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October 1975

The Treatment of Chronic Pain,

Arch Intern Med. 1975;135(10):1407-1408. doi:10.1001/archinte.1975.00330100133026

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Chronic pain remains one of the most complex and difficult of all problems of medical management. This multiauthored book is intended to help the primary physician with this problem. The book is edited by Dr. F. Dudley Hart, a well-known British rheumatologist. Dr. Hart, in addition, contributes an excellent, concise, and most practical chapter on control of pain of rheumatic origin. This chapter is clearly one of the best of the text and discusses in a logical and practical sequence one approach to management of pain of rheumatic origin. His chapter and several others of British authorship do, however, present a minor problem by discussing medications or forms of medications not available in this country, (ie, intramuscular phenylbutazone or indomethacin suppositories).

The initial chapter, "Experimental Studies on Pain," illustrates well the complexities of studying this symptom and the variability of responses to seemingly duplicative studies. In view of the book's

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