JOINT AND OTHER TYPES OF PAIN IN DEFORMING ARTHROSIS

Joint and Other Types of Pain in Deforming Arthrosis



ISBN  978-0-9834963-7-3

The need to eliminate non-joint sources of pain, as an essential component of pain management for patients with deforming arthrosis, has only been understood in recent years. To establish this important direction in the rehabilitation of arthrosis patients in clinical practice more rapidly, the author presents previously untapped pain-relief therapy resources in a form accessible to the general reader. Issues relating to pain are closely tied to other important aspects of this problem.

The principles of the individualized approach to slowing the course of the disease in an affected joint are presented, and the role of natural factors in maintaining prolonged remission of the disease is clarified. Answers to patients' frequently-asked questions will be found at the end of the book to help the reader better understand the problem of pain.
The book is intended for physicians of all specialties. It will be also of useful to patients who are interested in obtaining the correct understanding of the nature of their disease and conservative treatment methods that have become available with the recent discovery of a fundamental law in pain medicine.

The principles of the individualized approach to slowing the course of the disease in an affected joint are presented, and the role of natural factors in maintaining prolonged remission of the disease is clarified. Answers to patients' frequently-asked questions will be found at the end of the book to help the reader better understand the problem of pain.

The book is intended for physicians of all specialties. It will be also of useful to patients who are interested in obtaining the correct understanding of the nature of their disease and conservative treatment methods that have become available with the recent discovery of a fundamental law in pain medicine.

Features:

    Discovery of patterns in the formation of pain events both within and without the damaged joint. Three launch mechanisms have been identified that participate in the formation of pain syndromes arising in the given disorder: the joint mechanism in the form of the damaged synovial membrane, and two extrasynovial mechanisms - muscle imbalance in extremities and osteoreflexive disruptions.

    Specially developed and highly effective methods of pain therapy that account for the specifics of the morphological substrate of pain, the reversibility of changes in tissues within the afflicted area and the severity of functional disruptions in the damaged limb.

    An examination of the principles governing an individualized approach to the stabilization of pathological processes within the damaged joint by means of conservative treatment. At the foundation of the individualized approach lie a division of methods of conservative therapy according to degree of their effect on joint cartilage, and the application of such methods according to the level of compensation for intrasynovial changes.

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 series “Medicine of Pain” which includes the following books:

          “Mechanisms of Chronic Pain: Clinical Aspects”

          “Reference Book of Clinical Pain Medicine”

          “Foundations of Clinical Treatment of Chronic Pain”

          “Resources of Pain Medicine in Traumatology and Orthopedics”

          "Lumbar Pain in Osteochondrosis (Disk Degeneration) of the Spine"

          "Sore Neck in Osteochondrosis (Disk Degeneration) of the Spine"

TABLE OF CONTENTS

INTRODUCTION

CHAPTER 1.  PAIN IN DEFORMING ARTHROSIS – WHAT IS IT?

Synovial (Arthrogenic) Pain

Extrasynovial Pain Sources

Key to Pain Paradoxes

Resolving the Chord of Pain

CHAPTER 2.  THIS HAD TO HAPPEN SOMETIME!  TREATMENT OF EXTRASYNOVIAL PAIN AS AN ESSENTIAL COMPONENT OF PAIN THERAPY FOR PATIENTS SUFFERING FROM DEFORMING ARTHROSIS

Periosteal and endosteal (medullary) pain

Myofascial Pain

Fasciocapsular Pain

Retrospective glance at the resources of pain-relief therapy

CHAPTER 3.  IS THERE A WAY TO SLOW THE COURSE OF THE DISEASE? INDIVIDUALIZED APPROACH TO STABILIZING INTRASYNOVIAL CHANGES

Conditions for achieving prolonged remission for the various types of course of deforming arthrosis

Evaluation of effectiveness of rehabilitative remedies for the local therapy of deforming arthrosis

The individual approach to stabilization of intra-articular changes by conservative remedies

Tactical treatment options for arthrogenic pain

Practical Recommendations

Conclusions

CHAPTER 4.  MINERAL BATHS AND CLIMATIC PROCEDURES IN THE TREATMENT OF DEFORMING ARTHROSIS

CHAPTER 5.  ANSWERS TO PATIENTS' FREQUENTLY-ASKED QUESTIONS…

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