FROM OUR EXPERTS
I decided to experiment with a conversation with myself. I asked a simple and basic question and worked my way to complex and confusing:
What is depression?
The DSM-5, psychiatry’s diagnostic bible, refers to various conditions that involve feeling sad, inability to experience pleasure, lack of self-worth, inability to concentrate, and suicidal thinking, not to mention dysregulated sleep and appetite and movement, though you don’t have to experience all these at once.
But everyone gets depressed, right?
True. We all have our bad days. Also, all of us experience grief and loss and major challenges in coping with life. But all this is considered within the “normal” realm of human behavior.
Things change when we lose the ability to function, whether at work or in our relationships or in our own sense of well-being. We are more than just “depressed.” We are not ourselves. Our brains are not cooperating with us. L...
Scientists around the world are looking for the best way to treat chronic pain patients. But finding evidence that supports the best practice model isn't always easy. In this article, researchers from the Netherlands ask the question, Are we measuring what we need to measure? Many quality studies with high levels of evidence don't provide guidance for real life situations. Patients may be given one type of treatment for the duration of the study. If the symptoms get worse or they aren't helped, they must still finish out the study. In clinical practice, changes are made right away in treatment based on patient needs, wants, and individual characteristics. Sometimes research results reported depend on how the study was conducted. How the data was collected, measured, and analyzed can make a difference. It's not uncommon for different approaches to yield different results for the same group. How do we know which interpretation is correct? Because of these problems and other research dilemm...
“Sciatica” is an old world term that refers to leg pain felt down the back of the thigh into the calf and foot. What about thigh pain? What about buttock pain? Unfortunately, “sciatica” has been wrongly applied to all types and locations of leg pain. In 1948, the use of the word “sciatica” was declared “unhelpful” by a leading orthopedic specialist because it is limited to a certain location and really does not address the origin of the pain. Over the years, many older medical terms like sciatica have become archaic as the newer research technologies give doctors clearer definitions and a better understanding of the human body. Leg pain that comes from the low back is most accurately categorized as referred pain or neurogenic pain. These terms apply to all locations and address the origin of the pain. With these newer terms, the antiquated word, “sciatica”, has no place in the modern world. Sally has been waking up with right ...
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