Greedy Trial Lawyer
Patient Warning - Confusing Array Of Complaints Frustrates Doctors
Category: Seeing Clearly Now
I am not sure why this 8 year old medical journal article regarding signs that point to nonorganic back pain is making the rounds on blogs this month. I doubt that nonorganic back pain complaints are suddenly increasing.
Is it malingering, or is it 'real'?
Eight signs that point to nonorganic back pain - P. Douglas Kiester, MD; Alexandra D. Duke, DO - VOL 106 / NO 7 / DECEMBER 1999 / POSTGRADUATE MEDICINE
In any event, in the interest of fairness to patients who are reporting any back pain to a doctor I thought a link directly to the source was appropriate.
This is the preview of the article:
Have you ever become frustrated while caring for patients who present with a confusing array of musculoskeletal complaints and other signs of illness? When routine evaluation does not suggest a diagnosis and you begin to suspect it's "all in their head," how do you identify the underlying cause? And what is the best tack to take when dealing with such patients? Thanks to research by Waddell and colleagues, there is a way to distinguish between physical and behavioral causes. Drs Kiester and Duke explain the eight Waddell signs for identifying nonorganic back pain and offer a practical approach to patient management.
I guess the trick is to avoid frustrating your doctor? Patients with back pain should lead the doctor directly to the underlying cause before the yellow malingering light goes on. Never pull out a confusing array for him to consider.
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