Indications for Surgery

posted in: Uncategorized | 0

In order for a surgery to go right the first time, you need an idea of when spine surgery is appropriate and at what level of complexity.  There is not an operation that is effective for non-specific low back pain. For the most part then, spine surgery for lower back pain … Read More

Your Brain On Fire

posted in: Uncategorized | 0

Pain impulses are perceived as increasingly intense over time, even when nothing anatomically has changed. This is called “sensitization.” Skill Requires Repetition Consider how you learn almost any new skill.  It is with initial education of the proper movements and then, “practice, practice, practice.”  Every performing art and athletic skill … Read More

Advantages of Victimhood

posted in: Uncategorized | 0

Advantages Being a victim is a very powerful role. It actually works very well. There are major advantages of remaining in this angry mode. Some of them are: Others expect less of you You expect less of yourself You have a feeling of power, which masks the feeling of anxiety … Read More

Two Kinds of Anger

posted in: Uncategorized | 0

There are two pathways that put you into the role of a victim. “Perceived wrong” Truly victimized With the first pathway, an event occurs in which you perceive that you have been wronged.  However, it is a perception that is based on your “story” of how the events “invaded your … Read More

Anger Affecting Nerve Pain

posted in: Uncategorized | 0

This story about how anger can affect the perception of pain involves one of my patients who had a complication from a revision spine fusion. Mike was a 52 year-old respiratory therapist who was very active–the man ran marathons. Years after an initial spine fusion at L5-S1 at age 30, … Read More

Breaking Stress into Its Parts

posted in: Uncategorized | 0

I would like to define some terms.  Stress is a vague term.  I think that one of the most important principles that I have learned is the stress is not the problem.  It is your reaction to it that causes unpleasantness and an energy drain.  I am going to define … Read More

Stress Management Overview

posted in: Uncategorized | 0

There is a good chance that if you are reading this right now, your life is not exactly as you would like it to be.  You are experiencing pain that is significantly altering your quality of life, and you are not very happy about it.  The medical profession has not … Read More

How am I Going to Get There?

posted in: Uncategorized | 0

It’s important to avoid thinking that if you could just get rid of your chronic pain, your life could move forward. Instead, focus on the idea that you’ll move your life forward, and the pain is going to do what it will do. The ultimate paradox is that by sequencing … Read More

Where am I Going?

posted in: Uncategorized | 0

After you have outlined and honestly assessed the variables in your life, you need to start to develop your vision for each of them. That is, what do you want the different parts of your life to eventually look like? You may feel that you have a hundred reasons or … Read More

1 2 3 4