Clinics in podiatric medicine and surgery
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This article reinforces the clinical points of emphasis that have been stressed throughout this issue in a case scenario format. Common situations dealt with by physicians are examined to highlight the underlying physiology of the specific complaints and treatment interventions. The goal of this article is to present an evidenced-based review of pain management interventions in a format that allows for reader incorporation.
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The goal of this article is to provide an introductory look into current concepts regarding chronic regional pain syndrome. Great advances have been made over the last 15 years, but we are far from a complete understanding of this disorder. This article places great emphasis on early clinical recognition and treatment intervention.
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Multidisciplinary pain management clinics provide the standard of care for the diagnosis, evaluation, and treatment of patients who have chronic pain. Primary care physicians are encouraged to maintain an active role in the care of patients after referral to these pain centers, often for long-term opiate therapy or complex regional pain syndrome. Insights into the role of pain management clinics after referral are discussed in this article.
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The podiatric physician often encounters complex painful neuropathies in daily practice. Diabetic neuropathy is one form of chronic neuropathic pain dealt with on a regular basis. The goal of this article is to review the pathophysiology, diagnosis, and treatment options of this complaint. Medical and surgical interventions are discussed, with a clinical emphasis on patient selection and prevention.
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Clin Podiatr Med Surg · Jul 2008
ReviewLower extremity regional anesthesia with the low sciatic nerve block.
Regional anesthesia with local anesthetics is an important component of the perioperative pain management algorithm in the context of lower extremity orthopedic surgery. These techniques have proved to be consistent and effective in minimizing postoperative pain and narcotic usage, and in reducing the morbidity associated with lower extremity surgery. The mechanisms of local anesthetic agents as they relate to acute surgical pain are reviewed in this article, with an emphasis on the low sciatic nerve block. Administration techniques and the clinical experience of the author with this blockade are discussed.