Intended for healthcare professionals

Practice A Patient’s Journey

Spinal injury

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f3374 (Published 07 June 2013) Cite this as: BMJ 2013;346:f3374
  1. Martin Davies, patient1,
  2. Pam Carter, research fellow (social science applied to health)2,
  3. Loreto Drake, general practitioner3
  1. 1Stoke-on-Trent, UK
  2. 2Social Science Applied to Healthcare Improvement Research (SAPPHIRE) Group, Department of Health Sciences, University of Leicester, Leicester LE1 6TP, UK
  3. 3Alsager Health Centre, Alsager, Stoke-on-Trent ST7 2LU
  1. Correspondence to: P Carter pc216{at}le.ac.uk
  • Accepted 29 January 2013

This patient describes his seemingly interminable wait for surgery for prolapsed intervertebral discs coupled with a complete absence of useful information and worries about income support

My experience of back pain began ironically at a moment of great joy for me and my wife in June 2003—just before the birth of our second child. A few days before my wife went into labour, I sneezed, and so began a sequence of events that still affect me today. I never had a weak back before this, but I sneezed, fell to the floor, and it took three months for me to get straight again. The pain was horrendous. I saw my general practitioner immediately and was referred to a surgeon at the local NHS hospital. I waited about 12 months for this appointment. I have a little dog, and if I’d have left her in pain for so long I’d have been prosecuted for cruelty by the RSPCA. I had some physiotherapy treatment and had to take amitryptiline , co-codamol, and diclofenac, and that is unpleasant. When my back went into spasm I had to have diazepam as well. Sometimes I used an ice pack belted on to numb my back totally, to enable me to do things I had to do.

My GP kept signing sick notes for time off work, and I visited a chiropractor. As far as I know, my GP did not press the hospital, perhaps because he thought it would make no difference. Finally he gave me the telephone number of a back surgeon who works both privately and within the NHS, whom I saw privately. At his suggestion, because of NHS waiting lists of between nine and 12 months, I paid £650 to have scans done privately. The surgeon said I had a prolapsed disc …

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