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James N. Weinstein, DO, MS, Discussant

JAMA. 1998;280:730-736.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR DALEY: Mr S is a healthy, active 45-year-old attorney and father of 5 children who has low back pain and a numb left foot. He lives in a suburb of Boston and his medical insurance is through a managed care plan in Massachusetts.

Mr S has experienced intermittent episodes of low back pain after exertion or physical activity for 17 years. He remembers first having an episode of low back pain after playing basketball. During ensuing years, he had occasional episodes of low back pain that responded to treatment with 1 or 2 days of bed rest and nonsteroidal anti-inflammatory agents. He has never had a trauma resulting in a back injury.

Mr S is very physically active. He runs several miles 4 to 5 times per week, logging 700 to 1000 miles annually. He has competed in 6 marathons and expects to . . . [Full Text of this Article]

MR S: HIS UNDERSTANDING AND PERCEPTIONS

DR P: HIS UNDERSTANDING AND PERCEPTIONS

AT THE CROSSROADS: QUESTIONS TO DR WEINSTEIN

History

Epidemiology

Pathoanatomy

Clinical Presentation

Diagnostic Studies

Natural History

Additional Medical Therapies

Surgical Interventions

Conclusion

QUESTIONS AND DISCUSSION

Dr Weinstein is Director, Surgical Outcomes Assessment Program, Professor of Surgery and Community and Family Medicine, Dartmouth College, and Director, Multidisciplinary Spine Center and Patient Preference Laboratory, Dartmouth-Hitchcock Medical Center, Hanover, NH.

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RELATED LETTER

Clinical Crossroads: A 45-Year-Old Man With Low Back Pain
Philip Brien, Michael Brien, Brian A. Davis, Brian J. Gray, William C. Meade, Mark Pretorius, H. William Winstanley, J. Patrick Johnson, and James N. Weinstein
JAMA. 1999;281(10):893-895.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A 45-Year-Old Man With Low Back Pain and a Numb Left Foot, 1 Year Later
Daley and Hartman
JAMA 1999;281:1540-1540.
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Clinical Crossroads: A 45-Year-Old Man With Low Back Pain
Brien et al.
JAMA 1999;281:893-895.
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