TY  - JOUR
T1  - Are the top 5 recommendations enough to improve clinical practice?: Comment on “application of ‘less is more’ to low back pain”
AU  - Wolfson DB
Y1  - 2012/07/09
N1  - 10.1001/archinternmed.2012.1943
JO  - Archives of Internal Medicine
SP  - 1020
EP  - 1022
VL  - 172
IS  - 13
N2  - 
I am not a physician, but I have relevant patient experience. For the past 20 years, I have had no significant back pain. Before that, I had a bad back for 20 years, with almost daily sciatica pain and frequent episodes of a misaligned spine, with crippling muscle spasms. Seeking relief, I visited neurologists, orthopedists, chiropractors, acupuncturists, physical therapists, and finally a physiatrist. The cure came from the mind-body connections offered by my physiatrist. My experience is that curing back pain is complex and that testing often reinforces a bioskeletal problem when there is frequently a large psychological component involved. Is this a case of testing preventing a cure?1 The authors of “Application of ‘Less Is More’ to Low Back Pain”2 in this issue of the Archives refer to this phenomenon as patient “labeling.”

SN  - 0003-9926
M3  - doi: 10.1001/archinternmed.2012.1943
UR  - http://dx.doi.org/10.1001/archinternmed.2012.1943
ER  -