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The patient in jeopardy: how the low back pain patient becomes disabled
1Department of Medicine, University of Manitoba, Winnipeg, Canada.
Occupational Medicine (Philadelphia, Pa.)
|February 27, 1998
Abstract:
Dr. Sommer divides the low back pain episode into four stages that can lead to patient disablement. Contributing factors include: suboptimal training for the diagnosis and management of musculoskeletal disorders and resultant physician anxiety; a compensation system that demands proof; physician wariness of chronic pain patients; transformation of worker from person to patient to claimant; and the complexities of determining impairment and disability.