There was a front-page story in the NY Times about the shooting of the CEO of United Healthcare. The suspect came from privilege and had a bright future. Unfortunately, he suffered from chronic LBP and did not improve with a surgical fusion of his lower back for a purported spondylolisthesis. … Read More
Objectives: Although there is no question about the dedication of physicians to providing excellent care, the rigors of training, the demands of practice, and the business of medicine have made it increasingly difficult to treat you – a person. A major factor is doctors are not allowed the time it … Read More
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 symptoms of burning, aching, stabbing, and tingling that would migrate throughout … Read More
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
About three years ago, my staff noticed that our surgical patients who participated in The DOC Journey principles were doing much better. The outcomes were more consistent, and we were seeing fewer failures. The postoperative pain was more easily controlled. Patients were moving forward quickly with rehab while re-entering a … Read More
Objectives Spine surgery is not an option if there is not a structural problem with matching symptoms. Back pain does not respond to surgery and it is often made much worse in the presence of untreated chronic pain. It is understandable why you might choose it as it seems definitive … Read More
Any skill in life, mental or physical is first learned and then embedded in our brains with repetition. This is true for physical sensory input as well as mental. In both chronic mental and physical pain, the impulses are memorised in about 6-12 months. The circuits are embedded and permanent. … Read More
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
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
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