Category: Pain

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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Self Medication

It is extremely important to determine to what degree a patient’s self medication and complicates his/her own recovery process In the acute (short term) treatment of pain, aggressive pain management can prevent the patient from developing fear and hopelessness regarding the future and his/her capacity to deal with painful residuals. However, many patients will attempt …

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compliance

Compliance

Compliance: His wife called and said that he has been very depressed. So we scheduled him for an appointment. He has failed …
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commitment

Commitment

Commitment: “The most common reason for being referred for psychotherapy is to help resolve a conflict. This may be …
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mismanagement

Mis-management

Mis-Management: Many psychological complications arise from case mis-management when clear signs of emerging problems go …
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