Integrative Pain Management

Robert A. Bonakdar and Andrew W. Sukiennik

Weil Integrative Medicine Library

Optimizes a pain practioner's understanding of integrative medicine as it applies to pain management
Covers emerging areas in pain management including: Central Sensitization Syndrome, Central Pain, Neuropathic Pain and Thoracic Outlet Syndrome
Case management of common pain scenarios including: Arthritis, fibromyalgia, back pain, headache and facial pain, pediatric and procedural pain, cancer pain, rheumatological pain, geriatric pain, abdomincal pelvic pain and pain at the end of life
Chapters include the treatment of pain co-morbidities such as Sleep and Depression, Obesity Related Pain, and Pain and addiction
Provides access to additional online content that supplements some of the integrative interventions discussed
Endorsed by the American Academy of Pain Management

Supplementary Content Available on Oxford Medicine Online

Integrative Pain Management

Robert A. Bonakdar and Andrew W. Sukiennik

Weil Integrative Medicine Library

Description

Integrative Pain Management provides an overview of pain physiology, current conventional care options, an understanding of integrative medicine as it applies to pain management, the role of pain practitioners when working collaboratively, and the utilization of an expansive and patient-centered treatment model. This comprehensive guide written by experts in the field provides case examples of pain conditions, reviews common integrative treatments including physical therapy, behavioral strategies, and advanced procedures to maximize function and reduce pain, and extensive further reading resources. Part of the Weil Integrative Medicine Library, this volume offers clinicians treating pain innovative and patient-centered tools for approaching their most difficult cases to improve their approach and outcomes. The book provides access to additional online content that supplements some of the integrative interventions discussed including videos of tai chi in pain management, a demonstration of motivational interviewing as practitioner empowerment, and figures including the STarT Back Screening Tool (SBST) for spine care. Integrative medicine is defined as healing-oriented medicine that takes account of the whole person (body, mind, and spirit) as well as all aspects of lifestyle; it emphasizes the therapeutic relationship and makes use of appropriate therapies, both conventional and alternative. Series editor Andrew Weil, MD, is Professor and Director of the Arizona Center for Integrative Medicine at the University of Arizona. Dr. Weil's program was the first such academic program in the U.S., and its stated goal is "to combine the best ideas and practices of conventional and alternative medicine into cost effective treatments without embracing alternative practices uncritically."

Supplementary Content Available on Oxford Medicine Online

Integrative Pain Management

Robert A. Bonakdar and Andrew W. Sukiennik

Weil Integrative Medicine Library

I. Pain and Integrative Medicine: Impact and Considerations
1. Expanding Our Understanding and Treatment of Pain
2. Integrative Pain Management: Transforming the Paradigm of Care
3. Integrative Medicine: The Treatment of Choice for Pain Management
4. Policy Advocacy for Integrative Pain Management: Getting to Perfect Alignment
5. The Evolving Economics of Integrative Pain Management
II. Pain: Current Understanding and Treatment
6. Central Sensitization Syndrome: The Role of Microglia in Chronic Pain and Depression
7. Central Pain States: A Shift in Thinking About Chronic Pain
8. Contextual Mediators of Chronic Pain
9. Neuropathy and Thoracic Outlet Syndrome
10. Pain Physiology
11. Common Neural Blockade Procedures
III. Integrative Evaluation and Considerations
12. Chronic Pain: A Template for Biopsychosocial Assessment
13. Measuring Pain: An Overview of Assessment Tools
14. The Clinician as Intervention: Motivational Interviewing and Practitioner Empowerment
15. Sleep, Depression, and Psychological Co-morbidities in Pain Management
16. Obesity-Related Pain: Improving Pain Through Metabolic Health
17. Managing Chronic Non-cancer Pain in the Primary Care Setting
18. Self-care for Optimizing Pain Management: The Role of the Patient and Practitioner
19. Empowerment Group Visits as a Treatment for Chronic Pain
IV. Integrative Therapies and Systems for Pain Management
A. Diet and Biologically based therapies
20. Diet and Pain
21. Non-Herbal Dietary Supplement and Nutrients in Pain
22. Omega-3 Oils
23. Herbal Medicine
24. Hormones and Pain
25. A Regenerative Injection Therapies for Pain: Traditional, Platelet Rich Plasma and Biocellular Prolotherapy
B. Mind-body Therapies
26. Mindfulness-Based Stress Reduction and Chronic Pain
27. Biofeedback for Chronic Pain
28. Hypnosis for Chronic Pain
29. Guided Imagery: A Multi-Purpose Technique for Helping People in Pain
30. Yoga in Pain Management
31. Tai Chi in Pain Management: A Focus on Osteoarthritis
C. Manipulative and Physical Therapies
32. Exercise and Movement for Pain
33. Physical Therapy: Evaluation and Incorporation of Treatments
34. Electroanalgesia in Pain Management
35. Manual Medicine and Manipulative Techniques
D. Whole Systems Approach
36. Traditional Chinese Medicine and Acupuncture
37. Auricular Therapy
38. The Role of the Naturopathic Physician in Pain Management
39. An Ayurvedic Approach to Chronic Pain with Stress
40. Energy Medicine in Pain Management
V. Integrative Approaches to Condition Management
41. Integrative Case Management: The Importance of Collaboration and The Project Echo Example
42. Integrative Headache Management
43. Integrative Spine Care: A Pathway Approach for Optimizing Results
44. Facial Pain
45. Integrative Approaches to Chronic Abdominal Pain and IBS
46. Integrative Approaches to Fibromyalgia
47. Integrative Management of Rheumatoid Arthritis
48 Integrative Management of Myofascial Pain Syndrome
49. Chronic Pelvic Pain
50. Cancer Related Pain: An Overview
51. Integrative and Interdisciplinary Pain Management in the Military and VA
52. Integrative Approach to Pediatric Pain, Part 1: Procedural and Acute Pain in Children
53. Integrative Approach to Pediatric Pain, Part 2: Chronic Pediatric Pain
54. Pain, Addiction, and The Role of Primary Care as the Center of Treatment
55. Pain in the Older Adult
56. An Integrative Approach to Pain at the End of Life

Supplementary Content Available on Oxford Medicine Online

Integrative Pain Management

Robert A. Bonakdar and Andrew W. Sukiennik

Weil Integrative Medicine Library

Author Information

Robert A. Bonakdar, Director of Pain Management, Scripps Center for Integrative Medicine, Assistant Clinical Professor, University of California, San Diego School of Medicine, Department of Family Medicine and Public Health, La Jolla, California, USA, and Andrew W. Sukiennik, Assistant Professor of Anesthesiology and Pain Medicine, Tufts Medical School, Winchester Hospital, Boston, Massachusetts, USA

Robert Bonakdar is the Director of Pain Management at the Scripps Center for Integrative Medicine in La Jolla, California and an Assistant Clinical Professor at the University of California, San Diego School of Medicine. Andrew W. Sukiennik is an Assistant Professor of Anesthesiology at Tufts Medical School and Winchester Hospital in Boston, Massachusetts.

Contributors:

Donna D. Alderman, DO
Medical Director
Hemwall Center for Orthopedic Regenerative Medicine
Valencia, California

Jordan Backstrom, MDiv, MA
Massachusetts School of Professional Psychology
Tufts University School of Dental Medicine
Medford, Massachusetts

Robin Beltran, PhD, BCIAC
Adjunct Clinical Faculty
California School of Professional Psychology
Alliant International University
San Diego, California

David E. Bresler, PhD, LAc, Dipl.Ac(NCCAOM), Dipl.AAPM
Founder and Former Executive Director, UCLA Pain Control Unit
Former Associate Clinical Professor of Anesthesiology, Gnathology & Occlusion, and Psychology
UCLA Schools of Medicine, Dentistry, and the UCLA College of Letters and Sciences
Former White House Commissioner on Complementary & Alternative Medicine Policy
Executive Director, The Bresler Center
Los Angeles, California
President, Academy for Guided Imagery
Malibu, California

James M. Cahill, BCB
Board Certified Biofeedback Therapist
Scripps Center for Integrative Medicine
La Jolla, California

Phillip C. Calder, BSc(Hons), PhD, DPhil, RNutr, FSB, FAfN
Professor of Nutritional Immunology
University of Southampton
Southampton General Hospital
Southampton, United Kingdom

Karen E. Cardon, MD
Director, Co-occurring Disorders Clinic
New Mexico Veterans Affairs Health Care System
Albuquerque, New Mexico

Lynette Cederquist, MD
Clinical Professor of Medicine
Division of General Internal Medicine
University of California, San Diego School of Medicine
La Jolla, California

Ann Marie Chiasson, MD, MPH
Clinical Assistant Professor of Medicine
Arizona Center for Integrative Medicine
University of Arizona
Tucson, Arizona

Paul J. Christo, MD, MBA
Associate Professor of Pain Medicine
Director, Multidisciplinary Pain Fellowship Program
Department of Anesthesiology and Critical Care Medicine
The Johns Hopkins University School of Medicine
Baltimore, Maryland

George D. Comerci Jr., MD, FACP
Professor of Internal Medicine
Pain Consultation and Treatment Clinic
Co-director, Project ECHO Chronic Pain and Headache Clinic
University of New Mexico
Albuquerque, New Mexico

Mark Connelly, PhD
Developmental and Behavioral Sciences and Integrative Pain Management
Children's Mercy Hospitals and Clinics
Kansas City, Missouri

Nancy Cotter, MD, FAAPMR, FABIHM, FACN
Lead Physician, Integrative Medicine
VA New Jersey Healthcare
Associate Clinical Professor of Physical Medicine and Rehabilitiation
Rutgers University
New Brunswick, New Jersey

Sarah Dalhoumi, MD, MS, RYT
Integrative Fellow
Scripps Center for Integrative Medicine
La Jolla, California

Shuchi Dhadwal, BDS, DMD
Assistant Professor and Director
The Craniofacial Pain, Headache and Sleep Center
Tufts University School of Dental Medicine
Medford, Massachusetts

Lenore Duensing, MEd
Executive Director
American Academy of Pain Management
Sonora, California

Daniel Duhigg, DO, MBA
Medical Director, ECHO Access, Project ECHO
Director, Addiction Psychiatry Fellowship
Director, Behavioral Health Division, Pain Consultation and Treatment Clinic
Assistant Professor of Psychiatry
Adjunct Assistant Professor of Neurology
University of New Mexico

Albuquerque, New Mexico
Kevin T. Galloway
Colonel, Nurse Corps
United States Army
Chief of Staff, U.S. Army Pain Management Task Force
Washington, DC

Jeffrey Geller, MD
Director of Integrative Medicine and Group Programs
Greater Lawrence Family Health Center
Lawrence, Massachusetts

Richard E. Harris, PhD
Assistant Professor of Anesthesiology
University of Michigan
Ann Arbor, Michigan

Cynthia M.A. Geppert, MD, MA, PhD., MPH, MSBE, FAPM, DAAPM, DABAM, DABPM
Chief Consultation Psychiatry and Ethics
New Mexico Veterans Affairs Health Care System
Professor of Psychiatry
Director of Ethics Education
University of New Mexico School of Medicine
Albuquerque, New Mexico

Richard Gevirtz, PhD, BCIAC
Distinguished Professor of Psychology
California School of Professional Psychology
Alliant International University
San Diego, California

Erica Healey, MA, LMHC
Massachusetts School of Professional Psychology
Unity Point Health
Allen Hospital
Boston, Massachusetts

Bettina Herbert, MD, FAAPMR
Clinical Instructor
Department of Rehabilitation Medicine
Department of Emergency Medicine
Jefferson-Myrna Brind Center of Integrative Medicine
Jeffersn Medical College
Jefferson University Hospital
Philadelphia, Pennsylvania

Greg Hobelmann, MD, MPH
Department of Anesthesiology and Critical Care Medicine
The Johns Hopkins University School of Medicine
Baltimore, Maryland

Marcia J. Howton, MD
Medical Director of Anesthesia Care Consultants
Affiliate Faculty in the Department of Psychiatr
University of Nevada
Reno, Nevada
Associate Faculty in the Division of Pain Medicine
University of California, Davis
Davis, California

Anita Hunt Hickey
Captain, Medical Corps
United States Navy
Department Head, Pain Medicine and Integrative Medicine
Navy Pain Management Consultant, Area Pacific
Department of Anesthesiology
Naval Hospital
Okinawa, Japan

Vanessa Jackson, PT, DPT, TPI-CGMP III
Isis Physical Therapy
San Diego, CA

Mark P. Jensen, PhD
Professor and Vice Chair for Research
Department of Rehabilitation Medicine
University of Washington
Seattle, Washington

Gary Kaplan, DO
Medical Director
Kaplan Center for Integrative Medicine
Clinical Associate Professor of Family Medicine
Georgetown University
Washington, DC

Joanna G. Katzman, MD, MSPH
Associate Professor of Neurosurgery
University of New Mexico School of Medicine
Director UNM Pain Center and Co-Director ECHO Pain
Albuquerque, New Mexico

David S. Kiefer, MD
Clinical Assistant Professor of Family Medicine
University of Wisconsin
Madison, Wisconsin

Ian Koebner, MSc, MAOM, LAc
Director of Integrative Pain Management
Department of Anesthesiology and Pain Medicine
University of California, Davis School of Medicine
Sacramento, California

Ronald J. Kulich, PhD
Professor, Craniofacial Pain Center
Tufts University School of Dental Medicine
Lecturer, Department of Anesthesia, Critical Care and Pain Medicine
Massachusetts General Hospital
Harvard Medical School
Boston, Massachusetts

Michael Kurisu, DO, ABIHM
Clinical Director, UC San Diego Center for Integrative Medicine
Director, UC San Diego Center for Osteopathic Medicine
Department of Family and Preventive Medicine
UC San Diego Health System
San Diego, California

David C. Leopold, MD
Director, Integrative Medical Education
Scripps Center for Integrative Medicine
La Jolla, California

Tieraona Low Dog, MD
Director of the Integrative Medicine Fellowship
Clinical Associate Professor of Medicine
University of Arizona
Tucson, Arizona

Lance Luria, MD, FACP
Vice President and Cheif Medical Officer
Mercy Health System
Springfield, Missouri

Victoria Maizes, MD
Executive Director
Arizona Center for Integrative Medicine
Professor of Clinical Medicine, Family Medicine, and Public Health
University of Arizona
Tucson, Arizona

Nisha J. Manek, MD, FACP, FRCP
Chair, Kingman Rheumatology
Kingman Regional Medical Center
Kingman, Arizona

Kevin B. Mathews, MD, FAAFP
Medical Director, Palliative Care and Integrative Medicine
Regional Cancer Center
Utica, New York

Ashwin Mehta, MD
Assistant Professor of Clinical Medicine
Medical Director of Integrative Medicine
University of Miami Health System
Miami, Florida

M. Elena Mendoza, PhD
Senior Fellow
Department of Rehabilitation Medicine
University of Washington
Seattle, Washington

Wadie I. Najm, MD, MEd, FAAFP
Clincial Professor of Family Medicine
University of California, Irvine
Irvine, California

Terry Oleson, PhD
President, Auriculotherapy Certification Institute (ACI)
Los Angeles, California

Kevin Pansky PT, DPT, TPI-CGFP III
Isis Physical Therapy
San Diego, CA

Valencia Porter, MD, MPH
Director of Integrative Medicine
Chopra Center for Wellbeing
Carlsbad, California
Duren Michael Ready, MD FAHS
Director, Headache Clinic
Scott & White Healthcare
Temple, Texas

Robert Rhode, PhD
Clinical Associate Professor of Applied Behavioral Health Policy
College of Public Programs
Arizona State University
Tucson, Arizona

Steven J. Scrivani, DDS, DMedSc
Director, Oral and Maxillofacial Pain Center
Director, Orofacial Pain Residency Program
Department of Oral and Maxillofacial Surgery
Massachusetts General Hospital
Boston, Massachusetts

Brian M. Shelley, MD
Director, Chronic Pain Clinic
First Choice Community Healthcare
Clinical Associate Professor of Family and Community Medicine
Research Assistant Professor of Psychology
Faculty, Project ECHO Chronic Pain and Headache Clinic
University of New Mexico
Albuquerque, New Mexico

Victor S. Sierpina, MD
Professor of Family Medicine
W.D. and Laura Nell Nicholson Family Professor in Integrative Medicine
University of Texas Medical Branch
Galveston, Texas

Egilius L. H. Spierings, MD, PhD
Associate Clinical Professor of Neurology
Brigham & Women's Hospital
Harvard Medical School
Associate Clinical Professor of Craniofacial Pain
The Craniofacial Pain, Headache and Sleep Center
Tufts University School of Dental Medicine
Director, Headache & Face Pain Program
Tufts Medical Center
Boston, Massachusetts

Forest Tennant, MD, PhD
Veract Intractable Pain Clinic
West Covina, California

Zhiling Trowbridge, MD
Greater Lawrence Family Health Center
Lawrence, Massachusetts

Hong Truong, MD
Greater Lawrence Family Health Center
Lawrence, Massachusetts

Robert Twillman, PhD, FAPM
Deputy Executive Director
Director of Policy and Advocacy
American Academy of Pain Management
Clinical Associate Professor
Department of Psychiatry and Behavioral Sciences
University of Kansas School of Medicine
Kansas City, Kansas

Harshiv Vyas, BDS, MDS
Resident, Department of Oral and Maxillofacial Surgery
Tufts University School of Dental Medicine
Tufts Medical Center
Medford, Massachusetts

Shu-Ming Wang, MD
Clinical Professor of Anesthesia and Perioperative Health
University of California- Irvine Medical School
Irvine, California
Department of Anesthesia
University of Connecticut School of Medicine
Storrs, Connecticut

Joy A. Weydert, MD
Department of Pediatrics and Integrative Medicine
University of Kansas Medical Center
Kansas City, Kansas

Lucy Whyte Ferguson, DC
Faculty of University of New Mexico Pain Center
Project ECHO Pain and Headache Clinic
Albuquerque, New Mexico

Chill C. Yee, MD
Sutter Davis Hospital
Roseville, California

Supplementary Content Available on Oxford Medicine Online

Integrative Pain Management

Robert A. Bonakdar and Andrew W. Sukiennik

Weil Integrative Medicine Library

Reviews and Awards

Featured in BookAuthority's list of the 39 Best Pain Management Books of All Time

"Featured on Doody's Core Titles List for 2018"

"This comprehensive book is a milestone not only in [Dr. Sukiennik's] personal journey but also for the field [of integrative pain medicine] at large. It brings the intellectual imprimatur of Oxford University Press to the field of integrative medicine, that is rapidly adopting current standards of evidence-based practice. This volume, with contributions from many of [Dr. Sukiennik's] clinical colleagues at Tufts together with other national and international authorities, is a comprehensive source of up-to-the-minute information on all important modalities now employed in the practice of integrative pain medicine." - Daniel B. Carr, MD, DABPM, FFPMANZCA (Hon) Professor of Public Health and Community Medicine Professor of Anesthesiology and Medicine Founding Director, Program on Pain Research, Education and Policy Tufts University School of Medicine Boston, Massachusetts

"...[This book] challenges current care provision worldwide and offers solutions transferable to any service, wherever the location may be." - Christin Bird, The Australian Pain Society