The problem with a (entirely) structural based approach to low back pain…. Is there may actually be no problem.
This sounds like channeling the girl from the Matrix proclaiming there is no spoon, but it’s not far off. Before a finding can be called a problem the base rate of the finding needs to be established. Or put another way, what is the incidence of that finding in the normal, asymptomatic population? Too often radiology reports are read as death sentences to patients when in fact it is natural progression of aging or highly present in the general, pain free population. Recently my intern and I set out to see what those rates are in hopes of further demystifying issues to both patients and practitioners. Here, in wonderful blog format, are our findings.