Contents

Disclaimer, xxi
Acknowledgments, xxiii
Introduction, xxv

Book One

THE STORY OF CHRONIC PAIN:
HOW WE GOT HERE, I

Section I
Misconceptions in Our Modern Healing, 2
I: an uncomfortable reality 3

Science-Based Alternative Answers 4
Best Medicine in the World? 5
Drugs: Not the Safest Way to Achieve Health 6
The Adequacy of Musculoskeletal Care in the United States 8
Why Not Rely on Yourself? You're in the Driver's Seat 9
Turning Crisis into Opportunity 10
Running Toward the Wrong Goal 12
The Menagerie of Holistic Medicine 13
The Beautiful Tapestry of You 14
Disease-Care vs. Wellness Care 15
2: the problem with pain 19

Chronic Pain and Chronic Disease: Same Source 20
Looking for a Quick Fix 20
Everyday Pain and NSAIDs 21
Inflammation: Not the Bad Guy 23
   Our Misguided War on Inflammation 24
The Many Faces of Chronic Benign Pain 26
The Role of "Silent" Inflammation
   in Chronic Pain and Disease 27
3: the fallacy of pain relief 29

Dancing with Our Genes 29
Where Most Chronic Pain and Disease Come From 31
What Food Is and Its Connection to Pain and Disease 32
Our Health and the Health of the Earth Are One 34
The Dance of Earth and Sun That Is You 36
Appreciating Your Health from the Inside 37
The Hard Work of Digestion 38
   Case Study, 39
The Benefits of Bacteria 40
   Case Study, 41
Your Liver and the Importance of Detoxification 42
   Case Study, 43
Section 2

Roadblocks to Healing, 44



4: our fantastic fascia 45

Movement Is Life 46
Primary Source of Chronic Pain: Muscles and Fascia 47
What Fascia Is Made Of 48
The Interwoven Tapestry of Your Fascia 49
Nociceptors: How We Hurt 51
The Specialness of Nociceptors and Chronic Pain 52
5: the smoldering fire of chronic inflammation 55

Inflammation: The Healing Response 56
Chronic Inflammation and Our Nociceptors 57
Chronic Inflammation and Degenerative Disease 59
From Inflammation to Free Radicals and Chronic Pain 61
The Nature of Free Radicals and Oxidative Stress 62
Oxidative Stress, Aging, and Your Mitochondria 64
How Mitochondria Are Vulnerable to Damage 67
Quick Reference Guide to Managing Oxidative Stress 69
6: the painful side of sweetness 71

The Roots of Our Sugar Addiction 72
What Is a High Glycemic Diet? 73
How a High Glycemic Diet Creates Problems 74
Pain, Disease, and Aging from Insulin Resistance 76
Diagnosing Metabolic Syndrome 77
Stopping Metabolic Syndrome from Ruining Your Life 80
7: our injured earth, your injured self 83

The Toxic Nation 83
   What About the Children's Health? 85
   What About All This ADD/ADHD and Depression,
      or Why Is Everyone On Prozac? 86
   How Bad Is It? 88
   The Warning Had Been Sounded, 90
How We Become Polluted 91
8: how it all comes together neurologically 95

Stress: The Source of Your Pain 95
   The Nerve of Pain, 96
   A Rose by Any Other Name, 97
   Why the Big Deal over Terminology? 98
Your Brain and the NML 100
Dietary Promotion of Painful NMLs 101
The History of the Trigger Point, or NML 102
How Pain-Causing Muscle Knots Form 104
The NML: Very Common, Never Normal! 107
The Active NML, or Primary Trigger Point 108
The Lurking NML, or Latent Trigger Point 109