"Objective" means that, in a confrontation with the evidence, you would be willing to change your own mind.
Well, it's practically over, thank God - I'm 83, there won't be that much more of it to put up with I don't think!
... an appallingly high percentage of doctors and other practitioners are still pretty much out of the loop regarding trigger points, despite their having been written about in medical journals for over sixty years.
Most drugs work on only about a third of the population, they do no damage to another third, and the final third can have negative consequences.
Only massage therapists seemed to be informed about trigger points and referred pain, and only exceptional individuals among them (in my own experience at least) were treating trigger points effectively. What's more, the burgeoning variety of unproven modalities offered by massage therpaists gave the profession such an aura of flakiness that the elegant science of myofascial pain got unfairly confused with treatments whose results could easily be attributed to the placebo effect.
Most doctors are uncomfortable with medical conditions that have a psychological basis.
What were the bodies like on the beach? Ugly and white and ruined by offices.
There is a groan that unites men and women, rich and poor, in any nation. These muscle pains are "explained" in every culture, but the universal fact of this persistence must mean that no adequate therapy exists.
Medical thinking usually sees stress as highly disturbing but isolated events such as, for example, sudden unemployment, a marriage breakup, or the death of a loved one. These major events are potent sources of stress for many, but there are chronic daily stresses in people's lives that are more insidious and more harmful in their long-term biological consequences. Internally generated stresses take their toll without in any way seeming out of the ordinary.
... While nervous tension may be a component of stress, one can be stressed without feeling tension.
Some patients do seem to have some kind of post-infection meltdown. They don't still have an infection any more in any sense that we understand infection. But someone is going to have to explain these patients to me someday.
I still am amazed that people would never buy a car if they were told it gets 75 miles to the gallon - they're absolutely clear on what's a scam. But when it comes to their health they will immediately fall for somebody telling them, "Take this pill and you'll live to be a hundred years old." There's something about medicine that allows us to fall for stupid sales pitches more easily.
I must have physical exercise, or my temper'll certainly be ruined.
To pretend to be calm is to be calm, in a way.
Paper after paper, study after study, have shown that chairs give us back problems because they shorten our hip flexors, give us weak backs, of course it make us sedentary. We take years off our lives probably by sitting in chairs, but we like them because they're comfortable. You go to an African village, you find me a chair with a back. That's a rare thing out there.
The method of science, as stodgy and grumpy as it may seem, is far more important than the findings of science.
Constable Moore had reached the age when men can subject their bodies to the worst irritations - whisky, cigars, woolen clothes, bagpipes - without feeling a thing or, at least, without letting on.
... our diagnosis and treatment of of tension myositis syndrome represent yet another instance of what is possible when the power of the mind is mobilized for healing the body. It's not magic; it is as scientific as the appropriate use of antibiotics, for science encompasses everything that is true in nature.
We must learn to recognize nature's truths even though we don't understand them, for some of those truths may still be beyond the ability of the human mind to comprehend. What we need is a compound prescription of humility, imagination, devotion to the truth and, above all, confidence in the eternal wisdom of nature.
A knowledgeable physical therapist can slowly build up patients' confidence by reassuring them that there is no structural problem and reminding them of the physiologic reason for the pain.
... it is highly unlikely that a structural derangement could produce pain equal in severity to acute muscle spasm.
We love comfort, and people make a lot of money selling us comfort, but I would challenge the notion that comfort is usually good for us.
To truly know what works, you have to learn what doesn't work first.
Cheerfulness, up to and including delusion and false hope, has a recognized place in medicine.
Your best posture is your next posture.
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