Download the free Kindle app and start reading Kindle books instantly on your smartphone, tablet, or computer - no Kindle device required. Learn more
Read instantly on your browser with Kindle for Web.
Using your mobile phone camera - scan the code below and download the Kindle app.
The Pain Chronicles: Cures, Myths, Mysteries, Prayers, Diaries, Brain Scans, Healing, and the Science of Suffering Hardcover – August 17, 2010
| Melanie Thernstrom (Author) Find all the books, read about the author, and more. See search results for this author |
| Price | New from | Used from |
|
Audible Audiobook, Unabridged
"Please retry" |
$0.00
| Free with your Audible trial | |
|
MP3 CD, Audiobook, MP3 Audio, Unabridged
"Please retry" | $24.99 | $5.25 |
Each of us will know physical pain in our lives, but none of us knows when it will come or how long it will stay. Today as much as 10 percent of the population of the United States suffers from chronic pain. It is more widespread, misdiagnosed, and undertreated than any major disease. While recent research has shown that pain produces pathological changes to the brain and spinal cord, many doctors and patients still labor under misguided cultural notions and outdated scientific dogmas that prevent proper treatment, to devastating effect.
In The Pain Chronicles, a singular and deeply humane work, Melanie Thernstrom traces conceptions of pain throughout the ages—from ancient Babylonian pain-banishing spells to modern brain imaging—to reveal the elusive, mysterious nature of pain itself. Interweaving first-person reflections on her own battle with chronic pain, incisive reportage from leading-edge pain clinics and medical research, and insights from a wide range of disciplines—science, history, religion, philosophy, anthropology, literature, and art—Thernstrom shows that when dealing with pain we are neither as advanced as we imagine nor as helpless as we may fear.
Both a personal meditation and an intellectual exploration, The Pain Chronicles illuminates and makes sense of the all-too-human experience of pain—and confronts with extraordinary grace and empathy its peculiar traits, its harrowing effects, and its various antidotes.
- Print length384 pages
- LanguageEnglish
- PublisherFarrar, Straus and Giroux
- Publication dateAugust 17, 2010
- Dimensions6.29 x 1.33 x 9.36 inches
- ISBN-100865476810
- ISBN-13978-0865476813
![]() |
Customers who viewed this item also viewed
Editorial Reviews
From Publishers Weekly
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Bookmarks Magazine
Review
“Profound and engrossing, this exploration of pain is a pleasure.” —People
“[The Pain Chronicles] is an expansive, invigorating mix of medical reportage, history, memoir and cultural criticism . . . At other times she is a fiercely knowledgeable science writer, delivering case studies and research findings with a storyteller’s verve . . . But The Pain Chronicles is no mere self-help manual. It’s a sophisticated, elegantly compiled treatise—as wide-ranging, complex and defiant as pain itself.”—Robin Romm, The New York Times Book Review
“An ingenious mix of science, history, investigative journalism, and memoir.” —Alec Solomita, The Boston Globe
“A comprehensive and thoroughly engaging portrait of a force that all of us have experienced, but few of us truly understand.” —Ryan Brown, Salon
“There have been hundreds of books published in the last decades on pain and its management, but none that combine memoir, scholarly research and journalistic reportage in the way Ms. Thernstrom, the author of two previous books, does. A stellar example of literary nonfiction . . . You can become absorbed, as I was, in the fascinating struggle over the use of anesthesia (and, later, opiates) in ‘Pain as History,’ or play voyeur during absorbing clinical vignettes of ‘Pain as Disease’ . . . Melanie Thernstrom is such an engaging and intelligent writer that I remained intrigued with her investigation even as I disagreed with some of her reportorial choices.”—Helen Epstein, The New York Times
“The Pain Chronicles blends cutting edge research, cultural and medical history, and real people’s stories to make sense of the suffering.” —O magazine
“She covers vast swaths of history, culture, religion and science in short, accessible and beautifully sequenced chapters . . . This book offers an illuminating journey toward new vision and possible relief.” —The Oregonian
“Thernstrom’s descriptions . . . give a voice to millions of people whose lives are blackened by something that no one else can see.” —Lucy Odling-Smee, Nature
“An exquisite, meticulous history of medicine’s quest to alleviate pain . . . The personal chronicles lift this accomplished medical history to an astonishing record of courage and endurance . . . In these stories, there is a wealth of knowledge, wisdom, and hope for the rest of us.” —Publishers Weekly (starred review)
“An intriguing investigation of chronic pain that combines expert opinion, philosophy and history with the author's personal struggle . . . A rich melange of ideas and journalism.” —Kirkus Reviews
“The Pain Chronicles combines Melanie Thernstrom’s talents for both medical journalism and memoir. Whether she is unpacking the cultural history of pain or elucidating scientific studies, her limitless curiosity will engage and enlighten readers. Rarely has a topic of such sadness been made so compulsively readable.” —Arthur W. Frank, author of At the Will of the Body and The Wounded Storyteller
“A book about pain has no right to be so pleasurable to read, but such is the depth of Melanie Thernstrom’s intellect, curiosity, and compassion that The Pain Chronicles is indeed a joy. It’s also a revelation, a fascinating guide through a subject we all know so well but, until now, didn’t know quite how to think about.” —Stephen J. Dubner, coauthor of Freakonomics and SuperFreakonomics
“In this elegant, beautifully written book, Melanie Thernstrom trains her prodigious intellect on a subject at once utterly universal and deeply, poignantly personal. The Pain Chronicles is that rare hybrid: a meticulously researched and important work that is also a riveting page-turner. This is required reading for anyone who wants to understand an essential aspect of our humanity.” —Dani Shapiro, author of Devotion: A Memoir
“An extraordinary tour of an important but often overlooked world—that of pain. Poignant and beautifully written, Melanie Thernstrom’s book weaves together history, literature, psychology, neuroscience, and a deeply moving personal story to create a marvelously wise and erudite work that can enlighten us all.” —Robert Klitzman, M.D., Professor of Clinical Psychiatry, Columbia University, and author of When Doctors Become Patients
“After going for a swim one day, Melanie Thernstrom emerged from the water with an ache in her neck and soon found herself plunging down a rabbit hole into the dark Wonderland known as chronic pain. Thernstrom takes us on a personal tour of this world, which has become a second home to her and millions of her fellow sufferers. Her superb book The Pain Chronicles is an essential resource for those similarly afflicted, their loved ones, and, indeed, anyone wanting to know more about the most primitive and powerful of all sensory experiences.” —Frank T. Vertosick, Jr., M.D., FACS, author of Why We Hurt and When the Air Hits Your Brain
“Rarely has a single book so intelligently illuminated a universal human experience. Melding science, literature, religion, memoir, and history, Melanie Thernstrom has created a masterpiece that reveals how we seek diverse dimensions of meaning to transcend suffering.” —Jerome Groopman, M.D., Recanati Professor at Harvard Medical School and author of The Anatomy of Hope and How Doctors Think
“The Pain Chronicles is scholarly, lyrical, and humane, and will give tremendous comfort to those who are in pain and those who hope to understand them.” —Andrew Solomon, author of The Noonday Demon
“Melanie Thernstrom conveys, indelibly, that pain is not pressed upon us; it’s in us, it’s intrinsic to our being. I find that insight, and this book, invaluable in helping me understand my pain and the world’s woe.” —David Shields, author of Reality Hunger and The Thing About Life Is That One Day You’ll Be Dead
“Chronic pain is the Wild West of medicine. In The Pain Chronicles, Melanie Thernstrom navigates this territory—its history, its evolution, and its always shifting frontiers—with keen intelligence and insight. She shares her own story in order to illuminate a narrative of pain that is becoming more and more a national narrative. Thernstrom never flinches in the face of a subject that is easily overlooked or judged by those for whom it is, ironically, too painful. This is stellar work.” —Alice Sebold, author of The Lovely Bones and Lucky
About the Author
Melanie Thernstrom is a contributing writer to The New York Times Magazine and the author of The Dead Girl and Halfway Heaven: Diary of a Harvard Murder.
Product details
- Publisher : Farrar, Straus and Giroux; 1st edition (August 17, 2010)
- Language : English
- Hardcover : 384 pages
- ISBN-10 : 0865476810
- ISBN-13 : 978-0865476813
- Item Weight : 1.35 pounds
- Dimensions : 6.29 x 1.33 x 9.36 inches
- Best Sellers Rank: #252,955 in Books (See Top 100 in Books)
- #66 in Pain Medicine Pharmacology
- #278 in History of Medicine (Books)
- #297 in Pain Management (Books)
- Customer Reviews:
About the author

Discover more of the author’s books, see similar authors, read author blogs and more
Customer reviews
Customer Reviews, including Product Star Ratings help customers to learn more about the product and decide whether it is the right product for them.
To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzed reviews to verify trustworthiness.
Learn more how customers reviews work on Amazon-
Top reviews
Top reviews from the United States
There was a problem filtering reviews right now. Please try again later.
Fortunately, treatment is not limited to opioids alone. Psychological therapy, physical therapy, acupuncture, nerve blocks, surgery, and alternative therapies can play vital roles. I found it absolutely amazing the medical insights that the clinical case scenarios provided. There are many patients who have instant and sustained relief...and then the others....Not everyone responds to the same therapy and this is something that Melanie's book points out. Treatment must be individualized. I can relate this to my own practice. I recall a patient who had pain for more than 20 years and who reportedly tried many injections in the past that did not help. She was told that she was a not surgical candidate. After one set of injections, we didn't hear from her until several years later when the symptoms started to return. There was complete relief for that duration. When I perform the same type of injection in a very similar patient with identical physical and MRI findings, there may be no relief at all.
There are patients who are able to come off pain medications with spinal cord stimulator implants and live normal, active lives but others for whom the therapy is ineffective. It is important to find the specialists who have significant experience and success in managing pain. And even then, it may take time ,to arrive at the optimal treatment regimen. I think it is a huge mistake to give up because one ,two , or even three board certified pain specialists don't think there is hope for significant improvement.
I encourage patients not to give up. It would have been nice,however, if she could have provided more hope to chronic pain suffers in the present. Earlier in my career, I thought that all spine surgeons(both orthopedic surgeons and neurosurgeons) were similar. Several years ago, I had a patient with severe neck pain. She already had a posterior fusion . We tried injections, spinal cord stimulation and nothing worked. Narcotic medications were the only things helping her and she soon became so tolerant , even this was failing. She expressed that she could not continue to live with the level of pain and and discussed thoughts of ending her life. I was convinced this was structural and sent her to two spine surgeons with the best reputations to correct the structural abnormality. They said there was nothing to do. They thought she was crazy. By this time, the patient was getting desperate, as was her husband who asked me to admit the patient to the hospital for intractable pain. Our nurse practitioner was convinced the patient was deranged and addicted and I started to have similar concerns myself. Finally, I sent her to another surgeon , who performed an operation that improved her symptoms 90 percent.
We are fortunate to live in a time of great discovery.
As I read Melanie's story, I felt such deep grief when she recounted the suffering she had endured and thought about the daily struggles of chronic pain patients.
However, I do believe there is hope and solutions now. I am more optimistic than the author is. I pray that she finds more relief so that she can go rowing or carry a handbag without agonzing distress. I don't think her interventional treatment regimen was optimized. She did not appear to be that interested in pursuing additional injections(esp after the dural puncture from the cervical epidural attempt). I could be wrong... she may be someone who just doesn't respond to nerve blocks and interventional therapy. With individualization of treatments, I think many chronic pain patients will improve...can improve... to a significant degree.
I thank her immensely for the detailed and informative insights she was able to provide.
I have osteoarthritis that is similar to Thernstrom's. Some of the information here is very, very familiar to me, because I have been through a lot of this before. Even so, it is good to hear it from somebody else, because you feel very isolated when you have chronic pain. (My mother has the same kind of arthritis I do -- in our case, it is somewhat hereditary -- and I have learned a great deal from her experience. I don't have as much fear or confusion about the future because I have seen what she has gone through. I have a clearer picture than she did at my age.)
Most of the information in this book was completely new to me.
If you have acute pain, I don't know if this book will make sense to you. (Or if you don't know acute pain from chronic pain.) But if there is someone else in your life who has chronic pain, perhaps this is a good book to help you understand better. For example, you would know not to keep asking that person, every few minutes, whether they are comfortable, or whether they still hurt. This is because if they manage to get distracted from their pain, you don't want to make them think about it again. You should just let them stay distracted for a while.
Aside from that, I'm glad I read the book, and I know the issue of chronic pain is extremely frustrating for anyone who lives with it. This book was a great step in the direction of trying to understand pain and how we manage and deal with it. There are no magic answers to the question of how to live with chronic pain, but this book does uncover some ideas of how to live with pain and live a somewhat ordinary life.
Top reviews from other countries
I am so sorry you have suffered such chronic pain and grateful for your generosity in sharing your experiences.
Thank you.
For anyone, I recommend this as an excellent text to understanding pain, our human physiology, physiology, as well as our emotional perspectives of suffering through the ages.
An intelligent examination of a very important topic.





