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The Curse of Low Back Pain

This excerpt was created in the absence of an abstract.

For those of us who have had back pain, this year's Journal special series relates not only to our professional experiences, but also to our personal experiences—experiences that can be life altering.

The title of this note was not designed to evoke images of suffering, however. It was designed to serve as a recognition that back pain is not just an impairment that can cause disability, but a battleground on which patients war with employers and insurers, and various health care practitioners fight with one another for turf. Low back pain is a curse not only because it causes suffering and disability and disrupts people's lives, but also because it brings out some of the worst in human behavior. Few who care about the subject remain untainted.

The term "low back pain" rarely stimulates thoughtful dialogue....

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