Anger

It is my observation that the whole system of care ignores the most significant factor that contributes to the development of chronic pain—anger. Anger is universal and part of the human experience. Some argue for the necessity of anger. In any case, it is not going away any time soon. Anger provides a useful survival mechanism. When you are threatened and feel anxiety, you will take evasive or avoidance action. When that ability to escape is lost, you will become angry, which increases your body’s physical reaction and mental focus to solve the problem.

Control

The antidote to anxiety is control.

Loss of control = anger.

The current disability system strips the worker of control. Additionally, at least in Washington State, the injured worker is at the mercy of a medically unsophisticated claims examiner. That examiner has final say in everything. As “enlightened” as I am, I cannot discuss a case with an examiner for more than a few minutes before I feel like I am losing my mind. I cannot imagine having my well being, as well as my livelihood, at the mercy of this system.

Dealing with the Anger

It will not matter what systems are designed to “incentivize” workers to return to work, unless this core issue of anger is addressed. You don’t have to incentivize any living creature to jump out of a cage. You just have to the door. Anger not only traps workers so they cannot fully engage in their care, but it also robs them of the ability or motivation to become engaged.

Although anger can be a useful survival mechanism, it is usually destructive to you and everyone around you.  Your anger imposes its own will on the immediate surroundings, and you lose all ability to rationally interact with your environment. The consequences are often disastrous. The most well designed programs are not going to be effective unless the wall of anger can be penetrated.

Anger and Frustration with Workers Compensation 

The post Anger and Workers’ Comp Webinar first appeared on Back in Control.

The post Anger and Workers’ Comp Webinar appeared first on Back in Control.

“Happy”

We all want to become better, happier people, and we work pretty hard at it. The marketing world keeps reminding us that we are not even close to our potential and holds up endless images of perfection that reinforce that idea. The solution advertising offers is a better appearance, more friends, accomplishments, public recognition, power, etc. We are programmed into being defined by external factors.

Additionally, self-help resources are everywhere. There are seminars, healers, books, lectures, and retreats, much of which can be helpful. The message is “if I had more of  ‘___________’ I would be a happier person.”  This includes wisdom, the tools on this web site, less pain, etc.

What we really mean when we say that we want to be happy is that we would like to experience less anxiety.

The “Abyss”

Many, if not most, of my patients would test out just fine on a psychological test. But chronic pain will still take you down anyway. It creates extreme anxiety and frustration. I define “The Abyss” as:

Anxiety x Anger x Time

The Abyss represents an unspeakably dark area of your brain. My patients can’t express it with words. I spent over seven years in a severe burnout. My experience also included chronic pain in several areas of my body. I experienced an intense burning sensation in both of my feet, tinnitus, multiple areas of tendonitis, migraine headaches and crushing right-sided chest pain.I didn’t know why I was having all of these symptoms and all the testing was normal. I eventually lost all hope. I “pre-tested” every millimeter of the pathway outlined on this website, mostly by trying multiple approaches that didn’t work. Suffering from chronic pain is far removed from happiness.

 Paradoxes

• The DOC process is paradoxical. The harder you try to get enough of the tools to “fix” yourself the less likely you are to be successful in becoming pain free (or happy). It is critical to understand that you have to enjoy your day with the idea that your pain or your life circumstances may never improve. In other words you must learn to enjoy life with what you have—NOW!
• If you are waiting for more wisdom, more re-programming tools, more money, a nicer spouse, better-behaved kids, or less pain before you can fully engage in your life, it’s never going to happen. It is life’s ultimate paradox. The harder you try to “fix” your life and yourself, the less likely you are to enjoy it.
• We also forget how illogical it is to think that all of the variables in our lives are going to align so well that we are going to finally be fulfilled. And if it could happen, how long do you think it would last?  Think how much energy we spend trying to control so much. Yet, we don’t give up trying.

The Reverse Paradox

Then there is the other side of the paradox. The more you can enjoy your day in light of your current life circumstances; you will then possess more energy and creativity to create a life that you desire. The Eye of the Storm

An Exercise

I often do an exercise with my patients. I look at my watch and point out that the time is X and you have Y number of hours left in the day. I ask them to make a decision to enjoy the next number of hours regardless of their circumstances, including the pain. A major key to solving your pain is to step fully into the life you want, with or without the pain.

When I was in the middle of my own intense burnout about 10 years ago, I had to make ongoing decisions to just enjoy the next 15 minutes. I’m serious. I had to make a conscious effort every 15 to 30 minutes.

My ongoing challenge to myself and to my patients is, “Enjoy your day—today.”

Listen to the Back in Control Radio podcast Enjoy Your Day – Today

The post Enjoy Your Day-Today first appeared on Back in Control.

The post Enjoy Your Day-Today appeared first on Back in Control.

In this introductory clip, I lay out my novel approach to chronic pain. In addition to sharing some of my personal experience in spine surgery, I give insight into how my approach to spine surgery and the overall care of my patients has developed and progressed.

The post Video: Introduction of David Hanscom first appeared on Back in Control.

The post Video: Introduction of David Hanscom appeared first on Back in Control.