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.
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