Category: Pain

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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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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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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