Is Someone Faking Back Pain? How to Tell. Waddell's Signs - Tests
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- เผยแพร่เมื่อ 20 ต.ค. 2024
- Famous Physical Therapists Bob Schrupp and Brad Heineck discuss how one might determine if someone is faking low back pain. In this video they demonstrate the use of Waddell's Signs. Tests which help asses whether a patient is faking or a symptom magnifier.
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I was told I was faking when I was 30 yrs old. So, I didn’t go back to a doc for twenty yrs. at this point, my back is crap! I’ve had five surgeries now and am very limited on what I can physically do.
Be very careful before you tell someone that they are not being truthful because YOU can’t find the problem.
My bsck has hurt for 8 years. O finally, after 8 years, got a doctor to believe me. I have copd, and was told COPD doesn't cause pain. Oh, yes it does!
AGREED! WHAT ABOUT THE BACK PAIN CAUSED BY vertebrae issues such as pinched nerve that at times, pains much more than usual or serious muscle tightness that suddenly tightens during specific motion/moves? You'd better KNOW your patients - inside and out - before concluding whether they're exaggerating , faking or not. Some docs/therapists THINK they know it all lol...remeber guys, EVERYONE is different. What's the patient's M.O. when experiencing pain, back or any other type pain?
I have fibromyalgia and it took me over a decade to get a diagnosis! Finally I saw a good specialist and she figured it out. I was coming out of a flare but still sore. Everyone told me for a decade I was depressed! Crazytown!!
20 years ago my doctor told me I didn’t have sciatica so I plodded on with the pain thinking I was a fraud. 10 years ago another GP told me that my back pain was “just an occupational hazard” because I was a nurse so I again plodded on with cocodamol 30/500 for pain.
Now I am in severe pain each day and cannot walk or stand for any length of time and am going to my GP again to demand investigations. I believe I have always had lumbar spinal stenosis but it’s hard to get anyone to really hear me.
@@cazharris5581 tell your doc you want an MRI and CT scan with contrast dye.
Those two test should help diagnose your problem
I am a PT who specializes in pain management and does functional capacity evaluations. Pain is an experience that is unique to the individual. It is what the person says it is. You will destroy the therapeutic alliance and loose the ability to help a highly distressed person if you label them a faker or magnifier. For this reason, no one does Waddell's testing anymore. It has a high potential to hurt/harm your patient and will not improve your ability to help any patient. You said true fakers/malingerers are rare, so why take the risk of harming someone with an inaccurate label? Time to stop recommending leaches and catch up to current best practices.
They also said they didn't use it unless someone was acting oddly. People have been known to fake it to try to collect money like after a fender bender for example.
As a clinician a DO perform this test. A good clinician always pays attention to all signs!
If I know that I have surgery coming like 10 years ago and I had neck surgery and I did my own exercises because the doctor that did it gave me no information so I just did what my ra told me to do so but my muscles are already built up so the healing time can be faster and unfortunately now I got to go back and have it redone
@@09kenedy Happy to hear you are thorough. Rather than pay attention to all signs, it would be wiser to pay attention to the most reliable and predictable ones. Otherwise, junk in, junk out.
I just got tested with this last year. It is still used. They didn't call me a faker to my face, but they refused the recommended treatment by the doctor and instead incorporated actual physical motion which worsened my condition over the next 4 weeks. I'm now almost unable to walk because of them.
Since that visit no one has checked my back in xray or mri and idk what to do anymore because I am not believed by most people no matter what I say. This includes my entire family, besides my wife and, brother. Back problems ruin people's lives not just because of pain. It's because if you're not believed no one believes you.
I wish I was faking back pain. Chronic back pain sucks.
Nice Video! Excuse me for the intrusion, I am interested in your initial thoughts. Have you tried this MyBackPain7.blogspot.in
? It is a great one of a kind product for relieving back pain in just 16 minutes minus the headache. Ive heard some super things about it and my buddy after many years got excellent results with it.?
Pontiac65Cat Agree. My back pain is now complicated with sciatica pain on one hip
I have arthritis in my lower spine, the x-ray looked like someone left a candy bar on the picture. Solid white and long like a baby Ruth. Lol
I never understood why people couldn’t just take a few Advil and get on with life until experiencing the devastation of chronic pain. I’ve had to go back to people and apologize profusely for not understanding the physical, mental, and spiritual agony. I get it now.
Amen!
I'm 26 "thin very healthy looking young lady." Doctors have wrote. I keep going back with chronic pain. Finally a CT scan was ordered. It showed joint deterioration. And a bone erosion. I was diagnosed with degenerative arthritis. I just get so depressed due to chronic pain when none of them believed me except the radiologist who read my CT results and a Rheumatologist.
Lol girl I hear that "26 young fit good-looking" come to find out a rheumatologist was the only one who could help
My mom was a Physician's Assistant, and one of her fellow PA's told her an incredible story he experienced working at a VA hospital in the 1980's. One of the patients complained about constant, horrible abdominal pain and no one believed him for many years. Finally, someone listened, reviewed his records, and performed some tests. They found surgical equipment accidentally forgotten INSIDE HIS BODY from a previous operation! He was telling the truth the entire time and not one doctor or nurse listened.
And a similar story from a friend of mine: She went in for a dental x ray and they found a broken drill bit inside her tooth from a root canal she had decades ago. And of course, the original dentist had to know his drill broke in her tooth, but never told her!
@@widehotep9257 yep, many doctors are scum and have a complex. The system needs to change to knock back some of these ego maniacs.
Just terrible, sorry to hear this, when I’m a physician, I’ll definitely listen and believe my patients, ❤️🙏🏾
Try to have a positive outlook towards life, maybe do PT.
I saw a rheumatologist last month, my hand X-rays were questionable, so she didn’t think I had psoriatic arthritis. Fine. I told her that I also had back pain. “That’s impossible,” she said. “Take Tylenol for pain.” I went to my family doctor a week later. He ordered spine X-rays. The diagnosis was spondylosis in my lumbar and thoracic area. That would seem to account for the numbness and tingling, pain, leg weakness, and a host of other neurological symptoms I have been having for the past three years. Many more doctor visits soon to follow, I suspect. What we need are some videos entitled, “is a doctor faking medical knowledge? How to tell.”
😂😂😂😂👏👏👏
Good thing these guys aint my doctors. They must get sued a lot and think those clients that sued them were faking when they got disc replacements.
😂Exactly
@@paulfeasal6024 yeah these 2 clowns are a couple of dumb yahoos and i'm only being that nice because i have to...
Doctors like you are the reason I stopped trying to get help for my chronic back pain. I have been having back problems since I was 13 years old. Been in and out of the ER, seen multiple Doctors… every single time, I was just given ibuprofen and was told I need to exercise. Do you realize how damaging it is to even think someone is faking!? I feel like doctors take one look at me and say, oh yeah she’s faking it. I have yet to get proper treatment! I still suffer every day! I have 3 kids now, and one is a newborn. Do you people not understand that when my back gives out, I can’t care for my children! I can’t pick up my crying baby! I literally have to have my husband help me, but when he is working…. I’m screwed! People like you shouldn’t be doctors!
I understand
It’s called gaslighting and it’s NOT OKAY 😡
To be fair they are NOT doctors, they are only physios.
It really irks me how my emotional trauma automatically makes drs assume I’m just nuts. Never stopping to consider that said emotional trauma came with extreme physical trauma. Or consider that my emotional crap is caused by my physical crap. I don’t even bother asking for help anymore. I just suffer through it & do the best I can. 🤷🏼♀️
If it is an emotional trauma causing your pain you need to see a psychiatrist not a pt.
Dr thanks everybody is hooked on pain pills because society has told himself
@@09kenedyThat's not what she was saying
These PTs need to study up on Ehlers-Danlos Syndrome and autism, and how those two affect your reactions to pain and sensitivity to flexion and touch.
Amen! I'm sitting here pissed as hell as EDS was missed for 3 decades, dysautinomia for about 2 decades and positive signs for cspine compression for over 4 years.
Doctors who think and teach like this are LAZY.
AMEN as someone with EDS & Autism
45 years to a diagnosis, accused of making up symptoms and dislocating joints for attention. My pain is real.
I came here to say the same thing
Also Fibromyalgia
This comment thread has given me comfort with the realization that I am far from alone!
As someone who has had a fractured spine, herniated discs, and sciatica, I can tell you that these tests are absolute garbage. Some days your pain is manageable, and some days it's unbearable enough to make you jump violently at the slightest touch. You may know the science behind the injuries, but you have no idea what it feels like for each individual person. Maybe someone was abused as a child and that's why they responded to your exam so extremely, but that doesn't mean they aren't in physical pain too. If you view all patients as potential fakers, you're inevitably going to end up dismissing people with legitimate pain.
It's attitudes like this that made me avoid going to see a physical therapist or chiropractor for years. It was only when the pain kept me bedridden for two days that I finally broke down and made an appointment. My PCP brushed me off with instructions to take Advil (something I didn't need to pay $30 to be told) and a referral to a physical therapist. The physical therapist I saw not only dismissed my pain as being a result of poor posture alone, he also ended up compounding my pain by not listening to me when I told him where it hurt. I left in more pain than when I came in that persisted for months. Fortunately the chiropractor I saw after him took me seriously and actually listened to my symptoms enough to give provide me with some relief, but because of the dismissive attitudes of my previous providers I almost avoided seeking further treatment.
Medical professionals are supposed to inspire trust, not fear of being ignored or patronized. We as patients know our symptoms and our pain levels more than you do, and you need to start listening to us. Don't dismiss your patients because of your own preconceived biases. I'm sure there are people who do fake being in pain, but I would rather they be taken seriously than for patients like myself to be ignored just because you're worried they're wasting your precious time.
the last paragraph needs to be printed and sent to med schls docs and pt people like these two and be mandatory reading .maybe prescribe it to them so they do it or take their liscence before they hurt any more people already in pain.
Thank you for what you wrote. I have yet to meet a healthcare provider that wasn't arrogant conceited and stupid.
I have Ankylosing spodalitis and some days when i see my rheumatologist and he touches a certain part of my back or joints I jump like this from excruciating pain. He also is aware how REAL my pain is and will give me a kenalog injection. So , i also do NOT agree with the "doctors" hete on this video. I also have a pain pump that holds fentanyl and bupivacane and I am on oxycodone 15 mg and biologics that i inject myself with weekly and i still have very bad pain!
Good days and bad days is how i talk about my back pain
Thanks for this. About 2 years ago I was sent to PT. It was supposed to be for my foot but that was not stated on the Referral. But I went and the only thing good that came from it was confirmation of a Compressed Nerve. The therapist tried to get me to do exercises I could not do and told him so. After that he made a comment about how our brain reacts to Pain and it being like a horn tooting in our head. I knew right then and there that he thought I was faking. Also, I knew that he never really dealt with people who have Chronic Pain. I then cancelled all future appointments and never returned.
I then saw a Physiatrist (not the same as a Psychiatrist) and when he examined me as well as looked at the MRI that had been done of my back he found I have herniated discs. That explains a lot and why I could not do the exercises. I am getting Epidural injections now and it is a huge help to me.
Please be careful labelling people fakers. I was labelled as a faker from age 3 to age 33. Then I finally saw a dr with enough experience to diagnose a rare condition which explains all my symptoms. Also, yes, I respond to tests in ways that suggest ‘an emotional component’, mainly because of the trauma caused by things people did when they thought I was faking (some of which actually made my condition worse or even may have been downright abusive!). I now struggle with not being able to read my body’s signals (for example I recently sat at home for 3 days not aware I needed emergency surgery and seriously under estimating the severity of my pain which I’m told was as bad as childbirth!), because of years of being brainwashed into believing that what I felt was not real and I couldn’t trust my own feelings, and because of this I spend medical appointments trying to guess how I’m supposed to act to get the dr to take my very REAL symptoms seriously. I often go home and in the days, weeks, or even months, following an appointment, realise I said something that lead a dr to the wrong conclusion simply because I needed more time than a normal person to work out the answer to their questions or to realise how I was unintentionally skewing tests due to my disconnect with my body.
This is the damage that jumping to a label of ‘faker’ CAN do. Of course there ARE real fakes out there, I know a man who has been on and off disability benefits for years for a condition he’s faking, and I think it’s fair to say that no one hates these real fakers as much as those of us who have genuine rare conditions and have had to fight through so many bad medical appointments and unfair judgments in order to get an actual real diagnosis (and still often have to ‘prove’ our reality because our conditions are rare and often misunderstood by people who are uneducated about them)!
Gabe Angel, often doctor's do not even have enough enough time to listen to what is going on. I really try to only schedule on thing at a time. Sorry you have had such horrible experiences; I certainly hope it gets better.
Exactly! My mom killed herself over doctors and their false. Judgments!!! And she did have bad medical xondition
Problem is doctors only want to listen to one or two things at a time instead of the whole patient
@@lesleehuertafernandez3050 I'm so sorry your mom had to do that to get some relief. I hope you sued every doctor who told her that. Idiots on here like these 2 clowns who put this video up. SHAME ON THEM
This video is a terrible misrepresentation of "Waddell's signs".
Almost instantly after the publication of"Waddell's signs" in the Spine journal, the term went straight to American courts to imply a claimant was faking or malingering.
Waddell himself had to weigh in, on the misuse of the clinical signs named after him. He NEVER meant to imply that people with positive Waddell's signs were "faking" anything. He did intend the signs to be an indication to get a mental health evaluation before considering spine surgery.
Quite frequently I evaluate patients who have significant clearly demonstrable spine disease, AND have positive "Waddell's signs". That implies the person has physical illness and psychiatric illness. Both need to be addressed if you want the patient to get better. And if you don't address the psychiatric issues, operate at your peril, because all too often, the clinical thing needing the surgery was fixed beautifully, but the patient will still have pain.
Behavioral Responses to Examination - A Reappraisal of the Interpretation of "Nonorganic Signs"
Main, Chris J. PhD; Waddell, Gordon DSc, MD
Spine: November 1, 1998 - Volume 23 - Issue 21 - p 2367-2371
Waddell et al in 1980 developed a standardized assessment of behavioral responses to examination. The signs were associated with other clinical measures of illness behavior and distress, and are not simply a feature of medicolegal presentations. Despite clear caveats about the interpretation of the signs, they have been misinterpreted and misused both clinically and medico-legally. Behavioral responses to examination provide useful clinical information, but need to be interpreted with care and understanding. Isolated signs should not be overinterpreted. Multiple signs suggest that the patient does not have a straightforward physical problem, but that psychological factors also need to be considered. Some patients may require both physical management of their physical pathology and more careful management of the psychosocial and behavioral aspects of their illness. Behavioral signs should be understood as responses affected by fear in the context of recovery from injury and the development of chronic incapacity. They offer only a psychological "yellow-flag" and not a complete psychological assessment. Behavioral signs are not on their own a test of credibility or faking.
A couple things about this video.
First of all, I suffer from chronic back pain, sciatica, etc, but I am also more flexible than the average person. Prior to my back pain becoming intolerable and debilitating, I was VERY active and fit. So when the leg test is done on me, they can bring my leg up much higher than the average person before it starts to hurt. Now I can feel it pull on by back prior to that, but I would not call that pain.
Another thing to consider is that some people are very stoic. I don't show to others how much pain I am in. I will walk normally down the hallway at work (I am an RN) and as soon as I am alone in an elevator, breakroom, etc, I collapse against the wall, a table, or a chair in absolute agony. But I do my best to not let others see that. So when I am in front of a doctor it is hard not to do the same thing.
Another issue I have is when doctors poke around at my back trying to find where it hurts, they rarely ever poke the right spots and often times it won't cause immediate pain, but then I will have my pain exacerbated at home for 3 or 4 days just from them poking around.
When i was in nursing school we were taught that pain is what the patient says it is, where they say it is, and how bad they say it is. Always listen to your patient. Over the years (I graduated in 2005) it had turned into a climate where it is the norm to not treat pain. My husband was in the ER last summer in horrible pain in his ribs, doubled over, moaning, and in obvious misery. It took them over 3 HOURS to give him anything and all they gave was toradol followed by a prescription for tramadol. Seriously? None of it helped him much at all.
As a pain patient I have been treated like a drug seeker many times by mostly pharmacists. If only they could see me in the 2 ER visits I have had since becoming a chronic pain patient. I broke my foot and they offered me norco on at least 2 different occasions while i was in the ER. I refused both times. I came in for a severe pain in my head that went on for over 2 hours. By the time I was in the ER it had almost fully subsided, so I refused the morphine they offered. A drug seeker would never refuse a dose of narcotics.
Many in the medical community have a horrible attitude toward pain patients and it needs to stop.
Ehlers Danlos Syndrome ( I think you have it)
@@leslieviscioni7292 I considered that, but I don't think my flexibility is enough to meet the threshold for it. Plus no genetic conditions were found on my DNA test, though idk if they tested for EDS specifically or not. My family is more flexible than average, I think. My mom could always touch her toes even though she didn't do anything to maintain flexibility in any way. Compare that to my husband who can barely touch his knees when he bends over.
I've had pain since I've been in high school and I remember going to ER feeling like somebody was sawing my neck and sawing my joints off. And they treated me like I was crazy it was so frustrating. It's not red it's not hot you're fine. I also have muscular dystrophy so I kept thinking maybe doesn't show the same as normal people. When I was older I go see a room toy doctor and it was always your borderline no your negative borderline negative. As I got older I had more issues. I was finally prescribed I opioid and it got rid of I'd say 90% of my pain 90% of the time which makes it livable as opposed to horrible pain 24/7. But I go to urgent care and I list my medicine and I get to the pain med and all I ever hear is you shouldn't be on that and it's really bad and they really have no clue. If I ever have to go again and they say I should get off the medicine I'm going to ask for somebody new because I wouldn't say that to a diabetic or heart patient. They don't know my medical history everything I've been through. They're automatically biased against me. For a lot of my medical issues I have the doctor prescribing me the same thing I would need an urgent care. So for migraines I have nausea medicine and clonazepam. For stomach issues I have nausea medicine two different kinds but I don't take them both the same time and I have lidocaine that I can mix with Benadryl and gaviscon. Having these medicines means I can avoid going to the ER at least six times a year for each issue. Most of the time when you go to the ER they either don't treat you or maybe they give you an IV and fill it with Solutions the last time they gave you medicine it was filled with three things the steroid injection made my genitals flush and I felt weird and but I did say something to the nurse and she said that can happen. One of the other medicines made me have an anxiety attack so the doctor told me not to take it ever again but I don't even remember the name. And I still felt like shit by the time I got home so that was 6 hours where I felt like crap and when I got home I still felt like crap and I was in bed for a few days. I think you have to be very careful with how you treat patients. A lot of doctors treat women like they're crazy and issues might have a emotional component the emotional component could be because of all the problems they've had that has caused the emotional issue. So you still need to treat the problem maybe then it'll fix the emotional component. So many doctors blame medical issues on people and try to give them antidepressants and that is not fair. It's also not always the correct treatment. So now I'm older I have have more issues and a lot of my issues are related to my newest diagnosis of Sjogren's syndrome and a skin punch biopsy said that my nerves for pain are fine but my nerves were the sweat glands are not fine but also points to the Sjogren's possibly. So all of my issues they have led somewhere it is taken over half my life for them to lead somewhere and finally get an answer but it is such a frustrating Journey. And there are so many people that treat you as if you're faking and lying. It really is disheartening. It is especially disheartening when you see on TV commercials for the little blue pill which fixes everything and you've been fighting for your entire life and there is no great treatment or you get treated like you're crazy. But a man can have his erection and that's important more important than a lot of women who are sick and not getting treated properly. A lot of people who are sick and there's not even good enough research on their issues. It definitely agree with your statement. And for the one or two people that are faking I don't know if it's worth it to prove that they're faking. The fact that they're there shows that they have some sort of issue.
@@taradid409 I told my doctor that I feel like somebody is just take a knife and the rest through the middle of my back and that's all sharp hard hot pain if that makes any sense it's horrible
@@taradid409 in regards to the faking people - isn’t it better you just trust your patients and treat them properly and risk the few fakers getting the drugs they seek than deny the overwhelming majority of pain patients the meds they need to live a normal life?
In crime they say they would rather let 9 criminals go than to wrongfully convict 1 innocent person - but it feels like it’s the opposite for pain. They are willing to let the 9 pain patients suffer than to let the 1 faker get meds they don’t actually need. That’s a terrible model. I dread getting older. Been in chronic pain half my life and almost two years ago I inured my hip/lower back and have had intense pain ever since. Daily. Ongoing. Constant. It’s always there but sometimes I can distract myself from it and other times it’s all I can think about and feel. It wakes me up with a fiery burning sensation in my right hip socket - my back, hips, pelvis, groin, tailbone, legs and always in pain and I’m able to do less and less on a daily basis. But all I get prescribed are in effective drugs, and a series of failed steroid injections - including epidural shots. But I’m a woman. So I know I’ll have to keep playing their game for another 5-7 years before they finally hear me and believe me and help me.
I’ve thought of getting hit my a car to make it worse, saying I’m a man now to have them believe me, getting drugs off the streets to help me, and lying that I have a drug problem to get out on suboxone because I know they would prescribe me that in a snap. Of course I won’t do any of that but it’s sad when that’s what crosses your mind during the worst of times.
Hey guys! Thanks for this video. But, I have a bit of a problem here. All of us in the medical community were taught that pain is subjective. It is what the patient says it is. I do understand "The Fakers" all too well. However, I really hope that the judgemental aspect in here is toned down a touch. We know that pain is associated not only with physical abnormalities, and emotional components. However, labeling a person as a "Faker" may harm someone who DOES have pain that doctors have not caught the cause of, and then label that client as "Attention Seeking" "Drug Seeking" etc. That bias makes it impossible for you to try and start or follow a care plan for that client.
I know you both see both 'legit" patients and '"fakers", no doubt.
But perhaps rethink your terminology because you can never judge one's pain because you are NOT them. This label can travel with them in their medical records, for the rest of their lives, and cause them not to receive adequate care or medication during any future incidences.
No hate at all; long time RN that also had to rethink this concept and the impact that it can make. Take Care and many blessings to you both!
I couldn't agree more. These days, the minute a chronic back pain sufferer mentions pain, they're "drug seeking". I've had all of the imaging done, tons of diagnoses that can only be repaired with surgery (and even still, that's a 50/50 chance), etc. But, I recently moved about an hour and a half from my Dr.'s and had to establish all new care. I've been trying for months and it's been a joke. I was taken off of the med regimen I've been on for nearly a decade and offered no other solutions....he gave me a back brace and a urine test and sent me on my way without my pain medications. At my 2nd appointment with him, he gave me a referral to a psychiatrist and told me that my problem is a lack of coping skills...that the pain is there, no question, but that I need to learn how to "deal with it" and some counseling should help. I responded with "I have VOMITED because of the pain being so severe" and he said "that doesn't mean the pain is THAT severe...it means you don't know how to cope with it". I've delivered three babies without a drop of pain meds and didn't shed a tear...or vomit. It's not in my head. Needless to say, I'm back to square one in hoping that I'll eventually find a Dr. who won't instantly label me as a drug seeker just because so many are. :(
Melissia Cohen I'm so so sorry this has happened to you. Doctors are so poorly drained in pain management PERIOD, but even more so, in long-term, intractable pain. The lazy and easy way to deal with pain patients is to call it psychological and send you to psych, who knows even less.
These two guys are physical therapists and do not prescribe medications, but my hope is to educate them also, as even a PT mentioning "Faking" can be detrimental to real life people who are suffering.
You're beautiful Crystal, we need more like you. 20yrs ago I was beaten into a real bad state by a gang of about 40-50 and in ICU for my Mandibular and Maxilla, long story short I ended up with Post Concussion Syndrome with some very severe issues that fogged my whole thinking and I could barely think of anything other than the pain nevertheless describe it to somebody else. I was completely dismissed as having psychiatric issues and of course it still effects my Treatment to this day. I still suffer in silence as a recluse and with the medical problems I've accumulated since I don't reckon I'll make 50. It's probably for the best I lay down to rest sooner than later, I've grown tired of this world
Rustedblade I am so very sorry that this happened to you. And, that you're still suffering. I can't even imagine. But please... stay here and keep fighting. We need you here.. we do. Sending positive thoughts and prayers to you. You're still here for a reason, and we all are still fighting to educate the medical community and the public about pain, especially long-term chronic pain. Thank you for the complement, but I'm just one person that truly cares.
Melissia Cohen I know, right? I once had a PA at a GI office accuse me of seeking drugs when I tearfully asked for something for pain after the stomach meds she gave me didn't help at all, even though her boss (my GI doctor) had done several endoscopic tests that showed I was really sick with gastritis and biliary dyskinesia, which were significantly impacting my ability to get adequate nutrition. I told her that I just wanted something stronger than Tylenol because I was absolutely miserable, and my doctor had told me not to take any NSAIDs because they can make gastritis worse. I didn't even ask her for a narcotic. Fortunately, my doctor, who had his head on straight, apologized on her behalf and gave me an antispasmodic to help with the pain, as, then sent me to a GI doctor who had more experience with billiary dyskinesia. Thankfully, it all worked out, and I am doing well now, but, there is nothing more painful than suffering on a daily basis with a debilitating condition for months on end, then being accused of faking it.
The true horror of chronic pain, back pain included, is its very personal, very subjective, and impossible for the Doctor to accurately estimate how it effects someone's life from an office visit. I PRAY for the day they invent a machine to impart the EXACT level of pain I'm suffering through into a Doctor's body for five minutes. If they can stand the pain that I go through even for five minutes without dropping to the ground and crying I'll be impressed.
I get that people "fake" pain to get benefits, but the truth is, TOO DAMN MANY People with legitimate pain and disability are being CHEATED by a system that railroads them, and labels them as "Fakers" no matter what pain they actually have.
As a person dealing with chronic back pain for 14 years now, I find it deplorable that someone would go try to take this. There are millions of us with legitimate back problems that would love to trade places, and let them not have to fake for another second of their life.
I agree I wish sometimes people would take my back out just chronic pain my problem is is that I cannot take any opioids I cannot take anything like Motrin or Aleve so I just have to deal with it I can't even touch the floor when they bend over who would want to fake that oh my gosh
I agree although i can show the proof because i was given a CD of my MRI which shows all the damage. Still, sometimes i get the feeling someone may think i am not really hurt all that bad. I have come to just ignore those people who really don't know what the pain is like.
Don't ever ever ever think you know what someone else is feeling for pain ! Everyone has a different pain threshold.
Large Rooster here here
Well said
Exactly
#Repost 😭💪🙏🙏🙏🙄couldn't say it no better👌
A nurse at the hospital thought I was faking because I wasn’t acting like I was in pain. She had me pee in a cup, then questioned what was in the cup. It looked like cran-apple juice. I had kidney stones. I’ve also gone a year with a golf ball sized gallstone and didn’t know because I’m in constant back pain. I’m getting ready for my 3rd back surgery
This is why I keep my physical pain to myself. Nobody can see it but you are darn sure feeling it.
just tell them to visit a nurseing home and just listen ! screaming, hollaring , a old folks home should not sound like a NUT HOUSE , because NO PAIN MEDS !
@@EDD519 Very sad give them oxycodone or what ever they need after all that's why they have that kind of medicine if that happens that pure abuse & needs to be reported!
This upsets me. When I was pregnant I had severe lower back pain, it
felt like someone was constantly stabbing me with sharp knifes. It hurt
when I was laying down, it hurt when I was sitting down, it hurt just
to breathe and standing up was impossible. The hospital doctor did all
kinds of tests and said I wasn't in labor, it wasn't Braxton Hicks, it
wasn't a UTI or anything that they could find so they said they couldn't
do anything for me and sent me home.
Then I went to a chiropractor and he acted like I was FAKING!! He was
asking me to stand up and do all these exercises and I was bawling from
the pain of just standing up let alone doing anything after that. He
was so angry that I couldn't do his exercises and was so rude to me. He
did some chiropractic work on my back and it made it worse! My husband
was so upset with how he treated me and that the pain was worse
afterwards. My point is, ANY of the exercises in this video would of
killed me when my back pain was at its worst... and I certainly wasn't
faking.
I am so sorry you had to deal with that. I know that feeling all too well. I went to a "pain management clinic" and the nurse treated me like a drug seeker. She asked me what medications I was and am on, as soon as I said percocet she rudle said "oh we don't give that out here" I told her, I wasn't saying i wanted anything I was on it a long time ago, she again snapped at me "Oh well we don't give those out here". I cried on my way back because of her. I also did the epidural steroid injections and that made it much worse. Doing aqua therapy made it worse. I started having these issues after giving birth back in 2011 and was fist diagnosed with fibromyalgia, last year they did an mri and found the DDD, 3 herniated disks, siatica and narrowing of the spinal column. I say find a better doctor if you can, one who specializes in what you have going on.
@Susan Fiedler problem is doctors are so well-protected it's all you can really do is just file a complaint with your insurance company with their clinic and I guess with their Board of medicine
thanks to this video I've been able to get pain meds for 3 years and sell them while faking my injury. Owe these guys thousands
As a physician, I should disagree. Waddel has clearly mentioned in his book "back pain revolution" that Waddel criteria have been abused. In fact, these criteria can only state that there might be a psychological component contributing to the pain.
You are, of course, absulotely correct.
What would be examples of psychological pain? I’ve had problems since I was a teen but it slowly got worse. I’m 51 and it’s been bad for about eight years. I’ve tried everything except TENS and acupuncture. Many, many medications. I need one that’ll relax my entire body and put me to sleep but apparently it doesn’t exist. I have massive relief after being knocked out from anesthesia from a nerve burning procedure and an upper GI. OxyContin help my body relax but does nothing for my back. My many MRIs and X-rays only show some osteoarthritis and a small bulge. I have bipolar disorder and anxiety from the pain took medicine since I was 30. I’m very on top of it though. I see a psychiatrist every month and a person who checks in but she’s not a therapist. I’m about to watch this video because I started wondering if my description of pain sounds like a lie. I’m always honest but my last pain clinic really treated people like were all trying to sell drugs. HA! If I got something that helped my back I’d NEVER give it up! My pain has literally ruined my life…had to move next to my parents, lost my job, friends, boyfriend, apartment I loved, driving, freedom, hiking, the life I loved. I’m aware that my bipolar makes things harder for me to cope. After my bad pain began, I ended up in a mental hospital where I wish I could’ve lived forever. I tried to kill myself because it hurt so badly. It still does but I’ve learned how to deal. SO that explains why I’m curious and psychological pain and examples of it. I know about cognitive behavior but could I possibly be causing myself more pain unknowingly? If you don’t reply, typing this out has been very therapeutic. Ty! ❤️🤟🏻
@@amazingsupergirl7125 Any chronic pain has a psychological component to it as well. So, its perfectly alright if you are experiencing this pain . Try some relaxation techniques like Yoga, mindfulness, meditation.. take interest in some activities like gardening, outdoor games etc , have a positive attitude towards life .. often this helps apart from the medicine I am sure you are taking regularly... you will be fine 👍
@@TheRehabDocnot all chronic pain has a psychological component. My clinical health and rehabilitation psychologist explained to me that it’s common BUT NOT UNIVERSAL. Unless you are talking about the psychological EFFECT of experiencing chronic pain. But that psychological component is a result of the physical condition… and the trauma associated with experiencing chronic pain. Mind body treatments like meditation or mindfulness, or distraction, don’t treat the source of the neurological signal and can even exacerbate conditions because it teaches patients to ignore their body signals leading to further physical harm.
Treat the damn condition first.
That's very interesting, but I think I might unconsciously do just the opposite. Since I've had chronic pain for such a long time, during the evaluation I tend to tense up, attempt to function normally while silently trying to tolerate the pain. So very often my doctors have had to pause & asked me to relax, take a few deep breaths & let my muscles "go." I think the grimace on my face tells the truth FOR me! This video made me think... I really need to accept my bodies present capabilities while on my journey to healing. ~Susanne
I also tolerate the pain try my best to perform the movement. but now I notice as you say I do have to tense up to do it. when they tap on me I may have pain but that doesn't hurt. when the tumors were first in the neck god I think the wind on it was painful it was so bad. a neck foam thing they put on to immobilize it and it helped the pain so much. the back and neck have just become chronic pain worse times others not as bad.
I have emotional problems because I'm a victim of sexual abuse and beating. Yet I'm always reluctant to tell Dr's how badly i do suffer. I had one Dr say exaggerating; and rolled his eyes. Until i told him to look at my chart. I've had to have 86 surgerys because of this abuse. So after that Dr rolled his eyes; i walked out. I had a blood clot. And now tests are wanted for esophageal cancer; but that Dr really kept me away from hospitals. I'm not paying them to judge me. The second i heard him say in that tone :emotional problems, i was done with this video. Why should one faker ruin it for people who really are in severe pain. So now I'm paying for it. But I honestly was so hurt; felt so embarrassed. It's not my fault i was abused. I'd rather stay away than be humiliated again.
I have severe back pain which I believe was the cause of an epidural I had in 2007 when I gave birth to my only child. When I had the epidural I believe the one who administered it was new or something because he stabbed my back with that thing 4 times in and out with no numbing medicine, and only a nurse in front of me to squeeze her hand and a pillow to put in between me as I arched my back forwards. I was screaming at the top of my lungs, and crying to please stop, he said he missed the spot 3 times until finally the 4 time it went in and I had no idea that I was going to lose all my nerve and was paralyzed from the waist down, for c section surgery. It was the most horrific, and painful physical experience of my life. My back now is in extreme pain everyday all day at the age of 35, I feel like a 70 year old woman. It feels like it’s pinching at the lower mid part of my back, I can’t lift anything like I used to, I can’t stand like I used to, and bend over to clean something for any period of time. Lying in bed at night is painful, I get numbness and tingling in my legs, arms and feet. I have to pop my back almost every 30 mins depending on how bad it feels, and it still hurts, is very sore, inflamed, and feels like my back which I described to my husband “like it’s being eaten away, or being deteriorated”. However I can bend and arch all the way down to touch my toes and it helps because stretching and pulling it feels so good and helps to relieve that severe pinching of my nerves, but once I go back into normal position the pain is intense. So God help me if someone decides to do this test on me and I’m able to bend all the way down, I guess I won’t be believed, this is why I haven’t gone to doctors because I feel like this could happen and patients not being believed by “doctors” happens too often. I have tried otc remedies, lidocaine sprays, patches, bio freeze, advil, Tylenol, Bayer, homeopathic remedies, back massages, exercises, stretching, back braces, nothing helps not even the Tylenol Advil Dual tabs I take up to 3-4 times a daily. This video is very harmful for people like myself, and I am upset those in the place of authority and practices as yourselves have seen the comments of people expressing the harm of these videos and not a word, but I’m not surprised.
I have a disability and constant chronic pain.I don't agree with the test.
Doctors need the freedom to think and treat patients the way they see fit and should NOT be forced to diagnose based on the rules and punishments that are created within a corporate box!!*
Anita Quick i
Lol
va0438 what r u a psychologist? Shut up
I know one of the tests is probably crap. My Dr whom I've been seeing for many years knows my history also knows I've had back surgeries and probably need another when he pokes me in my lower back I do jump.
As a medic on an ambulance for 33 years I got good at spotting people faking pain, especially back pain. To many people fake pain trying to get drugs. One pt sticks in my mind. We were transferring him from our gurney to the hospital bed, and he did and said something that told me a lot about him. I must have has a smirk on my face because he got upset with me. He said a few things and I told him I believed him. I then told him what his pain was like and as I talked his attitude toward me changed. He had found a medical person who believed him, but also was able to tell him what his pain was like. I suddenly became his new best friend. I knew because I have the same problem with my back. It has got worse as I got older. Sometimes just having someone who believes you and knows what you are going though makes the pain easier to handle.
I also hate using the pain scale. I have to ask it, but I ignore it. Rate your pain on 0 to 10. Stupid question. For someone with chronic pain what they would call a 4 you would call a 6 or a 7. I look at the person. I had a pt who had his horse roll over on him, breaking his femur. (The biggest bone you have, and it take a lot of force to break) He crawled up to his house to call for the ambulance. He only gave it a 4, but looking at his face alone I could tell it was more than four. I called the hospital and asked for an order for morphine. The doctor knew me and had faith in me, so he gave me orders for what I was asking along with additional if the pt needed.
Kinda cold for Docs to dis the emotional patient. Often emotional distress and chronic pain go hand in hand.
I would have failed starting with the first test :'(
In evaluating pain one must consider that as muscles tense and tire the body will compensate by using other muscles. So a person with back issues may have many other sources of pain besides the back.
I have what they called somatoform disorder. I have had chronic pain/migraines/seizures as a child and through my 20s. Going in and out of hospitals trying to find out what was wrong with me. After years of worry and stress we did A lot of tests, MRIs, EEG for examples. Some tests can see something is wrong but can’t pinpoint it where. Well turns out mental illness causes actual physical pain. After seeing doctors and getting on the right meds everything that was wrong with me subsided.
Ivy, so true!
One, they're not doctors, they are physical therapists. Two, they absolutely do not understand Waddell's signs. Waddell was trying to identify patients who had a significant psychological contributor to pain, and who may not benefit from spide surgery. Waddell was pointing out that if his signs were present, the patient may benefit from psychological assessment before any consideration of surgery. If you don't address the psychological problems first, you are more likely to have a failed surgery. The patient still hurts, and may have been made worse by the surgery. Waddell himself was not happy the way his work was misinterpreted and misused. He wrote extensively on this.
This video is a classic example of misinterpretation of Waddell signs.
Well before surgery an MRI is required so even if they faked the MRI will provide all the info needed, obviously.
I had a meningioma tumor on t-7 that caused numbness, tingling & pain all down my legs, front & back. It wasn't found right away because the Drs decided I was a faker or an "emotional, hysterical female". I lost my job of 10 yrs, long term disability, etc. And was paralyzed by the tumor before they finally found it & removed it. It was pure agony. Not just the pain, but the tremendous BS the Drs put me thru. Pls, be more careful before you start throwing judgements around. ESP towards young women, who seem to be treated the worst in the medical profession
Ah Im scared. My doctors can’t find out what’s causing my pain, nothings showed on my CT Scan, Im growing desperate for answers I used to be a very healthy flexible person now I feel like Im a prisoner in my own body. Im scared I have thought of all possibilities.😢
I have had back pain for 9 years and finally went in last month to get my back looked at because I deal with constant back pain everyday. I was basically told I was faking.
I can’t stand that shit punk bitches.
I know this post is a year old, but did ( or have) you see a back specialist so you could get MRI and a CT ect...?
Careful guys....I know that YOU know pain is a subjective thing. Patients can be in intense discomfort, and react strongly to all the things you demonstrated simply to try to achieve validation & sufficient treatment. If one must error, let it compassionately error on the side of adequate functionality and control of comfort/pain😉.
Something I think you may be overlooking is general health/fitness of the patient. I am 43 years old and have suffered with chronic pain for 19 years. In my case, I started tumbling/gymnastics at the age of 3. I was always very limber naturally. I spent 13-14 years cheering, tumbling and dancing and I only stopped because I tore the meniscus in my right knee when I was 16. Doctors (we got a 2nd opinion) said the bucket tear was so miniscule that it wasn't worth doing surgery on. But my knee was never stable after that. This was 1991. In 1999, I slipped and ruptured the disc at L4/L5 and spent 8 months trying to just get a doc to do an MRI. Instead, they pushed pills on me, sent me to physical therapy (where the disc actually ruptured) then finally sent me to a neurosurgeon that said "I bet you're in an awful lot of pain" after reading the MRI I finally got. I was 24 years old, had an infant and had to quit my job because I couldn't even sit in my car long enough to drive to work...let alone sit at a desk all day. The sciatic pain was unbelievable. So in 2000, I had a spinal fusion surgery that lasted twice as long as the doc predicted and proceeded to tell my husband and parents that the disc was wedged much tighter than they thought it was and they had to "pluck on it a lot to get it out". I had foot drop in my right leg after surgery that lasted several weeks and my left heel has been numb since the surgery...19 years. While the bulk of my pain was relieved by the surgery, I was left with permanent nerve damage and had chronic sciatica by the age of 26. The neurosurgeon said "There's just a certain level of pain you'll have to learn to live with for the rest of your life." Fast forward a few years. By 30, I had bursitis in my right hip and was starting to have sciatic pain down my left leg as well. I treated myself with loads of ibuprofen for about 3-4 years until I nearly had an ulcer. Finally went to a doctor and spent a few years trying physical therapy, anti inflammatory meds, etc. I lost weight and tried to be more active but the pain was unbearable. Finally, my doc said "Try Tramadol". It was a miracle honestly. I could finally function after 7 years. A couple years later, Tramadol was changed to a scheduled med and it's been a battle ever since. Doctors think I'm not in as much pain because I can bend easily and touch my toes or do low lunges. Only my rheumatologist realized it was my body's natural agility as well as the 13 years of gymnastics, etc that allows me to still do those things. He even said that while it has probably helped me from getting worse, it's probably also the reason I have arthritis spreading throughout my body since I was injured in those years more times than I can count. So what do you do in these situations?
This is a very interesting - I think things have gone too far the other way - as far as dr's never prescribing opiods except for cancer pts.
I don't think this test is a sound measure for all patients.
Some people are highly suggestive and or people pleasing and will react in the way they feel they are supposed to out of habit or disposition. Those people might still be having back pain even if they react when you push down on their head or turn their body . Other people who have chronic pain have not had anyone listen and take their pain seriously. They may have learned to exaggerate in an attempt to get someone to listen.
I have a client who has obvious pain which can be seen by the way she moves and felt in her rigid muscles. She also has an intense way of expressing pain and it does" seem' exaggerated but I know her well enough to know she does have intense pain.
I also have chronic pain and it is difficult to find a doctor who listens to you and believes what you tell them. I have had three who quickly dismissed me without doing a complete physical exam for example.
Please be very careful when making such an important judgment about a patient.
There are also conditions that cause emotional intensity through their effect on the brain or through the intense fatigue they cause. You might get what seems to be an exaggerated response from these folks but instead of being a sign that they might be malingering it is actually a symptom caused by the condition.
A car accident caused my sacrum to be out of alignment. I was unable to sit, walk, or lay down without being in excruciating pain. I was in so much pain that I cried in my sleep and woke up crying. On the 10th day, a doctor corrected the alignment, but I was still in a tremendous amount of pain and walked with a limp. I was given no pain medication. I continued complaining of being in pain then received the dreaded diagnosis that my condition was psychological.
Sixteen years later after being examined by a physical therapist in Tampa, he diagnosed my sacroiliac joint being stuck which caused my right leg to be two inches shorter than my left leg. And he adjusted it a few days later.
As a result of that accident, I now suffer from chronic pain. You can tell by someone's face that the pain is genuine. Total strangers on the street would offer their condolences to me. I have learned to live with it since I have no other choice.
Just wanted to let you know that I have sciatica. I go through the day in pain pushing beyond my pain. It runs across my lower back to my right hip and radiates across the FRONT not the back and run just above my knee. Severe pain that interrupts my sleep and while you say it’s the back of the leg it’s not the same for everyone. We are not all wired the same.
They said it USUALLY runs around the back...You can certainly have pain in the front, it just depends on the level of the lesion. The most common levels that are affected typically present with pain in the back of the lower extremity. Very RARELY, if ever, will your entire leg go numb though... That's the point they were trying to make. If you're ENTIRE leg is numb, then you either have some severe cord compression going on and you need emergency attention, or it's just cancer... But actually, yeah, we ARE all wired the same, more or less. That's what makes Dx possible and predictable. Human anatomy doesn't change, aside from slight variations you may see here and there.
I feel for you, i get it down my leg, i have cried with it and begged my wife to cut my leg off but we know the trouble is in the back.
My pain wraps around from my hip to the side of leg, then over the upper part of my knee and then it runs down to my ankle. I was in a car accident and had to have spinal fusion, that failed. Now I have spinal stenosis and just found out I have 2 new herniated disc and a compression fracture across my L2. I have suffered from chronic pain for 17 yrs. Now I can barely stand up straight, barely walk any distance and live a life I wish to God I could get back when I could run 5 miles a day and go to the gym. God knows I miss those days. I'm only 55 yrs old and my life is nothing like I thought it would be. I lost my business, my home and my marriage from the accident that ruined my life. My husband left because he didn't want a woman who couldn't keep up with him and keep his house clean and cook 3 meals a day.
I've literally had to argue with doctors about the location of the numbness/pain/weakness in my back, legs, and feet. They say "that's not where the pain would be", uh....okay...but this IS where it is! One doc actually told me I fake symptoms to get attention from doctors because I had asthma as a child and I like the attention. Hysterical.
Very sorry to hear that! Sometimes people get it wrong :(
Doctors thought i was faking and was told i had "waddells".... Until I could afford an MRI. Turns out i need a spinal fusion. I have instability in my l4-5, stenosis, spondylosis, ddd, arthritis with cysts from the arthritis etc. These tests are very harmful to people and should not even be in existence. If you look it up online, not a lot of doctors trust this test. If you've been diagnosed with it, please don't let it discourage you. Get another opinion. And because of my instability, the turning side to side actually does hurt.
who would pretend to have back pain? i live with chronic pain and i wish the pain i feel on a daily to no man not even those that hate me so who would pretend to have these issues? its not funny and its very serious and those that deal with it like me have it hard enough to cope with everyday life =(
people pretend to get drugs. maybe attention . but that's not the mainstream of patients. sorry for your pain.
yea and it sucks cause now drs arent giving pain meds at all its a sad day for the medical field and their patients
thank you
the war on drugs bas turned into a war on people in real pain.
yes it has i just came across a dr who listens to me after 5yrs of dealing with insurance draining money arrogant drs of my past i finally found the right one
That one where the arms are down and you’re rotating causes my lower back bad pain. I call bs on this
I have a bulging disk and before i knew this, and at its worst, doing that would hurt like a MF
Yes me too I tried it and it hurt!!
I have had back surgery and bad pain before and after … I can do the twist thing but it hurts like hell so you may need to re evaluate how you evaluate someone’s needs… I know people lie about it for various reasons but most people who go through the trouble of going to the doctor and getting injections truly have chronic pain…
Thank you💯💯🙌🏾👏🏾
I have a slipped disc in my L5, degenerative disc disease and costochondritis... watching him do the laying down and sitting leg stretches hurt my back
Doctors thought i was faking it for 2 years with the slipped disc and thought i was faking my costochondritis for 20 years. Im 33 and just got diagnosed today. Finally. Someone listened.
Is there an opposite of this: someone who minimizes their symptoms (for whatever reasons)?
As a paramedic, I think my perception of pain is skewed. I'm reluctant to rate any pain >6 or 7--maybe because I've been exposed to some badly injured people.
Anyway, that's why I disagree with the "pain is the 5th vital sign" advocates. Vital signs can be objectively measured, but pain is wholly subjective.
physicaltherapyvideo Q
macmedic892 That's a good question because I think I'm that way. I have a high pain threshold. I have my share of severe back pain. I'm always like 4 or 5 only because I don't really know how to base the pain number. If I was at a 8 or 9 I wouldn't even be present.
High pain threshold or not, there are always ways to observe pain on a person and usually that is facially or guarding on some level. The point of this video is to determin of someone is 'faking it' though so you are seeing reported pain.
Linda Dempsey True
When you have severe chronic pain there are autonomic responses - your blood pressure goes up, your digestive tract becomes disrupted, your coloring flushes or blanches, you may sweat excessively or your eyes might start watering profusely. When you are "the stoic" sort and accustomed to dealing with chronic pain - having your eyes suddenly dump buckets of water down your face is disconcerting (even worse is the duck-face everyone starts making at you).
I have successfully ignored broken bones ("I see by this x ray you broke your wrist at some point a while ago. No? This is something you should remember! It was a bad break and didn't heal well") and ear infections that caused both ear canals to swell completely shut (scared the crap out of a young clinic doctor with that one since there was no place to stick the otoscope - honestly though, I was busy with work for a 2 weeks and had muted it down to a pinching sensation) - as two examples.
When you have severe chronic pain there is no running from it. You can't spend 24 hours a day screaming. You can't (especially with nerve pain) just dope yourself up and hope to escape (the half life and habituation will make short work of your viability with most pharmas). You have to figure out how to "make friends" with it, coexist with it, separate your "self" from it. Of course when you get really good at that the danger is you will camouflage pain that is supposed to be gaining attention. And end up looking like "a faker".
There's lots of diseases and disorders that cause back pain and doing some of these tests would increase it. Such as Addison's disease because it causes muscle loss and back pain and hurt when twisting side to side. There's issues like CRPS that also slight touch or even a breeze or noise vibration can set off back pain. There's tarlov cysts that can cause lower lumbar and sacrum pain as well down legs and for some hurts more in one position than others. There's neurolosurg issues that yes if pressing on top of head can cause severe pain in neck and back like CCI or Syrinx or Chiari. So no. None of this is accurate and I have lost years of my life and been made bedridden because of doctors thinking oh it's psychological because they didn't think outside the box and do anymore testing. Or ignored symptoms. Or did a test like this and said oh no that shouldn't vause increased pain. Crps by the way on McGill pain index is a 40-45. One of most painful human conditions. So yes a light touch can send someone into the worst pain of life daily with it. Even pajamas pants and socks I can't wear with it. It's hell. I have 6 rare diseases 3 of are neurological in brain and spine and a total of 31 diagnoses. So I know what I'm saying. Please re think how patients are judged before full story and full testing.
2 Time BrainSurg Survivor/RareDisease Fighter MS too.
2 Time BrainSurg Survivor/RareDisease Fighter Gallstones cause back pain too. Build up of toxins➡back pain.
3:29 “If he had it laying down, he should also have it seated.” From a patient with lower back pain, that is not always true. My pain changes immensely depending on my body position. I call BS on this.
You guys maybe need to get more training. I have numbness in my whole leg sometimes and I do have bad sciatica pain that runs down my whole leg at times. That is a fact jack! So I call these tests mostly bogus.
Ronald Belk - I understand how you feel. I got trauma-induced scoliosis from a wreck, had significant damage to my right hip and crazy sciatica. I cannot do aerobic exercise, be kind to yourself. What I can tell you is to increase your potassium levels per doctor’s suggestion - that helped my pain levels - the yoga you can perform, and nothing more. Don’t ever listen to that mantra ‘no pain, no gain’ - that’s a load of BS. How your body measures pain, and how it heals are two entirely different functions that work against each other. You do not ‘get stronger’ and you don’t build pain tolerance levels up - at all. When you are kind to you, you get physically better. Best of luck to you!
I’ve had si joint pain for about a year now I played through a football season with it and I regret it a lot it hurts everyday especially when I like bend backwards it feels like a knife shoots through it
:( oh no, Jesse Mitchell ... I hate when that happens
Lisa Rice my aunts supposed to be calling me an orthopedic doctor today I’m only 14 also :/
I’ve went to a chiropractor for a while and it hasn’t helped as much as I thought it would
Not that you care, but this is what stopped me from subscribing. I am honored to be able to help all the clients that you guys turn your backs on...#proud massage therapist!
I'm glad you guys emphasized how this is far from definitive and how extremely rare a true faker is.
I have full body RSD/CRPS and have been accused of faking before. CRPS simply causes such extreme reactions that they don't seem real. Because CRPS is rare, most doctors and PTs I've met have only ever met a few us patients. For some, I'm the only one they've ever met. As a result, the average length from onset to diagnosis is 6 years, which leaves a lot of time for doctors to accuse us of faking and/or malingering, and they often site our extreme reactions, like jumping or crying from slight contact, as proof.
Very interesting! I was curious as it was suggested I had a possible emotional response to my pain because it moved. After 13 years I managed to get an MRI which revealed a central hernia of L5-S1 which is why my pain sometimes swapped sides and presentation was atypical. I confess I would feel happier seeing more effort put into diagnosis of atypical cases. As a Brit I am not surprised these tests came from GB!
I had an mri done in 2020. Showed a bulge in l4-l5 then jn 2021 I had another one done and they said “we have no significant findings” but my back pain is still there. Doctor thinks I’m faking it to collect disability. What should I do?
My doctor seems to think I’m faking my back pain when in reality it feels like my two bones are scraping together. I have large breasts and it’s affected my posture and I’m in pain when I stand straight. She examined me and told me to lift my leg up and said “come on you can do better than that” and said I was being lazy and over exaggerating. I hate my life and it looks like I’m gonna live with this forever.
They also said I was lying when I had stomach pain, which turned out to be appendicitis and I had to have emergency surgery.
One year ago a Orthopedic Surgeon (OD) told me that I was faking lower back pain.
Last week I finally got an MRI. It shows 3 herniated Lumbar discs, and severe Spinal Stinosis through most of lumbar verts.
Apparently some MDs have their own "issues", as well as the patients.
Can you say lawsuit?
The surgeon would probably say your injuries occurred sometime after he stopped treating you a year ago. Sucks.
I can’t describe how awful it is to live with chronic pain. I’ve gone from an Ironman triathlete, biochemist, and writer to a stay at home mom in a short five years. I’ve taken myself off most prescribed drugs, even pain killers since they do nothing for the pain.
I know there are fakers, but most doctors are pretty good at spotting them without subjecting everyone to some arbitrary test.
I like you guys, but shame on you for putting out this needless video. I hope neither of you have to suffer through crippling chronic pain that nothing can cure.
All of those things they tested for can absolutely hurt like f@##$%ing hell with extreme back pain and would prove how bad severe it is and not that someone is faking. When you are struggling to stand with your own wait and you add even a small amount of pressure it kills and if you put your finger on a sensitive spot on the spine that hurts tremendously you would jump in pain for them to stop.
Someone should probably hit these dumbasses with an axe in the back a few times so others can explain how they have no reason to complain and that the pain is all in there head and that they should be put on 10+ addictive pills that they would never want you to be able to come off of bc of their over exaduration of what happend and the pain the could have from it.
I’m really sorry that you have chronic pain. I do too and it absolutely sucks. I’m not even sure how I manage to work a full time job in healthcare.
This video is specifically for spine though. I am a nurse for a spine surgeon and therefore I understand the point of this video. My understanding is that if these signs are positive, there is most likely something else going on with the patient but that does not mean the patient doesn’t truly have some type of pain. It’s just like what these guys said, this type of patient would have a poor spine surgical outcome because the symptoms are likely not true spine complications. Im not sure if I made any sense.
@average Joe in that case some testing probably shows an injury.
I think they're talking about people whose tests are normal and they are acting unusual.
You have to really listen to what they are saying.
“I don’t know if he is still alive or not”. Such a nice thing to say about someone. I would only have a Medical Doctor tell me if I was faking not some arrogant chiropractor.
I just tried the hands to your thighs twist & it caused even more severe pain than I already had. I guess I should cancel my surgery since I'm obviously faking. Thanks, guys!
If a doctor doesn't have back pain he does not have a clue what he is taking about, we are not all wired the same.
Remember, Bob and Brad are not doctors. @@davidbonnett2422
Ive had chronic pain since childhood.. earliest memory i have was 4 years old when I was in a wheelchair chair because I was in so much pain i couldn't walk. For 3 months i had walked around with both legs out of socket.. No one could figure out what was going on with me or how it happened... I remember nights where my legs ached so bad.. mostly it was my hips, arms and legs that hurt the worst. It wasnt until I was 13 that they suggested I had juvenile rheumatoid arthritis.. but the blood test were negative. At 17 my back and neck started hurting really bad. I remember that my joints always popped alot. At 20 i started having bouts of fever and fatigue alongside the pain. Age 22 the day i buried my mother... I fell in the cemetery and herniated l4/l5 discs. I remember the doctor seemed to think I was faking because I heard him with his pa. Say things like "why is she limping and etc.." but what he disdnt think about was that after years of walking a certain way because of my hips, i had to readjust my gait because of my back. He sent me to pt where the therapist found that my hips where uneven. He had to stretch and pull my ligaments and muscles to align them again. After the 3rd session It hurt so bad.. i broke down and actually begged for pain relief. I told them that it hurts so bad i cant evn walk afterwards. I was told that that was unnecessary because I was not in that much pain. And when I got upset.. they suggested I go see a psychiatrist.
Even with mris ct and past medical records.... i was labeled a "drug seeker". It is so unfair that because of my age.. I was dismissed by those physical therapist and doctors. I attempted suicide 3 weeks later. The pain had broke down everything in my life. I couldn't do the simple things in life. Over time I lost faith in everyone around me.. including myself. I lived in agony without relief for years. While at the mental hospital the doctor prescribed me suboxone. And let me tell you how amazing it felt to have actual relief. I cried on and off for days! I was so relieved.
Then at 27 i was properly diagnosed with lupus and multiple sclerosis. Along with those diseases and the physical damage.. it worsened my pain. My doctor now can't believe ive spent most of my life in such pain. Yes it was rough. And i thank god ever day that i survived.
My heart goes out to all those with chronic pain. Never give up on your health! That physical pain can become emotional pain as well. The best thing I can tell you is s to take 5 minutes a day to close your eyes and focus on the parts of your body that dont hurt.
Hi Bob and Brad. I see this video is a few years old but even though you're getting pummelled in the comments it's still up. There are a lot of things I could say, being a person who's had a back surgery for ruptured and fully sequestrated L5-S1 disk. When I was being examined by the surgeon he did the straight leg raise on one side and then the other. It hurt on both sides. He then told me that I must be faking because it should only hurt on one side because it's only going to affect the nerve on one side. I looked at him and said, "I don't know what to say but how about you look at my MRI?" He looked at my MRI and then asked me if I'd eaten yet that day because he needed to do emergency surgery. Not everyone is in that type of a situation for sure. But it's extremely common for people with back pain to be judged as faking, or exaggerating because it's such an invisible challenge. I guess the thing I would most want to say is that you guys seem to make so many helpful videos, teaching people how to deal with their problems. This video doesn't teach anyone how to deal with their problem. Doesn't show what exercises to do to strengthen or relieve pain. It serves no helpful purpose at all except to try and say hey, look, we know that some of you fake it. It's really just a judgment video. I've really enjoyed a lot of your videos and found them very helpful. I think you should consider what the purpose of this video is. I don't think the purpose of it fits your brand, which I've always thought was to try and help people. I hope you read this.
At one chiropracter he moved my body all around looking for pain. I didn’t have to move at all. It felt SO good. I’d love to have that as therapy. I also have a $4000 massage chair with a setting that doesn’t massage but just moves me, which is great. My pain is so intense. I’ve tried everything so I’m always glad to take a small win.
I was forced to go to Physical therapy at one point. It was the biggest joke I ever witnessed. They basically gave me a list of things to do at home. It's a big insurance scam !
Physio is 20% the therapist, 80% you.
I have chronic back pain, and have had 7 surgeries on my back. I have found that the best way to control the pain is to move around and exercise every day. That doesn't mean that you have to go out and join a gym either. I have had some of the best physical therapist in the world help me with using my own bodyweight to exercise. Over the long-term, it really does help.
When I had a sciatica before all my epidural treatments, when they lightly pushed down on my neck I could immediately feel pain. Also, for anyone who has ever had severely inflamed sciatica almost any movement triggers so form of pain. This isn't even to mention that some people who truly have pain want the doctor to believe that they have pain so bad that they are willing to tell you that they are having pain in certain positions where they might not be because if they are unfamiliar with the test they might feel as if they should be having pain and want the doctor to take them seriously.I think these tests are way outdated and should no longer be used to determine pain. It is for this reason I call absolute bullshit on these tests
That's basically why they said they use this only if someone is acting weird. Sciatica pain is normally felt in the hip and down the leg; not so much in the higher back area and is pretty simple to diagnose and hopefully you wouldn't be acting weird.
I had it because my hip was collapsing.
Bob and brad most people don’t fake any pain I am currently having severe frozen shoulder pain and I would like to be taken seriously
Enjoyed the video, but I couldn't stop laughing when I noticed in your video info how you misspelled "assess". Upon first read, I thought you were calling yourself "asses", but I had to go back because that didn't make sense either. Too funny!
LMBO!
Darn, I'm a week too late. I was going to say the same thing, but looked to see if anyone had caught it.
It's only a typo, hilarious but nothing to do with majoring in English. Thanks for the chuckle.
Neither am I, but spelling of commonplace words is at most a junior high school requirement.
That was also the FIRST thing I noticed, too. You'd think after having had this pointed out, though, that you would have corrected your mistake! Instead, you leave it for all the world to see. Can you edit your original post/description to correct spelling? If so, you should.
Glad You made a point of saying its not definative.......Took 5 years and 9 different drs, NUMEROUS Physical Therapy sessions BEFORE they ever did an MRI. When I finaly got an MRI, its shows My spinal chord is tethered to My tailbone and no one has clue what to do!
This fixation with catching fakers has ruined my opinion of doctors. Last time I was hurt the asshole Dr tried to talk me out of it.
Me: Doc, it hurts when I do this.
Dr: Don't do that.
kevin coots doctors are trying to prevent an opiate addiction. Many people fake back pain for welfare reasons. Doctors need to look out for these people. Do you want your tax money going to somebody who is perfectly fit to work but is too lazy and is using back pain as an excuse!
So I have to deal with getting no treatment because some people cheat the system. Bullshit.
kevin coots or when they say..... "well don't do that then"
Not only can I relate to this comment but I spent a few seconds grinning over it. They do act that way. Couldn't have explained that any better. A comment like that from a reputable doctor would irritate the shit out of me and the more you show that irritation the more they feel as if they are right and try to fight you on it. I understand the doctors POV but it is their job to continue searching for the reason for your pain even if they know (or think they know)that you are faking it. I used to work at a hospital and I would see and know the "fakers". I would also see ones that we though were faking it and and weren't... some doctors were able to diagnose the issue because they kept pursuing the problem. Despite their thoughts or feelings about it.
Lindsay McCarty yeah like I've been going to doctors for years over hip pain it has been agony ever since I was 12 year old I was told it was everything from inflammation to growing pains....... Turns out ilio psoas was to blame but it was no doctor but a massage therapist who discovered it
For 25 years I went to my pcp complaining of back pain. He said I needed to strengthen my core, I needed to lose weight,stop sitting unsupported when I breast fed, always something i was doing wrong. Never an x ray, cat scan, mri, nothing. At age 51 I had a bowel obstruction that landed me in a cat scan machine. On the report… herniated discs, spondylitis, levoscoliosis….. even though I had a hunk of broccoli wedged in my gullet due to the weight loss surgery I had hoping to relieve my back pain, I was so happy to finally have some answers about my back.
I have a herniated disc and tried standing striaght up with my hands down my side and twisted and I had pain and these guys said there wouldnt be any pain doing that.
As a fellow chronic pain (cervical spine) sufferer it has been very eye opening and amazing reading these comments and realizing how many of these comments are reflective of how I feel and have been made to feel,it is tough and really sad in a lot of situations, it is hard to understand for many (most) if they have not lived it,you can take pain for a short period of time and that is not easy depending on the level of it, but when it turns into years or decades without an answer to it, that is a different ballgame entirely, Lord help us, Praise Your Holy Name ! Don’t loose faith and the hope found in him 🙏🙏🙏
I've had pain for so long and it's been tough to figure out. I've had plenty of people tell me it's all in my head, I thought it was a one point. I tried to mentally convince myself that I wasn't in pain anymore, obviously it didn't work because this pain is very real.
Jessica SmokeyMcPot
I feel for you; had the same happen where for a long time, with no diagnosis just bucket loads of pain and lack of mobility, my family were not entirely sure I wasn't exaggerating. My daughter believed me as she lives with me and has seen it all. I hope you get the treatment you need soon and I don't think it's all in your head.
Gentle hugs to you Jessica dear. Peace and pain relief. x
plenty of people FOS !
when you have x-rays to prove your pain , metal plates, screws ,and such ,and they say , "that does not prove you have pain " ?
You would think lol
Thanks to you two I went to see a Physio and I am so glad as I have found I have a knee issue to be operated on thank you both!
with left knee and freezing right shoulder I am resembling Igor when I walk hehe ! :)
I was 300lbs and ran threw a massive airport up and down stars with a heavy backpack to make my connecting flight. I missed it. Got no sleep. Next night i whipped my hair back and forth for volume, wore heels and went dancing and drinking. I cannot put into WORDS that describes the EXCRUCIATING pain in my lower back when i stood up to go to the bathroom. I tried to sit down and pee and was screaming out in pain and began crying! I had to stand bavk up immediately and not pee and ran back to my blow up mattress face down before PASSING OUT!! I did not move for 4hrs and my bladder was going to burst. I told my friend to call 911. I was that desperate. Somehow i managed to stand up and painfully pee while holding moat of my weight on the countertop. I shuffled my feet in some shoes and couldnt properly put them.on or tie it. I looked disgusting. Friend drove me to urgent care and thank God believed me! I was like look at the person I am with...and look at ME right now i look like disheveled homeless crazy lady. Do u really think I would allow myself to be seen by him in the most embarassjng state ive ever been in my life? I almpst peed on his carpet I was in that much pain and couldnt make it a few ateps withouut paasing out from the pain. He knew i was serious. I needed help or i was majorly screwed. He gave me the lowest dose of hydrocodone and muscle relaxers. Omg...it WORKED and i was able to sit on a toilet without involuntary weeping like a baby. I showered! Could bend over enough to put.clean clothes on! I felt human again! Okay this shit lasted 2 to 3 weeks. I was still in pain when i flew home, but my doctor wanted an x ray and all these tests that weren't gonna show a damn thing and i was broke. I hate when doctors dont believe you. Just because of the few who seek drugs and lie about pain thet gey to F*** it up for the rest of the human population who is in pain and their whole lives are ruined by not being believed and not getting proper pain management and made to feel guilty and a druggie. It is sickening. If you are an adult and going to a doctor and paying money it should be YOUR choice what treatment you want for your own body and life. The government needs to back the hell off.
I used to look at people that claimed "Back Pain' with contempt until I developed Compressed Discs. Hurts like Hell!
Yes and No, I have had bone pain my whole life and professionals gradually started inferring or outright saying; mental illness, hypercondriac, or depression. Often Doctors rephrase my complaints and after awhile it's easy to go along with what they say because you lose hope that they will actually understand what is wrong. It's better to be treated for something then nothing at all. Often doctors would say, "you mean you have back pain." "Oh, you mean joint pain." When I would specifically tell them I had severe sciatic pain neck pain upper back pain and tailbone pain and long bone pain, hand and feet pain, they consistently would restate it something like this; oh, you have back pain in the lower back and you have joint pain. They never validated my actual pain. The fact that I would say the pain comes and goes just made me appear less believable but the fact is that I was being honest and when the pain gets super bad I would go inside and stay there for a week or so and pamper myself, and rest and stay indoors and begin to feel better. instinctively I guess I must have realized that it was the only way I would get better. besides the pain would get so bad I couldn't walk and I had to wait till I was healed to walk again of cours
e when I get to the doctors and tell them sometimes it gets so bad I could hardly walk I was feeling good enough to walk when I went to my appointment otherwise I canceled my appointment so then; they didn't believe it was true.
I finally found a Doctor Who believed me and though he was not was not willing to do the legwork to find out what was going on but told me he did encouraged me to see a specialist. No specialist would accept his referrals. But as long as I was willing to do the research he was willing to do the testing and after a year and about seven different tests I have now come up with a positive test for CEP Porphyria, I have contacted the porphyria foundation and they were wonderful! finally I found people who believed me and when they heard the possibility of CEP test results they forwarded my call to the director. They were very kind and since I just got my results back this week and talk to them on Friday I am anxiously waiting! They said it will only be a couple days, the foundations porphyria specialist has my test results andand will be contacting me with the next steps! Apparently there are only a limited amount of people with this condition. Keep up the good work but don't forget sometimes it's not easy to tell what's really going on!
I would also encourage people who have pain and discomfort and it cannot be explained, to look at your blood tests, CBC, look at your metabolic panels, etc, find out if you have abnormally high or low values these values are giving you clues to what's really going on! Sometimes, when doctor see abnormal values that don't make sense they say don't worry about it or they don't even tell you. Maybe they take it as a fault of their own? Doctors are trained in specific areas, for example if your sugar is high you have diabetes well not all doctors are trained to recognize rare diseases and abnormal test that are unique and rare but that doesn't mean your symptoms aren't real so don't give up!
@Anita Quick , I agree. I have SEVERE Scoliosis, I've heard "Ive never EVER seen a spine like yours.....its curved AND twisted.....I dont even know HOW to treat this and Ive gone all the way back to my College Books" plus MANY more. At last X-Ray from a Spine expert it was 70 degree TOP curve and a 42 degree LOWER curve. My rib cage basically sits INSIDE my hips, I should be 5-6 inces taller, THATS how bad my spine is.
Its so bad if I wear pants/jeans with a button, if I dont button it "carefully" my right shoulder POPS out (thank you Mel Gibson for teaching me how to pop it back in), flick a light switch too fast...POP, swing it as to point to something...POP, place weight on it (like a push up)...POP. Its so curved, it pushes my shoulder blade up and forward causeing the constant dislocation.
POINT is everyones spines are different (hence Chiropractors saying the above "Ive NEVER seen a spine like yours" after having MANY patients), everyone's pains are different, to simply DISMISS a claim as FALSE/FAKE based on "cookie cut out" tests is not fair.
Its those "same old age old" practices that MADE my spine WORSE than when it was found (Top curve was 42 Lower was 24) cause NOT ALL SPINES ARE THE SAME. I was ordered to wear a wrap around plastic brace till the top curve went below 20 degree "after that wear it much less to let your own back muscles take control". Well after it went to 17 degrees Top curve I did as the "Dr." instructed and year later, the good ol "Dr." pointed out "Ohhhh it went backwards, its worse now. Sooooo you need total Spine Fusion from base of Skull to Tailbone"!?!?!?
So instead of "nope, no way, your faking cause this guys tests from years ago TOLD ME" hows about giving people the benefit of the doubt before dismissing their claims.
cpoky hey,i have severe scoliosis with an 83 degree top,48 bottom,whole upper body is twisted with my rib cage twisted into a hump on my back.2 months ago i had an amazing surgery which pulled bottom curve to 0,top to 45 degrees,gained back 3 inches,got a waist,hump gone off my back and i feel incredible.i am 60 and have lived with chronic pain most adult life.the surgeon is dr.sethi at virginia mason in seattle and this is his speciality.i feel and look amazing,stronger,no more ugly twisted body.there is hope out there.i am gardening,hiking 60 days after surgery.i blew me and my family away.
It seems to me based on my own back pain the straight leg raise is not a consistent indicator of sciatica. I definitely had sciatica from crushed nerve roots, but the straight leg raise did not always reproduce it.
The second test, the side to side would have hurt me before my surgery. I had a herniated disk sticking out hitting the sciatic nerve. Every little movement at one point hurt so bad. I had a l4 l5 microdisectomy.
I too was treated like a drug seeker for ten years. I begged my doctor here in JOHNSTON Iowa to please take an X-ray of my back and they refused saying it would be a waste of money and time. I finally found a second doctor who had the same pain as I did as she had scoliosis as well. And so she took an X-ray and sent me immediately the next day to a pain management clinic. Like my doctor said because they can’t see it they don’t believe it. I got lucky as I was about to give up on life. Scoliosis made my hands swell and turn purple and I couldn’t use them due to pain and swelling as well as couldn’t walk or sit or sleep due to neck n back and hand pain and NO DOCTORS CARED AT ALL EVEN WHEN I BEGGED FOR ANY HELP AT ALL. So my message if u are reading this is never ever give up. Somewhere there IS A DOCTOR who won’t lump you in as a loser abuser like other patients
Ive had two herniated disc and am about to have a back fusion - trust me, if you had pushed down on my head or twisted me like that I would have been in agony
As someone who deals with back pain constantly and have been diagnosed with scoliosis and sacroilitis after years of being dismissed because they thought it was only an emotional component instead of treating both at the same time, I feel that it was pretty unfair that in the video they addressed the emotional component alongside faking it, there are two different things and it makes doctors think everything is emotional which was my case and delays appropriate treatments. People who are having back pain due to abuse, neglect or any other situation should not be treated as they are faking it or even addressed in the same video without making distinctions. If they had actually ordered an RX and an MRI when my issues began I would not be either on so much pain every day or so restricted in my daily activities because we would have been at the point of being able to fix things with physiotherapy rather than surgery
Ive been suffering with a considerable amount of all over body pain 24/7 for close to a year now, along with fatigie and horrid brain fog.
The worst part about all of this is that the doctor I went to said straight to my face that he didnt believe me because I was so young etc and that I was just trying to get benefits.(25 Female)
I can say that it is a very demoralizing experience to have a doctor treat you like that.
I've had unexplained back pain for 22 months now and have been told on multiple occasions that it's completely mental, Kind of forces me to look for a new Doctor to repeat the treatment process that has now ruined my life. Now that it's considered chronic and I can't see it on an x-ray, Mri, Or CT scan I am completely lost. I'm only watching this so I can perceive a perspective that might continue to hassle my chance at life
Thank you , I learned in PT that trauma can have ALOT to do with with some symptoms. The mind is extremely powerful. Appreciated honest professionals. Far and few between these days. Love your videos . Thank you for sharing your wisdom. GOD bless you both !
Now I learned how to get away with faking back pain. Thank You
Every single one of them fake test would have bothered my Spondylolisthesis pain.
575drv. My RA and Lupus pain too!!
I've had a serious back injury that lead to surgery and gave me additional problems after but I also learned to not be a bitch about it and tough it out and honesty does have it's drawbacks. It's people like you two who get paid more by the state to deny someone than to really help them.
Back pain can be debilitating and it is subjective.
I was born with brachial plexus injury ( erbs palsey ) im now 33 years old. I have been doing selective weight and endurance training for the last year. And have central spine pain that comes and go's anywhere from 2-10 on pain scale. Right shoulder affected. Any exercises or stretches you reccomend? Thank you and great channel!
ive been faking no back pain for 40 years and im about to give up...
doc johnny
Don't give up. I suffered for 5 years and was old I had that Waddell syndrome. I had gone to every doctor, chiopractor,, back surgeon, physical therapy only to discover 6 months later I have Ankylosing Spondylitis which fused my S. I. Joints. It is an autoimmune disease that is progressive in my spine. ps: Dr. Waddell RECANTED his diagnostic treatment, not sure why these doctors aren't telling people that!????
I watched his video because I was curious. It all makes sense, except for the fact that my particular pain pattern is "sneaky". If I turn a certain way it may really hurt at one point in time. However, I could turn the very same way later on and there is no pain whatsoever. Sometimes it's painful to sit. Other times it's not. Etc, etc. It may have sometthing to do with how well medicated I happen to be and whether I've done my physical therapy, biofeedback and meditation exercises. Many years ago I used to think that anyone with back pain was faking. Until one day I went down on the floor and crawled around on my stomach for four and a half hours until I broke down and finally called 911. Chronic pain is debilitating, embarrassing and life-changing. Oh, and I believe that 99% of chronic pain patients DO NOT get high from their medication. For me, it takes the edge off the pain just enough so that I can live somewhat peacefully.
It's no way i am faking my back pain. My co-workers see it and i had a chiropractor see the swelling in my upper back.
When I was a child our doctor said I was faking abdominal pain. He said I was attention seeking. I went back to the doctor as an adult at the age 19 & was brushed off again. It wasn’t until the age of 40 that I was finally properly diagnosed with celiac disease. I had to suffer unnecessarily for decades. Please be careful when deciding that a patient is faking.
@physicaltherapyvideo I would recommend that you include a few more things in a video such as this. I have multiple disc issues...Long before that diagnosis I was diagnosed with Fibromyalgia around 2001. At that time it wasn’t widely known and many Dr’s seemed to not even recognize it as a diagnosis. I could have weird pains/numbness of various degrees almost anywhere and could barely walk by the time I was diagnosed. I was treated horribly by medical professionals who obviously didn’t understand. You might want to include in these videos that there are “other conditions” not just fakery or emotional issues that could cause pain. Unfortunately years later I was diagnosed with Lupus and also later developed RSD/CRPS in my arms/legs. Im sure you’re familiar with all these conditions and know that RSD/CRPS alone is one of the most painful conditions you can have. Obviously what my body does falls outside the bell curve of what is taught in medical books. I know that better than anybody. Some of the most painful emotions I’ve experienced has been when I was suffering greatly yet treated like a faker by medical professionals.
I have scoliosis, severe degenerative disc disease, Rheumatoid Arthritis, bone spurs and had a 6 hour decompression surgery and the surgery was in 2018. It's getting worse and I am being referred for a spine stimulator and burning nerves 😩. God Bless ANYONE that has actually been disabled by it,can't cook,shop,sleep and feel like giving up. Depression definitely sets in ,if you don't like a lot of down time, heavy meds that make you sick,dropping blood pressure 😢😢. It's a Living Nightmare. Prayers for ANYONE that is not faking 🙏 ✨ ❤
I hate how your fate for getting ssi or disability or treatment lies in the determination of drs who never experienced it before or to the same degree I have several fkd up discs sure I can walk OK during the day with my meds.. But they don't see how your in agony or crawling to bed at night and can't sleep.. Well you can walk you can work.. If I got shot in my leg sure I can walk a little ways but can't work a shift like that.. Or just because your not bed ridden getting denied help...nobody should have to be in agony to work all day.. And people think we fake it cause you can do a little something.. Yeah something in total pain!
Josh Martinez - Agree to your comment 100%.
Josh Martinez I agree
I used to work as a paralegal who did Social Security and Workers Comp claims. While I am explaining the process here, this is NOT legal advice. Only your attorney can advise you about your particular case.
First let me say Social Security DOES recognize "Good Days".
That said, when applying for social security disability you will most likely be turned down -- even if it is clear to you and your doctor that you are disabled. (You need to discuss what is wrong with your doctor and ask for a disability rating.) If you are trying to get disability AND you really are disabled you need to apply on your own first. You may want to save all doctors reports and to consider keeping a journal.
***You will probably be denied.*** The official denial is the START--not the end of filing for disability.
When you get your denial, don't throw up your hands and say -- "Oh well, that's that I just have to suffer or quit work without compensation". No. You take that written denial you received to a social security attorney who works on a contingency fee (you win, you pay--you lose, you don't). He or she will then get you started on an appeals process.
You may be asked to keep a daily journal of your symptoms and activities.
Your attorney will send you to his preferred doctors.
Social Security will send you to their doctors.
You may have a psych evaluation.
Expect to be interviewed during this process and at your hearing.
Another thing is to look up your particular diagnosis on the Soc Sec website to see if it is listed as a qualified disability). Whether or not you are considered disabled by the administration depends on many variables such as ...are you able to continue working in your field?...can you be retrained to work in another occupation that is compatible with you disability?
If you are really disabled, though you were initially denied, you will almost certainly be approved in the end. You just have to go through the process.
Josh , not to mention try to keep a job while on the pain meds that allow you to do that job.
Rhonda Taylor - if you can work at home or take the train/bus! Don't kill my kids on the road cause your driving under narc influence!
How can a Waddell test be used on a Spinal fusion patient at L5 S1 when they can't twist it's fused together? So forcing you to twist is painful and would not be faking it. And just standing puts pressure on a cervical disk herniation in my upper back due to degenerative disk disease and it's been 11 years from my first fusion in 2007 and my second in 2010 after discovery was found unattached and floating around after I was experienced increased pain. Waddell test is probably effective on non-fusion individuals but not on fused individual's
My whole left leg is numb and it IS are all over. It's not extreme, but it is there.
I fell back in 2016 and crushed 10% of T-11 in my spinal and I ca't lay flat on my back without it aggravating either side of my sciatica nerve in my left or right butt
Well all I have to say is my MRI revealed exactly what I was going through
Same here
I have scoliosis and most of these hurt me pretty bad!
I have complete numbness in my leg if I am very active within the day where my leg becomes so heavy I’m using the wall to walk!
The arm splint test does not hurt if I bend my knees when they are straight it hurts pretty bad! Lifting my leg from a dusting position also hurts really bad!
I had these tests done on me then I had been sent to therapy for scoliosis
I have a disability and that's not funny faking back pain.
no but ppl some ppl are evil users
i have serious skin issues pop up all the time 2 types of skin cancer my hand are covered in psorasis and it embrassing so i wear gloves if i touch something a little hard i bleed it sucks so yeah. i was poisoined at camp lejune marine base nc look it up
I agree, I have a disc pushing on my sciatic nerve, it's extremely painful 95% of the time. someone that would fake it makes me sick.
I agree with you. I have many issues with my back, and siatica. I went to water therapy and they did all these on me and the amount of pain I can have I can attest that the head touching does not hurt, the moving from side to side the way they show again doesn't really hurt (unless you move a certain way), the leg test I hate because my legs are so weak but i do try and fight it and I also agree if you just force your leg to snap down that is a red flag. I fought it and the Dr scolded me that if it hurts to tell him and I am the type of person who grins and bears the pain. It sickens me that there are demented people out there who fake this to either get attention, get pain pills or for insurance. I have a real disgust with those who fake illnesses. I am in pain almost every day because of how bad my back is. The Dr told me for a 31 year old I have the back of a 60 year old, that it looks pretty bad. I avoid pills as much as I can, I really avoid going to the ER unless it is a pain scale of 9 or 10. I actually had to force myself to go to the ER yesterday, I was in pain for 3 days straight at a steady 9 and decided that it was just too much. I then remembered why I hate going to the ER in the first place. Anyone who fakes any kind of pain or illness needs psychiatric help. Someone who is in true pain fights it.
WE THE PEOPLE. I agree with you. If I have to go to the doctors or that rare chance I do go to the ER I do not take anything so they can see what it's like without medication. I don't do pain pills but I am on other things and it most certainly is best to not take any meds prior to a doctor or ER visit so they can have a good evaluation and so you can show them what and where it hurts. Do however tell them if you are on any kind of pain pills or muscle relaxers.
i've been having back pain and some SI pain for a year now and ihave to tell you guys...this video is funny. It wont highlight it that way. you have to ask the patient to pick something on one side if possible from the floor. squat fully and get up, walk forward. wall calf muscle stretch. walk on heel or toes. lay down on back, one knee up, raise head and it should expose the back pain easily for people who have it bad.