The Path to Chronic Pain

If you are one of the unfortunate people who experience pain longer than a couple of months, your brain has changed. In addition to your soft tissue injury or structural problem—your pain has evolved into a neurological problem. How did this happen? When the nervous system is barraged day after … Read More

My Personal Experience

During medical school, I was taught nothing about non-operative spine care or chronic pain.  I was told that back pain could almost always be resolved; the doctor’s role is to find ways to keep their patients comfortable until their pain resolved.  I recall a conversation I had with a veteran … Read More

DOC – A Framework of Care

Chronic pain is a complex problem consisting of many variables that affect your perception of it. Additionally, we now know that unpleasant mental input is processed in a similar manner as physical pain. Applying simple solutions to such a multi-layered problem can’t be and isn’t effective. The DOC (Direct your … Read More

Anger and Anxiety–Highway to Hell

Anxiety/Anger There is an intense relationship between anxiety and anger.  Understanding this interaction is perhaps one of the most important concepts that will have a major impact in calming down your nervous system. Anxiety and Anger are universal.  Few human beings have seemed to rise above them.  They are both … Read More

Why DOCC??

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I am a Surgeon I am a surgeon.  I think like a surgeon, which means I am intent on finding a structural problem I can surgically correct and relieve my patient’s suffering. When this happens, I feel a deep sense of satisfaction and I am my patient’s hero. It is … Read More

2 – Sensitization to Pain

See me talk about this in a video:  Your Brain Becomes Sensitized. I frequently encounter patients who feel that there must be an anatomical problem that is progressing as their pain is getting worse.  There has been no further injury.  Nonetheless, these patients become even more focused on finding the problem … Read More

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