Mel Pohl - A Day Without Pain
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With the increasing abuse of prescription drugs affecting every facet of society, this book addresses treating chronic pain without opiates and/or other prescription painkillers. The focus is on a holistic approach to living with chronic pain. Written in an easy-to-read, user-friendly format with an accompanying glossary of medical terms.
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A Day without Pain
With the dramatic increase in prescription opioid abuse, managing pain and addictionparticularly for people in recoveryhas become a major medical issue in our society. Mel Pohl is addiction medicines leader in this complex area. He has provided guidelines that improve clinical outcomes and decrease consequences for these multi-problem patients. His book will be valuable reading for all in our field who deal with the complex issue of pain and addiction.
David E. Smith, MD
Founder of Haight-Ashbury Free Medical Clinics of San Francisco
Past President of American Society of Addiction Medicine
Chief of Addiction Medicine Newport Academy
Author of Unchain Your Brain
A Day without Pain offers this timely message to those with chronic pain (and their physicians). Dr. Pohl illuminates the approach to the chronic pain patient and shows us the medical, psychological, and chemical dependency issues that must be addressed in these individuals.
Dr. Pohls humane understanding of complex patients is well-described, with particular attention to the medical, neurochemical, psychodynamic, and spiritual modalities that bring recovery to these suffering patients. The emphasis on narcotic-free living is paramount.
As a practitioner on the firing line treating chronic pain patients, I heartily recommend A Day without Pain to anyone suffering with this mysterious illness, as well as their caregivers, family, and friends.
Herbert Malinoff, MD, FACP, FASAM
Back and Pain Center
Department of Anesthesiology
University of Michigan Medical Center
Ann Arbor, Michigan
A Day without Pain
ADay without Pain is based on the principle of physician heal thyself.
Dr. Pohl walks the walk and talks the talk of a drug-free approach to chronic pain management. This refreshing approach to a huge problem is long overdue and will benefit thousands of patients who suffer from chronic pain.
Harry L. Haroutunian, MD
Physician Director, Residential Treatment
Licensed Professional Program and Clinical Diagnostic Evaluations
Betty Ford Center, Rancho Mirage, California
In A Day without Pain, Mel Pohl explores the experience of chronic painfrom its complex multi-faceted causes to its often devastating effect on lives. Most importantly, through the stories of his patients, he illustrates routes to recovering from chronic pains disabling impact. Dr. Pohls compassionate, holistic, grounded, and honest approach to treating pain and its emotional and behavioral consequences shines through this book. I highly recommend A Day without Pain for anyone suffering from chronic pain or watching a loved one suffer.
Jodie A. Trafton, Ph.D.
Research Health Science Specialist
VA Palo Alto Center for Health Care Evaluation
Assistant Clinical Professor (affiliated), Stanford University
Department of Psychiatry and Behavioral Sciences
If you or a loved one suffers from chronic pain or chronic pain syndrome, please read this wonderful book. Dr. Mel Pohl combines all of the helpful elementsa very personal investment, a research perspective, and that of a compassionate healer. As someone diagnosed with rheumatoid arthritis, I can only wish that Dr. Pohl had years ago been available to me as a teacher and a physician.
Cardwell C. Nuckols, MA, Ph.D.
Internationally recognized expert in behavioral medicine and addictions treatment
Longwood, Florida
Author of Healing an Angry Heart
A DAY
Without
PAIN
(REVISED AND UPDATED)
Mel Pohl, MD, FASAM
CENTRAL RECOVERY PRESS
Central Recovery Press (CRP) is committed to publishing exceptional materials addressing addiction treatment, recovery, and behavioral health care, including original and quality books, audio/visual communications, and web-based new media. Through a diverse selection of titles, we seek to contribute a broad range of unique resources for professionals, recovering individuals and their families, and the general public.
For more information, visit www.centralrecoverypress.com.
Central Recovery Press, Las Vegas, NV
2008, 2011 by Central Recovery Press
All rights reserved. First edition 2008
Revised edition published 2011
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the written permission of the publisher.
Printed in the United States of America
17 16 15 14 13 12 11 1 2 3 4 5
ISBN-13: 978-1-936290-62-8 (paper)
ISBN-10: 1-936290-62-6
ISBN-13: 978-1-936290-98-7 (eBook)
ISBN-10: 1-936290-98-7
| Publisher: | Central Recovery Press 3321 N Buffalo Drive Las Vegas, NV 89129 |
Images on pages: 46, 135, 136, 139, 140, 141, 143, 145, 148, 151, 160, 163, 177 2011 Jupiterimages Corporation. Used by permission. Image used on page 32 courtesy of NIDA. Image used on page 47 courtesy of Foundation for Recovery.
Cover design and interior by Sara Streifel, Think Creative Design
I dedicate this book to all of my best teachers
the clients at Las Vegas Recovery Center
for their courage and dedication to getting better.
To help you better understand some of the terminology in this book, a glossary has been included at the back for your reference. Words that are included in the glossary are bolded in the text.
A Day without Pain is an empowering book for people who thought that their lives could never be okay and they were destined to suffer. For the past two years I have had the benefit of consulting at Las Vegas Recovery Center, where Dr. Mel Pohl is the medical director and practicing physician. Clients arrive from all over the United States, usually having already experienced multiple methods of treatment. Most of the treatments have involved multiple surgeries, extensive dosing of pain medications, or some form of physical therapy. Sadly, these clients have not experienced relief from their situation and are often in worse condition. They have less mobility, more pain, and more depression, and some have developed addiction to painkillers. They arrive scared and angry, but anxiously hopefulone more timethat someone can take their pain away, only to become more scared and angry when they are informed it isnt the pain that will be attended to, but the suffering.
It is the suffering that Dr. Pohl recognizes as the predominant focus for pain recovery. Recognizing that 80 percent of the pain experienced is emotional, the client is confronted with the reality that chronic pain doesnt go away. That is, in fact, what distinguishes it from acute pain. It is like an alarm clock that goes off and is stuck in a never-ending buzz mode, and it is the emotional responses over time that perpetuate the pain. No doubt this person has much to be emotional about; there is tremendous loss for him or her, and there is valid reason to feel anger, fear, sadness, loneliness, and so on. The paradox is that staying with the emotional pain, however righteous it is, perpetuates the physical pain.
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