Understanding Chronic Pain Understanding Health and Sickness Series Miriam Bloom, Ph.D. General Editor Understanding Chronic Pain Angela J. Koestler, Ph.D. Ann Myers, M.D. University Press of Mississippi Jackson www.upress.state.ms.us Copyright©2002byUniversityPressofMississippi Allrightsreserved ManufacturedintheUnitedStatesofAmerica IllustrationsbyKarenWing 10 09 08 07 06 05 04 03 02 4 3 2 1 (cid:2)(cid:2) LibraryofCongressCataloging-in-PublicationData Koestler,AngelaJ. Understandingchronicpain/AngelaJ.Koestler,AnnMyers. p.cm.—(Understandinghealthandsicknessseries) Includesindex. ISBN1-57806-439-2(cloth:alk.paper)—ISBN 1-57806-440-6(paper:alk. paper) 1.Chronicpain—Popularworks.[DNLM: 1.Pain—therapy—Popular Works.2.ChronicDisease—therapy—PopularWorks.WL 704K78U 2002]I.Myers,Ann.II.Title.III.Series. RB127.K6452002 616'.0472—dc21 2002001017 BritishLibraryCataloging-in-PublicationDataavailable Pain—has an Element of Blank— It cannot recollect When it begun—or if there were A time when it was not— —EmilyDickinson This page intentionally left blank Contents Acknowledgments ix Introduction xi 1. What Is Chronic Pain? 1 2. What Causes Chronic Pain? 11 3. Seeking Relief 29 4. Taking Care of Yourself 59 5. Low Back Pain 69 6. Nerve Pain 88 7. Rheumatic Pain 98 8. Cancer Pain 111 9. Other Chronic Pain Conditions 119 10. The Search for Cures 128 Appendix 143 Glossary 151 Index 157 This page intentionally left blank Acknowledgments We are indebted to Dr. Lee Giffin and Dr. Sandra Burford, who are family medicine physicians, for taking time out of their busy schedules to review this manuscript and offer their valuable suggestions. We also extend thanks to the following individuals for their support and suggestions throughout the writing of this book: Annette Hitt, Dr. Rahul Vohra (medical director of Methodist Rehabilitation Center), Helen Wright, Dr. Robert Kores, Wanda King, Tammy Beard, Dr. Billye Bob Currie, Dr. Katherine Nordal, Dr. Ben Root, Dr. Elizabeth Henderson, Dr. Sharon Pugh, Dr. Pat Ainsworth, Dr. Ann Wheeless, Evelyn Knight Price, and our friends and families. And last, but most important, our thanks go out to the pa- tients we serve. This book is dedicated to the memory of Pauline O’Hara and Patricia Dickerson.
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