e-book A Simple Guide to Pain and Its Management (A Simple Guide to Medical Conditions)

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Medically reviewed by Seunggu Han, MD. Hip Fracture Prevention. See more Hip topics. See more Foot topics. See more Elbow topics. See more Shoulder topics.

2. Classification of Pain

About OrthoInfo At OrthoInfo our goal is to help you get the information you need to make informed decisions about your health care. See all About Us topics. Achilles Tendon Rupture Although the Achilles tendon can withstand great stresses from running and jumping, it is vulnerable to injury.

Featured Rotator Cuff Tears One of the most common middle-age complaints is shoulder pain. Carpal Tunnel Syndrome Carpal tunnel syndrome is a common condition that causes pain, numbness, and tingling in the hand and arm.

Popular See all Treatment topics. Weight Loss and Joint Replacement Studies show that an obese patient is more likely to experience complications both during and after joint replacement surgery. Featured Total Hip Replacement Hip replacement surgery is a safe and effective procedure that can relieve hip pain, increase motion, and help you get back to enjoying normal, everyday activities. Knee Arthroscopy Knee arthroscopy is a surgical procedure that allows doctors to view the knee joint without making a large incision cut through the skin and other soft tissues.

See all Treatment topics. Popular See all Recovery topics. How to Use Crutches, Canes and Walkers. Featured Shoulder Conditioning Program If you have a shoulder condition, a rehabilitation exercise program can help you return to daily activities and enjoy a more active, healthy lifestyle. See all Recovery topics. Popular See all Staying Healthy topics. Exercise and Bone Health Exercise is important for building strong bones when we are younger, and it is essential for maintaining bone strength when we are older. Exercise and Arthritis Exercise can help you manage arthritis pain.

Just a receipt. Why should I trust you with my credit card? They handle all the high-tech security. You can also keep reading more without buying. Here are some other free samples from the book, and other closely related articles on PainScience. I hope that this page is one of the saner sources of back pain information available online, while also being much more thorough and friendly than the big medical sources. Literally hundreds of thousands of them. There are hours of terrible reading there! Obvious has helpfully explained that the cause of back pain is, er, back pain.

The Internet, at your service! Harriet Hall, critiquing a recent issue of Consumer Reports about back pain:. I found the [Consumer Reports] articles on back pain very disappointing. I hope I can still trust Consumer Reports when shopping for a washing machine, but I have no confidence that I can trust them when looking for an effective medical treatment. They seem not to understand the difference between anecdotes and data, between a popularity contest and a controlled scientific study.

On the other hand, these articles may do some good insofar as they may dissuade some patients from rushing to a doctor and demanding imaging studies or prescription drugs. But most of what CR published was horrifyingly naive and misleading. I scanned this issue in a grocery store lineup and was rolling my eyes within seconds. And then fuming: it seems like the flood of misinformation about back pain is infinite!

So-called information like this, reaching a massive audience, seriously exacerbates the problem. I think Consumer Reports has made serious mistakes in other domains over the last few years, and they are quickly burning the credibility it took decades to earn. Sadly, they will still have a strong enough reputation for years to come to do plenty of damage with content like this.

Usually the attitude problem is unjustified optimism. For instance ….

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This extremely popular article on Vox. It creates a strong impression of being scientifically rigorous without actually being so. It brims with promising science news about alternative treatments that do not actually stand up to more cynical and experienced analysis. I think the idea of a back whisperer dangerously promotes false hope. Even back pain guidelines published in medical journals are often misleading. They are not all good. The committees that write these things do not necessarily know the science. So I am realistic about the limits of the science, much of which is pretty junky.

Rather than comparing a treatment to a good, carefully selected placebo, most studies use a comparison to a treatment that is allegedly neutral, underwhelming, or placebo- ish. That makes the results hard to interpret: if each works about the same, it could mean that the treatments are equally effective … or equally ineffective! Good science is essential to solving these problems, but really good studies are also difficult to design and rare.

So why trust this tutorial? Nikolai Bogduk has authored dozens of scientific papers about low back pain. He also questions and challenges many common beliefs about low back pain, and is one of the expert sources this tutorial relies upon. Its dorky, quirky thoroughness is unique. I will not just tell you what you want to hear. Understanding low back pain as well as possible is valuable, but it will not necessarily lead to a cure. Sadly, some low back pain cannot be fixed. Other articles on PainScience. Testimonials on health care websites reek of quackery, so publishing them has always made me a bit queasy.

These are all genuine testimonials, mostly received by email. In many cases I withold or change names and identifying details. I was reading your info about lower right back pain and I love how you say not to worry about everything, and add that even if it IS serious, it can most likely be cured. While reading it, I realised later that my acute pain had slightly subsided.

Yours is readable, understandable, funny, humble, and Just to say thank you immensely for the best, most sensible and credible information on back pain. So glad you came up in my google search. Credible, reassuring and humorous too. Just wanted to thank you for your clear, well-organized, credible, and thorough information about back pain. I now have an idea of the possibilities and degrees of seriousness.

Thank you again for making the time and effort to write well. I stumbled upon your writings this morning, when I was wishing I was at the gym, where I would usually be. It was some kind of kismet, for sure, because everything I read made total, absolute sense. Thank you, thank you, thank you. You have given me the courage and resolve to sit out this sprain so I can get back up again intact, and stay that way.

Your writings about joint mobilization also make me realize I have some tactics to improve my current state now, even though I am recovering. A huge lightbulb has gone off for me.

Frequently asked questions

Thank you, again! Best advice ever. Thanks again for putting together all the back pain research — a good percentage of it anyway — into an easy-to-read publication. Thank you immensely for the best, most sensible and credible information on back pain. Credible, reassuring, and humorous too. I purchased the low back tutorial recently and got the free trigger points one also. Many thanks. They are great! I had already accessed the perfect spot series and have been working on my trigger points.

It is very pleasing to have the full discussion of the physiology , and I now have a much better idea about the whole ghastly business. Your presentation is excellent. I spent seven hours straight sitting at my computer and my back didn't hurt at all! Thanks so much.

I had suffered from undiagnosed and seemingly untreatable low back pain since late August last year. Three physiotherapists, my GP, two RMTs, and my generally excellent personal trainer failed to help me make any progress. At my last visit to my GP in late December, he maintained his insistence that I just needed to loosen up my hamstrings! The systematic approach you took to reviewing all the supposed cures and providing a clear analysis of each and no doubt saved me thousands of dollars and months of frustration.

That gave me the focus to work on trigger points known to cause LBP with the help of some additional books and a great TP therapy app for my phone. I teach a course, Medicine in Society , at St. Leonards Hospital in Hoxton. I originally stumbled across your website whilst looking for information about pain for my medical students, and have recommended your tutorials to them.

Diagnosis of Frozen Shoulder

Your work deserves special mention for its transparency, evidence base, clear presentation, educational content, regular documented updates, and lack of any commercial promotional material. Oh, I get those too! I do not host public comments on PainScience. I have made many important changes to this tutorial inspired directly by critical, informed reader feedback.

Pain and pain management – adults

Some people demand their money back and get it. The complaints of my most disatisfied customers have strong themes:. Thanks to every reader, client, and book customer for your curiosity, your faith, and your feedback and suggestions, and your stories most of all — without you, all of this would be impossible and pointless. Writers go on and on about how grateful they are for the support they had while writing one measly book , but this website is actually a much bigger project than a book.