He Broke Free From Chronic Pain: David Hanscom, MD

In 1990 David Hanscom was a fearless spine surgeon when he started developing migraine headaches, ringing in the ears, skin rashes, burning feet, anxiety, depression and full-blown OCD. He bounced around the medical system for 15 years before finally learning to shift his own body chemistry from sustained threat physiology to a sense of safety and rewiring the brain’s response to pain. One watershed moment was discovering Fred Luskin’s book, Forgive for Good, and since then David has helped hundreds of patients heal from pain, migraines, insomnia, anxiety, depression, PTSD, and many other chronic symptoms—without surgery.

This was a really special conversation for Fred and I, and we hope you enjoy listening as much as we did recording it.

David Hanscom, MD

David Hanscom, MD, practiced complex orthopedic spine surgery for 32 years. He left his practice in Seattle, Washington, to share his insights on overcoming chronic mental and physical pain, which developed from his 15-year personal struggle. Emerging from this ordeal, he realized that mental pain was the most significant issue: anxiety is the pain. David just released a new book, Calm Your Body, Heal Your Mind and his self-directed action plan is available at thedocjourney.com. David is an active speaker, author, and consultant. His work and resources can be accessed at backincontrol.com.

Dr. Fred Luskin

Dr. Fred Luskin is the director of the Stanford University Forgiveness Projects. He’s also the author of the bestselling books, Forgive for Good and Forgive for Love. Forgive for Good is the best-selling self-help book published on the topic of forgiveness. Fred has been interviewed hundreds of times in worldwide media, including The New York Times, O Magazine, the Los Angeles Times, Time Magazine, Huffington Post, and he has been featured on the Today Show and CBS Morning News. Learn more at fredluskin.com.

Dr. Eileen Borris

Dr. Eileen Borris is a clinical and political psychologist who has pioneered the concept of political forgiveness on the individual, community and national level. She has addressed the United Nations and has worked for over 30 years to build peace in areas of conflict around the world, including Rwanda, South Africa, Liberia, Nigeria, Ethiopia, and the Middle East. Eileen is the author of Finding Forgiveness: A 7 Step Program for Letting Go of Anger and Bitterness and the creator of Healing the Divide, a program that trains leaders and other individuals interested in applying the principles of political forgiveness to transform their lives and create social change.

Be Part of Eileen’s Community

Subscribe to Political Forgiveness: Voices of Peace podcast on Apple, Spotify, YouTube, or wherever you get your podcasts.

Subscribe to Political Forgiveness newsletter at drborris.com or on LinkedIn.

Eileen’s book: Finding Forgiveness: A 7 Step Program for Letting Go of Anger and Bitterness

Timestamps

00:00 Anger The Threshold

00:17 Podcast Welcome And Guest

02:49 David’s Health Collapse

04:42 Threat Physiology Explained

05:40 Facing Victimhood And Anger

07:59 Thoughts Suppression And Control

09:47 Why He Challenged Spine Surgery

11:51 Self Induced Deep Healing

16:12 Calm Your Body Heal Your Mind

18:16 Tools Awareness And No Pain Talk

27:03 Vulnerability Anxiety And Letting Go

29:40 Resources Contact And Closing

Don’t Want Surgery? Practice Forgiveness.

Stress is not “all in your head.” Emotional states like anxiety and anger are whole-body experiences that can intensify pain, hinder coping, and complicate chronic illness. Recently, I spoke with David Hanscom, MD, an orthopedic surgeon who performed complex spine surgeries for thirty-two years. But everything changed when his own health began to fail. After developing 17 debilitating physical ailments, David was visibly suffering, hitting rock bottom health-wise, which forced him to find out why this was happening to him. Doing some deep soul searching, he recognized that he was totally out of touch with his emotional life, specifically his repressed anger. When he finally recognized the importance of facing his anger, it became the pivotal turning point in his remarkable recovery.

Physical Alarm Signals and Threat Physiology

As David began researching the effects of chronic stress, he realized that repressed emotions are often more physically damaging than expressed ones. Unresolved psychological pain locks our nervous system into a state of what he calls “threat physiology.” He learned that anxiety and anger are not merely psychological issues; they are physical alarm signals going off because the body senses danger. The anatomy of unresolved anger explains how threat physiology, activated by stress or emotional injury, triggers survival responses like fight-or-flight. Unresolved anger is also a by-product of unforgiveness, which got David thinking about the possibilities that forgiveness could offer in healing the mind and the body. The pieces of what was happening were beginning to fit together. Because the central nervous system is a key driver of chronic pain fueled by repressed emotions, David realized that unless this underlying physiological threat is addressed, surgeries are seldom successful. In fact, he concluded that many spine surgeries being performed today are unnecessary.

It took a lot of integrity to step back from his medical practice, but he could not ignore what his personal experience taught him. This led to the development of a self-directed healing approach he called the DOC (Direct Your Own Care) Journey, grounded in the idea that true healing requires attention to both mind and body. Fundamental to this thinking is the science of neuroplasticity, the brain’s ability to constantly rewire itself in response to our experiences and thoughts. When we are continually angry, our brains literally wire together to remain in a state of heightened threat and pain.

Forgiveness: Flipping the Switch to the Body’s Alarm System

Neuroplasticity, which tells us “neurons that fire together wire together,” can also be said to be true with forgiveness, and this is where forgiveness becomes a profound medical intervention. When we understand this, forgiveness is not merely a moral virtue but a practical tool for rewiring the brain. When we ruminate on our “grievance stories,” we reinforce the neural circuits of stress. But by actively practicing forgiveness and consciously changing the channel in our thoughts, we stop feeding those threat pathways and start creating new ones by redirecting them. Forgiveness acts as the ultimate signal to the nervous system that the danger has passed, turning off the body’s alarm system so that deep physical healing can finally begin.

Neuroscience backs up what David discovered through his own healing. When we hold onto anger, that emotion is registered in the amygdala—the brain’s emotional center—keeping the body locked in threat physiology. But research also shows that when we actively practice forgiveness, the brain’s frontal cortex steps in, quieting emotional responses and physically relaxing the body. Even more remarkably, recent brain imaging studies suggest that forgiveness doesn’t suppress painful memories: it updates them, making the memory itself feel less emotionally charged over time.

Facing Anger on the Path to Recovery and Forgiveness

This was David’s lived experience. As he worked on his own process of forgiveness, he, too, experienced healing. David realized that he had repressed a lot of his emotions growing up—especially anger—and as he walked down his own path to recovery, he finally got in touch with the anger he’d been avoiding. Facing his anger became one of the most profound outcomes of his healing process. This actually helped him to forgive his own mother, who he finally acknowledged was very abusive, and in the process found compassion for her, recognizing she was suffering too. It was this work that helped him shift from what he called “an angry zealot to more of a compassionate crusader,” fueling the desire that led him to leave surgery behind and help thousands of chronic pain patients instead.

Healing has its own way of bringing us many gifts if we are open to them. David realized forgiveness has the power to help with one of the most difficult aspects of our healing process: calming our nervous system. He understood that, as part of the forgiveness process, we learn to change our mindset, which in turn helps us let go of our personal emotional burden. This becomes a critical factor in calming not only our minds but also our bodies. His method follows a process that, in many respects, parallels the process of forgiveness. In learning to forgive, we have to first get in touch with what we are feeling. We have to own it and, in the process, learn how to calm ourselves down. David speaks of separating ourselves from old programming. Changing the channel, changing our mindset, is what the forgiveness process can bring to the table, which leads us to the most important step of letting go of our grievances to help our bodies return to balance and a healthy homeostasis.

To hear David Hanscom’s story in his own words, check out my latest podcast episode, He Broke Free From Chronic Pain. Subscribe to Voices of Peace: Personal Forgiveness on Apple Podcasts, Spotify, YouTube, or wherever you get your podcasts.

Welcome to Season 2! Voices of Peace: Personal Forgiveness

I’m thrilled to announce we’re just days away from the season 2 kick-off of my podcast! To reflect a new focus on forgiveness in our daily lives, the title is now “Voices of Peace: Personal Forgiveness,” and I’m delighted to have Dr. Fred Luskin as my co-host. Director of the Stanford University Forgiveness Projects and the author of the bestselling books, Forgive for Good and Forgive for Love. Fred is a true expert on forgiving spouses, parents, children, friends, co-workers, bosses — and even ourselves.

We have a fresh line-up of interviews with more forgiveness leaders and forgiveness stories, as well as normal people struggling to forgive. For the first time ever, Fred and I will be offering forgiveness coaching on the podcast. Our first guest is Lyndon Harris, who was an Episcopal priest in New York City when his life after 9/11 fell apart. Listen to this quick teaser with a few snippets from the first episode!

Dr. Fred Luskin

Dr. Fred Luskin is the director of the Stanford University Forgiveness Projects. He’s also the author of the bestselling books, Forgive for Good and Forgive for Love. Forgive for Good is the best-selling self-help book published on the topic of forgiveness. Fred has been interviewed hundreds of times in worldwide media, including The New York Times, O Magazine, the Los Angeles Times, Time Magazine, Huffington Post, and he has been featured on the Today Show and CBS Morning News. Learn more at fredluskin.com.

Dr. Eileen Borris

Dr. Eileen Borris is a clinical and political psychologist who has pioneered the concept of political forgiveness on the individual, community and national level. She has addressed the United Nations and has worked for over 30 years to build peace in areas of conflict around the world, including Rwanda, South Africa, Liberia, Nigeria, Ethiopia, and the Middle East. Eileen is the author of Finding Forgiveness: A 7 Step Program for Letting Go of Anger and Bitterness and the creator of Healing the Divide, a program that trains leaders and other individuals interested in applying the principles of political forgiveness to transform their lives and create social change.

Be Part of Eileen’s Community

Subscribe to Political Forgiveness: Voices of Peace podcast on Apple, Spotify, YouTube, or wherever you get your podcasts.

Subscribe to Political Forgiveness newsletter at drborris.com or on LinkedIn.

Eileen’s book: Finding Forgiveness: A 7 Step Program for Letting Go of Anger and Bitterness

Timestamps

00:00 We Are More Than Our Mistakes

00:21 Podcast Welcome

01:01 What Forgiveness Feels Like

01:40 Stories and Takeaways

02:00 Join the Journey

What Can Leaders and Neuroscience Teach Us?

Many countries around the world are grappling with a violent past. In the peacebuilding world, addressing the past focuses on identifying and resolving the root causes of conflict through constructive engagement with narratives and past experiences of violent conflict. Many leaders are, or have been at the forefront of building the foundations of peace within their societies and nations. Leaders who come to mind are Nelson Mandela, Martin Luther King Jr., and Mahatma Gandhi. All of these men followed their moral compass, based on principles of inner strength and ethical convictions. Can we develop leaders who possess a mindset of inclusivity and moral fortitude? Is there something we can learn from leaders who have been self-reflective due to their experiences, and as a result, can teach us very valuable lessons? And is there a place for neuroscience to help us gain a deeper understanding of one another?

Tim Phillips, founder and CEO of Beyond Conflict, a nonprofit organization that works with leaders to address conflict and promote social change in the United States and abroad, has shared insights gained from his work with leaders around the world. In my latest podcast, Biology, Brains, and the Business of Forgiveness, I had the honor of discussing with Tim how these insights can inform the work of political forgiveness. He began meeting leaders towards the end of the Cold War, especially those in newly emerging democracies. When speaking to these leaders, various issues started to emerge, — including the legacy of the past. How do individuals, communities, and nations deal with the burden of repression that lasted for generations? How do we trust again?

Acknowledging the Oppressor’s Experience

Tim had the privilege of becoming friends with Roelf Meyer, a South African leader and the chief negotiator for the National Party government, who played an integral role in the negotiations between F.W. de Klerk and Nelson Mandela that led to South Africa’s transition to post-apartheid governance. Meyer was asked if he felt any anxiety or insecurity about the decision he made with de Klerk about the negotiations that ended apartheid, and how he felt afterwards. Meyer did question whether he was doing the right thing for his people and for the nation, understanding that people feared what lay on the other side of change. Yet, the moment the agreement was signed, Meyer felt a sense of liberation. A paradigm shift occurred.

Tim then asked more about Meyer’s community, the Boer or Afrikaner community, which went through a form of ethnic cleansing and genocide by the British in the early 20th century. Twenty thousand men, women, and children were killed. Did Meyer’s community ever confront that? Meyer paused, and as he thought about this more, he said if his community had an internal process of healing and truth-telling, perhaps after the Boer War, they may not have set up apartheid.

As part of the truth-telling and healing process, hearing the stories of the victims gives a voice to the voiceless and creates a historical record of what took place. It sheds light on what has happened. But what about the story of the oppressor — were they once victims, too? What if a truth-telling process included the acknowledgment of the psychological landscape of the oppressor that created the situation of so much suffering in the first place? It’s much more challenging to acknowledge the trauma of individuals who did horrible things to you, and to acknowledge what wounded them. Acknowledgment is a crucial component of the political forgiveness process and is essential to breaking cycles of violence, as reflected in Meyer’s insight, and could have profound implications. And we need a process that invites those who cause harm to engage in a healing process of their own, thereby reclaiming their humanity as well. Political forgiveness provides for that opportunity.

Political Forgiveness Begins at Home

Political forgiveness must begin with the individual, and only then can it radiate out to the community and society at large. Phillips highlighted this when hearing someone ask Desmond Tutu about forgiveness. Tutu admitted how difficult forgiveness can be, sharing that when he was in a fight with his wife, he sometimes struggled to say he was sorry. When we think of political forgiveness, we often consider it in broad, existential terms, particularly when we witness the immense suffering that occurs in the world. But political forgiveness begins with our lived human experiences, within our families, our friends, and in our communities. It is part of being human, and to understand our humanness, Phillips began to look to brain and behavioral science to gain insight into this.

The Neural Signature of Forgiveness

Most people don’t realize that our every thought has a chemical component transmitted via neurotransmitters in our brains. Neuroscientists tell us that thoughts can change our brain chemistry as well as our physiology. Neuroplasticity — our brain’s ability to alter neural connections — allows the brain to compensate for traumatic events by forming new neural connections based on new experiences. This can create a cognitive shift in our thinking, leading to a reappraisal of our emotions.

In 2013, a group of scientists (Ricciardi et al.) studied how our brains heal emotional wounds, and they found that the decision to forgive rewires the brain. Neural pathways associated with anger and resentment are weakened, while new neural pathways related to emotional reappraisal, taking perspective and empathy are created. Those who chose to forgive horrific things have also changed their neural signature, which releases the PTSD patterning through emotional reappraisal, which then reduces post-traumatic stress. The difference is actually visible on an fMRI.

The Neuropsychological Equivalent of Grace

What can we take from this? When we can forgive, we perceive the world with greater clarity and insight. The rewiring of the brain has enabled an emotional reappraisal, increased ability for perspective-taking, enhanced empathy, and the healing of emotional wounds. This helps in viewing the oppressor in a new light and within a broader context, where one’s defenses are lowered, allowing for a deeper understanding of the situation as a whole, because our brains have changed. Perhaps this also gives us a window into spiritual experiences. This window is the gift of forgiveness. Forgiveness changes the neural imprint in our brains where an emotional reappraisal happens. This creates a release, which some experience as liberation, while for others, it feels like a shift in perception that is a miracle. From a neuroscientific perspective, perhaps this is the true meaning of grace.

To learn more about Tim Phillips’ work, enjoy the Political Forgiveness episode, “Biology, Brains, and the Business of Forgiveness” on Apple Podcasts, Spotify, YouTube, or wherever you get your podcasts.

 


SOURCE:

Ricciardi et al, How the Brain Heals Emotional Wounds: The Functional Neuroanatomy of Forgiveness, Frontiers in Human Neuroscience, Dec. 9, 2013

Biology, Brains, and the Business of Forgiveness

Tim Phillips has witnessed firsthand how forgiveness reshapes lives—whether in high-stakes negotiations that ended apartheid and sectarian violence, or in the emerging science that shows forgiveness can literally rewire the brain.

As a leader who has supported reconciliation processes from South Africa to Northern Ireland, Tim shares wisdom from figures like Desmond Tutu alongside insights from neuroscience and trauma research. He reminds us that forgiveness is not only a liberating personal choice but also a biological necessity: By understanding ourselves better, we begin to understand others — even our oppressors. Leadership, brain plasticity, and extraordinary stories of reconciliation all come alive in this wide-ranging conversation.

Tim Phillips

Tim Phillips is the founder and CEO of Beyond Conflict, a nonprofit organization that works with leaders to address conflict and promote social change in the United States and abroad. Tim has led efforts to catalyze the peace and reconciliation processes in several nations, including Northern Ireland, El Salvador, and South Africa, and has advised the United Nations, the US Department of State and the Council of Europe. Building on this body of experience, Beyond Conflict has partnered with cognitive and behavioral scientists to generate insights at the intersection of behavioral sciences and real world experience.

Where to Find Tim Phillips

LinkedIn: Timothy Phillips

Website: https://beyondconflictint.org

Dr. Eileen Borris

Dr. Eileen Borris is a clinical and political psychologist who has pioneered the concept of political forgiveness on the individual, community and national level. She has addressed the United Nations and has worked for over 30 years to build peace in areas of conflict around the world, including Rwanda, South Africa, Liberia, Nigeria, Ethiopia, and the Middle East. Eileen is the author of Finding Forgiveness: A 7 Step Program for Letting Go of Anger and Bitterness and the creator of Healing the Divide, a program that trains leaders and other individuals interested in applying the principles of political forgiveness to transform their lives and create social change.

Be Part of Eileen’s Community

Subscribe to Political Forgiveness: Voices of Peace podcast on Apple, Spotify, YouTube, or wherever you get your podcasts.

Subscribe to Political Forgiveness newsletter at drborris.com or on LinkedIn.

Eileen’s book: Finding Forgiveness: A 7 Step Program for Letting Go of Anger and Bitterness

Timecodes

00:00  Introduction to Political Forgiveness

00:27  Meet Tim Phillips: Founder of Beyond Conflict

01:11  Exploring Post-Communist Europe

04:07  The Legacy of Apartheid in South Africa

08:36  The Miami Show Band Massacre

14:17  The Neuroscience of Forgiveness

20:58  Political Forgiveness in the Modern World

33:17  Final Thoughts and Reflections