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Dr. Sarno's Treatment Plan
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TMS Discussion Threads
The following is a list of links to some of the better discussions from our old forum. However, we encourage you tovisit our new foruminstead.
- Bulging disc: TMS symptom or a structural problem?: "I believe it's in MBP that Sarno says that he never head of people injuring themselves more by resuming activity. I suppose you can have flare-ups, especially if you are examining some of the stresses in your life. You have nothing to lose but the pain by beginning this process."
- Disc Extrusions and TMS: "There is a readiness factor in accepting that our emotions/past are causing our physical pain (took a few weeks for this to sink in for me). One question I can ask you is: when the pain got bad, what was going on in your life at that time? What conflict? I know what it was for me!"
- One syndrome, one physiology: "Better understanding of Somatic Stress Disorder physiology (and there definitely is a physiology), would help clinicians to accept the whole concept, would support patients self-image as strong people coping with a medical problem and would lead to better treatments."
- Back pain returned: "I can honestly say after reading a couple of Sarno's books that I do have a fear of getting old/dying. I saw my first wife die at an early age and now as I get older (41) I get more and more focussed on my aches and pains and their possible causes."
- Singer with unexplained throat pain - TMS?: "A new job can be stressful, so it might be helpful for you to journal on how you feel about the new job. What apprehensions do you have about it? Fear is one of the hardest things to overcome, but if you accept the diagnosis and think psychological you will increase your chances of overcoming TMS."
Latest page update: made by ForestForTreesTMS
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Keyword tags: Chronic pain John Sarno pain psychology psychosomatic Sarno Treatment Plan The Divided Mind Therapuetic journal TMS TMS personality Treatment Plan
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|Started By||Thread Subject||Replies||Last Post|
|LisaMorphopoulos||Psychoanalytic literature - backing up Dr. Sarno's views||7||Feb 9 2010, 10:16 PM EST by LisaMorphopoulos|
Thread started: Feb 7 2010, 3:31 PM EST Watch
Here psychoanalyst, Nina Coltart speaks as Dr. Sarno does about somatic symptoms. On this link, look at page 12, second paragraph starting w/ "Another category..." Read on for a bit - sooo interesting. (had trouble w/the link - please go to google books: Slouching Towards Bethlehem by Nina Coltart - w/blue cover.)
Do you find this valuable?
|DrNord||Dr Sarno's treatment plan||6||Sep 30 2009, 3:03 PM EDT by flutterby2|
Thread started: Apr 16 2009, 11:17 PM EDT Watch
This plan is very successful and interesting. I have personally had back pain for over 25 years. It started during my orthopedic residency. I read Dr Sarnos' "Healing Back Pain" in the early 80's. It made sense, sounded like me and I managed OK but far from normal. When I had back pain enough with a "herniate disc" to warrant surgery in 1997 I reconnected with his teachings. Soon came symptom imperatives Tennis elbow ( I play a lot, have a court at my house play local tournaments and never had TE before age 50 ) shoulder pain. neck pain,and allergies. I made a personal appointment with Dr Sarno in 2006 when I got stuck one morning with such severe Low back pain and sciatica that I was stuped over with on one leg in my pants and couldn't put the other on. I had to telephone my medical office on my cell from my closet and tell them i wasn't coming in. I read "The Divided Mind" which had just come out. I Called Dr S. Passed his phone screening and went in for the $$ appointment. Was diagnosed as the poster boy for TMS. Went to the lecture. Went back 2 weeks later for a Small group session which I affectionetley call "AA for back pain". Got basically cured. I then visited with him to observe him seeing other patients in his apprentice type teaching that he does. It all clicked. I began incorporating it in my life and my Practice. As an Orthopedic surgeon people come to me 90% of the time because they have pain. The other main reasons are deformity or loss of function. I still believe in severe true arthritis that I can help with a total joint replacement. Or busted up knees that have mechanical meniscal tears or ACL tears which I can fix or reconstruct. These get great results. However the diffuse pains, nonspecific, chronic neck and backs (with no proven pathology on workup except some bulging or even herniated discs) are perfect to treat with the TMS protocals.
The treatment plan details to follow
|DrNord||Dr Sarnos Treatment plan||2||Apr 18 2009, 7:37 AM EDT by Peghanson|
Thread started: Apr 16 2009, 11:50 PM EDT Watch
Sorry got long winded like forest.
Treatment starts with a correct diagnosis. Major Key.
#1 A detailed History LISTENING to the patient ( most doctors will interrupt you the patient within 15 seconds, watch for yourself next time in). A detailed social history including family upbringing, relationships , parents , siblings etc. trying to unearth the subconscious stresses that occur .The doctor needs to learn how to ask the right questions. Many patients wont volunteer that they had "issues" some because it is in the subconscious don't recall them initially until probed beneath the surface. 90% of doctors don't do this for various reasons. A review of prior symptoms diagnosis , tests result xrays, MRI etc. medication taken now and prior (could be extensive, yesterday I had one patient on methadone for 2 years)
#2 then a detailed Physical exam of all body parts looking at gait stance balance, neurological tests reflexes and a musculoskeletal exam checking Range of motion strength and especially specific points of tenderness. Classic TMS trigger points are para spinal muscle low back, neck by the trapezius towards the should blade top and lateral thigh area called the trochanteric bursa or a little lower the ilio- tibial band. (very similar to Fibro so don't get confused).
after the history and PE you discuss the findings with the doctor and develope the plan. It is very standardized yet at the same time personalized. I tell patients it starts on Page 142 in the Divided Mind and you start writing. Buy a spiral binder or journal and begin you cure. Let it flow stream on consciousness writing no editing no spell correction just let it flow. It's cathartic in itself. This wiki has great info on journalling. Dr Schechter's workbook which I bought is very good and really walks you through a 30 day step by step process. If you need more hand holding and directions it is worth the $18 BIG TIME .
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