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Pain Comorbidities: Understanding And Treating The Complex Patient

This book offers an in-depth, multidisciplinary analysis of pain as it occurs in multiple medical conditions in the same patient. Comorbidity is common in the clinical setting and the editors aim to address the clinical presentation and management of pain and concurrent diseases, so that clinicians understand the impact of pain on a patient’s diagnoses and treatment. Content is presented by diverse international medical scientists who have extensive experience in their own research and treatment of individuals who experience pain as co-diagnoses. To this end, the editors accomplish the task of presenting the latest, albeit complex, evidence on the pathology of pain and are able to organize the content into a logical order based on epidemiology, experimental animal and human pain research models, pain and nonpain conditions, and pain management aspects. By incorporating multiple scientific perspectives on the above, the editors are able to cover a topic that is difficult to evaluate and thus help basic scientists in different fields understand patients’ perceptions of pain. Readers will be able to review detailed pain research from fields such as neurobiology and psychology, including experimental models of patients’ occurrence and perceptions of pain. The editors’ intent appears to be to provide a reasonable amount of scientific evidence on the subject of pain and comorbidities, and define it by type of evidence, treatment setting, patient population, and general rehabilitation outcomes. For example, in Chapter One, the author discusses an epidemiologist’s role in the study of pain – they use a unique life-course approach to examine how chronic pain and nonpain comorbidity changes over a lifetime. A fundamental belief in rehabilitation practice is that occupation changes over an individual’s lifetime: this chapter would appeal to allied health practitioners, medical doctors, and epidemiologists. The remaining chapters cover significant evidence based research on pain, related to comorbidity, which is complex but mostly relatable to healthcare practitioners. This evidence wholly supports professional practice, whether it is a neurobiologist working in a research lab or a physical or occupational therapist member of a clinical team in an outpatient pain center. The content may not be suitable for a lay reader as the chapters’ research methodology and results used throughout is written in complex scientific terminology. The last section of the book provides excellent reports of diagnostic and treatment approaches by rehabilitation professionals, such as nurses, physicians, and physical and occupational therapists, aimed at reducing the comorbidities that are typically identified in patients with chronic pain. For these healthcare practitioners, this section seems the most relevant and applicable across clinical settings.