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Evidence-Based Medicine 2006;11:136; doi:10.1136/ebm.11.5.136
Copyright © 2006 by the BMJ Publishing Group Ltd.

EBM notebook

Evidently...*

Richard Lehman, MRCGP, MA

Department of Primary Care, Oxford University
Oxford, UK

The first 150 words of the full text of this article appear below.


The human spine, particularly its lowest 5 segments, has come in for a lot of criticism; but we should not forget that it also provides a living for millions of people such as osteopaths, chiropractors, acupuncturists, reflexologists, plus manufacturers of orthopaedic beds, TENS machines, and other purveyors of "guaranteed relief." For most doctors, however, back pain is just a pain. Patients come to us expecting a diagnosis and some rational treatment, but with chronic back pain, all we can do is share their frustration and learn a bit of humility. In the UK, physiotherapy (physical therapy) has always been incorporated into the NHS whereas manipulative therapies have not. A British cost utility analysis ( Spine 2006;31:1381–7[CrossRef][Medline] ) finds that it makes no difference whether a physiotherapist gives active treatment or just advice. "Back schools" have also become a popular way of . . . [Full text of this article]


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