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 How does TMS doctor know?

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T O P I C    R E V I E W
Joel D. Posted - 04/17/2005 : 16:43:20
A friend of mine asked me this question and I really did'nt have a good answer. Can you guys help? He wanted to know if he took a MRI and his MRI report to a TMS trained doctor, how can they tell him they are 100% sure the herniated disc is definetly NOT the problem when his neurologist has seen the same MRI and report and told him that his herniated disc could very well be the problem for his sciatic pain. BTW. He says he really has no back pain. Just the intense burning in his butt and leg mostly when he gets in and out of his car and immediately after standing from a seated position. He said he has to just stand there for a minute until the burning subsides a little. He has had this problem for about 6 or 7 months. I tried to answer his question but I think I made a mess of the answer. I did get him to buy Dr. Sarno's book HBP this weekend so maybe there is hope for him. If you guys could help me with this question it would be greatly appreciated. I am trying to get him to go see Dr. Scott Brady in Orlando. I saw him in March and just getting that diagnosis has helped me tremendously.
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Allan Posted - 04/18/2005 : 10:38:25
There was a study done a few years ago that determined that there was a high percentage of cases involving x-rays or MRI's that indicated herniated discs but the patients had no pain.

I believe that Dr. Sarno said that herniated discs never cause pain.

Allan.
tennis tom Posted - 04/18/2005 : 09:58:03
Dear Joel D,

On page 66 of Dr. Sarno's MINDBODY PRESCRIPTION, he describes the exam for lower back and leg pain.

By the time a patient see's a TMS doctor they may have seen many other doctors and have had diagnostic tests such as x-rays. If not the TMS doctor may call for some to eliminate serious illness causing the pain like tumors. The exam can consist of palpation of the TMS tender spots and a range of motion check.
Dave Posted - 04/18/2005 : 07:38:57
This is all complicated by the fact that your brain knows the exact location of the herniation, and knows the precise symptoms that are likely to be attributed to that herniation. It's like TMS and the doctors have an alliance -- the goal is to make you believe that the herniation causes the pain.

What if a patient with the exact same MRI findings has no pain whatsoever? What would the neurologist say then? The fact is, herniations not caused by trauma, disease or congenital defects are incidental -- the "shock absorbers" are just doing their jobs.
JohnD Posted - 04/18/2005 : 05:31:43
Nothing is this life will ever be 100% guaranteed. But look for what makes sense, what explanation really is true for you. Do you really know how long you have had a "herniated disc", and how do you know this for sure??? Was there an MRI done to prove it?? Most people have herniated discs by their late teens, early 20's....but most people don't get back pain until mid age....how can mainstream doctors "guarantee" that the herniated disc is causing most people's back pain??
mala Posted - 04/18/2005 : 04:56:51
Joel,

The neurologist has to lay blame on something structural coz that is what they have been trained to do at med school. It also helps to justify the cost of a very expensive MRI and give people answers that they so desperately need. When you are in a lot of pain you want to believe that your condition must be because of a structural defect. It isn't easy to believe a doctor who says 'well there isn't really anything wrong with you physically mate. Just go home and focus on what is bothering you emotionally.'

Ask your friend to ask this neurologist if it is possible to have the same MRI in another person and still be asymptomatic. Chances are he might say what a lot of doctors do and that is they don't know why some people have pain while others don't given the same problem.

Also if I remember, Sarno says that if there is a nerve being compressed the result should be no sensation except numbness.

I would however remind you to warn your friend to be alert to symptoms such as loss of bladder or bowel control as even Sarno says these are serious and need immediate medical attention.

Hope this helps.

Good Luck & Good Health
Mala
pault Posted - 04/18/2005 : 04:45:50
The consultation and the exam by the tms doctor will tell the story.His reading the book is most important.Having a hernitated disc is a normal abnormality of the body. Paul.

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