“I Understand Your Anger. Get Over It.”

I was relaxing this weekend and cleaning up stacks of papers that have been piling up over the last six months.  I ran across this letter a patient had shared with me from her prior surgeon. She had undergone a major low back surgery and came to me with unrelenting … Read More

It Really is Upside Down

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I have a patient who is a muscular 43 y/o welder. He injured his back on the job about four years ago.  After undergoing a laminectomy for low back pain, his pain actually increased.  When I first saw him a couple of years ago, his complaint was unrelenting low back … Read More

“Call Things by Their Right Names”

The culture of medicine is immersed in high standards, ideals, and perfections.  Society demands perfection from physicians.  It is manifested in many ways.  The legal system, hospital staff privileging, no mercy for personal mental health issues, harsh criticism from our mentors.  Consequently, as others judge us, we are idealistic regarding … Read More

Normal Arms Amputated

It’s important for you to understand how powerfully and quickly pain circuits are embedded into the nervous system. It’s accomplished in the same way one learns anything—by repetition. Pain impulses flood your brain much faster than and athlete, artist or muscian a learned skill of an athlese more numerous than … Read More

Four Steps in the Evolution of Chronic Pain

posted in: Stage 1 | 0

There are four primary steps in the evolution of chronic pain: (1) There is a potential source for pain, which may or may not be readily identifiable Structural–identifiable lesion with MATCHING symptoms Non-structural–inflammation or irritation of the soft tissues, which cannot be seen on a test Neurophysiological Disorder (NPD)–the nervous system … Read More

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