Private Pain

Dr. Elaine Brown Spencers courageous new book breaks the silence and tackles issues in the church weve let ride too long. In a poignant view of church happenings, the book emphasizes that everything in the church is not what it seems. The church is filled with broken people, victims of trauma and unresolved issues that have put a clog in the church engine. The one place a person can find relief from their pain has sadly become a Sunday-morning soap opera where we cannot wait to hear the outcome of a persons indiscretion. The private pain that pew members experience is real, unspoken and devastating. The time has come to break the silence and do real talk, about what we all know is going on. Private Pain in Public Pews says it all this book is a must read that gives remedy, hope and insight that is sure to give you a new perspective on church and life itself.

Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Pain Medicine approaches the management of common chronic pain conditions using a unique interdisciplinary approach focusing on multiple facets of patients' clinical presentations. The comprehensive discussions in each chapter are centered on a vignette that mimics a fairly typical case presentation. In addition to detailed classical descriptions of the epidemiology, pathophysiology, prognosis, and confounding psychosocial factors of each disease entity, the text provides various interdisciplinary management approaches. The case-based approach illustrates key clinical points and demonstrates how practitioners from a variety of disciplines can work together to deliver optimal patient care. The ACGME criteria for fellowship training in Pain Medicine calls for an interdisciplinary approach, with required training and exposure to the fields of Anesthesiology, Neurology, Psychiatry, and Physical Medicine & Rehabilitation. As this trend is occurring in private pain clinics and practices as well as in academic institutions, there is a need for a volume which integrates the approaches of the various disciplines into a coherent whole to guide clinicians and trainees in the interdisciplinary management of pain. With each chapter authored by respected experts in the key specialties involved with pain management, Pain Medicine is a highly applicable clinical reference for practitioners, an excellent anchor text for fellows and residents in training, and a thorough review for initial board certification as well as maintenance of certification exams.

"This book is a 'must have' resource in every physician/clinician practice setting."--Martin Grabois, M.D., Professor of PM&R, Baylor College of Medicine, Houston,TX. Dr. Vasudevan draws upon an accumulated reservoir of clinical expertise to provide readers with an up-to-date and highly readable guide to multidisciplinary pain management. . . . If only this book was available years ago"--Francis J. Keefe, PhD. Professor of Psychology, Psychiatry and Anesthesiology, Duke University, Durham, NC. This practical volume brings multidisciplinary innovations to the treatment of chronic pain. It argues expertly for the benefits of a biopsychosocial approach over current pain treatments more suited to acute care. The author's insights into the complexity of chronic pain and critiques of common but inconsistent unimodality pain management methods underscore the need for targeted multi-disciplinary pain programs. Among a wealth of useful clinical nuggets, readers will find guidance on adding "virtual" support to a pain management team, details on ways patients can take an active role in dealing with their chronic pain, and the original concept of the "back attack." Included in the coverage: Pain theories and factors behind chronic pain—its application in treatment. Cognitive behavioral coping strategies. Treatments that have questionable or controversial evidence. Evaluation of disability in patients with chronic pain. Creating a virtual multidisciplinary team. Common pain problems: low back pain, complex regional pain syndrome, myofascial pain syndrome, fibromyalgia. Multidisciplinary Pain Management will enhance the work of diverse practitioners, including health and clinical psychologists, family and other primary care physicians, psychiatrists, occupational and physical therapists, and rehabilitation specialists.

A pain relief expert provides a gentle workout to relax and release tight muscles and help you move through the world more comfortably. Unlearn the psychic and physical responses to stress that cause discomfort—in less than 15 minutes a day! These safe, easy, natural movements will relax and release chronically tight muscles, resulting in a more efficient, coordinated, and pain-free body. Discover a gentle workout that can be done anywhere, anytime—at any age. Includes: Movements to help ease pain in your back, neck, hips, and other areas Facts on how the brain interacts with your musculoskeletal system Tips on developing body awareness and changing bad posture habits Photos illustrating postures and exercises and more “This book shows us how to regain the ease and freedom of movement of our youth.” —C. William Hanson III, MD, Professor of Critical Care, University of Pennsylvania