25 of 27 people found the following review helpful
A thorough and concise review of how pain is treated in America,
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This review is from: A Nation in Pain: Healing our Biggest Health Problem (Kindle Edition)
Ms Foreman, a pain sufferer, does an excellent job of detailing the problems of how pain is treated in America. She provides a biopsychosocial explanation of what pain is including the genetic, neurological, hormonal,immunological and psychological aspects of pain. She explains the experimental evidence for several treatments for pain including opioids, marijuana, anti-depressants, injection therapies,diets, supplements, exercise, electrotherapies, hypnosis, massage, acupuncture, reiki, Alexander technique,Rubenfeld synergy, biofeedback, exercise and pemf. This is where this book excels -and few books do as thorough and unbiased a review of pain treatments as this one. She discusses the politics of pain care and the lack of education and research on pain. She explains in detail the undertreatment and mistreatment of women and children in pain and the complexities of treating them. She includes some of the most current research and some new biomedical targets for pain.This would make an excellent text for graduate course in medical, psychology, physical therapy, chiropractic school.
This book falls very short, in my opinion, on offering a vision to improve pain care for she just calls for more of the same research that has failed pain sufferers in the past. As Helen Keller wrote: To see without a vision, is a terrible thing. In addition, she calls for the same people who have failed people in pain to somehow, take it seriously(Government and doctors) and she is slanted toward finding more biomedical treatments and education for pain-despite her showing evidence of inadequate effectiveness of biomedical treatments and biomedical research-and despite nowing doctors aren't interested in obtaining education in pain care. She could have called for adaptive interventions or new types of research-making use of big data or data mining biomedical or patient authored texts or improving public involvement in research on pain- or better public representation at NIH or on medical boards- but she failed to do that. Ms. Foreman, lets you see the problems with treating pain in America but fails to offer a vision to improve parlous pain care in America. I hope Ms. Foreman will consider working on a book that will explore visions to improve pain care.