ISBN : 9780199837205
Out of 315 million Americans, 100 million live in chronic pain. And yet the press has paid more attention to the abuses of pain medications than the astoundingly widespread condition they are intended to treat. Sufferers face unending discomfort or even agony. When chronic pain is inadequately treated, it undermines the body and mind from within, even inducing many to commit suicide. Far more than just a symptom, writes author Judy Foreman, chronic pain is a disease in its own right - the biggest health problem facing America today. In A Nation in Pain, Foreman offers a sweeping, deeply researched account of the chronic pain crisis, from neurobiology to public policy, and presents to practical solutions that are within our grasp today. Drawing on both her personal experience with chronic pain and her background as an award-winning health journalist, she guides us through recent scientific discoveries, including genetic susceptibility to pain; gender disparities in pain conditions and treatments, perhaps linked linked to estrogen; the problem of undertreated pain in children; the emerging role of the immune system in pain; advances in traditional treatments such as surgery and drugs; and fair-minded assessments of the effectiveness of alternative remedies, including marijuana, acupuncture, massage, and chiropractic care. The real magic bullet, Foreman writes, is exercise. Though many patients fear it will increase their discomfort, studies show it consistently produces improvement, often dramatic. She also explores the destructive "opioid wars," which have led to a misguided demonization of prescription painkillers. Foreman presents a far-reaching but sensible plan of action, ranging from enhancing pain education in medical schools to reforms of federal policies across the board. For doctors, scientists, policy makers, and especially patients, A Nation in Pain is essential reading.
1. The Enormity of the Problem
2. What Is Pain, Anyway?
3. The Genetics of Pain
4. Gender and Pain
5. Children in Pain
6. The Mind-Body in Pain
7. Opioid Wars - Part I
8. Opioid Wars - Part II - Proposed Solutions
9. How the Immune System Cranks Up Pain
10. Marijuana - The Weed America Loves to Hate
11. Beyond Opioids - Western Medicine
12. Beyond Opioids - Complementary and Alternative Medicine
13. Exercise - The Real Magic Bullet
14. The Way Forward