ABC-CLIO

The Pain Detective, Every Ache Tells a Story

Understanding How Stress and Emotional Hurt Become Chronic Physical Pain

by Hillel M. Finestone, MD

 

Chronic pain is one of the most common medical complaints worldwide. Most maddening are aches that recur, but for which medicine cannot find a reason or propose a permanent solution. Billions of dollars are doled out in search of the right pills or treatments to dull the pain, often to no avail.

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Cover image for The Pain Detective, Every Ache Tells a Story

September 2009

Praeger

Pages 227
Volumes 1
Size 6 1/8x9 1/4
Topics Health & Wellness/Diseases and Conditions

Sure to be welcomed by the thousands suffering persistent pain, this volume explores what physicians often ignore—how psychological and social issues can influence health, illness, pain, and recovery.

"Pain is everywhere and everyone is talking about it," says Dr. Hillel Finestone, M.D., a researcher and rehabilitation specialist whose work has been featured in publications as diverse as The Lancet, and USA Today. The key to understanding causes and solutions for many apparently mysterious, recurring aches, he explains, lies in understanding the mind-body relationship and the "real meaning" behind symptoms with no immediately obvious cause.

Taking the reader into several diagnostic sessions to illustrate what he sees as a "detective" process to find the source of pain, Finestone explains how psychological and social issues can influence health and healing, for better or worse. Low back and neck pain, fibromyalgia and even work related pains are delved into.In addition to vignettes that illustrate the ideas discussed and show dramatic incidences of how healing the mind can also heal the body, Finestone uses unique and useful diagrams which explain how mind and body are physiologically connected and reactive to each other.

In these pages, readers can follow Dr, Finestone through patient sessions and understand, step by step, how the "pain detective" works to help his patients—and perhaps his readers, too—find lasting relief.

Features

  • 8 illustrations

Highlights

  • Includes many patient vignettes to illustrate the ideas discussed and show dramatic incidences of how healing the mind can also heal the body.
  • Uses anatomical diagrams to explain how mind and body are physiologically connected and reactive to each other.
Author Info

Hillel M. Finestone, MDCM, FRCPC, is medical director of the Stroke Rehabilitation Program at Bruyere Continuing Care, Elisabeth Bruyere Hospital. He is also an associate professor in the division of Physical Medicine and Rehabilitation at the University of Ottawa. Finestone completed a fellowship with the World Health Organization and is a fellow of the American Academy of Physical Medicine and Rehabilitation, a fellow of the American Association of Neuromuscular and Electrodiagnostic Medicine, and a fellow of the Royal College of Physicians and Surgeons of Canada. He has been interviewed by the BBC and Reuters News Service and featured in USA Today, the New York Post, and dozens more newspapers and magazines in the United States, Canada, Europe, and Asia.

Reviews/Endorsements

Reviews

"Finestone, a specialist in physical medicine and rehabilitation at Bruyere Continuing Care in Canada, helps general readers understand factors that their physicians often ignore: how psychological and social issues can influence health, illness, pain, and recovery. Taking the reader into several diagnostic sessions to illustrate the process of finding the source of pain, Finestone looks at low back and neck pain, fibromyalgia, and work-related pains. B&w diagrams explain how mind and body are physiologically connected and reactive to each other."—SciTech Book News

"Dr. Finestone's book The Pain Detective is a fascinating voyage into people's lives, their pains, physical and emotional, so closely intertwined, so that attempting to cure the one without tapping the other is inevitably futile."
—Psychology Today

"As many patients do not understand the role of psychological states in their pain, this book will provide them with empowering knowledge. And because the book is structured as cloaked case studies of Finestone’s actual patients, many patients will find solace via companionship with the book’s patients. . . . Dr. Finestone has written an ex­cellent book recommended to chronic pain patients and physicians alike . . ."—BC Medical Journal

"Finestone is an astute clinician, but his primary medium is the patients’ stories. In the multilayered tapestry of one’s emotional life, relationships, and challenges of work, he uncovers details that allow him to trace origins of his patients’ pain ... Finestone’s tone is conversational and the narration of his cases is accompanied by his commentary. The reader is able to follow the author’s thought process, something that I have enjoyed greatly as a pain clinician, and believe many of my colleagues would too. I believe those working in a primarycare office will also appreciate the insights gleaned from 'being in the room with Dr. F.' The purpose of the book, however, is not to learn the elements of physical diagnosis or interviewing skills; rather, it lies in showing the intricate nature of the experience of pain and puts emphasis on the need for treatment that takes that into account."
—Canadian Medical Association Journal

Endorsements

"This is an exciting book that provides important insights into complex chronic pains. The fascinating case histories reveal the challenges that confront patients as well as their doctors in coping with pains that require imaginative thinking as well as solid medical knowledge. Dr. Finestone employs both in his pursuit of subtle cues that can lead to pain relief. A highly readable book that illuminates a major health problem—chronic pains suffered by millions of people."—Dr. Ronald Melzack
World-renowned pain researcher and cofounder of the Gate Control Theory of Pain

"It has been said that the mystery of chronic pain can be found in the history. In The Pain Detective: Every Ache Tells a Story, Dr. Finestone has accumulated and described a series of medical stories (histories) that highlight the complex mind-body-environment interaction that can lead to chronic pain and suffering. With mysteries unlocked, Dr. Finestone presents enlightening and practical information to help people manage their pain and regain control of their lives. This book is certain to be of great value to both those that suffer and those that treat the sufferers."—Stuart M. Weinstein, M.D. Editor-in-Chief, PM&R and Clinical Professor, Departments of Rehabilitation Medicine, Orthopaedic Surgery, and Neurological Surgery, University of Washington

"Hillel Finestone belongs to that rare breed of physical medicine specialist who doesn't separate the mind from the body, because he has the wisdom to know that in real life no such separation can exist. In The Pain Detective he applies that wisdom to painful conditions like fibromyalgia, and just as a good detective, illuminates their contributing causes by shining his light in many recesses of the human physique and psyche. The result is a book that heals."—Gabor Maté M.D., author of "When The Body Says No: The Cost of Hidden Stress"

"This book is a MUST READ for anyone experiencing ongoing pain, Dr. Finestone takes a biopsychosocial (often called a mind-body) approach to understanding pain, which is the key ingredient in successfully treating pain and pain-associated disability."—Lonnie Zeltzer, MD, Director, Pediatric Pain Program, Mattel Children's Hospital at UCLA

"Dr. Finestone has compiled a series of inspiring vignettes which are saturated with a respectful, non-judgmental approach to people’s pain; this collection is a wonderful resource for patients and their physicians. The Pain Detective explores the profound and complex experience of pain, revealing the network of psychological-cognitive and physical factors which entangle the individual. It is a map for the creation of a therapeutic space where multi-faceted, multi-leveled illness can be unwound and re-organized."—Leonard Bloom, MD, Department of Family Medicine, University of Ottawa

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