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.
Compassion—First and foremost I am on a much-needed vacation this week in Italy. From 1980 until 1990, my wife lived in Florence. We have many friends in Italy we like to visit as much as we can. It is a unique opportunity for me in that she is fluent in … Read More
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
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
“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
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
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
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