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Traumatic Pain

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Fundamentals of Pain Medicine

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Abstract

Chronic pain is one of the most prevalent symptomologies of patients in the United States, with nearly 100 million Americans afflicted by chronic pain. Furthermore, nearly one fifth of these patients trace the etiology of their chronic pain to a traumatic injury. Advancements in the access to and delivery of medical care in the trauma setting have led to an increase in survival of traumatic pain patients. This specific subset of patients contend with a unique variety of conditions, including complex regional pain syndrome, phantom limb pain, spinal cord injury, traumatic brain injury, and vertebral fractures. This chapter aims to examine the epidemiology and pathophysiology of the most common pain-related scenarios seen by healthcare providers in the trauma setting. In addition, this chapter will address multiple treatment modalities available to clinicians, which include analgesic therapies such as nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids, as well as interventional techniques via regional and neuraxial anesthesia.

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Author information

Authors and Affiliations

  1. Tulane University School of Medicine, New Orleans, LA, USA

    Martin J. Carney BS

  2. Department of Anesthesiology, Wake Forrest School of Medicine, Winston-Salem, NC, USA

    Austin L. Weiss MD

  3. Department of Surgery, Brigham and Women’s Hospital/Harvard Medical School, Boston, MA, USA

    Mark R. Jones MD

  4. Department of Anesthesiology, Hospital Director of Anesthesia, Department of Pharmacology, LSU School of Medicine T6M5, Tulane School of Medicine, 1542 Tulane Ave., Room 656, New Orleans, 70112, LA, USA

    Alan David Kaye MD, PhD, DABA, DABPM, DABIPP

Authors
  1. Martin J. Carney BS
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  2. Austin L. Weiss MD
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  3. Mark R. Jones MD
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  4. Alan David Kaye MD, PhD, DABA, DABPM, DABIPP
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Corresponding author

Correspondence to Alan David Kaye MD, PhD, DABA, DABPM, DABIPP .

Editor information

Editors and Affiliations

  1. Professor of Anesthesiology President-elect, American Academy of Pain Medicine, Director, Cleveland Clinic Multidisciplinary Pain Medicine Fellowship Program, Departments of Pain Management and Neurosciences, Cleveland Clinic Anesthesiology Institute and Lerner Research Institute, Cleveland, Ohio, USA

    Jianguo Cheng

  2. Chairman, Department Pain Management, Cleveland Clinic, Cleveland, Ohio, USA

    Richard W. Rosenquist

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Carney, M.J., Weiss, A.L., Jones, M.R., Kaye, A.D. (2018). Traumatic Pain. In: Cheng, J., Rosenquist, R. (eds) Fundamentals of Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-64922-1_14

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  • DOI: https://doi.org/10.1007/978-3-319-64922-1_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64920-7

  • Online ISBN: 978-3-319-64922-1

  • eBook Packages: MedicineMedicine (R0)

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