My Call to Action

Jean was a middle-aged rancher who I saw for a second opinion from a neighboring state. She filled out an extensive spine pain questionnaire, which included many psychosocial questions in addition to a history and diagram of the pain. She was healthy and normally an extremely physically active rancher. Her low back … Read More

Video 14/19: Chronic Pain: Pain Free is Not Only Possible, it’s Probable.

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I talk about how powerful the DOCC Project can be and how it can break down the doors of years of chronic pain. Through patient’s stories, the DOCC project is showing that pain free is not only possible, it’s probable. For more on this, check out Reversing Chronic Pain with … Read More

Back Pain vs. Mouth Pain

I am a busy spine surgeon, yet I spend most of my time talking my patients out of surgery. When I do recommend surgical treatment, many, if not most, become apprehensive. They have heard that spine surgery never works and will relate stories to me about their friends, family, or … Read More

Video: Memorizing the Circuits: Phantom Pain

Our brain has neurological circuits that can become memorized. In this video I discuss phantom pain, which is more the rule than the exception with amputations. This factor is a significant problem with any chronic pain situation.

Video: Your Brain Becomes Sensitized

I discuss how the brain becomes more sensitive to pain with repetition. I also introduce the first 3 “E’s” of the 5 “E’s” of chronic pain as well as the evolution of pain. The 5 “E’s” are Empathy, Evaluation, Education, Encouragement and Engagement. For more on this, check out Sensitization … Read More

How Many More Neck Surgeries?

One middle-aged patient sought me out in Seattle from the East Coast for a second opinion regarding his neck. He had been disabled since 2001 with chronic pain over most of his body. He had at least 10 additional NPD symptoms of burning, aching, stabbing, and tingling that would migrate throughout … Read More

Video: I Can Only Fix What I Can See

I discuss the cultural belief system about spine surgery and it’s impact on the treatment for chronic pain. It took me years to understand that performing fusions for LBP is based on unsubstantiated belief rather than hard data. I thought that surgery could always alleviate pain and felt I had an … Read More

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