Recent Posts

Calming Down and Healing with Vagal Nerve Stimulation (VNS)

Calming Down and Healing with Vagal Nerve Stimulation (VNS)

The Relationship Between Chronic Stress and Health Stress is commonly perceived as a psychological term. That is simply not true ...
“Many Italians Choose Suicide” – People Need to Work

“Many Italians Choose Suicide” – People Need to Work

Overview The essence of healing is feeling safe. Your body regenerates and heals. Not being able to support yourself or ...
Why I Keep Pushing Forward – A Mother’s Story of Healing

Why I Keep Pushing Forward – A Mother’s Story of Healing

I am sharing these letters from a former patient to explain why I continue to work to help people escape ...
My Story of Hope

My Story of Hope

I had a rough start living in a chaotic household with an angry mother who suffered from chronic pain. I ...
Who Do You Choose to be Today?

Who Do You Choose to be Today?

Objectives Most of us intellectually understand that the only moment we have in life is this very one. That is ...
Schadenfreude: Your Pain My Pleasure

Schadenfreude: Your Pain My Pleasure

Schadenfreude—the pleasure derived from another’s misfortune—is biologically rooted in the brain’s reward system. Brain imaging studies reveal that when we witness the ...
Spine Surgery in the Presence of Chronic Pain - Mangione Situation

Spine Surgery in the Presence of Chronic Pain – Mangione Situation

I am part of a documentary titled “Who is Luigi Mangione?” It will air this coming Monday evening, February 17th, ...
RUTs - Can’t Take Your Hand Off the Stove? Turn Down the Heat

RUTs – Can’t Take Your Hand Off the Stove? Turn Down the Heat

Holding your hand over a hot burner triggers an immediate threat response (anxiety) and prompts action to address that threat ...
Anger Manifesto - “Humans, wake up!!”

Anger Manifesto – “Humans, wake up!!”

 Humanity Won’t Survive Without Engaging its Thinking Brain No Action in a Reaction The Human Survival Paradox Consider a time ...
Avoid Surgery by Raising the Pain Threshold

Avoid Surgery by Raising the Pain Threshold

A friend of mine asked me for an opinion a couple of years ago about his back. I was giving ...
I Took a Walk with Bella Today - A consideration of what we can learn from other species.

I Took a Walk with Bella Today – A consideration of what we can learn from other species.

This article was written by my close friend, DR Clawson. He is a physician specializing in physical medicine and rehabilitation, ...
Stories of Hope

Stories of Hope

Hope is healing An important aspect of healing is regaining hope and optimism. When you are trapped without any hint ...

Stage 1 - Lay the Foundation

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - Learn About Your Pain
Step 2 - Expressive Writing
Step 3 - Active Meditation
Step 4 - Sleep
Step 5 - Don't Share Your Pain

B - Non-Structural Pain

B – Non-Structural Pain

Patients often wonder how soft tissues can be so painful. It’s because they have a high density of pain receptors ...
The Three Column Technique

The Three Column Technique

After you have become comfortable with writing down and immediately destroying your thoughts, the next phase involves the “three-column technique ...
Anger

Anger

Anger is as important as anxiety when it comes to chronic pain management. Some people are able to come to ...
Sleep

Sleep

Understanding the importance of sleep and its effect on the perception of pain was my initial insight into the neurological ...
4 - The "Modifiers"

4 – The “Modifiers”

There is a sequence of events that results in chronic pain. It is complex and not linear. The first step ...
Masking

Masking

Masking your reaction to stress is a way of dealing with repetitive racing thoughts. Masking is behavior that’s used to ...
Suffering

Suffering

Repetitive thoughts When you suffer, you have the same set of thoughts over and over; a process that clearly reinforces ...
3 - Memorization of Neurological Circuits

3 – Memorization of Neurological Circuits

Memorization of neurological circuits is the another phase of the chronic pain experience in addition to pain sensitization. The way ...
Early Sleep Concepts

Early Sleep Concepts

I learned about the importance of sleep somewhat by chance. It was covered in my medical training. I read a ...
DOC - A Framework of Care

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 ...
2 - Sensitization to Pain

2 – Sensitization to Pain

I frequently encounter patients who feel that there must be an anatomical problem that is progressing as their pain is ...
The Evolution of Chronic Pain

The Evolution of Chronic Pain

Objectives: Understand the complexity of chronic pain and how it evolves from acute to chronic. The factors to consider are ...
1 - Three Sources of Chronic Pain

1 – Three Sources of Chronic Pain

Dr. Howard Schubiner Dr. Schubiner is a pain physician practicing in Detroit, MI. He approaches pain from a whole body ...

Stage 2 - Forgive and Play

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - Understand the Impact of Anger on Your Life
Step 2 - Acknowledge Your Disguises
Step 3 - Admit Your Victimhood
Step 4 - Forgive
Step 5 - Play

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Stage 3 - Move Forward

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - Commit to a Daily Practice
Step 2 - Create a Safe Haven - Family
Step 3 - Get Organized
Step 4 - Connect with the Life You Want
Step 5 - Create Your Vision

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Stage 4 Posts - Expand Your Consciousness

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - Pass Through the "Ring of Fire"
Step 2 - Step Into Your New Life
Step 3 - "Failing" Well
Step 4 - Look Up - Your Spiritual Journey
Step 5 - Giving Back is Healing

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Stage 5 - Decision-making

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - General Principles - The Grid
Step 2 - The Source of Your Pain
Step 3 - The Impact of Stress on Your Pain and Decision-making
Step 4 - Understanding the Magnitude of the Surgery
Step 5 - Making the Final Surgical Decision
Step 6 - Stories of Surgical Despair

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Stage 6 Posts - Procedures

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - General Considerations: Magnitude vs. Benefit
Step 2 - Decompressions
Step 3 - Lumbar Fusions
Step 4 - Deformity Surgery
Step 5 - Other Spine Surgeries
Step 6 - Stories of Surgical Despair

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Important Posts

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Stories of Hope

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Expressive Arts Posts

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Click a Show Section button below to view the posts in that section.

Section 1 - Overview of RUTs


Overview of RUTs

RUTs - Defining the Problem

“The Curse of Consciousness” – Trapped by Your Thoughts

“The Curse of Consciousness” – Trapped by Your Thoughts

Objectives: Unpleasant thoughts are impossible to avoid and can significantly impact your quality of life. They are a “neurological trick” created by your unconscious brain. They are not subject to rational interventions. The root cause of the problem is the ...
 Quit Fighting Darkness and Turn on the Light

 Quit Fighting Darkness and Turn on the Light

Objectives We are trained that if we can solve enough of our problems, we’ll have an “enjoyable life.” Life’s challenges never stop, and we may slowly sink into darkness, “The Abyss.” We become desperate trying to escape; especially from our ...
Am I Operating on Your Pain or Anxiety?

Am I Operating on Your Pain or Anxiety?

My surgical decision-making dramatically changed over the last five years of my practice. In spite of watching so many successes of people healing from chronic pain without surgery, I still had a surgical mindset and was always looking for a ...
My Descent Into The Abyss

My Descent Into The Abyss

Objectives There are many different physical and mental symptoms that are possible when you are in sustained flight or fight physiology. At my lowest point, I was experiencing 17 of them. No one could tell me what was happening despite ...


Section 2 - Solving RUTs

Solving RUTs

Separating Your Identity from Your Physiology

The Gift of Anxiety – Your Bodyguard or Prison Guard?

The Gift of Anxiety – Your Bodyguard or Prison Guard?

Objectives: Since the body’s response to threats affects every cell in your body, it feels like part of who you are. We spend a lot of time attempting to avoid this intentionally unpleasant sensation when it is necessary for life ...

 

Four Aspects of Solving RUTs

Four Aspects of Solving RUTs

Four Aspects of Solving RUTs

Objectives Mental and physical pain are processed in similar regions of the brain. Our inability to escape from RUTs relentlessly drives flight or fight physiology, and people may become ill. There is a healing sequence for solving them: separation of ...
The Popcorn Machine – Healing RUTS

The Popcorn Machine – Healing RUTS

Objectives Repetitive Unpleasant Thoughts (RUTs) are solvable with a multi-pronged self-directed approach. Consider the four aspects in the metaphor of a popcorn machine. They are 1) the kernels 2) the cooking pot 3) the storage compartment 4) the power source ...

 

Thought Diversion

Write and Don't Stop!

Write and Don’t Stop!

  There are over 2200 research papers that document that expressive writing in some form is effective for improving both your mental and physical health. I have been adamant for a long time that you should write down just negative ...
Unhooking from the Train

Unhooking from the Train

Your body under chronic stress  There are multiple physical and mental manifestations of a chronically fired up nervous system. With engagement of the principles that calm it down, the improvements in my patients’ quality of life are consistent and frequently ...
The Three Column Technique

The Three Column Technique

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 ...
Active Meditation

Active Meditation

A basic tenet of many Eastern philosophies is that worrying about the future and thinking about the past causes internal unrest. There is anxiety around the future and many regrets and frustrations about the past. By staying only in the ...

 

“Turn Down the Heat” – Anger

Anger Academy

Anger Academy

Objectives Processing anger is more doable if it is broken down into its components. Anger is a powerful, necessary, and hard wired survival reflex. You cannot tame it with the conscious brain. It is an acquired skill that requires ongoing ...
Directly Calming the Threat Response

Directly Calming the Threat Response

Your capacity to enjoy your life, feel safe and content is dependent on your body’s neurochemical profile. When you are stressed you don’t feel good. There are methods to regulate your body’s stress reaction and inflammatory response. The gift of ...
"5–3–2" - Processing Anger in Three Steps

“5–3–2” – Processing Anger in Three Steps

Objectives Anxiety is an unpleasant sensation generated by your body’s physiological response to real or perceived danger. It compels you to take action to resolve the threat and live another day. If you cannot escape or solve the threat, your ...
RUTs - Can’t Take Your Hand Off the Stove? Turn Down the Heat

RUTs – Can’t Take Your Hand Off the Stove? Turn Down the Heat

Holding your hand over a hot burner triggers an immediate threat response (anxiety) and prompts action to address that threat. This sequence is part of the protective pain response known as the nociceptive pain system. Numerous danger cues activate this ...

 

Nurturing Creativity

 Quit Fighting Darkness and Turn on the Light

 Quit Fighting Darkness and Turn on the Light

Objectives We are trained that if we can solve enough of our problems, we’ll have an “enjoyable life.” Life’s challenges never stop, and we may slowly sink into darkness, “The Abyss.” We become desperate trying to escape; especially from our ...


Section 3 - The Evolution of RUTs

The Evolution of RUTs

The Need for Mental Control – The “Ironic Effect”

Your Demons are Robots

Your Demons are Robots

It is critical to understand how deeply negative anxiety-producing thoughts are etched into your nervous system. A 1987 Harvard experiment (1) documented that when you suppress unpleasant thoughts, they become more powerful. Unfortunately, they documented a trampoline effect in that they ...

We are brainwashed by our life experiences

Your “Authentic Self”

Your “Authentic Self”

The only “authentic self” that exists is the one who is present today – right this very second. Your actions and reactions reflect your entire lifetime of programming. Much of our programming is less than ideal but it is what ...
Your Personal Brain Scanner

Your Personal Brain Scanner

Every second of your life depends on your brain scanning your surroundings for trouble. This unconscious process guides your behavior so as to avoid danger and maximize your chances of survival. You will become conscious of this ongoing interaction with ...

The Physiology / Mental Mechanics

Threat versus Safety Physiology

Threat versus Safety Physiology

Lesson Objectives Consider ongoing environmental input separately from your body’s responses. Understand the essence of illness/ disease is sustained exposure to real or perceived threats. It creates an adverse chemical profile that increases metabolism (your rate of fuel consumption) and ...
Common Links to Chronic Disease - RUTs are Relentless

Common Links to Chronic Disease – RUTs are Relentless

Objectives: Understanding the nature of chronic disease and the principles behind the solutions, allows you to fully engage in your care. Characteristics that keep us alive are what also create disease states. Chronic pain is a neurological diagnosis that has ...
We have no protection from mental pain

We have no protection from mental pain

Objectives: Pain from any body part is a protective danger signal that guides our behavior and physical responses to avoid danger and remain safe. This system is called the nociceptive system, which guides behaviors to not exceed the limits of ...


Section 4 - Consequences of RUTs

Consequences of RUTs

Clinical Manifestations / illnesses/ Diseases

Extreme Mental Pain - OCD

Extreme Mental Pain – OCD

Obsessive Compulsive Disorder (OCD) is an extreme form of anxiety. A relentless assault of unwelcome intrusive thoughts characterizes it. I suffered from OCD for several decades, well before I knew what OCD meant. It is becoming increasingly apparent that many ...
School or Prison - What's the Difference?

School or Prison – What’s the Difference?

Bullying bothers me–a lot. When I was in middle school and high school, I was very fortunate in that I was not a target of bullying. However, I have watched dozens of friends and family come under attack from bullies ...
Threat Physiology Can’t be Controlled with Behavioral Approaches

Threat Physiology Can’t be Controlled with Behavioral Approaches

Objectives Many people are focused on controlling anger and anxiety with behavioural approaches. These powerful reactions are not controllable and suppressing them increases threat physiology. We all need to be heard, supported, and taught methods to regulate and lower these ...

Behaviors Driven by RUTs

School or Prison - What's the Difference?

School or Prison – What’s the Difference?

Bullying bothers me–a lot. When I was in middle school and high school, I was very fortunate in that I was not a target of bullying. However, I have watched dozens of friends and family come under attack from bullies ...

Punishment Can’t and Won’t Stop Destructive Behaviors

Threat Physiology Can’t be Controlled with Behavioral Approaches

Threat Physiology Can’t be Controlled with Behavioral Approaches

Objectives Many people are focused on controlling anger and anxiety with behavioural approaches. These powerful reactions are not controllable and suppressing them increases threat physiology. We all need to be heard, supported, and taught methods to regulate and lower these ...


Section 5 - Healing Principles

Healing Principles

Addressing RUTs

The “C”quence of Healing Chronic Illness

The “C”quence of Healing Chronic Illness

Objectives Connecting to every aspect of your life is difficult but is essential for allowing your body to heal. “Being” with your past may be challenging, but it is necessary in order to learn and grow.  It is the opposite ...
Your “Authentic Self”

Your “Authentic Self”

The only “authentic self” that exists is the one who is present today – right this very second. Your actions and reactions reflect your entire lifetime of programming. Much of our programming is less than ideal but it is what ...

 

Becoming a Professional at Living Life

Navigating Life is Similar to Playing Major League Baseball

Navigating Life is Similar to Playing Major League Baseball

Feeling safe is the essence of enjoying life, healing, and thriving Healing chronic illness happens by moving towards health not by “fixing” yourself. An analogy can be made to becoming a professional baseball player. The goal is to be “safe” ...
Become a Genius at Solving Pain

Become a Genius at Solving Pain

I always wanted to play golf at a level where I could consistently shoot in the 70’s. I began to play when I was 14 but I never took lessons and didn’t practice much. Then in college I subscribed to ...
Repetition and Healing

Repetition and Healing

Objectives Learning any new material or skill is an active process than can only be acquired through repetition. There are few people with a photographic memory and even they need repetition to embed a skill. Living your life in the ...

 

“Letting Go” – Freedom from Mental and Physical Pain

"She Just Let Go"

“She Just Let Go”

My migraine headaches began on the Fourth of July when I was five years old. By age fifty, I had over fifteen physical and mental symptoms from being in a state of sustained threat physiology. They became extreme and intolerable ...
A Bunch of Balloons

A Bunch of Balloons

Much, if not most, of what the DOC project presents about creating a central nervous shift is 180 degrees different than how most of us are taught to deal with our conscious mind. One of the most important paradoxes to ...