The pain was becoming bolder. Not content with my hands and wrists, it invaded my elbows, annexed my back, and sent raids down my legs. It was conniving and multifaceted: dull aches, stabbing and throbbing sensations, and widespread tenderness. I fought back with medication, then physical therapy, chiropractic adjustments, stretching, elimination diets, and massage. But the pain grew stronger, while I grew weaker, anxious, and afraid. I was 20 years old (a junior in college) when the pain began, and there was no explanatory pathology. I saw several physicians, whose localized diagnoses (tendinitis, twisted pelvis) could not explain the pain’s origin or why it was spreading. The relentless siege was wearing me down. I despaired for my future.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Boehnke KF. Pain Management: Assembling a Tool Kit, Building a Life. JAMA. 2018;320(21):2201–2202. doi:10.1001/jama.2018.17722
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: