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Nelson Howard Hendler

Nelson Howard Hendler

Nelson Howard Hendler

MD, MS Johns Hopkins University School of Medicine, Department of Neurosurgery United States

BIOGRAPHY 7 PUBLICATIONS 72 ACCOMPLISHMENTS 12

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  • Nelson Hendler is a 1966 cum laude graduate of Princeton, where he also played varsity lacrosse. He received an MD in 1972, and an MS in neurophysiology in 1974, from the University of Maryland, and did his residency training in psychiatry at Johns Hopkins Hospital from 1972 to 1975. 
  • Dr. Hendler was Assistant Professor of Psychiatry and Neurosurgery at Johns Hopkins University School of Medicine for 31 years, and Associate Professor of Physiology at the University of Maryland School of Dental Surgery. He was clinical director of Mensana Clinic from 1978 to 2006, which was listed in Business Week as one of the 8 best pain clinics in the United States, along with Mayo Clinic, Johns Hopkins Hospital, and Cleveland Clinic.
  • Dr. Hendler has published four books, 34 textbook chapters, and 71 articles. He was past president of the Reflex Sympathetic Dystrophy Association of America and the American Academy of Pain Management. 
  • Dr. Hendler has lectured at 53 medical schools and hospitals in 11 countries and the United States, including the Al Kharj Military Hospital in Riyadh, Kingdom of Saudi Arabia, Far Eastern Medical School in the Philippines, Fortis, Apollo, and Manipal Hospitals in Bengaluru, India, Keynote Speaker at the 9th Argentinean Congress on Pain in Rosario, Argentina, First honorary Member of the Israeli Pain Society, Hadassah Hospital, Harvard University, Mayo Clinic, Cornell Medical School and Johns Hopkins Hospital. He has testified before the US Senate three times on medical issues for Senator Edward Kennedy, Senator Barbara Mikulski, and Senator Howard Metzenbaum. 
  • Dr. Hendler has served on the board of two multi-billion dollar public companies, Columbia Bank and Lifeco (a holding company for a life insurance company and broker-dealer), and numerous non-profit boards, including the Baltimore Zoo, and as president of the Princeton Alumni Association of Maryland. He has also served as a consultant to two $3.5 B venture capital companies, Advent in Boston, and New Enterprise Associates in Baltimore, and to the President of the Senate of the US Virgin Islands.  
  • Recently, Dr. Hendler developed “Expert Systems,” for use over the Internet, based on research showing that 40%-80% of chronic pain patients are misdiagnosed. The Pain Validity Test predicts with 95% accuracy which patient will have abnormal medical tests. The Diagnostic Paradigm and Treatment Algorithm gives diagnoses with a 96% correlation with diagnoses of Johns Hopkins Hospital doctors and recommends the proper diagnostic tests to use. The Headache Diagnostic Test has a 94% correlation with diagnoses of Johns Hopkins Hospital doctors. His company has several websites, www.DiagnoseThePains.com, www.DMPDiagnostics.com, www.MarylandClinicalDiagnostics.com, and www.ThePainDiagnosisTest.com. He has been considered one of the best pain doctors and a top lecturer by his peers (see attached letters) 
  • He has shot “The Big Five” in Kenya, and hunted and fished in Alaska, Costa Rica, Mexico, Scotland, and Panama, published article in national magazines about his hunting exploits, and raced an MG-A in SCCA F production. He has 5 children and 7 grandchildren. 
  • Hendler, N., Blake, W.D.: "Hypothalamic Implants of Angiotensin II, Carbachol, and Nor-epinephrine on Water and NaCl Solution Intake in Rats." Communications in Behavioral Biology. Part A4, Nos. 1-3, July/August/September, 1969.
  • Kerr, F.W., Hendler, N., Bowron, P.: "Viscerotropic Organization of the Vagus Nerve."  The Journal of Comparative Neurology. Vol. 138, No. 3, March, 1970.
  • Hendler, N.: "Lithium Responsive Hyperaldosteronism in Manic Patients." The Journal of Nervous and Mental Disease. Vol. 161, No. 1:49-54, 1975. 
  • Akesode, A., Hendler, N., Kowarski, A.: "A 24-Hour Monitoring of the Integrated Plasma Concentration of Aldosterone and Cortisol in Manic Patients." Psychoneuroendocrinology. Vol. 1, pp. 419-429, 1976.
  • Hendler, N., Allen, G., Long, D., Uematsu, S.: Letter to Editor- "Problems with Lithium as Treatment of Inappropriate ADH Secretion." New England Journal of Medicine. Vol. 294, No. 8:446, February 19, 1976.
  • Gehris, C.W., Hendler, N.: "Myoclonus Presenting as a Pulsatile Neck Mass." Transactions - American Academy of Ophthalmology and Otolaryngology. Vol. 84, No. 1:129-131, January/February, 1977.
  • Hendler, N., Derogatis, L., Avella, J., Long, D.: "EMG Biofeedback in Patients with Chronic Pain." Diseases of the Nervous System. Vol. 38, No. 7:505-509, July, 1977.
  • Hendler, N., Leahy, W.: "Psychiatric and Neurological Sequelae of Infectious Mononucleosis." American Journal of Psychiatry. Vol. 135, No. 7:842-844, July, 1978.
  • Hendler, N.: "Spironolactone Prophylaxis in Manic Depressive Disease." The Journal of Nervous and Mental Disease. Vol. 166, No. 7:517-520, July, 1978.
  • Hendler, N., Livingston, A.: "The Localization Over Time of Exogenous Aldosterone and Angiotensin II in Various Organs." Pavlovian Journal. Vol. 13, No. 3:187-193, July/September, 1978.
  • Hendler, N., Wise, T., Lucas, M.J.: "The Expanded Role of the Psychiatric Liaison Nurse." Psychiatric Quarterly. Vol. 51, No. 2:135-143, 1979.     
  • Hendler, N., Viernstein, M., Gucer, P., Long, D.: "A Preoperative Screening Test for Chronic Back Pain Patients."  Psychosomatics. Vol. 20, No. 12:801-808, December, 1979.
  • Hendler, N.:  "Clinical Drug Trial Spironolactone for Premenstrual Syndrome." The Female Patient.  Vol. 5, pp. 17-19, June, 1980.
  • Hendler, N., Cimini, C., Ma, T., Long, D.: "A Comparison of Cognitive Impairment Due to Benzodiazepines and to Narcotics." The American Journal of Psychiatry. Vol. 137, No. 7:828-830, July 1980.
  • Hendler, N., Fernandez, P.: "Alternative Treatments for Patients with Chronic Pain." Psychiatric Annals. Vol. 10, No. 12:495-500, December, 1980.
  • Uematsu, S., Hendler, N., Hungerford, D., Long, D., Ono, N.: "Thermography and Electromyography in the Differential Diagnosis of Chronic Pain Syndromes and Reflex Sympathetic Dystrophy."  Electromyography and Clinical Neurophysiology. Vol. 21, pp.165-182, 1981.
  • Hendler, N., Viernstein, M., Shallenberger, C., Long, D.: "Group Therapy with Chronic Pain Patients." Psychosomatics. Vol. 22, No. 4:333-340, April, 1981.
  • Hendler, N., Uematesu, S., Long, D.:  "Thermographic Validation of Physical Complaints in 'Psychogenic Pain' Patients." Psychosomatics. Vol. 23, No. 3, March, 1982. 
  • Hendler, N.: "Episodic Abdominal Pain."  The Female Patient. Vol. 7, No. 6:79-80, June 1982.   
  • Hendler, N.: "The Anatomy and Psychopharmacology of Chronic Pain." The Journal of Clinical Psychiatry. Vol. 43, No. 8, Sec. 2:15-21, August, 1982.
  • Hendler, N., Fink, H., Long, D.: "Myofascial Syndrome: Response to Trigger - Point Injections." Psychosomatics. Vol. 24, No. 11:990-999, November, 1983. 
  • Hendler, N., Staats, T.E.: "Occupational and Psychosocial Stressors as Related to Health Problems: Implications for the Rehabilitation Counseling Process." Journal of Applied Rehabilitation Counseling. Vol. 15, No. 4:23-26, 1984.
  • Hendler, N.: "Depression Caused by Chronic Pain." The Journal of Clinical Psychiatry. Vol. 45, No. 3, Sec. 2:30-36, March, 1984. 
  • Hendler, N., Mollett, A., Viernstein, M., Schroeder, D., Rybock, J., Campbell, J., Levin, S., Long, D.: "A Comparison  Between the MMPI and the 'Mensana Clinic Back Pain Test' for Validating the Complaint of Chronic Back Pain in Women." Pain. No. 23:243-251, 1985. 
  • Hendler, N., Mollett, A., Viernstein, M., Schroeder, D., Rybock, J., Campbell, J., Levin, S., Long, D.: "A Comparison Between the MMPI and the 'Hendler Back Pain Test' for Validating the Complaint of Chronic Back Pain in Men." The Journal of Neurological & Orthopaedic Medicine & Surgery. Vol. 6, Issue 4:333-337, December, 1985.
  • Dellon, A.L., Hendler, N., Hopkins, J.E.T., Karas, A.C., Campbell, J.N.:  "Team Management of Patients with Diffuse Upper Extremity Complaints." Maryland Medical Journal. Vol. 35, No. 10:849-852, October, 1986. 
  • Hendler, N., Filtzer, D., Talo, S., Panzetta, M., Long, D.: "Hysterical Scoliosis Treated with Amobarbital Narcosynthesis." The Clinical Journal of Pain. Vol. 2, No. 3:179-182, 1987.  
  • Hendler, N., Mollett, A., Talo, S., Levin, S.: "A Comparison Between the Minnesota Multiphasic Personality Inventory and the 'Mensana Clinic Back Pain Test' for Validating the Complaint of Chronic Back Pain." Journal of Occupational Medicine.  Vol. 30, No. 2:98-102, February, 1988.     
  • Long, D., Filtzer, D., BenDebba, M., Hendler, N.: "Clinical Features of the Failed-Back Syndrome." Journal of Neurosurgery. Vol. 69, pp. 61-71, July, 1988.
  • Talo, S., Hendler, N., Brodie, J.:  "Effects of Active and Completed Litigation on Treatment Results: Workers' Compensation Patients Compared with Other Litigation Patients." Journal of Occupational Medicine. Vol. 31, No. 3:265-269, March, 1989.  
  • Empting-Koschorke, L.D., Hendler, N., Kolodny, A.L., Kraus, H.: "When Pain is Intractable." Patient Care. Vol. 23, No. 11:107-125, June 15, 1989.   
  • Empting-Koschorke, L.D., Hendler, N., Kolodny, A.L., Kraus, H.: "Chronic Pain: Using Medication Wisely." Patient Care. Vol. 23, No. 20:16-26, December 15, 1989. 
  • Empting-Koschorke, L.D., Hendler, N., Kolodny, A.L., Kraus, H.: "Nondrug Management of Chronic Pain." Patient Care. Vol. 24, No. 1:165-185, January 15, 1990.
  • Empting-Koschorke, L.D., Hendler, N., Kolodny, A.L., Kraus, H.: "Tips on Hard-to-Manage Pain Syndromes." Patient Care. Vol. 24, No. 8:26-46, April 30, 1990.  
  • Hendler, N., Kozikowski, J., Schlesinger, R., Schlesinger, J.: "Diagnosis and Treatment of Muscle Tension Headaches." Pain Management. Vol. 4, No. 2:33-41, March/April, 1991. 
  • Hendler, N.: “Spironolactone for the Treatment of Premenstrual Tension Syndrome.”  Maryland Medical Journal. Vol. 40, No. 11:1003-1009, November, 1991.
  • Hendler, N., Zinreich, J., Kozikowski, J.: "Three- Dimensional CT Validation of Physical Complaints in `Psychogenic Pain Patients." Psychosomatics. Vol.34, No. 1:90-96, January/February, 1993.
  • Hendler,N.,Kozikowski,J.:" Overlooked Physical Diagnoses in Chronic Pain Patients Involved in Litigation." Psychosomatics.Vol.34,No.6:494-501, November/December, 1993.
  • Hendler, N.:  “Skin Lesions Occurring in Clients with Reflex Sympathetic Dystrophy Syndrome.”  Journal of Neuroscience in Nursing.Vol. 26, No. 6:342-346, December, 1994.
  • Hendler,N.,Kozikowski, J., Morrison, C., Sethuraman,G.: "Diagnosis and Management of Sacroiliac Joint Disease." Journal of the Neuromusculoskeletal System.Vol. 3, No.4:169-174, Winter, 1995.
  • Hendler, N., Jamison, R., Morrison, C., Piper, J., Kahn, Z.: "The Relationship of Diagnoses and Weather Sensitivity in Chronic Pain Patients." Journal of the Neuromusculoskeletal System. Vol. 3, No. 1:10-15, Spring, 1995.  
  • Hendler, N., Cashen, A., Morrison, C., Long, D., Holliday, M.:  "Divalproex Sodium and Other Medications for Headache Following Craniotomy for Acoustic Neuroma." Headache. Vol. 35, pp. 490-493, September, 1995.
  • Hendler, N., Bergson, C., Morrison, C.: "Overlooked Physical Diagnoses in Chronic Pain Patients Involved in Litigation, Part 2." Psychosomatics. Vol. 37, No.6: 509-517, November/December, 1996.
  • Stanton-Hicks, M., Baron, R.,Boas, R., Gordh, T., Harden,N., Hendler, N., Koltzenburg, M., Raj, P., Wilder,R.: "Complex Regional Pain Syndromes: Guidelines For Therapy." The Clinical Journal of Pain, Philadelphia,14: 155-166, 1998.
  • Rothbart,P.,Fiedler,K.,Gale, G. Nussbaum,D,Hendler, N.: “A Descriptive Study of 100 Patients Undergoing Palliative Nerve Blocks for Chronic Intractable Headache and Neck Ache.” Pain Research and Management. 2000. (in press).
  • Raj, P., Chado, H., Angst, M., Heavner, J., Dotson, R.,Brandstater, M., Johnson, B., Parris, W., Finch, P.,Shahani, B.,Dhand, U., Mekhail, N., Daoud, E., Hendler,N., Somerville, J., Wallace, M., Panchal, S., Glusman, S., Jay, G., Palliyath, S., Longton, W., Irving,G. “Painless Electrodiagnostic Current Perception Threshold and Pain Tolerance Threshold Values in CRPS Subjects and Healthy Controls: A Multicenter Study.” Pain Practice. Vol. 1, No. 1: 53-60, March, 2001.   
  • Hendler, N.: “The Misdiagnosed Chronic Pain Patient and How to Get an Accurate Diagnosis.” Journal of Legal Nursing. 2002. (in press).
  • Hendler, N.: “Differential Diagnosis of Complex Regional Pain Syndrome.” Pan Arab Journal of Neurosurgery. Oct., 2002 pp. 1-9.
  • Long, D, Davis, R, Speed, W, and Hendler, N, Fusion For Occult Post-Traumatic Cervical Facet Injury, Neurosurgery Quarterly, Vol. 16, No. 3, pp. 129-134, September, 2006.
  • Hendler, N, Patients and Chronic Pain, Md. Med., Autumn, 4(4): 7, 2003. 
  • Hendler, N, Outlawing the firearm vs. implementation of stricter punishment. Md Med. Spring;5(2):6;, 2004.
  • Hendler, N. Overlooked Diagnoses in Electric Shock And Lightning Strike Survivors, Journal of Occupational and Environmental Medicine, Vol. 47, No. 8, pp. 796-805, Aug. 2005.
  • Hendler, N, Cashen, A, Hendler, S, Brigham, C, Osborne, P, LeRoy, P., Graybill, T, Catlett, L., Gronblad, M. A Multi-Center Study for Validating The  Complaint of Chronic Back, Neck and Limb Pain Using “The Mensana Clinic Pain Validity Test.” Forensic Examiner, Vol. 14, # 2, pp. 41-49, Summer 2005.
  • Hendler, N. and Baker, A. An Internet questionnaire to predict the presence or absence of organic pathology in chronic back, neck and limb pain patients, Pan Arab Journal of Neurosurgery, Vol. 12, No. 1, pp: 15-24, April, 2008.
  • Hendler, N., Berzoksky, C. and Davis, R.J. Comparison of Clinical Diagnoses Versus Computerized Test Diagnoses Using the Mensana Clinic Diagnostic Paradigm (Expert System) for Diagnosing Chronic Pain in the Neck, Back and Limbs, Pan Arab Journal of Neurosurgery, pp:8-17, October, 2007.
  • Hendler, N, An Internet Based Expert System to Control Workers Compensation Costs Documented by Outcome Studies, Anaesthesia, Pain & Intensive Care, Vol. 17, No. 2, pp 166-170, May-August 2013.
  • Landi, A, Davis, R, Hendler, N and Tailor, A. Diagnoses from an On-Line Expert System for Chronic Pain Confirmed by Intra-Operative Findings, Journal of Anesthesia & Pain Medicine, Vol. 1, No. 1 pp. 1-7, 2016.
  • Hendler, N, and Romano, T. Fibromyalgia Over-Diagnosed 97% of The Time:Chronic Pain Due To Thoracic Outlet Syndrome, Acromo-Clavicular Joint Syndrome, Disrupted Disc, Nerve Entrapments, Facet Syndrome and Other Disorders Mistakenly  Called Fibromyalgia, Journal of Anesthesia & Pain Medicine, Volume 1: Issue 1, pp: 1-7 2016.
  • Hendler, N. Evaluating Chronic Pain Patients Using Methods from Johns Hopkins Hospital Physicians, Journal of Pain & Relief, 2016, Volume 5:Issue 5: 1000269 .
  • Hendler,N, and Spurgeon, D, Comparison of Clinical Diagnoses Versus Computerized Test Diagnoses using the Maryland Clinical Diagnostics Diagnostic Paradigm (Expert System) for Diagnosing Chronic Pain in the Neck, Back and Limbs, Journal of Anesthesia & Critical Care, 6(5): 00242. DOI:10.15406/jaccoa.2016.06.00242.
  • Davis R, Hendler N, Baker A (2016) Predicting Medical Test Results and Intra-Operative Findings in Chronic Pain Patients Using the On-Line “Pain Validity Test”. J Anesth Crit Care Open Access 5(1): 00174. DOI:10.15406/jaccoa.2016.05.00174.
  • Hendler, N, Evaluating the Chronic Pain Patient in an Office Setting - JOJ Nurse Health Care 4(3): JOJNHC.MS.ID.555638 (2017).
  • Hendler N (2017) Facial pain from various sources- diagnoses and differential diagnoses, Dent Oral Craniofac Res, 2017 doi: 10.15761/DOCR.1000220 Volume 3(5): 1-5.
  • Hendler N. Chronic Pain Patients are often misdiagnosed. J Recent Adv Pain 2016;2(3):1-5.
  • Hendler N (2017) An Internet based Questionnaire to Identify Drug Seeking Behavior in a Patient in the ED and Office. J Anesth Crit Care Open Access 8(3): 00306. DOI:10.15406/jaccoa.2017.08.00306.
  • Landi,A, Speed,W, Hendler, N, (2018) Comparison of Clinical Diagnoses versus Computerized Test (Expert System) Diagnoses from the Headache Diagnostic Paradigm (Expert System), SciFed Journal of Headache and Pain, 1:1,1-8.
  • Hendler, N, Medication Treatment of Chronic Pain Without Opioids, Anaesth Pain Management (2018) 1:101.
  • Hendler, N, Gallagher, W, and Lane, L, Missed Diagnoses Associated with Rear-End Collisions, Clin Ex Ortho, 2019, Nov 1(1),101.
  • Hendler. “The Use of an Internet “Expert System” to Improve Income for an Orthopedic Surgeon". Acta Scientific Orthopaedics 3.1(2019): 23-26.
  • Emerick,T, and Hendler, N., How Surgery Saves Money: A Paradox Explained, International Journal of Pain Research and Treatment, 2020,3:17.  
  • Hendler,N and Joshi, K, Predicting Abnormal Medical Tests, on a Symptom by Symptom Basis, Using the Large Analytic Bayesian System (LABS): A Bayesian Solution Applied to Diagnostic Test Management, Journal of Scientific Research and Biomedical Informatics, (2021).
  • Hendler,N, Increasing the use of blocks 192% using an Internet based diagnostic test, Anaesthesiology & Research, Volume 1,Issue 1,Page 1-5 (2021).
  • Cum Laude graduate in psychology - Princeton University -1966.
  • National Science Foundation Undergraduate Research Grant Princeton University - 1965-1966.
  • Member - Society of Sigma Xi - National Honors Science Society - 1966.
  • National Institute of Health Graduate Training Grant-1967 to 1968.
  • William C. Menninger Award - Honorable Mention - The Central Neuropsychiatric Association - 1974.
  • Falk Fellow - American Psychiatric Association - 1974-1975.
  • Taylor Manor Hospital Essay Prize - 1976.
  • Fellow - Academy of Psychosomatic Medicine - 1984.
  • Honorary Member - Israeli Pain Society - 1984.
  • Second Place:  The Academy of Psychosomatic Medicine, 1997 Dorfman Journal Paper Award, "Overlooked Physical Diagnoses in Chronic Pain Patients Involved in Litigation, Part 2." - 1998.
  • Janet Travell Award, from the American Academy of Pain Management,(the largest professional pain group in the world,with over 6,000 members) “in recognition of outstanding contributions to the field of pain medicine.” 2002.
  • Fellow- American Psychiatric Association - 2003.

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