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

“Call Things by Their Right Names”

The culture of medicine is immersed in high standards, ideals, and perfections.  Society demands perfection from physicians.  It is manifested in many ways.  The legal system, hospital staff privileging, no mercy for personal mental health issues, harsh criticism from our mentors.  Consequently, as others judge us, we are idealistic regarding … Read More

Normal Arms Amputated

It is extremely critical for you to understand how powerfully your neurological system can embed pathways into the nervous system.  In a sense, your nervous system can learn specific pathways. The nervous system does this in the same way one learns anything—by repetition. Repetition is how chronic pain develops. With … Read More

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