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Why so much imaging?

 •  • by Paul Ingraham
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Weekly nuggets of pain science news and insight, usually 100-300 words, with the occasional longer post. The blog is the “director’s commentary” on the core content of a library of major articles and books about common painful problems and popular treatments. See the blog archives or updates for the whole site.

Why do primary care physicians still order way too much inappropriate spinal imaging… when it’s at odds with every expert opinion and all the clinical guidelines? Are they feckin' stoopid?! Maybe a few. But mostly it’s this stuff, perfectly summarized by Adam Dobson:

  • Time
  • Patient pressure
  • Lack of training
  • Defensive medicine
  • 'Fix it', societal mentality
  • Beliefs around 'reassurograms'

Notice that a few of those fall right in the lap of the patient. 😬

Ugly truth: “medical incompetence” is often collaborative. Doctor and patient can and do work together to achieve a lousy outcome. We all bring a lot of biases into medical appointments … and often misinformation too. Doctors and patients alike.

PainSci Member Login » Submit your email to unlock member content. If you can’t remember/access your registration email, please contact me. ~ Paul Ingraham, PainSci Publisher