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Atlas of Pain Management Injection Techniques.

Atlas of Pain Management Injection Techniques. Second Edition. Ed S. D. Waldman; Saunders Elsevier; Distributor: Elsevier, 30-52 Smidmore St, Marrickville, N.S.W. 2204; $310.00; 220x285 mm; pp. 597; ISBN: 978-1-4160-3855-9.

This is an Atlas of Pain Management Injection Techniques, a volume of clearly labelled, flat, coloured anatomical figures. CT, flouroscopic and MRI images are included where relevant. Photos of fresh anatomical dissections are honestly attributed to original sources. Trigger injection points are described for pain arising in over 144 areas of the head and neck, chest wall and trunk. There are three chapters each of which describe injections into painful areas of the upper and lower limbs.

It does not claim to be an atlas of regional anaesthesia techniques. For instance there are no details on retro- or peribulbar blocks for ophthalmic surgery. However, an intra-orbital nasociliary block is described for the treatment of "short lasting unilateral neuralgic pain with conjunctival tearing and /or infection ('SUNCT', the Charlin syndrome)".

Nor does it profess to be a pain management handbook. Consider temporomandibular myofascial pain, a complex entity which may or may not be accompanied by internal derangement of the temporomandibular joint. Reassurance, masticatory and neck muscle exercises, vapocoolant sprays, local anaesthetic injection of muscle trigger points, low doses of oral amitriptyline, diazepam, occlusal mouth splints and relaxation are all possible treatments. The text describes injection of the temporomandibular joint. Other treatments are briefly mentioned. Elimination of joint clicking sounds, as a goal of treatment, is not considered at all.

This book will assist the enthusiast, but cannot replace the major pain assessment and management texts.


Alderley, Queensland
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Author:Boyle, R.
Publication:Anaesthesia and Intensive Care
Article Type:Book review
Date:Dec 1, 2007
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