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Pain in the Burn Rehabilitation Patient

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Comprehensive Pain Management in the Rehabilitation Patient

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Abstract

Burn injury results in painful disruption of the body’s outermost protective tissue barrier, which can lead to alterations in local perfusion, systemic metabolism, temperature regulation, and immune competence, along with increased risk for numerous painful and debilitating musculoskeletal and neurologic complications. Pain associated with burn spans from the moment of injury to beyond wound healing and is exacerbated during rehabilitation by exercise and regular wound care that also provoke anxiety. Pain consists of both nociceptive and neuropathic contributions and is significantly compounded by psychological influences, requiring management that integrates diverse approaches. This chapter provides a broad overview of the clinical treatment options for managing pain in the burn rehabilitation patient. Pharmacologic treatments and early measures, rehabilitation, psychological and psychiatric management, and interventions and surgery are presented along with potential treatment complications. Current developments in burn pain management are discussed. Recommendations are evidence-based and are a practical resource for the rehabilitation practitioner.

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Recommended Reading

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  • Schneider JC, Yin AX. Burns. In: Frontera WR, Silver JK, Rizzo Jr TD, editors. Essentials of physical medicine and rehabilitation. 3rd ed. Philadelphia: Saunders; 2015.

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, 300 First Avenue, Charlestown, MA, 02129, USA

    Peter I-Kung Wu M.D., Ph.D. & Andrew Joyce M.D.

  2. Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital Boston, Harvard Medical School, 300 1st Avenue, Charlestown, MA, 02129, USA

    Jeffrey C. Schneider M.D. (Assistant Professor of Physical Medicine and Rehabilitation)

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  1. Peter I-Kung Wu M.D., Ph.D.
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  2. Andrew Joyce M.D.
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  3. Jeffrey C. Schneider M.D.
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Correspondence to Peter I-Kung Wu M.D., Ph.D. .

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Editors and Affiliations

  1. Department of Neurosurgery, Brown University, Warren Alpert Medical School, Providence, USA

    Alexios Carayannopoulos DO, MPH

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Wu, P.IK., Joyce, A., Schneider, J.C. (2017). Pain in the Burn Rehabilitation Patient. In: Carayannopoulos DO, MPH, A. (eds) Comprehensive Pain Management in the Rehabilitation Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-16784-8_13

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  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16783-1

  • Online ISBN: 978-3-319-16784-8

  • eBook Packages: MedicineMedicine (R0)

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