Category: Blog

  • So what the heck IS causing all the pain?

    I built this website because this question is so VERY difficult to answer. When patients come to me with severe pain but the investigations show ‘nothing is wrong’ it leaves them very frustrated. It’s so hard to explain. Let’s try. Yesterday I had a patient come to me with a rash on her arm that…

  • Acetaminophen and codeine

    Today I am having a conversation with a patient about acetaminophen with codeine. This patient has chronic pain – her pain is  high-impact pain. This means that her chronic pain has impacted her life in many ways. It affects her mood, her relationships with other people, her ability to work and to enjoy activities and…

  • Swollen ankles and lower legs?

    Have you noticed swelling in your lower legs? Puffy feet or ankles. Dents in the skin when you press against the bone? That’s called pedal edema. The swelling can be a serious sign of heart disease, kidney, or liver. Please consult your healthcare provider. It can also be from stress, for instance, if there is…

  • Shoulder Pain

    Today I have a patient with pain in his shoulder. He swears the pain is coming from his shoulder. He can feel and hear the crackling – which is of course fascia – but our bodies deceive us. Think of a heart attack. People older than 65, especially women, especially diabetics, they often don’t have…

  • Harassment in the workplace

    Unfortunately, in any situation in any place, you will always find bullies. Bullies feed off reactions from their victims. They practice their bullying from childhood – all bullies have been taught their techniques from their caregivers or other older people in their families. They are experts. We can’t change bullies. They are usually narcissists. The…

  • Cannabis Cannabis can seem like a harmless drug, but like any substance, it needs to be used with caution. I remember a professor telling me, if a drug doesn’t have a side effect, it doesn’t have an effect, and that is certainly true of cannabis. It has many side effects and the overall value of…

  • The Pain that doesn’t go away.

    First rule out biology -BIO – there are many reasons for pain. Far too many of them are not detected through blood tests or imaging. Too often, we doctors miss the diagnosis. Then by the time the diagnosis is made, the acute pain has become chronic. Tissue damage, inflammation, nerve damage – they are really…

  • Why is the Shame response so important

    Is this JUST anxiety. Oh No! Not Just. Stress and Anxiety affect every part of your life – your biology – inflammation, high blood pressure, high blood sugar, the list goes on and on.  Affects psychology – how you think about yourself. Affects you spiritually – how you see the world and what is perhaps…

  • Examination and anxiety

    Anxiety can stop you from healing. Fear often causes you to not want to try new things. Always speak to your healthcare professional about medications and treatment. Healing requires learning  tools and accepting many different ways to improve your life. The page, Lower Inflammation, has tools to lower inflammation in the brain and body and…

  • What is gaslighting?

    Today, in the office, I hear a patient explain there are troubles in her relationship. She says “But, I am too sensitive.” That is a huge red flag that the patient is being gaslighted.  People pleasers are often attracted to narcissits. When we are hurt in life, we behave sometimes by hurting others, or by…