
You can’t cut out PAIN
Client:Â Â Â Â My surgeon says I need surgery
Dr Scott:Â Did you read the door?

Pain as a vital sign
Pain is now being used as a VITAL SIGN, no longer a SUBJECTIVE self-reporting symptom.
What does this mean?
Blood pressure, pulse, respiration, temperature
are measurable, numerical – OBJECTIVE.
      PAIN is not objective; it is subjective!
Everyone’s experience of pain is different.
In my generation of clinicians, we were taught
Proper examination and assessment
Develop a working diagnosis
Tests-X Rays-Imaging should confirm what you already know
Not the other way around
Tests and images do not MAKE the diagnosis, they should CONFIRM the diagnosis !
Back to BASICS
Treat the PERSON, not the FILE!
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Health "care" Providers
Private Practice and Family Doctors are being phased out and replaced by Health Care “Providers“.
Primary Care doctors are minimally trained to do a comprehensive/diagnostic Spinal Exam.
They send out to Specialists and Surgeons
You can’t cut out PAIN
Client:Â Â Â Â My surgeon says I need surgery
Dr Scott:Â Did you read the door?

You can’t cut out PAIN
Client:Â Â Â Â My surgeon says I need surgery
Dr Scott:Â Did you read the door?
80% of non-emergency doctor visits are Neuro-Musculo-Skeletal in nature.
Fortunately, most are not pathological or life-threatening.
Overkill: Many back-pain patients are NOT surgical candidates.
Dr Scott:Â
How many hours in a day?
How many hours are you doing rehab?
Answer:Â Probably not enough
Unfortunately, millions of people per year walk out of a medical office with
non-pathological, unresolved back/body pain and discomfort,
without a cohesive plan for rehab, hence no hope for recovery.
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PAIN & Discomfort can OFTEN be reduced/resolved with proper exercise/rehab and with Non-Pharmaceutical treatment IF people are willing to do the work