Category: Pain

Somatoform Pain

Somatoform: The term “somatoform” derived from concept that, for some patients, pain emerges from purely emotional causes, and that it cannot be due to injury in such patients. This was far from accurate, and invariably insurers and attorneys had the same question that you pose: “Is this all in their head?” or better put “Are …

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Pain Behaviors

While the absence of pain behaviors does not necessarily indicate an absence of pain, the reverse can also be true. One patient of mine comes immediately to mind. She sustained a cervical bulge in a work related accident. Initially, she had the expected neck, shoulder and bilateral arm complaints. But very rapidly, she winced when …

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Cause and Maintenance of Pain

“See PAINWeek.org; 2013 annual presentation” The September 2013 meeting of PAINWeek, mentioned the Mass. General reference to pain as a three-legged stool; all three necessary to support the patient; to explain the cause of pain. One leg is for surgery and procedures, a second is for pharmacological support and the third is for the connection …

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Workers’ Contemplation

Contemplation: Consider this: Using the wrong specialist to treat an injured worker is akin to referring to a dentist for knee surgery or combing your hair with a spatula. Workers’ Contemplation: • I presented at a conference in which injury and pain were being discussed. An audience member said that insurance companies were sending injured …

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Pain Relief: The Futile Quest

Relief from Pain: Relief from pain is a biological drive. I do believe that a major task in front of those with chronic pain is the reality that they may forever be in pain, and that they have the responsibility to deal with that harsh reality. With current FDA warnings about serotonin syndrome, adrenal insufficiency, …

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burn

Burn: I had a patient who was barely 21 at the time of his injury. He was shy, poorly educated and had never dated. He had …
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hateful

Hateful

Hateful patients: It has always been irrational to be forced to treat a patient who is either physically threatening or emotionally …
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divorce

Divorce

Divorce:  While the source of post-injury disharmony is most often financial, there are more insidious problems that arise …
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