A Nation in Pain

Written with compassion and featuring inspiring stories of patients' struggles as well as the wisdom of hundreds of up-to-date research studies, this is the most comprehensive look yet at the biggest health problem this nation faces - chronic pain.

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Out of 315 million Americans, 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. Sufferers face unending discomfort or even agony. When chronic pain is inadequately treated, it undermines the body and mind from within, even inducing many to commit suicide. Far more than just a symptom, writes author Judy Foreman, chronic pain is a disease in its own right - the biggest health problem facing America today.

In A Nation in Pain, Foreman offers a sweeping, deeply researched account of the chronic pain crisis, from neurobiology to public policy, and presents to practical solutions that are within our grasp today. Drawing on both her personal experience with chronic pain and her background as an award-winning health journalist, she guides us through recent scientific discoveries, including genetic susceptibility to pain; gender disparities in pain conditions and treatments, perhaps linked linked to estrogen; the problem of undertreated pain in children; the emerging role of the immune system in pain; advances in traditional treatments such as surgery and drugs; and fair-minded assessments of the effectiveness of alternative remedies, including marijuana, acupuncture, massage, and chiropractic care. The real magic bullet, Foreman writes, is exercise. Though many patients fear it will increase their discomfort, studies show it consistently produces improvement, often dramatic. She also explores the destructive "opioid wars," which have led to a misguided demonization of prescription painkillers.

Foreman presents a far-reaching but sensible plan of action, ranging from enhancing pain education in medical schools to reforms of federal policies across the board. For doctors, scientists, policy makers, and especially patients, A Nation in Pain is essential reading.