Category: Pain

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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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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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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