Why 40%-80% of Chronic Pain Patients are Misdiagnosed and What to Do About It

Why 40%-80% of Chronic Pain Patients Are Misdiagnosed and How to Correct That

Patient Compliment Letters

Comments on Indian Lectures

Trial Lawyer Dick Cranwell

Nelson Hendler’s newest book does an excellent job at explaining why so many people today remain confused about why they still have chronic pain after visiting so many doctors. Hendler, a Johns Hopkins Hospital-trained psychiatrist, has been writing about chronic pain since 1974, about the same time I began my work in peripheral nerve surgery. It has been my honor to help many of the patients for whom Dr. Hendler did make the correct diagnosis by listening to his patients complaints. In his new book, Hendler uses clear exposition and explanatory diagrams to explain the causes of pain, the diagnosis of pain, and the appropriate approach to pain treatment. This book will help the person in chronic pain as well as any physician trying to help understand that patient.
A. Lee Dellon, MD, PhD
Professor of Plastic Surgery and Professor of Neurosurgery
Johns Hopkins University School of Medicine
Lee Dellon, MD,PhD, professor of plastic surgery and neurosurgery at Johns Hopkins University School of Medicine. He has authored 6 books, 104 medical text book chapters, and published 498 articles in peer reviewed medical journals. He has served as a visiting professor at 75 medical school around the world, including almost every state in the United States, and Denmark, Austria, China, Rumania, Switzerland, The Netherlands, Italy, Japan, Brazil, Finland, Korea, and Canada.

9 September 2017
I came to know Dr. Hendler as a student in the 1970’s, when accurate diagnosis and specific treatment for chronic pain were emphasized, and I thought his approach was enlightened and consistent with the goals of my new profession. As health care delivery has since evolved, however, physician survival in practice has depended increasingly on regulatory compliance, coding (to be distinguished from accurate diagnosis) and business concerns, rather than critical scientific and clinical judgment. However, the traditional professional values are not only in the best interests of patients and the public health, but also cost-effective. This new book reminds us that these ideas can and should be maintained, refined and pursued anew.
Richard B. North, MD, Professor of Neurosurgery, Anesthesiology and Critical Care Medicine (retired), Johns Hopkins University School of Medicine
At Johns Hopkins University School of Medicine, Dr. North directed the Neurosurgery Spine Service for 16 years and co-directed the Division of Functional Neurosurgery. He was Professor of Neurosurgery, Anesthesiology and Critical Care Medicine at Johns Hopkins for 10 years, and a member of the full-time faculty for 25. He also received his medical degree and post-doctoral biomedical engineering and neurosurgery training at Johns Hopkins. Dr. North holds a number of patents in the field of implanted electrical stimulation devices. The American Academy of Pain Medicine has recognized Dr. North’s research achievements and clinical expertise with the Academy’s prestigious Founder’s Award, and the North American Neuromodulation Society with its Lifetime Achievement Award. He is now president of The Neuromodulation Foundation, Inc. in Baltimore, MD. drrnorth@hotmail.com,

I first learned of Dr. Hendler when I read the Spanish translation of his book “Diagnosis and Non-Surgical Management of Chronic Pain.” His simple and useful concepts about how to evaluate chronic pain patients were a resource that I used during all my clinical practice. After recognizing his experience in the field of pain, I visited him at Mensana Clinic and had the opportunity to learn from his clinical skills. Both of these events impressed me enough to invite him to be a keynote speaker, at the 9th Argentinean Congress on Pain in Rosario, Argentina, where Ron Melzack, PhD, from McGill, was the other keynote speaker. Dr. Hendler’s new book addresses the most critical concepts in pain diagnosis and management. He offers a rationale for the use of medication based on the type of tissue damage, which is a novel approach to the pharmacology of pain. It is the most logical system I have encountered. His explanation of the specificity and sensitivity of medical tests will help any physician diagnose patients more accurately. I highly recommend this book for all physicians, nurses, medical students, and anyone else in health care involved with chronic pain.
Roberto Wenk, MD, anesthesiologist, San Nicolas, Argentina
Roberto Wenk, MD is an anesthesiologist. He was Argentina´s WHO Focal Point, Cancer Pain Control Program, Member of the Board of Directors, World-Wide Palliative Care Alliance (WPCA), and President, Board of Directors, International Association for Hospice and Palliative Care (IAHP).

Pain is one of the most important manifestations of illness and is the main symptom what tends to undermine the quality of life. Its mismanagement creates very important physical, psychological and social consequences. Moreover, if we calculate the working days lost, has a relevant economic impact. If these considerations are added to the fact that the most disabling form of pain – chronic – affects about 25-30% of the population and is now considered a problem of high social impact, it is understood how the assistance of this clinical aspect is a real priority. Finding the most functional management model to ensure a cure is not easy and often the process is made more difficult by the high percentage of misdiagnosing. The need to make the notions of diagnosis and treatment of chronic pain easier, clear and easy to apply, finds in this book its perfect expression. In this book Nelson Hendler carries out a careful and scrupulous examination of all clinical-therapeutic aspects of chronic pain, making the notions easy and accessible to both the specialist and the basic physician. It was an honor for me to collaborate with him in an international study on chronic vertebral pain and this allowed me to appreciate its expertise and professionalism, which make him one of the world’s leading experts in this field.
Alessandro Landi, MD, PhDProfessor of neurosurgery, University of Rome, Sapienza, Italy
Dr. Alessandro Landi is a neurosurgeon, who also has a PhD in Neuroscience and Maxillo-Facial Surgery. He has edited a book on neurosurgical treatment of back pain, and published 30 articles in the world literature. He has lectured or presented in Switezerland, France, Austria, Germany, Canada, and the United states. He is the editor of three journal of neurosurgery and spinal surgery, and is on the editorial board of six other journals. He is a Consultant neurosurgeon for General Command of the Carabinieri Army.
dott.alessandro.landi@gmail.com, dott.alessandro.landi@gmail.com