Why 40%-80% of Chronic Pain Patients Are Misdiagnosed & How to Correct That

Nelson H Hendler (Autor)

Buch | Hardcover

323 Seiten

2017
Nova Science Publishers Inc (Verlag)
9781536126174 (ISBN)

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This book is authored by a former faculty member of Johns Hopkins University School of Medicine and the past president of the American Academy of Pain Management, and the Reflex Sympathetic Dystrophy Association of America. He previously has authored three books, 33 medical textbook chapters, and 59 articles. The book addresses conceptual methods of problem solving as they are applied to medicine. This book is designed to be the freakanomics for medicine. Many research reports document that 40%-80% (or more, for certain disorders) of chronic pain patients are misdiagnosed. The leading cause of this failure is inadequate history taking and the use of the wrong medical tests. Part of this problem is the failure to recognise the specificity and sensitivity, as well as the false negative and false positive rates, of medical tests in use today. As an example, there are many articles in the literature which document that the MRI, an anatomical test, missed the detection of a damaged vertebral disc up to 78% of the time. The book explores the use of physiological tests, such as facet blocks, root blocks, peripheral nerve blocks, and provocative discograms to supplement anatomical testing. Compiled into a step-wise fashion, this book addresses the issues and provides methods to correct these problems. The techniques of history taking and the application of the correct medical tests have been proven effective, based on dramatic improvement in patients documented by outcome studies, which are validated by third parties, (not just self-reported). This book offers information based on evidence based medicine, not opinion. It provides information on how to think, not what to think.

Preface; Acute versus Chronic Pain; The Need for a Careful & Thorough History & How to Obtain One; Statistics & Evidence Based Medicine; Facial Pain from Various Sources-Diagnoses & Differential Diagnoses; Psychological Aspects of Chronic Pain; Differential Diagnosis of Complex Regional Pain Syndrome (CRPS); Neuro-Pharmacology of Chronic Pain; Medical Tests Used to Diagnose Pain; Commonly Overused Diagnoses; Legal Issues; The Doctor in Court; Headaches-Migraine versus Muscle Tension versus Dental versus Tumors; Why Chronic Pain Patients Are Misdiagnosed; Unusual Causes of Chronic Pain; How to Evaluate Research Articles on Chronic Pain; Non-Surgical Chronic Pain Management; Fraud Detection in Chronic Pain; Measuring Pain; Pain Clinics; Duplicating a Chronic Pain Treatment Center; Case Studies; The Economics of Chronic Pain; Index.

Erscheinungsdatum	08.12.2017
Verlagsort	New York
Sprache	englisch
Gewicht	876 g
Themenwelt	Medizinische Fachgebiete ► Radiologie / Bildgebende Verfahren ► Radiologie
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Schmerztherapie
ISBN-13	9781536126174 / 9781536126174
Zustand	Neuware