Protect Your Family from Your Pain

Chronic pain is dangerous Chronic pain is dangerous. When you are trapped by anything in life, especially pain, you’ll become angry. When you’re angry, everything is completely about you and your efforts to escape. You can no longer see the needs of those around you, much less respond to them. … Read More

Anger and Workers’ Comp

A Failed System Our medical and political system has failed. Employers have abused workers as long as there have been employers and workers. The intent of worker’s comp’s no-fault system was to both provide excellent medical care as well as improve worker safety. Although workplace safety has dramatically improved since … Read More

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

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

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

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”

posted in: THE "ROUNDTABLE" | 0

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

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

1 2