms, such as redness, itching, dryness, and discharge • Which medical tests you should insist upon from your doctor • Tips for safe and pleasurable sex, and what to do when sexual intercourse is painful • The latest research on vulvodynia, the vaginal pain syndrome that won’t go away • Diagnosing and treating yeast infections, allergies, and other ailments • What to do if your doctor detects cancer or precancer cells And much, much more...
Six million people in the United States meet the criteria for fibromyalgia, which is a disorder characterized by a combination of pain, fatigue, and related symptoms. On average, these patients see about four doctors before they are correctly diagnosed, and many are convinced they have a life-threatening illness such as an advanced stage of cancer. About $600 billion is spent annually in the United States to diagnose or manage chronic pain, including litigation fees, and it is estimated that fibromyalgia patients run up $20 billion in medical expenses annually. Despite these alarming numbers, there is a lack of understanding and a dearth of reliable information about fibromyalgia for patients. This fully updated edition of Making Sense of Fibromyalgia distills complex concepts and symptoms into an easily understandable narrative. Daniel J. Wallace, a leading rheumatologist at Cedars-Sinai Medical Center, and Janice Brock Wallace, an expert medical writer, have updated the original classic resource, which has sold over 100,000 copies since 1999. Making Sense of Fibromyalgia provides clear answers to common questions, explains findings from the latest research, and discusses treatment options for complex symptoms. Detailed information is provided about topics such as who gets fibromyalgia and why; how stress, hormones, and your immune system interact and relate to fibromyalgia; what conditions are associated with it; why and how you might be misdiagnosed; how to overcome fibromyalgia; and how to understand your prognosis. The authors share all there is to know about the syndrome as well as how our understanding of it has changed over time. This comprehensive companion covers the entire spectrum of issues for those suffering from fibromyalgia, as well as their families, friends, caretakers, primary care physicians, and other health professionals.
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