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

Video: Is Your Pain Structural or Not?

I look at the source of the pain and it’s receptors in reference to back pain and one’s spine. I also discuss the difference between a structural and non-structural source of the pain. Read more about this topic in discussing structural sources of pain.

Pain = Anger = Abuse

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

Video 8/19: Fusions For LBP Don’t Work

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I talk about the importance about finding the “source” of the pain and the implications of the “real” success rates of most spine operations. This clip takes a closer look into back fusions and the research behind them. Learn more about this in my post, “Surgical Results Overly Optimistic.” Aching … Read More

Video 7/19: The Catastrophe Index

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I specialize in Spinal Deformity and salvage operations. In this video, I talk about the cost of unnecessary surgeries and the emotional toll that is can have on patients. It’s something I’ve written about in The “Catastrophe Index.” BF

Video: Surgeons Do What They are Trained to Do

I discuss the lack of awareness to the alternative approaches in the spine surgeon world and the treatment of chronic pain. We are both not being trained in the correct and effective approach, but also ignoring well-established data. (1)   Young AK, et al. “Assessment of presurgical psychological screening in … Read More

Video 4/19: Listen When Your Surgeon Says “No”

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I discuss how the DOCC Project model organizes all of the concepts of one’s pain into an understandable format and identifies certain tools that are variably to help one take back control of their life and overcome chronic pain. BF

Video 2/19: Your Hand Over the Stove

Consider a situation where you are forced to hold your hand next to the hot burner of a stove.  What would happen to your anxiety?  What would be your next response?  In chronic pain, you “can’t get your hand away from the stove.” I talk about this in depth in … Read More

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