Let’s Start Now and Learn the Details Later

Lesson Objectives There is deep basic science research that has revealed the nature of chronic pain and this understanding will allow you to discover your version of a solution. The essence of the problem is sustained exposure to threat and the core of the solution lies in finding safety. Create … Read More

Pain: the Gift Nobody Wants

I have felt that it is important to pick out heroes to emulate. One person that I have greatly admired is an orthopedic surgeon, Paul Brand. He is the co-author of his autobiography, Pain, the Gift that Nobody Wants. (1) I knew him personally and he was as gracious a … Read More

Systematic Approach to Sleep

Objectives: Adequate sleep is a necessary requirement for healing. Insomnia is a cause of chronic pain, and it is not the other way around. It is almost always possible to experience a consistently good night’s sleep using a combination of approaches. Do not undergo any major invasive interventions until you … Read More

Arm the Worker

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Fixing the problems with the worker’s comp system is critical.  However, the system is unwieldy and we are not going to change it anytime soon.  We know extremely well what needs to happen to enable a worker to move smoothly through the system.  One of my physiatrist colleagues felt so … Read More

Sleep

Understanding the importance of sleep and its effect on the perception of pain was my initial insight into the neurological nature of chronic pain. Incorporating adequate sleep into my treatment of pain was my first step in the evolution of the DOC Project. I felt I had a whole new … Read More

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