Everyone Needs Support

Mental Health Every injured worker should have access to some level of mental health support. I work with a veteran pain psychologist who is wonderful. 90% of her practice is caring for my patients. If she feels it is necessary, she will refer a patient to one of several psychiatrists … Read More

The “Five E’s” of Chronic Pain

A few weeks ago, I sent the roundtable a short article I put together called “Ability and Motivation.”  These are the two key ingredients necessary to create true change. My point was that the current state of the worker’s comp system destroys both of these attributes.  The only logical choice … Read More

Your Spiritual Journey

There are recent studies showing that, by using relatively little distraction, the perception of pain can be diminished.  I think there are many ways of distracting the nervous system so pain is not at the forefront.  However, pain is relentless and it is not possible to sustain this re-direction of … 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

“I Am Not Angry”

A few years ago, I evaluated a retired businessman for pain down the front of his right leg. It had begun about eight months earlier. The pain was moderate but frustrating. He had not experienced prior back problems and was not used to dealing with pain.  It was unclear what … Read More

Pain = Anger = Abuse

I was raised in a chaotic household. My mother was physically and emotionally abusive. It was confusing for me to feel like I had a mother who would do anything for her family and then, within seconds, watch her unpredictably fly into a rage lasting several days. From a young child’s … Read More

Problems are Opportunities

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

A Bunch of Balloons

Much, if not most, of what the DOC project presents about creating a central nervous shift is 180 degrees different than how most of us are taught to deal with our conscious mind. One of the most important paradoxes to understand is that you cannot fix your nervous system because … Read More

Examiners from the Worker’s Perspective

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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