Titlebook: Sciatica and Chronic Pain; Past, Present and Fu Robert W. Baloh Book 2019 Springer International Publishing AG, part of Springer Nature 201

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Why Does Pain Persist in so Many Cases?, chronic pain than others. A subset of all patients who undergo surgery of any kind develop chronic pain with the lowest rate (5–30%) for simple procedures such as hernia repair and C-sections, an intermediate rate (30–60%) for chest and heart surgery and the highest rate (50–85%) for surgeries invo

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Treatment of Chronic Neuropathic Pain,le, anti-inflammatory COX inhibitors such as the NSAIDs are helpful for treating chronic sciatica associated with inflammation such as due to osteoarthritis. With chronic high doses, however, irritation and bleeding in the gastrointestinal tract are common. Toward the end of the twentieth century ph

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Some Final Thoughts,depending on where they are and what physician they see. Primary care physicians, including family practice and emergency room physicians, have largely become triage officers referring patients with sciatica to specialists for management. If you are referred to a neurologist you will likely be given

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Introduction,Boiling an egg for breakfast could result in a third degree burn. Or you could fall asleep with your leg hanging over the side of a recliner, block the circulation to your leg, and without the normal warning pain, you could lose the leg.

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Why Does Pain Persist in so Many Cases?,lving major nerves such as surgery for sciatica. Between 25% and 50% of patients who develop acute sciatica will go on to develop chronic sciatica whether or not they have surgery. Why is there such a wide variation in whether or not a person develops chronic pain?

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Promising New Treatments for Chronic Pain,otential targets for the development of new drugs. It is not the goal of this chapter to provide a complete list of potential new drugs for treating chronic pain but rather to provide examples of the process of new drug development and of several promising new drugs.

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What Causes Sciatica?,f the joint fluid. From what we know today, this seasonal occurrence was probably due to injuries from increased physical activities such as farming and athletic events common at that time of the year.

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