When I began my surgical practice in 1986, I was convinced that spine surgery was a definitive solution for pain, and I aggressively offered many patients surgery. I eventually learned much better ways to solve pain; usually without surgery. I never dreamed that even surgical patients could have their pain … Read More
Do You Really Need Spine Surgery? Take Control with Advice from a Surgeon considers all factors affecting your perception of pain and organizes them into a treatment grid that allows you to make a good decision regarding having spine surgery. Spine surgery is out of control. I am not against … Read More
About three years ago, my staff noticed that our surgical patients who participated in The DOC Journey principles were doing much better. The outcomes were more consistent, and we were seeing fewer failures. The postoperative pain was more easily controlled. Patients were moving forward quickly with rehab while re-entering a … Read More
Preston Phillips, the spine surgeon shot this week in Tulsa, was a colleague of mine in Seattle. I did not know him well but interacted with him in conferences and some patient care. He was as well-intentioned a surgeon and nice person as I have worked with. It is easy … Read More
Please do not let this happen to you, your family, or friends. The downside of failed spine surgery can be catastrophic, and it is impossible for you, as a patient, to comprehend how bad it can be. Complications happen with every surgeon, including me. That is not the issue. The … Read More
This letter was sent to me by a woman that I have corresponded with a few times but I have never met or worked with. One of most powerful aspects of the DOC process is that is simply a structure that presents well-established documented treatments. Once a person understands the … Read More
After my fourth L3-L4 surgery the neurosurgeon sat me down and said “…you are not going to get better but rather worse as you grow older. You have a life sentence of pain.” I’ve had 6 spinal surgeries and 20 additional surgeries. I know chronic pain intimately. After 25 … Read More
Deciding whether to undergo spine surgery is one of the most important choices you will ever make. Currently, failed spine surgery is so common there is even a separate diagnosis for it – “Failed Back Surgery Syndrome.” You do not want to become one of these people, as it usually … Read More
When I published the first edition of my book, Back in Control: A Spine Surgeon’s Surgeon’s Roadmap Out of Chronic Pain in 2012, I was still of the mind set that if the correct pathology could be identified as the source of the pain, surgery was the best option and the sooner the better. Then … Read More
A friend of mine asked me for an opinion a couple of years ago about his back. I was giving him advice as a friend, not as a surgeon. He was having some pain and numbness down the side of his leg. It was down the distribution of his 5th … Read More