Neuroplasticity is the term for the brain’s capacity to physically adapt to the environment. This is modulated by sensory input and chemical changes. It has been well-documented that prolonged exposure to stress hormones adversely affects the brain structure in addition to causing it to physically shrink.(1) Having a chronically negative … Read More
I received an email from an orthopedic colleague who I have never personally met. We are both part of an Internet discussion group about chronic pain and disability. His observations were very succinct and I think summarizes the problem of physicians not being adequately trained in chronic pain. Here is … Read More
Recent world events have raised a lot of questions about why would people dedicate their lives to the pursuit of destruction? My observation is that this unspeakable behavior is one of the expressions of what is learned in school that we call, “socialization”. The First Day of School Every child … Read More
There is a “genealogy” of anger. It begins with a person or situation that you blame for upsetting you. You then go into a victim role and become upset. “Upset” can range from being irritated to flying into a rage. The circumstance may be real or perceived. Either way the … Read More
I was in Italy grabbing a ride to my hotel from the Florence train station. While waiting in line I noticed a slightly older taxi driver standing by his cab in the middle of the taxi stand while three or four drivers took off ahead of him. He seemed slightly … Read More
DOC (Direct your Own Care) is a framework that breaks down chronic pain into basic parts that will enable you to discover your own solution. It evolved from my own 15-year experience suffering from chronic pain with the last seven being extreme. I was fortunate to work my way back … Read More
All living creatures survive and flourish by avoiding threats and gravitating towards rewards. Humans have language and consciousness, which creates some problems with this avoidance response. Thoughts create that same chemical reaction as a physical threat and we can’t escape our thoughts. Emotional pain is processed in a similar manner … Read More
I am noticing a pattern that seems to be quite common. People in pain control others around them – especially their close family members. I have not had the chance to research the literature but it is becoming increasingly clear how devastating chronic pain is not only to the patient … Read More
Despair I will never forget a 40 year-old woman I met in the office a few years ago. She had suffered from chronic pain that enveloped almost her entire body since her late teenage years. She was anxious, depressed, and would barely lift her head to talk to me. The … Read More
Power Many patients have no interest in giving up their pain. Being a victim is a powerful role – and for many is synonymous with love. Some of the reasons to remain a victim and angry are: It is a familiar pattern You are not aware or connected to your anger … Read More