Surgery for low back pain

BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7513.E372 (Published 11 August 2005) Cite this as: BMJ 2005;331:E372
  1. Paul S Frame, family physician clinical professor of family medicine (pframe@stny.rr.com)1
  1. 1 Tri-County Family Medicine Cohocton, NY University of Rochester School of Medicine and Dentistry Rochester, NY
  1. Correspondence to: P Frame

    A patient and primary care perspective

    Like all primary care physicians who care for adults, I have a small group of chronic back pain patients in my practice who take up a disproportionate amount of my time and psychic energy. Frequently they have had multiple surgeries with no improvement or even a worsening of their condition. Most have had epidural steroid injections, physical therapy, acupuncture, or pain clinic referrals, and are on multiple medications. They are still miserable. For this reason, and also because I am an associate editor of BMJ USA, I read the articles in this issue …

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