Video 4/19: Listen When Your Surgeon Says “No”

I discuss how the DOCC Project model organizes all of the concepts of one’s pain into an understandable format and identifies certain tools that are variably to help one take back control of their life and overcome chronic pain. BF

Arm the Worker

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Fixing the problems with the worker’s comp system is critical.  However, the system is unwieldy and we are not going to change it anytime soon.  We know extremely well what needs to happen to enable a worker to move smoothly through the system.  One of my physiatrist colleagues felt so … Read More

Response to “Treat the Abyss” From the Roundtable

In response to some things said at the roundtable, I want say a few things about the emotional aspects of chronic pain treatment–namely, the additional stress caused by worker’s comp, the underlying anger of chronic pain, and the stigma of psychological diagnosis. Most people have a lot on their plate … Read More

THE “ROUNDTABLE”

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An physician friend of mine founded an international internet forum for professionals who are deeply involved in caring for injured workers.  Over the last several years, it has grown to over 1200 members who are committed to creating and implementing solutions to the multitude of problems that exist within the … Read More

Video 2/19: Your Hand Over the Stove

Consider a situation where you are forced to hold your hand next to the hot burner of a stove.  What would happen to your anxiety?  What would be your next response?  In chronic pain, you “can’t get your hand away from the stove.” I talk about this in depth in … Read More

Treat the “Abyss”

There is an ongoing debate amongst physicians whether anxiety and anger should be addressed in the treatment of chronic pain.  It is the “common wisdom” in medicine that the reason patients on worker’s comp do not do well with medical interventions, especially surgery, is that they have too many “secondary … Read More

Video 1/19: Introducing David Hanscom

In this introductory clip, I lay out my novel approach to chronic pain. In addition to sharing some of my personal experience in spine surgery, I give insight into how my approach to spine surgery and the overall care of my patients has developed and progressed. For the basics of … Read More

The Eye of the Storm

Any time your sense of well-being or peace of mind is dependent on external factors, you are at the mercy of those circumstances. For instance, if you feel the need for approval from your boss or peers, then you have given them a lot of power if they withhold their … Read More

“I Understand Your Anger. Get Over It.”

I was relaxing this weekend and cleaning up stacks of papers that have been piling up over the last six months.  I ran across this letter a patient had shared with me from her prior surgeon. She had undergone a major low back surgery and came to me with unrelenting … Read More

It Really is Upside Down

I have a patient who is a muscular 43 y/o welder. He injured his back on the job about four years ago.  After undergoing a laminectomy for low back pain, his pain actually increased.  When I first saw him a couple of years ago, his complaint was unrelenting low back … Read More

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