Table of Contents

Contributors ix

Preface xiii

Section 1: Introduction and Anatomy, Physiology, and Pathophysiology of Pain 1

1 Introduction: Pain: An Issue of Animal Welfare 3
Alice Crook

2 Anatomy, Physiology, and Pathophysiology of Pain 9
Yael Shilo and Peter J. Pascoe

3 Mechanisms of Cancer Pain 29
Cholawat Pacharinsak and Alvin J. Beitz

Section 2: Pharmacology of Analgesic Drugs 39

4 Opioids 41
Tanya Duke-Novakovski

5 Nonsteroidal Anti-Inflammatory Drugs and Corticosteroids 69
Stuart Clark-Price

6 Local Anesthetics 85
Kip A. Lemke

7 α-2 Adrenoceptor Agonists 93
Reza Seddighi

8 Nontraditional Analgesic Agents 105
Lydia Love and Dave Thompson

9 Novel Methods of Analgesic Drug Delivery 115
Lesley J. Smith

10 Pharmacokinetic Principles for the Design of Intravenous Infusions 125
Bruno H. Pypendop

Section 3: Nonpharmacological Pain Therapy 131

11 Canine Rehabilitation 133
Lowri Davies

12 Equine Rehabilitation 147
Lowri Davies

13 Custom External Coaptation as a Pain Management Tool: Veterinary Orthotics and Prosthetics 155
Martin W. Kaufmann and Patrice M. Mich

14 Myofascial Pain Syndrome in Dogs 161
Rick Wall

15 Traditional Chinese Herbal Medicine and Homeopathy in Pain Management 171
Lynelle Graham, Mona Boudreaux, and Steve Marsden

16 Mechanisms of Acupuncture Analgesia 177
Shauna Cantwell

17 Equine Acupuncture 183
Arthur I. Ortenburger

18 Canine Chiropractic and Pain Management 189
Robin Downing

19 Equine Chiropractic 195
Henry S. Adair

Section: 4 Management of Pain in Veterinary Species 199

20 Recognition and Assessment of Acute Pain in the Dog 201
Kate L. White

21 Treatment of Acute Pain in the Dog 209
Kate L. White

22 Recognition and Assessment of Chronic Pain in Dogs 227
Anna Hielm-Bjorkman

23 Treatment of Chronic Pain in Dogs 239
Anna Hielm-Bjorkman

24 The Recognition and Assessment of Pain in Cats 269
Kersti Seksel

25 Treatment of Acute Pain in Cats 275
Jacob A. Johnson

26 Treatment and Assessment of Chronic Pain in Cats 289
Bonnie Wright and Jessica K. Rychel

27 Cancer-associated Pain and its Management 299
Lydia Love and Lisa DiBernardi

28 Recognition and Treatment of Pain in the Small Animal Critical Care Patient 311
Jane Quandt

29 Recognition and Assessment of Pain in Horses 317
Emma Love

30 Treatment of Acute and Chronic Pain in Horses 323
Bernd Driessen and Laura Zarucco

31 Recognition and Assessment of Pain in Ruminants 349
Kevin J. Stafford

32 Treatment of Acute and Chronic Pain in Ruminants 359
Alexander Valverde

33 Recognition and Treatment of Pain in Camelids 373
Tamara Grubb

34 Recognition and Treatment of Pain in Pet Pigs 383
Kristie Mozzachio and Valarie V. Tynes

35 Recognition and Assessment of Pain in Small Exotic Mammals 391
Lesa Thompson

36 Treatment of Pain in Small Exotic Mammals 399
Cheryl B. Greenacre

37 Recognition and Treatment of Pain in Birds 407
Karen L. Machin

38 Recognition and Treatment of Pain in Reptiles, Amphibians, and Fish 417
Lysa Pam Posner and Sathya K. Chinnadurai

Section 5: Incorporating Pain Management into Your Practice and Hospice and Palliative Care 425

39 Integrating Pain Management into Veterinary Practice 427
Robin Downing

40 Pain Management in Hospice and Palliative Care 431
Keri Jones

Index 437                                                                  

About the Author

Christine M. Egger, DVM, MVSc, CVH, CVA,Diplomate ACVAA, is a Professor of Anesthesiology and PainManagement at the University of Tennessee in Knoxville, Tennessee,USA. Lydia Love, DVM, Diplomate ACVAA, practices anesthesiaand pain management at Animal Emergency and Referral Associates inFairfield, New Jersey, USA. Tom Doherty, MVB, MSc, Diplomate ACVAA, is a Professor ofAnesthesiology at the University of Tennessee in Knoxville,Tennessee, USA.

Reviews

The information in this book is more extensive anddiverse than that found in other currently available books. Itfills a much-needed void in a rapidly expanding area of veterinarymedicine. (Doody s, 3 October 2014) " The veterinary profession has begun to make painmanagement a priority is the opening line to the chapter Integrating pain management into veterinary practice ,and I couldn t agree more. The publication of a textbookdedicated to all aspects of pain management presented in an easilyaccessible format will be an excellent addition to anypractice s library. (VeterinaryRecord, 16 August 2014) It is practical, well-illustrated, and gives informationon analgesia in a variety of species. (VetsToday, 1 August 2014) Overall, the text is well written; the chapters arelogically organized, and information is easily accessible. The book is reasonably priced and will be an excellent addition toany veterinarian s library and very useful to veterinarystudents and technicians as well. (Journal of theAmerican Veterinary Medical Association, 15 June 2014) Benefitting from the contribution of more than 40international expert authors, this excellent book provides a hugeamount of up to date, evidence-based theoretical and practicalinformation on pain management in veterinary practice and shoulddefinitely find its place on the bookshelf of all practitionersinterested in better understanding and treating pain in theirpatients (aren t we all??). (European Journalof Companion Animal Practice, 1 July 2014) The result is a fine survey highly recommended for anyworking with animals. (Midwest Book Review, 1June 2014) Pain Management in Veterinary Practice is a reference forveterinary offices and practitioners and considers the physiologyand pathophysiology of all kinds of animal pain, from large toexotic species. Expect more from this than an overview of painmedications and their administration and management: chapters covertechniques for complimentary treatments from acupuncture to massageand physical therapy, consider nutrition's role in pain management,and provide specific advice for specific kinds of pain. The resultis a veterinary handbook recommended for anypractitioner. (Midwest Book Review, 1 April2014)