The Surgical Scrap Heap

Modern medicine has forgotten its foundational mission – to take care of you – all of you. The capacity to deliver high-level services for a given challenging situation is commendable and beyond reproach. Physicians’ commitment to excellence approaches unbelievable, requiring years of training, long hours, ongoing learning and just plain … Read More

Do You Really Need Spine Surgery?

Do You Really Need Spine Surgery? Take Control with Advice from a Surgeon considers all factors affecting your perception of pain and organizes them into a treatment grid that allows you to make a good decision regarding having spine surgery. Spine surgery is out of control. I am not against … Read More

Know Your Surgeon – Well

When the DOC project began to evolve in 1999 it was my feeling that if there was a structural problem that it first needed to be dealt with surgically and then we could move ahead with the rest of the protocols. I define a structural problem as one that can be identified … Read More

Dashed Hopes

Mainstream medicine is frequently not offering you effective care. Many procedures performed for spinal problems have been documented to be ineffective. Much of the problem stems from the corporatization of medicine where the interventions that have been proven to be effective, such as ACT (acceptance commitment therapy) (1), mindfulness-based stress … Read More

Avoids a Five-level Neck Fusion

I received this email from a physical therapist on the East Coast, who I’ve never met. He’d heard about my work on a podcast. Before you read this letter, I’d like to emphasize that research has documented for decades that arthritis, bone spurs, disc degeneration, disc bulges and herniations are … Read More

“The Doctor is Missing Something”

The Neurophysiologic Disorder (NPD) describes the body’s memorized response to stress and also what occurs when your body has sustained elevated levels of adrenaline, cortisol and histamines. There are many symptoms that disappear with the successful treatment of NPD. Most of them are physical. The most difficult concept for many patients … Read More

How Many More Neck Surgeries?

One middle-aged patient sought me out in Seattle from the East Coast for a second opinion regarding his neck. He had been disabled since 2001 with chronic pain over most of his body. He had at least 10 additional NPD symptoms of burning, aching, stabbing, and tingling that would migrate throughout … Read More

Video: Surgeons Do What They are Trained to Do

I discuss the lack of awareness to the alternative approaches in the spine surgeon world and the treatment of chronic pain. We are both not being trained in the correct and effective approach, but also ignoring well-established data. (1)   Young AK, et al. “Assessment of presurgical psychological screening in … Read More

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