You can find the hardcover, paperback, and ebook versions here or wherever you buy your booksThe Institute has provided those living with chronic pain, their family members and their providers evidence-based digestible information about chronic pain for over ten years. We are pleased to be publishing How to Have Hope When There Is No Cure: A Comprehensive Guide to Chronic Pain Rehabilitation. This groundbreaking book is the culmination of decades of work by our late founder, Dr. Murray J McAllister, PsyD, and serves as the pinnacle of our mission; to make pain management more effective by changing the culture of how chronic pain is treated. With the publication of this book, we will no longer be adding new content to our website or social channels, but current content will remain available.
Murray J. McAllister, PsyD
Murray J. McAllister, PsyD, is a pain psychologist and consults to health systems on improving pain. He is the editor and founder of the Institute for Chronic Pain (ICP). The ICP is an educational and public policy think tank. In its mission is to lead the field in making pain management more empirically supported, the ICP provides academic quality information on chronic pain that is approachable to patients and their families.
What is arachnoiditis?
Arachnoiditis is a rare neurological condition marked by inflammation of the arachnoid. The arachnoid is a lining that surrounds the central nervous system. The central nervous system consists of the brain and spinal cord. In most cases, patients seeking pain management services for arachnoiditis have the condition along the spinal cord.
What is chronic abdominal pain?
Abdominal pain is common and occurs to most people on occasion. It usually occurs for a brief period of time and can have many benign causes, such as indigestion, stress and anxiety. Sometimes, such as when having appendicitis, it is serious and requires the attention of a healthcare provider. Abdominal pain can also become chronic. Healthcare providers consider it chronic when it last longer than six months.
People outside the healthcare industry, such as the typical consumers of healthcare, are often surprised to find out that some of the most common healthcare procedures and therapies are largely ineffective on average. It can sometimes even border on disbelief. When seeking healthcare, most people assume that the treatments healthcare providers recommend are effective. This assumption forms a basic trust in our healthcare providers – that they know what they are doing and that they wouldn’t recommend something that they know is ineffective. So, it seems hard to believe that a provider might ever recommend treatments that have been shown to be ineffective on average.
When it comes to the management of chronic pain, good coping is quite possibly the most powerful intervention we have to be able to reduce pain and improve function. It’s typically what accounts for the ability to manage pain without opioid medications or remain at work full-time despite having pain. In short, it can make tolerable what was once intolerable pain.
Oftentimes, however, people won’t believe it.
The meaning of "chronic" and why the healthcare system refuses to accept the chronicity of chronic pain
We live in an age of chronic illness. Conditions like heart disease, diabetes, asthma and chronic pain are common. All these health conditions are chronic. The term chronic means that a condition has no cure and so will last indefinitely.
It’s common to complain about healthcare and our healthcare system. We complain about our health insurance and we also complain about reforms to the health insurance industry. We complain about the long wait times to see a provider. We also complain about the short amount of time that we actually get once we see a provider. We complain about how much money we pay for healthcare. We also complain about how much money certain providers and insurance executives get paid. With our healthcare system so large and complex, most anyone can find something to complain about.
Opioid, or narcotic, pain medications are beneficial in a number of ways. Terminal cancer patients, for instance, benefit from their use. The short-term use of opioid pain medications is beneficial, especially while recovering from an acute injury or a surgery. However, the long-term use of opioid medications for chronic, noncancer, pain remains controversial. While a number of issues contribute to this controversy, the main reason for the controversy is addiction. Opioid pain medications are addictive.
This controversy makes opioid pain medications a highly sensitive issue for patients who take them.
“Thank you. I’m so grateful to all of you. You’ve given me my life back… but why did it take so long for me to be referred to this program?” This series of statements, along with the concluding question, is…
Cognitive behavioral therapy is a traditional form of therapy that is used for a great many types of health conditions. Historically beginning in the 1970’s, it was first used as treatments for chronic pain and depression,1, 2 but later applied to…
People are sometimes surprised that there are psychologists who are not mental health providers. It’s also true for people with persistent pain who might wonder why their physician referred them to a psychologist for the management of pain. ‘I’m not…
You’d think that we’d all agree on what back pain is. Pain in the low back is almost as common as days of the week. Most everyone has had or will have back pain in the course of their lives…
Twenty some odd years ago, the American Academy of Pain Medicine and the American Pain Society, two large pain-related professional organizations, teamed up to agree upon what it means to have both chronic pain and be addicted to opioid pain…