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Before treating physical pain, address the emotional one

David Hanscom, MD
Conditions
May 17, 2014

The patient was a 78-year-old businessman who acted and looked about half his age. He was very pleasant and talked freely about his lower back pain and the pain down the side of his left leg, which had been a problem for about six months. It was consistently more severe when he stood or walked on it, and it immediately disappeared when he sat down. His MRI scan revealed that …

Read more…

Before treating physical pain, address the emotional one

Chronic pain and the effect on patients’ families

David Hanscom, MD
Conditions
April 17, 2014

People suffering from chronic pain are often angry. They are trapped not only by an unpleasant sensation, but also by their limited treatment options. The experience can lead to feeling not only like there is no end in sight, but also as through there is no hope. So strong are the associated emotions that I often call this state of mind “the abyss.”

All too often, when that frustration becomes too …

Read more…

Chronic pain and the effect on patients’ families

Tips for treating patients suffering from chronic pain

David Hanscom, MD
Physician
November 22, 2013

“You are the worst doctor I have ever met.”

This was the second patient in a row to explode at me when I explained that further back surgery for his back pain had a low chance of success. I spent a couple of minutes explaining the many successes of our hospital’s pain program. Then he exploded again: “You mean I drove five hours just to hear you tell me that you …

Read more…

Tips for treating patients suffering from chronic pain

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  • Most Popular

  • Past Week

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
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      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

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      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
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      Justin Oldfield, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • 13.1 reasons running a half marathon beats practicing medicine

      John Wei, MD | Physician
    • Medicare practice expense cuts will hurt patients

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  • Recent Posts

    • Emotional over-functioning drives the competence trap

      J.H. Lynn | Conditions
    • Physician depression doesn’t always look like depression

      Kenneth Scott Burnham, DO | Physician
    • Physician retirement is a myth for the ripening doctor

      Farid Sabet-Sharghi, MD | Physician
    • When GLP-1 doesn’t work, look at chronic stress

      Carrie Friedman, NP | Conditions
    • How a diversionary legal strategy harms medical malpractice

      Howard Smith, MD | Physician
    • Medical apology laws don’t reduce malpractice lawsuits

      Timothy Lesaca, MD | Physician

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