Category Archives: Insurer issues

MRI Imaging Often Useless in Chronic Pain – Leading to the “There’s Nothing Unusual on MRI so Your Pain is all in Your Head”

Tweet You never fully appreciate how poor a certain procedure is until a better one comes out and belittles the old one. Most MRI articles spend time telling you what they can do -not what they can’t do… how poor … Continue reading

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Lameness is Common in Milkherd But Probably the Cow’s Fault and Too Expensive to Fix

Tweet Recent study found lameness to be 36% in diary farms but control would take effort and there are financial constraints to fixing it. It just like being on WCB. 

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Short Functional Capacity Evaluation (FCE) Predicts Can Work Today But Not Reinjury Rates

Tweet FCE study shows it can predict working in short term but reinjury 

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What Concerns People on Work Disability With Low Back Pain

Tweet Recent Article takes a survey of concerns of low back pain patients sent for rehab. The results are no surprise.

Posted in Back Pain, Insurer issues | 2 Comments

Limitations of Functional Capacity Assessment Like Fall Risk Assessment In Elderly – One Shot Assessments Don’t Account For Good and Bad Days.

Tweet Read Recent Article on How Fall Risk Assessments tools in elderly might lack validity because they don’t take into account how elderly will have good and bad days. Similarly, Functional Capacity Evaluations (FCE’s) do not take into account that … Continue reading

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There is More To Chronic Pain Disability Than Just Pain – the Fatigue

Tweet Others might content that if it’s just pain – take a pill and move on – but it’s more than that – it includes the fatigue

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Does “Success” of Psychological Treatments of Chronic Pain Need to be Taken With a Grain of Salt?

Tweet One of the problems defining chronic pain as a psychological condition, is the fact that psychological treatments have somewhat mediocre results. So when I find an article claiming results, I am suspicious. Here is an example:

Posted in Insurer issues, psychology | 1 Comment

Some Canadian Car / Motor Vehicle Accident Insurance Claim Resources

Tweet I would like to compile resources for Car Accident Victims to help deal with their claims. In this province, there is “no-fault” really meaning it’s the victims fault for being in chronic pain. They have to deal with case … Continue reading

Posted in Insurer issues | 4 Comments

Given Vocational Advice to Chronic Pain Patients And terminating Coverage – The “You Could be A Funeral Director Scam”

Tweet Recent study of “disability pensioners” given vocational advice and brief cognitive behavioural program found it only got “negligible” amounts of people back to work. Terminating disability coverage, because vocational advice was given, is nothing more than a scam.

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Chronic Pain Can Cause Reversible Brain Damage

Tweet Brain damage in certain areas has been seen in chronic back pain, Complex Regional Pain Syndrome, Fibromyaglia, and so on. The question is whether the damage causes the pain or visa versa. In hip pain patients, the at least … Continue reading

Posted in Insurer issues, pain mechanisms | 1 Comment

Advice On Long Term Disability Claims

Tweet The following is a verbatum copy of an article in the Canadian Pain Coalition Newsletter with permission from Mr. Wheeler, and contains some useful Canadian info.

Posted in Insurer issues | 1 Comment

Car Accident with Multiple Areas Involved – Here’s Proof

Tweet I get the impression some car accident victims get an eye rolling response to claims of multiple injuries. Here’s an example of low back and upper thoracic (high chest) back fractures while wearing a three point seat belt.

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Fibromylagia, Bad Neck (and perhaps arm pains)but Normal MRI? – Need a Functional MRI

Tweet In the neck, imaging can be next to useless in many cases of unresolved neck pain. Incredibily, some people are told nothing showed on imaging so it has to be in their head. Now functional (multipositional) upright MRI is … Continue reading

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Rehab – Forget Fear-Avoidance – Give Them Opioids

Tweet I have a picture that portrays my view of fear-avoidance:My perspective is that, in a good many of cases, everything is controlled by pain intensity. Some articles try to avoid the issue by saying “they just thought they were … Continue reading

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Want to See a Pain Expert? – See a Vet, not a Doctor

Tweet A Canadian Pain Society Survey found medical students only get on average 11 hours training in pain education. A vet, however, gets on average 98 hours education. This might explain why patients are treated poorly by some doctors.

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Unresolved Whiplash? – Look for Shoulder Impingment.

Tweet 11/220 cases of whiplash, examined medico-legally for non-resolution, had comorbid subacromial impingment, many of which had been missed. This adds to the growing legion of real problems missed in whiplash cases.

Posted in Insurer issues, Neck, shoulder | 1 Comment

WCB Suggestions

Tweet I have had some pleas about how to deal with case workers. Worker’s advocate, media, and politicians are impotent because of thier lack of medical knowledge. There is potentially some loose end they don’t know about that could make … Continue reading

Posted in Insurer issues | 5 Comments

WCB ISSUES

Tweet I have received various concerns about WCB, many angry. There are some precedent judgements passed that may help.

Posted in Insurer issues | 5 Comments

WCB troubles – What Needs to Be Done?

Tweet I have received a variety of letters condemning high handed techniques by WCB. I read the letter below with a sense of sadness. I can’t imagine the desolation involved in living with chronic pain and dealing with the system. … Continue reading

Posted in Insurer issues | 10 Comments

Exercise Rehab Programs by Themselves Worthless? – Evidence Snuffed?? and How does One Get an Unbiased Appraisal of Disability?

Tweet Cochrane reviews withdrew a review on rehab programs that questioned any validity to programs that do not have full multidisciplinary approaches. One wonders if this was pressure from Functional restoration business – who would not like that presented

Posted in Insurer issues | 6 Comments