Surgeries being performed for axial neck, thoracic, and low back pain on normally aging spines was a major reason I quit my spinal surgery practice in 2019. Not only was the success rate low, patients were often much worse after the surgeries and few physicians were willing to take care … Read More
Anxiety is the basis for most of our behavior and ability to stay alive. We have many cues around us that govern our actions so as to avoid danger. The essence of this sequence is: 1) a circumstance causes anxiety 2) we control our actions or the situation to alleviate … Read More
Only five percent of patients have an adequate evaluation of their sleep issues by any physician. (1) This is unfortunate, because lack of sleep is such a common problem. The term commonly applied to trouble getting a good night’s sleep is insomnia, but there are over one hundred sleep disorders. … Read More
When you are under stress, your brain is on a Formula One racetrack. Being in chronic pain is one of the most miserable experiences of the human existence. There is hardly any strategy that will slow down your racing thoughts during the day, and it becomes much worse at night … Read More
Nothing can really happen in the context of the DOC Project until you are regularly getting a full night’s sleep. Exhaustion makes it impossible for anyone to concentrate long enough to engage in the program. For anyone with chronic pain, this probably sounds impossible. You may think, how can I … Read More
Sleep hygiene is a term that’s used to describe a group of strategies that will improve your ability to get a restful night’s sleep. In the context of chronic pain, these strategies often need to be supplemented with medications, but they are nonetheless important. It’s your first priority … Read More
Patients often wonder how soft tissues can be so painful. It’s because they have a high density of pain receptors arranged in a spider web type pattern. These irritated soft tissues give rise to some of the most painful conditions such as plantar fasciitis, tennis elbow, muscular tension headaches, chondromalacia … Read More
After you have become comfortable with writing down and immediately destroying your thoughts, the next phase involves the “three-column technique that Dr. David Burns outlines in his book, Feeling Good. It provides an excellent format in which to apply the principles of cognitive behavioral therapy in a self-directed manner. I personally … Read More
Anger is as important as anxiety when it comes to chronic pain management. Some people are able to come to grips with anger and process it in a healthy way. For others, a lack of control over anger erodes their quality of life. Forget about physical pain for a moment. … Read More
Understanding the importance of sleep and its effect on the perception of pain was my initial insight into the neurological nature of chronic pain. Incorporating adequate sleep into my treatment of pain was my first step in the evolution of the DOC Project. I felt I had a whole new … Read More