Category: Pain

Co-Morbid

Co-Morbid Patients who are taking prescribed narcotics for their chronic pain are exposed to a system in which the following is true: a. Time spent with the patient is specifically targeted at the site of the pain and not the person who has the pain. b. Although drug testing can determine if the patient is …

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Feeling Their Pain

Feeling the misery of others is a dubious task. Many patients feel that none of their friends, family or prior co-workers appreciate the extent and intensity of their pain. These patients may find themselves placed in chronic pain support groups, just as there are groups for other human conditions from smoking to gambling. However, the question must be asked as to whether support groups enable the patient a new means of feeling, …

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Aspects of Pain

Aspects of injury are two very different but complimentary ways of conceptualizing pain management: The administration of procedures and medications that are intended to reduce the experience of pain Techniques used by the patient to understand and cope with pain. Many injured workers do not understand, and in a dependent fashion, do not attempt to …

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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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alexithymia

Alexithymia

Alexithymia: “A patient and his wife were sitting in front of me. The issue was that he was physically abusing her, …
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co-morbid

Co-Morbid

Co-Morbid Patients who are taking prescribed narcotics for their chronic pain are exposed to a system in which the following …
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bad actors

Bad Actors

Bad actors: You do not have to be a nice person to be a police officer. You do not have to have self-insight, a good philosophy …
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