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Chronic Pain in Dogs
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Chronic Pain in Dogs



Authors: Ruano Puente, Belén
Release date: 2017
Pages: 128
Binding:
Dimensions: 17 x 24

ISBN: 9788417225049



The management of chronic pain in companion animals is an area in which there is a significant therapeutic void. In many cases professionals are unaware of the appropriate approach to manage chronic pain, despite the wide range of pharmacological, surgical and physical therapeutic options that act directly on the pain pathways. Recent discoveries in the area of pain pathways have opened many avenues for the management of chronic pain. The goal of this book is to present this new knowledge in the context of the small animal clinic.



Table of contents


1. What is chronic pain?

  Introduction

  Nociception

  Transmission

    Anatomy of nerve pathways

  Transduction: neurotransmitters involved in chronic pain

    Cellular metabolic mechanisms of chronic pain

  Perception and classification of chronic pain

  Pain modulation process

    Spinal control

    Supraspinal control

    Cortical control

  Pain chronification


2. Diagnosis of chronic pain syndrome

  Introduction

  Stress

  Behavioural changes in states of continuous pain

  Diagnostic approach for a patient with pain

    Detailed anamnesis

    Physical examination

    Blood test

      Orientative analytical parameters

    Complementary diagnostic techniques

      Thermography

      Techniques for assessing neurophysiological function

    Pain scales used in animals


3. Treatment of chronic pain

  Introduction

  Pharmacological therapy

    Anti-inflammatories

      Nonsteroidal anti-inflammatory drugs

      Corticosteroids

    Opioids

      Mechanism of action of opioids

      Routes of opioid administration

      Opioids used in veterinary medicine

    Antidepressants

      Tricyclic antidepressants

      Selective serotonin reuptake inhibitors

      Selective serotonin–noradrenaline reuptake inhibitors

    Anticonvulsants

    Amantadine

    Growth factors

    Local anaesthetics

      Routes of administration

      Most commonly used drugs

    ¥á-adrenergic receptor agonists

      Medetomidine

      Dexmedetomidine

    Cannabinoids

    Capsaicin

    Ketamine

      Routes of administration

    Experimental drugs


4. Types of chronic pain

  Introduction

  Visceral pain

    Chronic pancreatitis

    Chronic renal failure

      Uraemic polyneuropathy

      Osteoarthritis: joint pain

  Pain due to cancer

    Analgesic drugs in oncology

      Anti-inflammatories: NSAIDs and corticosteroids

      Analgesics

      Local anaesthetics

      Antiemetics

      Anticonvulsants

      NMDA receptor antagonists

      Bisphosphonates

      Other drugs

  Geriatric pain

    Analgesic drugs in geriatric patients

  Diabetic neuropathy

    Treatment of diabetic neuropathy

  Joint pain

    Treatment of joint pain

      Joint stress stage

      Bone inflammation phase

      Bone reorganisation stage

      Degenerative stage

  Radicular pain

    Treatment of radicular pain

      Corticosteroids

      Opioids

      Muscle relaxants

      NSAIDs

      Local anaesthetics

      Neurolytic agents

      Adjuvant analgesics

      Other therapies


5. Interventional therapies

  Introduction

  Ablative techniques

    Peripheral neurectomy

    Rhizolysis

    Facet rhizolysis

    Cordotomy

    Dorsal root entry zone (DREZ) lesion

  Decompression techniques

    Discolysis

  Neuromodulatory techniques

    Neurostimulation

    Spinal infusion

  Electrotherapy

    Transcutaneous electrical neurostimulation (TENS)

    Interferential currents

    Ultrasound

    Shockwave therapy

    Diathermy

    Neuromuscular therapy


6. Functional recovery of a painful limb. Case descriptions

  Introduction

  Case 1 Shiba. Golden Retriever, aged 14 years

  Case 2 Terry. A mixed breed, 30-kg dog with leishmaniasis

  Case 3 Pepa. Yorkshire Terrier, aged 5 years

  Case 4 Admiral. Labrador, aged 2 years

  Case 5 Terry. Golden Retriever, aged 10 years

  Case 6 Miko. Dachshund, aged 6 years



The author


Belén Ruano Puente


Degree in Veterinary Medicine specialising in pain and rehabilitation. Member of the Spanish Pain Society (SED), the International Association for the Study of Pain (IASP), and the Madrid Association of Companion Animal Veterinary Medicine (AMVAC).

Head of the Pain and Rehabilitation Unit of the Pulso Animal Clinic (Manzanares el Real, Madrid). Pulso Animal is a group of professionals who, in their respective specialities and fields of expertise, seek to develop a method of treating animals with pain using an approach that considers all associated aspects and manifestations.


 
 
 
 
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