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Dr. Richard Prayson on 'Diagnoses from the Dead'

Richard A. Prayson, MD, is the section head of neuropathology at Cleveland Clinic. He also works with Cleveland Clinics Anatomic Pathology and Neurological ...

Sylvia Shackleton Orthotics2Go August 27 2012 on PICTALK TV

Beaver Valley Foot Clinic Testimonial

Beaver Valley Foot Clinic Testimonial Subscribe NOW to Body Beautiful: //bit.ly/YouTubeBBLMSpa Here at Body Beautiful we keep you up to date with the ...

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This is amazing that patients with long term foot problems can finally be pain free!

Spherical Osteotomy 2

Dr. John E Sarno - 20/20 Segment

Dr. John E Sarno 20/20 Segment 1999 Dr. Sarno's most notable (and controversial) achievement is the development, diagnosis and treatment of TMS, which is ...

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He is right. 99% of people are in deep denial of their repressed emotions. We are all stressed... slaves in a sick System. It's a pain in the neck!
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+genesis bustamanteI am vegan.Not so good on being expressive thought!
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+Daniel Skipp Slaves of the culture. Slaves of unhealthy diets. Slaves of the meat. People try "everything " except changing their diets.Try veganism.
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What BULLSHIT! Snake Oil Salesman! I'll take a bridge with those fries to Sarrnny!
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yes, very wrong!
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Wrong.
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this guy is just an advocate for insurance companies to deny disability claims...FULL OF SHIT if you ask me...i have been thru anger management programs and still suffer greatly! i wish my BACK PAIN was just in my head.
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activated nerve pathways from a  previous injury are thought to be the culprit. it affects everyone to differing degrees
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Sarno doesn't mention that it's all in your head. That's nothing to do with Sarno's methods.
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+Ralph Ferraro  Feel sorry for people like him. He just does not 'get it'....so sad.  So GLAD I did!!!
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+Mindbody Medic also depends on diagnosis. 85% of chronic back pain sufferers do not get a definitive diagnosis. Sarno reckons around 5% or even less are strictly structural. check it out is all Im saying. Listen to a podcast I uploaded with Dr David Schechter who is a Princeton grad. he went to Sarno as a Med student and fixed his 'bad knee'
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+realisrealizerealies plus it isn't in your head at all. The pain is very real and intense but caused by lack of oxygen to the tissue. this process is covered by the brain and there is still a lot not understood.
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+realisrealizerealies nope, hes the second coming of Christ as far as I'm concerned! off opiates,avoided surgery. a true giant of our time
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Look further into it. I highly recommend it,
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Na dude. You have no idea what you're talking about.
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It sounds plausible alright but it's still hard to swallow when you're in chronic pain! I also think our diets, and the amount of sitting most of us do on a daily basis could play a big factor into our back pain issues.
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The truth is sometimes hard to swallow. The trick is to not form an opinion until you understand the theory. This segment only scratches the surface. Anytime I hear someone call bullshit on his methods it's clear by their arguments they do not understand his claims. They says things like it's not just all in my head, when Sarno never claimed that. Sarno says the paid is real, it's physical, but it's the root cause that's not physical. The brain can reduce blood flow by 0.1% to cause real physical pain in the body which cause the patience to divert their attention onto the physical. Lest we forget patience first receive a full physical exam. Anyway...
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This "TMS" may well be the case for many people, and I wouldn't stop anyone in pain from trying it: if it works for you, I'll be very envious. But there are those of us who do have back (and other) pain that is not a result of our subconscious, but is rather a result of dramatic anatomical issues, and to say to these people that its "all in their head" is as ludicrous and insulting as possible.
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+Brian Charles ,I'm glad you're pain free, Brian, but I'm afraid that the accusations I and many others have leveled at Dr. Sarno's methodology (again, defending HIM is nonsense; attempting to defend his ideas makes sense).Unfortunately, not much of what you said speaks to the criticisms I make - in fact, my argument is only bolstered by what you've said.Firstly, yes there are lots of pain-relief techniques that don't work; however, this fact has literally no bearing on anything I have said, nor does it have any relevance to the discussion we're having about the worth of this particular methodology.Secondly, by your own admission, Sarno does NOT work in a clinic atmosphere, let alone even embrace the idea - in fact, you point out that he worked on his own pretty much exclusively while at NYU.  That's NOT a good thing, and is a perfect example of why his supposedly "open mindedness" is actually a very closed and dogmatic paradigm.The problem with seeing isolated doctors who do not communicate with other doctors (or who are openly antagonistic towards each other) is that you'll only get at part of the issue.Every person's pain is, in part, related to their psyche and state of mind.  In that sense, you, me and the rest of us in chronic pain should all be in therapy in addition to the other doctors we see.  To ignore the mental part entirely is just as much a mistake as it is to ignore the physical aspects that one MD alone cannot possibly be an expert in simply because of the vast amount of time required to become an expert in the (again) MANY fields that, working in concert with one another, lead to working solutions for pain that have more than anecdotal evidence or books built on a never-questioned assumption.Including Dr. Sarno in your care is NOT a bad idea.  Choosing ONLY Dr. Sarno, or ONLY any other doctor, IS a bad idea.I'm sorry, but anecdotal evidence and self-written theories fall short of the stringent requirements of science, especially medical science.  The closest you come to offering more is the article in Forbes magazine, but you undercut your own argument by pointing out the inherent bias of said article by saying that it was written by another acolyte of Sarno's.I remain as skeptical as ever.  As they say, skepticism is the rational man's natural state. I would love someone to prove me wrong (anyone who thinks they are rational but is unhappy to be proven wrong is a fool), but as I said: nothing I've seen/read yet meets the standards of medical science, let alone a logical proof.  Theory; sure. Hypothesis; sure. Proof? Not yet.
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+Drew Rushmer Obviously, we are not going to agree on this; regardless, I wish you the best with your pain. Dr. Sarno gave much more than "MINOR credence" to checking patients for structural abnormalities. He began EVERY appointment with a patient by conducting a physical examination, and this was stated not only in this video, but also in his writings and other interviews as well. Please remember that the vast majority of us 'proselytizing about Sarno's "method"' first tried quite a few conventional approaches to pain without much relief before we ever dreamed of looking at it from a psychosomatic angle. For over a decade, I saw multiple M.D.'s and a physical therapist for my back pain before I'd even heard of Sarno. I used LOTS of ice. I had a hydrocortisone injection -- which only somewhat helped -- administered by an anesthesiologist. I was told that surgery was the next step if things continued to get worse, and that even if it were successful, it would probably reduce, not eliminate, my pain.I once thought Dr. Sarno was a nut, too, but thanks to him, I've been pain-free since the mid-2000's. Without any other treatment. And remember that he didn't work in back alleys --- he practiced in the New York University Medical School system for DECADES. As an article in Forbes magazine pointed out -- written by a regular columnist who is a huge Sarno fan -- some of the other doctors there did not care for him at all. But his patient outcomes were strong enough that he was able to stay there as long as he wished, until he retired in his late 80's.I have absolutely no problem with how you seek pain relief. That's your business. But I will defend Dr. Sarno from criticism, because I owe him. Remember that YOU chose to initially comment on this video, so a back-and-forth is fair game. I've kept it civil, and will continue as such. Again, I wish you the best.
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+Brian Charles I actually did read him.  And though he does give MINOR credence (at best, since, naturally, his books are far more about his method than anything else) to people with structural abnormalities having non-psychosomatic (in any sense) pain...some of which he still doesn't grant credence to because he can't because it doesn't fit what basically amounts to his constant generalizations.My overarching point is that I find his argument absurdly reductive and, worse, extremely exclusive.  That is to say that not only do I not buy his argument in the first place, but I think it's a rather bad argument to suggest in the first place because pain management doctors are already woefully divorced from the reality of chronic pain sufferers and because it denies the two most important things to managing any chronic condition: 1) A wide open (inclusive) frame of mind with regards to taking on each patient on a /case-by-case/ basis and 2) His approach inherently lacks a truly clinical treatment that involves more than just the musings of Dr. Sarno.So yes, I've looked deeply into his work, much as I have at any idea that I've come across that might help me reduce the amount of pain that assaults me at every moment.  If it works for you, great, I'm happy for you (I mean this quite sincerely) and I would normally say that anything a chronic pain sufferer can learn that helps them should be shared, but proselytizing about Sarno's "method" is an exception. Why? Because there are large problems with his methodology (I've mention only a few, as I don't feel like writing the same essay in comment form over and over again), and from my point of view, his contribution to the field of pain medicine is a positive one only in the sense that in science  we regard any outcome, even a failure, as worth something if only because we know not to do things that way.P.S. Implying that I don't know what I'm talking about by asking whether I personally have read his books moves what is - and should stay! - an argument about ideas into baseless personal attacks.  Or at least, that's the way it came off to me.  I would like to avoid such pettiness, so please do not think that I am attacking you (or Sarno) as a person.  I am not.  If you've found relief, I am truly happy for you.
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+Drew Rushmer  You've never read any of his books, have you?  He never said that ALL pain is psychosomatic.  (This is also pointed out at 4:12 of the video.)  He examined each of his patients first to check for issues that were purely physical.  He only approached a patient's situation from a psychological angle if he didn't find a purely structural cause first.  Sarno made it very clear that many medical issues have nothing to do with emotions.  Like many of his critics, you're misquoting him.
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+Drew Rushmer This is the reason that this method is more for people who have tried everything. They pretty much excluded all the physical causes. I do think that before embracing Sarno's theory one should be pretty damn sure that they don't have some serious ilness.
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+LucaBlightBadass I have to disagree with you in terms of informing yourself: learning about chronic pain isn't what keeps my fear alive, nor is it the cause of the pain worsening.  My particular issues the result of two completely separate genetic defects: 1) I was born with my pelvis tilted about 30 degrees off, resulting in severe FAI (femoral acetabular impingement) in both of my hips, though worse in my right, which has about zero cartilage left, leaving me with osteoarthritis that, despite surgery that did increase motility and fix the FAI, will continue to worsen with time, regardless of any steps I take.  2) I also have a defect in my back called Bertolotti's Syndrome, which causes sacralization of the lower spine.  As to your point about informing myself there are a number of counter-points that are important to address: firstly, the pain happened before the research, not the other way around, and to therefore give any causal agency to the research would be contrary to simple cause and effect; secondly, if I had had more information about the specific cause of my hip pain before going through various PT programs and the like, I could easily have avoided specific exercises that lead to faster degeneration of the cartilage in that joint; thirdly, and probably most importantly, my research is not focused on what's wrong with me: going for years without a diagnosis, I accepted chronic pain as a part of my life and learned many ways to deal with it (including but most certainly not limited to dealing with the psycho-emotional aspects of it) - finding a diagnosis has only helped me in the sense that I can hone in on those of the many tools I now have as a result of information gathering and learning about chronic pain that help me the most, which are too many to list here in a comment.In short, research into chronic pain has provided a great deal of insight, methods of what little relief there is to be had, and - far better than the fear you describe - hope.
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+FishbowlSoulSwimming I can concede that to say that Dr. Sarno's method is simply saying "it's all in your head" is a reductive and simplistic representation, and not a totally fair assertion.  For that, I do apologize.   However, "internal emotional turmoil" and "represeed rage and grief" are both things that are very much "in your head," which is to say things that are not the result of the kind of physical source of pain that is very important to take into account.  To ignore that physicality would be as big a mistake as ignoring the kind of emotional and psychic components you're talking about.  I don't advocate that at all; my point is more that it takes a much more multi-disciplanary approach than Sarno advocates to properly address chronic pain.
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+Drew Rushmer Granted I may have been a little rash in my statements. I did not mean to sound condescending nor minimize your experience. I apologize. However,  I am a very enthusiastic proponent of the Sarno method - not only because of my experience - but because I've heard and read enough success stories to be thoroughly convinced of it. Yes, this may be anecdotal but it's enough for me.I do have to take exception though to the phrase you used in your original comment "to say to these people that its "all in their head" is as ludicrous and insulting as possible". Neither Dr. Sarno nor any other practitioners who follow his method is saying "it's all in your head" (this is a major misconception). The pain is very real and physical and nobody is denying that. The point is that the etiology (genesis) of the pain is due to internal emotional turmoil, primarily repressed rage and grief. I wish you all the best.
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That's where your going wrong I was just like you researching everything, finding out the worst of this that the other and how to help cure it but that's what keeps the fear alive and keeps you hurting. If you don't mind me asking what is wrong with you?
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+FishbowlSoulSwimming And I am a living example of how his method doesn't work, but neither of us can say from anecdotal evidence that we represent any significant sample.  Which is why it's pretty foolish to bring your own experience into an intellectual argument, even if you think it relates.I have done more research than you can imagine, and spent a good deal of time studying chronic pain at the Mayo Clinic of Rochester, MN.  Neuroplasticity has a role to play in pain; neurology in general does.  So does psychiatry, and about a million other disciplines.  But ignoring the physical entirely is a massive mistake, especially when making what end up being horribly rash statements about ALL cases (even the "severe" ones) when really you're extrapolating from unrelated personal experience you never should have brought up in the first place.
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Hi Drew. I am a living example of the effectiveness of Dr. Sarno's method. I was in excruciating pain, I couldn't even walk for a while; I'm back to running now without any pain. There is a lot of exciting new research being done on the correlation between pain and neural pathways and how this interacts with the concept of neuro-plasticity. If you think about it logically, even a broken or shattered bone heals within a month or two, so the phenomenon of pain continuing and even progressively getting worse is antithetical to everything we know about the body's self-healing and self-restoring properties.  If you look into pain research by world-renowned expert Lorimer Moseley he explains how pain (especially the chronic type) is more of a mind issue (where the mind erroneously interprets signals as a warning even though the body is fine) than a structural/anatomical issue. He also clearly states that pain does not always mean damage or harm, nor is the severity of the pain an accurate barometer for any of that.Dr. Sarno in the early 1970's had the guts to stand up to standard medicine and intuitively understood and stated that the vast majority of chronic pain syndromes (yes even the really 'severe' cases) were the result of psycho-emotional-social issues, rather than a physical abnormality in the body. Slowly but surely, our experience and research is proving him right.
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+LucaBlightBadass I think you're confusing Ego with Id or SuperEgo (not sure which, based on your comment), but I went many years without a diagnosis.  To have stopped looking would have been disastrous, as finally finding the cause has helped target intervention techniques, to say the least.Besides which, what Sarno's "cure" sounds like is a component of CBT, but only a partial component.  For some people, he might be right - its certainly the case that the numbers don't make sense.  But for many people, including me, the right attitude might be to continue searching for a real cause while simultaneously accepting that you may well never find one.
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If they cant find the cause of your pain most of the time its in your head, dr sarno says only about 10 percent of people will except his diagnosis and they get better but the others aint ready due to there ego which is the cause of your pain in the first place.

Stablizing Foot Pronation

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