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Navigating Life with Chronic Pain provides accessible, comprehensive, and up-to-date information about the challenges patients, family members, and caregivers face when confronted by chronic pain, showing that no two pain experiences are the same. The authors expertly guide the reader through current approaches, to diagnoses including a review of diagnostic tests, and discuss a comprehensive, integrated approach to chronic pain treatment. Through the use of patient stories, you get real-world experiences and advice on navigating the day-to-day challenges, associated with chronic pain like exercising and nutrition, using non-opioid drugs, deciding when surgery is the best option, how to maintain intimacy with a partner, and how to manage caregiver burnout.
Table des matières
- Table of Contents
- 1.Understanding Chronic Pain
- How the Brain Interprets Pain
- How the Brain Modifies Pain
- What is the Difference between Acute and Chronic Pain, and Why Does It Matter?
- Will My Chronic Pain Improve?
- You Are Not Alone
- 2. Different Types of Chronic Pain
- The Nervous System
- What is Nerve Pain?
- Arthritis Pain
- Myofascial Pain
- Fibromyalgia
- Back Pain
- Headaches
- 3. What You Might Expect During a Doctor's Appointment
- Why Do I Need to Complete All of These Forms?
- Talking with Your Doctor About Chronic Pain
- Diagnostic Tests That Your Doctor May Request
- Injections
- 4. Taking Control of Your Life
- Inactivity
- Loss of Flexibility
- Exercise as a Prescription
- Other Problems Caused by Immobility
- Making the Most of Things
- Feeling Better
- The Unseen Enemy: Depression, Anxiety, PTSD, Sleep Disturbances
- 5. Behavioral Approaches
- What is the Biopsychosocial Model of Pain?
- The Pain Experience
- Cognitive Behavioral Therapy
- Meditation and Mindfulness
- Acceptance and Commitment Therapy
- Hypnosis
- Exercise
- Biofeedback
- 6. Lifestyle Modifications
- What is the Role of Exercise and Nutrition?
- What are Complementary and Alternative (CAM) Treatments?
- What are Orthotic and Assistive Devices?
- What are Environmental Modifications?
- 7. Non-opioid Pain Medications
- Medications - Why They Don't Always Work and How to Use Them Safely
- Commonly Prescribed Pain Medications and Common Side Effects
- Acetaminophen, Nonsteroidal Anti-inflammatory Drugs (NSAIDs), Antidepressants, Antiepileptics, Muscle Relaxants
- Medical Marijuana
- 8. Opioid Pain Medications
- So Why Do Opioids Work for Pain?
- Why are Opioids So Controversial?
- Commonly Prescribed Opioid Medications: Indications and Common Side Effects
- Confusing Concepts: Dependence, Addiction, Withdrawal, Tolerance, and Hyperalgesia
- When to Call Your Doctor
- 9. Injections, Implants, and Surgery - Benefits and Limitations
- Why Spine Surgery May Not Fix the Pain Problem?
- Why Can't They Cut Out the Pain?
- Spinal Fusion Surgeries
- Other Surgical Limitations
- Why Can't I have an Injection?
- What Should I Expect from Interventional Procedures?
- What are the Risks of Injections?
- 10. Pain and Your Significant Others
- Social interactions and Communication
- Intimacy
- Caregiver Burnout
- Appendix: Practical Patient/Caregiver Aids
- Appendix: Resources List
A propos de l'auteur
Robert A. Lavin, MD, MS is Assistant Professor in Department of Neurology at the University of Maryland School of Medicine and Director of Chronic Pain Management at VA Maryland Health Care Services in Baltimore, MD.
Sara Clayton, PhD is the Director of Pain Psychology at VA Maryland Health Care Services at a member of the Department of Neurology at the Baltimore VAMC in Baltimore, MD.
Lindsay Zilliox, MD is part of the Department of Neurology at the University of Maryland School of Medicine in Baltimore, MD.
Résumé
Navigating Life with Chronic Pain provides accessible, comprehensive, and up-to-date information about the challenges patients, family, and caregivers face when confronted by chronic pain. No two pain experiences are the same, so your chronic pain depends on where you have pain, how long you have experienced pain, and how the pain symptoms developed. Everyone needs a customized approach because pain symptoms, other medical conditions, past pain experiences, beliefs about pain, environment, ability to cope with the pain, and financial and social support (like family, friends, and caregivers) are different for every person.
This book aims to provide clear and reliable information about chronic pain, including "what" (definition), "how" (pathophysiology), and "why" (etiology). The authors expertly guide the reader through current approaches to diagnoses, including a review of diagnostic tests, as well as a comprehensive, integrated approach to chronic pain treatment. They demystify the pain evaluation and explain why pain professionals might ask you for detailed and seemingly personal information. Through the use of patient stories, you get real-world experiences and advice on navigating the day-to-day challenges of chronic pain. You will learn how to take control of your chronic pain using a variety of tools, like behavioral, exercise and nutritional approaches, medications, alternative treatments (yoga and tai chi), and injections or surgery.