Your Hand Stuck Over the Stove

Picture taken from Ernesto Sanchez’s guest post, “The Journey of 1000 Moons” “I’m Fine” Here’s a puzzling situation I often encounter: A patient experiencing severe chronic pain on my spine intake questionnaire rates him or herself as a zero on a 10-point scale with regards to anxiety, depression, and anger. … Read More

Video 17/19: Anxiety and It’s Demons

I talk about how anxiety and stress can lead to certain obsessive tendencies. Some of the tools from the DOCC project are laid out, specifically those that can help break down the circuits that fuel anxious and stressful thoughts and behaviors. For more, see Your Demons are Robots. BF

Video 16/19: “White Bears”

I talk about how the suppression of negative thoughts associated with chronic pain can really fire up the nervous system.  Dr. Daniel Wegner from Harvard published an elegant paper in 1987 demonstratng the impossibity of trying to suppress thoughts. I’ve talked about it before in White Bears and ANTS. BF

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

Arm the Worker

posted in: Arm the Worker | 0

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