Prehab – Optimizing Surgical Outcomes

“Prehab” is refers to a patient engaging in a rehabilitation process before surgery. There are well-documented factors that affect pain and surgical outcomes. It’s important to implement treatments to address all of them prior to undergoing a procedure with significant risks. Chronic pain infiltrates every aspect of life. You have … Read More

My Story of Hope

I had a rough start living in a chaotic household with an angry mother who suffered from chronic pain. I did not figure out for 50 years that the migraine headache I suffered at age five would be the beginning of a lifetime filled with chronic pain. I eventually experienced … Read More

C – Neurophysiologic Disorder (NPD)

There have been numerous terms used to describe the body’s response to chronic stress and the physiological response. The original descriptor was Tension Myositis Syndrome (TMS) coined by Dr. John Sarno in the 1970’s. Other terms have included Stress Illness Syndrome Psychosomatic Disorders Central Sensitization Syndrome (CSS) Mind Body Syndrome … Read More

Systematic Approach to Sleep

Get some sleep – NOW Sleep is number one and I ask all my patients with insomnia to work with their primary care doctors to find a solution – and quickly. There are many ways to get a good night’s sleep and most physicians are comfortable with their own combination … Read More

Fighting a Forest Fire – Your Pain

The negative impact of chronic pain on quality of life is more severe than heart failure, renal failure, or major depression and comparable to terminal cancer (2,3). Failing to adequately manage chronic pain has additional major consequences, which include: (1) Cardiovascular High blood pressure Heart attack Physiologic Loss of appetite … Read More

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