Practical Pain Management for the Lower Extremity Surgeon

This long-awaited textbook addresses the treatment and management of complex lower extremity pain, which can prove difficult to treat, given the demands of human ambulation. Lower extremity pain is oftentimes under-treated but can be obviated in many cases by improving the delivery of effective care. To fill a notable void in the field of pain management, Dr. Barrett and his co-authors assess and provide insight on the most current ideas, concepts, and techniques that the lower extremity surgeon, or practitioner, may integrate into their practice. Clinical acumen and knowledge can be extremely empowering to the provider and, as the reader will discover, the expertise imparted throughout this text will prove to be indispensable in improving patient care and outcomes.

Stephen L. Barrett, DPM is board certified in foot and ankle surgery and wound management. He earned his undergraduate degree (cum laude) from the University of Utah and his doctorate (cum laude) at the William M. Scholl College of Podiatric Medicine in Chicago. Dr. Barrett completed his residency at the Medical Arts/Danforth Hospital in Houston, followed by a post-doctoral MBA from Texas Tech University in Lubbock. He has trained thousands of surgeons throughout the world on techniques he invented and developed.

I. Foundational Concepts of Pain Management

1. Introduction - Stephen L. Barrett, DPM

2. What is Normal Pain?—Normal Pain Mechanisms - Stephen L. Barrett, DPM

3. The Science of Neuropathy - Andrew J. Rader, DPM

4. Clinical Recognition and Management of Centralized Pain - Forest Tennant, MD, DrPH

5. Hormones in Pain Management - Forest Tennant, MD, DrPH

6. Neuromas - Stephen L. Barrett, DPM

7. Pain and the Keratinocyte - Stephen L. Barrett, DPM

8. Insomnia and Pain - Stephen L. Barrett, DPM and Forest Tennant, MD, DrPH

9. Chronic Pain and Depression - Cynthia Cornell, MSN-FNP-C

 

II. Evaluation of Pain

10. Practical Neurologic Examination and Understanding the Performance of Diagnostic Nerve Blocks - Stephen L. Barrett, DPM

11. Pain and Pre Surgical Screening - Stephen L. Barrett, DPM

12. The EMG Test. What is it? Who does it? And what can it add to your practice? - Joe F. Jabre, MD

13. Neurosensory Testing with Pressure-Specified Sensory DeviceÔ (PSSD) in the Foot - A. Lee Dellon, MD, PhD

14. Confirmation of Nerve Entrapment with Diagnostic Ultrasound - John Tassone

15. The Diagnosis and Treatment of Peripheral Nerve Entrapments: a New Paradigm - Karen E. Anderson, DPM

16. Epidermal Nerve Fiber Density Biopsy - Susan Doherty and Stephen L. Barrett, DPM

 

III. Interventional Concepts for Pain

17. Pharmacologic Perioperative Pain Management. Managing Acute Pain in the Face of Chronic Pain - Angela Huskey, PharmD, CPE and Jennifer M. Strickland, PharmD, BCPS

18. Management of Complex Heel Pain - Stephen L. Barrett, DPM

19. Radiofrequency Ablation - Stephen L. Barrett, DPM

20. Pulsed Electromagnetic Energy and its Effect on Pain - Nicole J. Kubat, PhD and John Moffett, PhD

21. Morton’s Syndrome - Eduard Rabat, MD and Jordi Vega, MD

22. The Dorsal Root Ganglion as a Target in Spinal Cord Stimulation for the Treatment of Chronic, Post-Surgical Pain - Jeffery Kramer, PhD and Jeyakumar Subbaroyan, PhD

23. Complex Regional Pain Syndrome Treatment Therapies including Intravenous Ketamine Treatment - Cynthia Cornell, MSN-FNP-C

24. Biomechanical Etiology and Treatment of Tarsal Tunnel Syndrome - Michael E. Graham, DPM

 

IV. Surgical Intervention for Pain

25. Overview of Peripheral Nerve Decompression Surgery in the Lower Extremity - Stephen L. Barrett, DPM

26. Common Peroneal (Fibularis) Nerve Entrapment:  Diagnosis and Surgical Decompression - Stephen L. Barrett, DPM

27. Superficial Peroneal (Fibularis) Nerve Decompression - Stephen L. Barrett, DPM

28. Deep Peroneal (Fibularis) Nerve Decompression - Stephen L. Barrett, DPM

29. Tarsal Tunnel Surgery - Stephen L. Barrett, DPM

30. Management of Painful Neuroma by Nerve Grafting and Nerve Repair - Orlando Merced-O’Neill

31. Minimally Invasive Surgery for Reconstructive Foot Surgery - Mark E. Woolley, DPM

32. Surgical Treatment of CRPS of the Lower Extremity - A. Lee Dellon, MD, PhD

33. Local Anesthetics in the Surgical Setting - Stephen L. Barrett, DPM

 

Appendix A. Introduction to the Association of Extremity Nerve Surgeons (AENS) - Stephen L. Barrett, DPM