The “Five E’s” of Chronic Pain
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A few weeks ago, I sent the roundtable a short article I put together called “Ability and Motivation.”  These are the two key ingredients necessary to create true change. My point was that the current state of the worker’s comp system destroys both of these attributes.  The only logical choice … Read More

Pain = Anger = Abuse
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I was raised in a chaotic household. My mother was physically and emotionally abusive. It was confusing for me to feel like I had a mother who would do anything for her family and then, within seconds, watch her unpredictably fly into a rage lasting several days. From a young child’s … Read More

Bipolar Disorder Broken
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Debbie was a 45 y/o woman who I had been working with for about four years. She was diagnosed with a severe bipolar disorder at age twelve. Unsuccessful Surgeries About 10 years ago, she had a lifting injury at work and developed chronic low back pain. Over a series of … Read More

Two Kinds of Anger
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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 = Loss of Control
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Anxiety is the feeling generated by your body in response to a threat. When a situation causes a feeling of anxiety, we exert some type of control to diminish it. When you lose or don’t have enough control, your body secretes more stress hormones in an effort too regain it. … Read More

Anger and the Continental Divide
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Playing the victim role is a universal part of the human experience. The word ‘victim’ does not sound very pleasing. However, it may be the one most important words affecting the quality of your life. This is particularly true in the context of chronic pain. All of us are limited … Read More

The Myth of Self-Esteem
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Self-esteem is one of the worst concepts ever propagated. While the definition itself appears harmless enough on its surface, “confidence in one’s own worth or abilities,” the ideas surrounding self-esteem implies that if I had enough of “X,” then I would have less anxiety, less frustration, and more happiness. “X” … Read More

Anger
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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

2 – Sensitization to Pain
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I frequently encounter patients who feel that there must be an anatomical problem that is progressing as their pain is getting worse.  There has been no further injury.  Nonetheless, these patients become even more focused on finding the problem and having it surgically fixed. I am extremely committed to not … Read More

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