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Pain--it is the most common complaint presented to physicians. Yet pain is subjective--it cannot be measured directly and is difficult to validate. Evaluating claims based on pain poses major problems for the Social Security Administration (SSA) and other disability insurers. This volume covers the epidemiology and physiology of pain; psychosocial contributions to pain and illness behavior; promising ways of assessing and measuring chronic pain and dysfunction; clinical aspects of prevention, diagnosis, treatment, and rehabilitation; and how the SSA's benefit structure and administrative procedures may affect pain complaints.

Summary

1-11.

Introduction

12-18.

The Sociopolitical Background of the Pain Issue 

19-36.

Disability Determination and the Role of Pain   

37-65.

Conflicts and Contradictions in the Disability Program 

66-84.

Economic Issues and the Cost of Disability 

85-100.

The Epidemiology of Chronic Pain and Work Disability 

101-120.

The Anatomy and Physiology of Pain 

121-145.

Illness Behavior and the Experience of Pain 

146-164.

Psychiatric Aspects of Chronic Pain 

165-186.

Chronic Pain in Medical Practice 

187-210.

Measuring Pain and Dysfunction 

211-231.

Rehabilitation Approaches and Issues in Chronic Pain 

232-260.

Conclusions and Recommendations 

261-284.

Appendix: Myofascial Pain Syndromes Due to Trigger Points 

285-292.

Index

293-306.


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