What’s changed in treating back pain over the last decade?
More narcotics and fewer NSAIDs. More referrals to specialists, less treatment by primary care docs. More MRIs and CTs.
A really illuminating article just published in JAMA provided those insights and more, concluding “Despite numerous published clinical guidelines, management of back pain has relied increasingly on guideline discordant care.”
Like 29% of patients prescribed narcotics.
In other words, more care, delivered by more expensive providers, with higher risks, despite no evidence it improves results.
Not only do we have a looooong way to go, it’s getting longer every day…