I was introduced to this concept in the 1980’s by Dr. Bernie Siegel’s book, Love, Medicine and Miracles. He reviews some of literature that links stress with disease and also relates many stories of patients with terminal cancer who beat the disease. He formed a non-profit group, ECaP (Exceptional Cancer Patients). These miracles happened in the presence of widespread disease without any hope of survival. Although this has been witnessed for decades, he asked the question, “Why?” It is not just a lucky occurrence. Remarkable healing stories – Dr. Bernie Siegel

The destructive power of anger

The same principles hold true for the healing that occurs in the DOC process. It is not a series of steps that you undertake and you are free of pain. It is a framework that organizes your thinking and clears the air so you can figure out your own next steps. Somewhere in the midst of quieting down, my patients unconsciously connect with the core of who they are and allow themselves to heal.

Being trapped causes frustration and anger. Anger disconnects you in almost every direction and adversely alters your body’s chemistry so all of your cells (organs) are bathed in stress chemicals. Some things that trap us are:

• Our thoughts
• Anxiety
• Unpleasant work environment
• Abusive home situation
• Uncomfortable/ painful physical sensations
• Too little money
• Not being able to meet basic daily obligations – always behind
• Random medical treatments

Most of these problems are not solvable, so as your legitimate frustrations continue, so will the chemical assault on your body. You cannot connect with your body’s capacity to heal in this adverse physiological environment. You can   train yourself to alter this primitive survival response.

Placebo

Placebo is a term that has been incorrectly presented to both doctors and patients. It is felt that if a patient responds to a placebo, then there clearly must not be a problem. Really? It has been shown and continues to be demonstrated that almost every medical treatment has a significant placebo component – even in the presence of the active ingredient of the drug. Also, the more invasive the treatment the more powerful the placebo effect. In other words, an injection is stronger than a pill, and a surgical procedure has even a greater placebo effect.

The percent of people that respond to a given treatment with a placebo effect ranges from 20 to 50% and it is consistent. I am not aware of any study that shows that the placebo effect is absent. Harnessing and  this placebo effect is what you desire. It is specific, powerful and does not have side effects or risks. There is nothing more impressive than having your immune system rally and wipe out a given cancer. All that doctors can do is to kill cells with drugs and radiation and hopefully the cancer cells are destroyed first. Occasionally surgery can completely remove it, but never in these terminal cases. The newer generation of treatments is focused more on targeting only the cancer cells.

The warts on my hands

I had a remarkable experience with my body’s healing powers in my 20’s. You can read about it in detail but after suffering with five to ten warts on both of my hands for over 10 years this disappeared forever within a week after a dermatologist told me to rub fresh Aloe Vera leaves over them. Then he told me that he thought it was a long-shot but it would work, “Because I think it is just a placebo.” I was extremely upset and angry and I can still feel what happened inside me that day. I remember feeling that “I am done with this” and I felt a deep shift occur in the middle of my body. I rubbed the Aloe Vera on my warts for a couple of times and then threw the stems out. Two weeks later I had new hands. I cannot adequately encapsulate this experience in words. It has been shown that even when patients know they are receiving a placebo it is still often effective. (2)

The drug of choice

Placebo is the drug of choice for any disease state, including chronic pain. You must get out of your own way and allow your body heal. Connecting to your own healing capacity does not carry risks or cause harm.

Unfortunately, many medical procedures do have significant risks and cause damage, even when there are no complications. I had to directly or indirectly deal with almost all of them including, stroke, blindness, paralysis and death. Addressing bad outcomes was one of  the most difficult aspects of being a surgeon. This is especially true when you wonder if you could have possibly avoided the procedure, or did my patient really understand the implications of his or her decision? There are conflicting reports but it appears that there are over 150,000 deaths annually from medical errors, which would make it the third leading cause of death behind heart disease and cancer.

One mechanism of action of placebo is that it engages the same brain mechanisms that release the body’s endorphins (natural pain killers) and ‎cannabinoids (active ingredient in marijuana). Interestingly, researchers can block the pain-killing placebo effect with a drug that blocks narcotics called naloxone.

Treatments without risk

A 2012 study recently came to my attention where lidocaine patches for LBP were compared with just the patches. It is extremely interesting in that 50% of the patients responded in both groups. Does the paper show that patients really did not have pain? “No!” It demonstrates that the healing response is stimulated by the patch. Does that mean we should be prescribing patches without the lidocaine? “No!” The risk of Lidocaine on the patch is essentially zero and adds minimal cost. A 50% response rate is excellent. (1)

It doesn’t even matter if the patients know that the “drug” is a placebo. Another “open label” placebo medication study showed a large reduction in chronic low back pain compared to the usual treatment. The mechanism of action of this effect is unclear and it does not require deception to be effective. Somehow the act of taking the pill stimulates the body’s capacity to heal. (2)

When patients heal at some point during the DOC process there is no way of knowing what aspect of it was effective and it doesn’t matter. You have connected with your body’s ability to heal and without a downside.

Heal yourself

Understand that each and every person has the capacity to access his or her own body’s ability to heal. We have observed that the vast majority of patients who engage will not only improve but thrive. Unfortunately, the anger that fires up so many symptoms is also the obstacle that blocks engagement. The major factor that portends a good outcome is willingness to be open to new ideas and then pursue them. Or, as one successful patient pointed out, “It requires a suspension of disbelief.”

1. Hashmi, JA, et al. Lidocaine patch (5%) is not more potent then placebo in treating chronic back pain when tested in a randomized double blind placebo controlled brain imaging study. Molecular Pain (2012); 8:29-30.
2. Carvalho C, et al. Open-label placebo treatment in chronic low back pain: a randomized controlled trial. Pain (2016); vol 0: 1-7.

The post Harnessing the Body’s Healing Power first appeared on Back in Control.

The post Harnessing the Body’s Healing Power appeared first on Back in Control.

I tried everything to get rid of these things. I would shave them down with a razor, which I did several times a week. I tried multiple medications. I had them frozen off, but they always re-appeared. Through college and medical school, it was ongoing battle. They gradually seemed to get larger and more numerous regardless of my efforts. I became more self-conscious of them as I progressed through my medical training. I felt very awkward examining patients with what felt like were pretty disfigured hands. Of course, no one noticed them nearly as much as I did.

Orthopedic Residency

My first year of orthopedic training was stressful. I had done two years of internal medicine residency instead of the usual two years of general surgery. I was thrown right into the fire trying to catch up with the other residents. I honestly don’t know if stress was the issue, but my hands were worse with four or five large warts. I went to a skin specialist who used liquid nitrogen to burn them off. Not only was the initial burning very painful it continued burn for a couple weeks. It felt like an underground fire. I could not sleep well with the pain and I was getting increasingly frustrated. A friend gave me the name an older dermatologist who supposedly had experienced success with difficult skin problems.

My elderly dermatologist

He was nice and also really old. He looked at me and said that he didn’t think that there was much that could be done. He suggested that I rub some fresh aloe vera plant over them and that might help. I looked at him in disbelief and was now pretty despondent about ever getting rid of these things. As he handed me a couple of aloe vera stems he proceeded to say that, “I don’t really think it works. It is just probably some type of placebo effect.” At that point I become really upset. Even if the placebo effect was possible it seemed like he was even taking that option from me.

 “I’m done”

I remember standing there and I felt a profound shift deep inside of me. I recalled the recent suffering I had experienced after the last attempt of burning them off. The feeling was intense. I could almost re-experience the pain. I was “done” and simply wasn’t going to put up with it anymore. My whole being said, “No!!!”

I rubbed the aloe vera stems over my hands a couple of times and tossed them. Two weeks later the warts completely disappeared and six weeks later my skin looked as if they were never there. I have never experienced another wart in over 30 years. Clearly some type of immune response occurred. I don’t know what precipitated the healing response, but I could feel it and still can recall almost exactly what it felt like.

 “I’m done” – round two

The only other time I experienced that feeling was in 2002 after being stuck in a severe burnout. One of the worst parts of being depressed was feeling sorry for myself. It was endless and manifested itself in endless conversations and racing thoughts. Somehow, I became aware for the first that I was actually in a victim mode. I realized that there was no answer to being in the victim role. It was too powerful. I experienced the same deep feeling of mixed desperation and determination that I was no longer going to live this way. I was simply done. Within the next few months I began to heal. Many of my physical symptoms I had suffered with since childhood disappeared and over the next year essentially all of them resolved.

My Battle with Neurophysiological Disorder (NPD)

Also “done”

Janet had been suffering from chronic pain for years and seen by several dozen doctors. By the time she saw me, she was ready for surgery – except there was no surgical lesion that I could address. When I told her that her spine looked fine, she flipped out and began to yell at me about the whole medical profession and then some. I briefly told her about my book and website and asked her to return in a couple of weeks to discuss her options. I honestly thought I would never see her again. Much to my surprise, she not only returned, she was free of pain (and remained that way). She related a similar story to mine in that she was fed up and just going to move on without the help of doctors. She also described a deep shift that she couldn’t put into words.

Another story

I recently received this email from a reader.

Dear Dr. Hanscom,

“I was just told by a neurosurgeon today that the only way to stop my back and hopefully nerve pain in leg is surgery. I have a herniated disc at L5-S1 and he thinks it’s cartilage that is pressing on my S1 nerve. Anyway, I came back to my hotel and started googling and found your backincontrol.com site.  I really connected with it as I have started a mindfulness-based stress reduction course 2 weeks ago and am feeling some benefits already.

But what really connected me was your story on warts. When I was a young teen I also had warts on my hands. Tried the freezing and burning by physicians, but they always came back and sometimes more. One of my mom’s friends told me to steal a neighbors dishcloth and bury it in the garden, as for some reason it has worked.  I thought she was nuts!  I contemplated doing it but just couldn’t steal from my neighbors or anyone for that matter. But it got me thinking why that might work; it was using your mind. So, I started something where every night at bed I would visualize the warts going away and I have to say that I still remember the intense feeling I got in my body – something I have never again experienced.  I don’t even remember how long it took but my warts went away and never came back.

I now am trying that for my back, but not getting quite the same feeling this time. Reading your info on your Website had me motivated to try again as I really don’t want surgery if I don’t have to. I am going to follow your steps as well and already let my family know that there will be no talk about my pain.  If it works I will let you know.” Best regards, Janet

The formula??

I wish I could give you a formula to re-create the phenomenon at will. In both instances there was a deep sense of resolve that I was finished living in this manner and I said “no”. What I can’t figure out is why that feeling suddenly went so deep and was so strong. It was well beyond just willpower.

We know that the placebo response is the most powerful “drug” in existence. (1) You are simply connecting to your capacity to heal. It is the desired response. Somehow the perception of it has been distorted to be that there must not be anything really wrong if the body responds to a placebo. Every drug has a placebo effect and we also know that the bigger the intervention the greater the response. For example, and injection is stronger than a pill and surgery is even more powerful. The response tends to decrease with time. The problem is that you don’t want to incur harm while eliciting this response and unfortunately that is what often happens with spine surgery. Major adult deformity operations have a complication rate well over 50% and many of them are serious and permanent.

It has also been documented that you don’t have to “believe” placebo works to be effective. A powerful healing effect has been demonstrated even when patients are aware there are no active ingredients in the pill being administered. (2)

I have known for a while that DOC process presents creates structure and clarity for a given patient’s situation so he or she can take charge of his or her own care. There is not one answer to a complex chronic pain scenario and this is not a “how to” program. Freedom occurs when you’re able to calm down your nervous system enough to connect to your own healing powers. Each successful person has a different journey. You’re the only one with the key to unlock the door and move forward.

1. Dispenza J. You are the Placebo: Making Your Mind Matter. Hay House, 2015
2. Carvalho C, et al. Open-label placebo treatment in chronic low back pain: a randomized controlled trial. Pain (2016); 0: 1-7.

The post Healing Power Within—Warts first appeared on Back in Control.

The post Healing Power Within—Warts appeared first on Back in Control.