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Chronic pain is the leading cause of disability in the United States, affecting as many as 48 million people in this country alone. It can demoralize and depress both patient and family, especially when there is no effective pain control and no hope for relief. Improperly managed, chronic pain can lead to substance abuse (usually painkillers) and to acute psychological and emotional distress. Pain begets stress and stress begets pain in a wretched downward spiral. Silver reviews the causes and characteristics of chronic pain and explores its impact on individual family relationships and on the extended family, covering such issues as employment, parenting, childbearing and inheritance, and emotional health. Silver treats aspects of chronic pain not covered in a typical office visit: how men and women differ in their experience of chronic pain, the effect of chronic pain on a toddler's behavior or an older child's performance in school, the risks of dependence on and addiction to pain medications, and practical ways for relatives beyond the immediate family circle to offer help and support to the person in pain.

Chronic pain --- Persistent pain --- Diseases --- Pain --- Patients --- Family relationships

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Human medicine --- Kinderverlamming --- Syndroom (ziektebeeld) --- Chronische pijn --- Diagnose --- Postpoliomyelitis syndrome --- Poliomyelitis --- Muscular Disorders, Atrophic --- Neurodegenerative Diseases --- Nervous System Diseases --- Myelitis --- Central Nervous System Viral Diseases --- Spinal Cord Diseases --- Muscular Diseases --- Neuromuscular Diseases --- Enterovirus Infections --- Central Nervous System Infections --- Diseases --- Central Nervous System Diseases --- Musculoskeletal Diseases --- Picornaviridae Infections --- Virus Diseases --- RNA Virus Infections --- Postpoliomyelitis Syndrome --- Medicine --- Health & Biological Sciences --- Infectious Diseases --- Spinal Cord Disorders --- Myelopathy --- Myelopathies --- Spinal Cord Disease --- Spinal Cord Disorder --- Central Nervous System Viral Infections --- Infections, CNS, Viral --- Infections, Viral CNS --- Viral Infections, Central Nervous System --- CNS Viral Diseases --- Viral Diseases, Central Nervous System --- CNS Infection, Viral --- CNS Infections, Viral --- CNS Viral Disease --- Disease, CNS Viral --- Diseases, CNS Viral --- Infection, Viral CNS --- Viral CNS Infection --- Viral CNS Infections --- Viral Disease, CNS --- Viral Diseases, CNS --- Infectious Myelitis --- Inflammation, Spinal Cord --- Myelopathy, Inflammatory --- Spinal Cord Inflammation --- Subacute Necrotizing Myelitis --- Inflammations, Spinal Cord --- Inflammatory Myelopathies --- Inflammatory Myelopathy --- Myelitides --- Myelitides, Subacute Necrotizing --- Myelitis, Infectious --- Myelitis, Subacute Necrotizing --- Myelopathies, Inflammatory --- Necrotizing Myelitides, Subacute --- Necrotizing Myelitis, Subacute --- Spinal Cord Inflammations --- Subacute Necrotizing Myelitides --- Nervous System Disorders --- Neurological Disorders --- Neurologic Disorders --- Disease, Nervous System --- Diseases, Nervous System --- Disorder, Nervous System --- Disorder, Neurologic --- Disorder, Neurological --- Disorders, Nervous System --- Disorders, Neurologic --- Disorders, Neurological --- Nervous System Disease --- Nervous System Disorder --- Neurologic Disorder --- Neurological Disorder --- Neurology --- Degenerative Diseases, Central Nervous System --- Degenerative Diseases, Neurologic --- Degenerative Diseases, Spinal Cord --- Degenerative Neurologic Diseases --- Degenerative Neurologic Disorders --- Nervous System Degenerative Diseases --- Neurodegenerative Disorders --- Neurologic Degenerative Conditions --- Neurologic Degenerative Diseases --- Neurologic Diseases, Degenerative --- Degenerative Diseases, Nervous System --- Degenerative Condition, Neurologic --- Degenerative Conditions, Neurologic --- Degenerative Neurologic Disease --- Degenerative Neurologic Disorder --- Neurodegenerative Disease --- Neurodegenerative Disorder --- Neurologic Degenerative Condition --- Neurologic Degenerative Disease --- Neurologic Disease, Degenerative --- Neurologic Disorder, Degenerative --- Neurologic Disorders, Degenerative --- Atrophic Muscular Disorders --- Spinopontine Atrophy --- Atrophy, Disuse --- Atrophy, Spinopontine --- Atrophic Muscular Disorder --- Atrophies, Disuse --- Atrophies, Spinopontine --- Disorder, Atrophic Muscular --- Disorders, Atrophic Muscular --- Disuse Atrophies --- Disuse Atrophy --- Muscular Disorder, Atrophic --- Spinopontine Atrophies --- Muscular Atrophy --- Encephalitis, Polio --- Epidemic Acute Poliomyelitis --- Polio Encephalitis --- Poliomyelitis Infection --- Poliomyelitis, Acute --- Infantile Paralysis --- Polio --- Poliomyelitis, Nonpoliovirus --- Poliomyelitis, Preparalytic --- Acute Poliomyelitis --- Acute Poliomyelitis, Epidemic --- Infection, Poliomyelitis --- Infections, Poliomyelitis --- Nonpoliovirus Poliomyelitis --- Paralysis, Infantile --- Poliomyelitides, Preparalytic --- Poliomyelitis Infections --- Poliomyelitis, Epidemic Acute --- Polios --- Preparalytic Poliomyelitis --- Post-polio syndrome --- Postpolio syndrome --- Postpoliomyelitis muscular atrophy --- Muscular atrophy --- Syndromes --- Post-Poliomyelitis Muscular Atrophy --- Muscular Atrophy, Postpoliomyelitis --- Post-Polio Syndrome --- Post-Poliomyelitis Syndrome --- Postpoliomyelitis Muscular Atrophy --- Muscular Atrophies, Post-Poliomyelitis --- Muscular Atrophies, Postpoliomyelitis --- Muscular Atrophy, Post-Poliomyelitis --- Post Poliomyelitis Muscular Atrophy --- Post Poliomyelitis Syndrome --- Post-Polio Syndromes --- Post-Poliomyelitis Muscular Atrophies --- Postpoliomyelitis Muscular Atrophies --- Infections, RNA Virus --- Infection, RNA Virus --- RNA Virus Infection --- Virus Infection, RNA --- Virus Infections, RNA --- Viral Diseases --- Viral Infections --- Virus Infections --- Disease, Viral --- Disease, Virus --- Diseases, Viral --- Diseases, Virus --- Infection, Viral --- Infection, Virus --- Infections, Viral --- Infections, Virus --- Viral Disease --- Viral Infection --- Virus Disease --- Virus Infection --- Infections, Picornaviridae --- Infections, Picornavirus --- Picornavirus Infections --- Infection, Picornaviridae --- Infection, Picornavirus --- Picornaviridae Infection --- Picornavirus Infection --- Orthopedic Disorders --- Musculoskeletal Disease --- Orthopedic Disorder --- CNS Diseases --- Central Nervous System Disorders --- CNS Disease --- Central Nervous System Disease --- Central Nervous System Disorder --- Central Nervous System Infection --- Infections, Central Nervous System --- CNS Infections --- CNS Infection --- Infection, CNS --- Infections, CNS --- Infections, Enterovirus --- Enterovirus Infection --- Infection, Enterovirus --- Cramp-Fasciculation Syndrome --- Fasciculation-Cramp Syndrome, Benign --- Foley-Denny-Brown Syndrome --- Oppenheim's Disease --- Amyotonia Congenita --- Oppenheim Disease --- Benign Fasciculation-Cramp Syndrome --- Benign Fasciculation-Cramp Syndromes --- Cramp Fasciculation Syndrome --- Cramp-Fasciculation Syndromes --- Fasciculation Cramp Syndrome, Benign --- Fasciculation-Cramp Syndromes, Benign --- Foley Denny Brown Syndrome --- Neuromuscular Disease --- Oppenheims Disease --- Syndrome, Cramp-Fasciculation --- Syndrome, Foley-Denny-Brown --- Syndromes, Cramp-Fasciculation --- Myopathic Conditions --- Muscle Disorders --- Myopathies --- Muscle Disorder --- Muscular Disease --- Myopathic Condition --- Myopathy --- Complications

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Many survivors of the polio epidemic of the first half of the 20th century are now experiencing a recurrence of symptoms, known as postpolio syndrome (PPS). This book, written by leaders in the field, describes the features of this disorder and its diagnosis, evaluation, management, and rehabilitation. It reviews the problems specific to people with PPS, primarily fatigue, muscle weakness, and chronic pain, and addresses the whole person through chapters on psychosocial issues, aging and prevention of secondary disability, and assistive devices to help with activities of daily living. Current evidence-based guidelines for specific rehabilitation therapies, such as exercise therapy, aquatic therapy, and energy conservation measures, are covered.

Human medicine