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

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

Enjoy Your Day-Today

  “Happy” We all want to become better, happier people, and we work pretty hard at it. The marketing world keeps reminding us that we are not even close to our potential and holds up endless images of perfection that reinforce that idea. The solution advertising offers is a better … Read More

The First and Last Day of School

“It is not true that people stop pursuing dreams because they grow old.  They grow old because they stop pursuing dreams.” Gabriel Garcia Marquez “It is not true that people stop pursuing dreams because they grow old. They stop pursing dreams when they are crushed by relentless anxiety… Gabriel Garcia Marquez … 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.

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

Problems are Opportunities

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I was in clinic today and a new patient cancelled.  I had the chance to spend some extra time with Lisa, a patient that I am just beginning to get to know. We had a long discussion about the DOCC Project.  Although she was initially resistant to the DOCC Project, … 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

Examiners from the Worker’s Perspective

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From my perspective, life in the worker’s comp system for my patients has never been more difficult.  The improvement in overall numbers belies the daily struggles of my patients who are admittedly an unusual group.  Many of them have been referred to me after “failed surgery” or have been in … Read More

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