HOW TO ORGANIZE OPERATIONS OF A PAIN CENTER: PROBLEMS, SOLUTIONS, RECOMMENDATIONS

HOW TO ORGANIZE OPERATIONS OF A PAIN CENTER: Problems, Solutions, Recommendations


ISBN  978-0-9834963-3-5

Scientific organization of clinical work in a Pain Center encompasses all the difficulties and contradictions that came to exist in the path of the modern theory of chronic pain. For this reason, issues related to the organization and success of pain clinics became incredibly entangled, where the ability to resolve them emerged only due to the latest research in the field of clinical pain medicine.

The discovery made in Russia of the dual (neural- and tissue-driven) nature of the pain syndrome shed light on solving the problem of organizing and successfully operating a Pain Center. It allows to employ the principles of scientific organization of labor in serving patients with chronic pain. This publication is intended for a wide audience of doctors, physicians, and those involved in the practical organization of a public health system.

 About the authors

            Dr. Yuri F. Kamenev is a well known pain specialist, who has been working in the field of pain medicine for more than 30 years. A Doctor of Medical Science (1990) and the author of more than 180 scientific publications and several monographs, he has been nominated six times by leading medical institutions of Moscow and St. Petersburg to receive the State Science and Technology Prize for scientific achievements in various fields of clinical medicine. Dr. Kamenev worked for many years (since 1977) at the N.N. Priorov Central Institute of Traumatology and Orthopedics (Moscow, Russia), where he headed a research laboratory and department, organized and directed operations of the Pain Center.

Dr. Kamenev’s main works are dedicated to clinical bioenergetics, using “the effect of ultra-low doses” for medical purposes, surgery of the foot and pelvis, study of people’s vulnerability with the use of personal armors. Attributed to the author is the discovery of a fundamental law in pain medicine – tissue determinants of the mechanisms of the origin and elimination of the pain syndrome (pain law of Y. Kamenev). Based on this discovery, the author created the world’s first “Clinical Alphabet of Pain”, which allows to interpret correctly the nature of chronic pain and to treat it successfully. This becomes possible with the restoration of the dual (neural- and tissue-based) nature of the mechanisms of chronic pain.

At present, together with the co-author of the discovery V.V. Kamenev, the author is working on the development of new technologies for elimination of pain in traumatology and orthopedics. They will be uncovered in the upcoming series “Medicine of Pain” which includes four books: “Mechanisms of Chronic Pain: Clinical Aspects”, “Reference Book of Clinical Pain Medicine”,  “Foundations of Clinical Treatment of Chronic Pain”, and “Resources of Pain Medicine in Traumatology and Orthopedics”.

TABLE OF CONTENTS 

FOREWORD

CHAPTER 1.  CENTER FOR OUTPATIENT CARE OF PATIENTS WITH CHRONIC PAIN: organizational issues

1.1. The distinctive specificity of the pain phenomenon: what’s critical?

1.2. Pain Center personnel

1.3. Pain Center organizational and technical structure

1.4. Organization of operations

1.5. Experience of other countries: Pain Center in Israel

CHAPTER 2.  TACTICS AND STRATEGY FOR TREATMENT OF CHRONIC PAIN SYNDROMES (using the example of orthopedic pathology)

CHAPTER 3. HOW DOES THE MUTATION OF PAIN MECHANISMS OCCUR WITH MOST COMMON DISEASES?

3.1. Formation of pain in osteoarthritis of knee and hip joints

3.2. Formation of pain in degenerative disease of the spine

3.3. Formation of pain in scoliosis

3.4. Formation of pain in diseases of the foot

3.5. Mutation of pain mechanisms in the area of the face and the head: facial vegetative neuralgia

3.6. Disruption of the nervous regulation of the internal organs

CHAPTER 4.  ON THE PSYCHOGENIC IMITATION OF PAIN SYNDROMES

CHAPTER 5.  ISOLATION OF OF PAIN MEDICINE INTO A SEPARATE BRANCH OF CLINICAL PRACTICE

5.1. Institute of clinical pain therapy

CONCLUSION

REFERENCES


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