Category: Pain

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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Psychogenic Pain

Psychogenic pain was a cumbersome and misunderstood diagnosis in the past, since it implied that the pain was imagined the result of anxiety, and/or not physical in nature. Rather that psychogenic pain, the current diagnosis is 300.82 [ICD-10: F45.1) Somatic Symptom Disorder with Predominate Pain, Persistent and (either) Mild, Moderate or Severe. This refers to …

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Pill Popping

Medication “As a Western Society, we have evolved a preference, if not demand for, “a pill for all ills.” The only requirement that patients find acceptable is that they have to take their medication on a schedule. I had a Russian grandfather who spoke little English, but he certainly knew what was required. He went …

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Women in Pain

Women: An estimated 116 million Americans suffer from chronic pain. Fibromyalgia, migraine and other painful conditions are more common in women than in men. Even when both genders have the same back pain, research indicates that the women suffer more. Whether illness or injury, studies indicate that women report more pain than do men. This …

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feeling

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 …
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onset

Onset

Sleep Onset and Sleep Maintenance We do know that psychological disorders are comorbid (occur together) with sleep disorders. …
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mill

The Mill

The Mill: I had a patient with a persistent headache and dizziness. He told his friend, a gastroenterologist, about the symptoms. …
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