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Primum non nocere... Qu'un acte chirurgical puisse laisser une trace douloureuse jette une ombre sur cet adage censé fonder la pratique médicale et ancrer son éthique première... Il est d'autant plus surprenant que la médecine ne s'intéresse à cette situation douloureuse chronique paradoxale que depuis quelques années seulement. Mettre en lumière les connaissances acquises dans ce domaine devenait d'autant plus urgent auprès de tout soignant confronté aujourd'hui à une requête légitime des patients : pourquoi et comment un acte chirurgical, attendu comme salvateur, peut-il laisser une cicatrice in

Chronic pain. --- Persistent pain --- Diseases --- Pain

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Headache and Chronic Pain Syndromes provides a case-based approach to state-of-the-art evaluation and treatment of patients with common chronically painful conditions. Offering strategies for rapidly evaluating and treating pain complaints by body region, this innovative title also provides patient educational handouts that explain the diagnosis and treatment in easy-to-understand language for each condition. Tools for implementing both medication and non-medication therapies, such as exercises and relaxation techniques, are also included. Each chapter opens with typical presentations of three to five common patient scenarios, including pediatric, adult, and geriatric patients. A targeted approach for patient assessment is provided and applied to each scenario, showing how to rapidly identify important clues to distinguish among common diagnoses, including both benign and malignant causes of pain. Standard treatment regimens are then provided for each patient, along with patient-friendly educational flyers for each common pain condition. Figures and drawings help provide ready identification of these common chronic pain syndromes. Headache and Chronic Pain Syndromes offers primary care practitioners, neurologists, and orthopedists an optimal approach to the evaluation, treatment, and follow-up of chronically painful conditions.

Headache --- Chronic pain --- Persistent pain --- Diseases --- Pain --- Head pain --- Head --- Pain Medicine. --- Medicine --- Algiatry --- Pain medicine.

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"Rate your pain on a scale of one to ten. What about on a scale of spicy to citrus? Is it more like a lava lamp or a mosaic? Pain, though a universal element of human experience, is dimly understood and sometimes barely managed. Pain Woman Takes Your Keys, and Other Essays from a Nervous System is a collection of literary and experimental essays about living with chronic pain. Sonya Huber moves away from a linear narrative to step through the doorway into pain itself, into that strange, unbounded reality. Although the essays are personal in nature, this collection is not a record of the author's specific condition but an exploration that transcends pain's airless and constraining world and focuses on its edges from wild and widely ranging angles."--

Chronic pain. --- LITERARY COLLECTIONS / Essays. --- HEALTH & FITNESS / Physical Impairments. --- Persistent pain --- Diseases --- Pain

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"With Lous Heshusius as a guide, pain patients can learn much about the perils of a modern health-care odyssey. Health professionals can learn how an articulate middle-class female white patient thinks (with all that thinking entails) when her world is irreversibly altered by pain. She does not promise happy endings. Chronic pain is like that. From the rare intersection in this text between patient narrative and physician response, however, readers may construct a dialogue on pain in our time that cannot fail to bring plentiful opportunities for personal insight and professional enlightenment."-from the Foreword by David B. Morris Chronic pain, which affects 70 million people in the United States alone-more than diabetes, cancer, and heart disease combined-is a major public health issue that remains poorly understood both within the health care system and by those closest to the people it afflicts. This book examines the experience of pain in ways that could significantly improve how patients and practitioners deal with pain. It is the first volume of a new collection of titles within the acclaimed Culture and Politics of Health Care Work series called How Patients Think, intended to give voice to the concerns of patients about their own medical care and the formulation of health policy. Since surviving a near-fatal car accident, Lous Heshusius has suffered from chronic pain for more than a decade, forcing her to give up her career as a professor of education. Inside Chronic Pain, based in part on the pain journal Heshusius keeps, is a stunning memoir of a life lived in constant pain as well as an insightful and often critical account of the inadequacies of the health care system-from physicians to hospitals and health insurance companies-to understand chronic pain and treat those who suffer from it. Through her own frequently frustrating experiences, she shows how health care providers often ignore, deny, or incorrectly treat chronic pain at immense cost to both the patient and the health care system. She also offers cogent suggestions on improving the quality and outcome of chronic pain care and management, using her encounters with exceptional medical professionals as models. Inside Chronic Pain deals with pain's dramatic and destructive effects on one's sense of self and identity. It chronicles the chaos that takes place, the paralyzing effect of severe pain, the changes in personality that ensue, and the corrosive effects of severe pain on the ability to attend to day-to-day tasks. It describes how one's social life falls apart and isolation takes over. It also relates moments of happiness and beauty and describes how rooting the self in the present is crucial in managing pain. A unique feature of Inside Chronic Pain is the clinical commentary by Dr. Scott M. Fishman, president of the American Pain Foundation. Fishman has long tried to improve the lives of patients like Heshusius. His medical perspective on her very human narrative will help physicians and other clinicians better understand and treat patients with chronic pain.

Pain --- Chronic pain --- Chronic pain. --- Aches --- Emotions --- Pleasure --- Senses and sensation --- Symptoms --- Analgesia --- Suffering --- Persistent pain --- Diseases --- therapy --- psychology --- Treatment.

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Out of 238 million American adults, 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. Ethically, the failure to manage pain better is tantamount to torture. When chronic pain is inadequately treated, it undermines the body and mind. Indeed, the risk of suicide for people in chronic pain is twice that of other people. Far more than just a symptom, writes author Judy Foreman, chronic pain can be a disease in its own right -- the biggest health problem facing America

Chronic pain --- Opioid abuse --- Pain --- Opioid addiction --- Opioid habit --- Drug abuse --- Persistent pain --- Diseases --- Treatment --- History. --- Alternative treatment.