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I feel the need to remind Leon Creaney that many NHS Trusts have well
-developed chronic pain management services where the treatment of
musculoskeletal conditions is day-to-day practice. There is a long history
of evidence-based practice in pain management and a national audit of
outcome has recently been established by the British Pain Society.
Dare one suggest that there is an economic imperative to Sports
Medicine that biases the specialty in favour of intervention? This has
been a difficulty in chronic pain management, where invasive treatment has
been favoured over rehabilitation in the organisation of many clinics (1).
(1) Sanders SH. Nerve Block Therapy for Low Back Pain: Show Me the
Money and the Evidence. Am. Pain Soc. Bulletin, 2002;12(4)