Category: Pain

Dire Consequences of Oxycontin

Ideally, you know what kind of pill you are giving the patient, but do you know what kind of patient is taking the pill? It is erroneous and dangerous to assume that because a patient eagerly takes Oxycontin that he/she is a good candidate for the drug. For example, like many narcotic pain killers, Oxycontin …

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Fibromyalgia

Fibromyalia is one of several “diagnoses” that concern many of us who have examined such patients and their families. A conference on this subject was reported in the May, 2000, issue of the Journal of Rheumatology. Nine years of litigation over putative fibromyalgia said to be caused by a minor accident has yielded little satisfaction …

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Psychology & Disabling Headaches

I have had injured workers who complain of severe headaches and say they cannot work. Often these individuals have had no head injury. The neurologists seem to feel the headaches are disabling. There is an article in the journal Headache with a lengthy discuss of depression and anxiety as being among the psychological symptoms that …

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Physical and Psychological

Tthere are two psychologically based pain disorders. “Pain Disorder Associated With Psychological Factors” is diagnosed when psychological factors play a major role and medical condition plays minimal or no role. “Pain Disorder Associated With BOTH Psychological Factors and a General Medical Condition” is quite often diagnosed in work-related injuries in which psychological factors impact the …

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Handling the Truth

It is often uncertain as to how many back injured patients understand or are capable of understanding their complaints. They actually seem offended by their diagnostic information and distrustful that it is even accurate.” Dr. Adams: At the request of an orthopedic surgeon, I recently saw a patient who had two prior, unsuccessful back surgeries. …

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satisfaction

Satisfaction

Satisfaction for patient and provider: A survey in 2013 reported that: “An alarming 70% of those surveyed in a recent …
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checkers

Checkers

Checkers vs. Chess: “It may be difficult to trace the origins of healthcare becoming a competitive sport where doctors …
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partial

Partial Malingering

A patient can have a valid disorder yet still be malingering (falsifying complaints for purposes of tangible gain). Malingering …
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