1. A substantial percentage of low back pain patients (40 – 70%, depending on the measure used) did not show significant clinical improvement after their course of physical therapy. And, if you smoke or are overweight, the odds are stacked against you even more.
2. A patient does better in a pain management program if goals are set based on what’s important for the patient, rather than shooting for a pre-fab set of standardized goals.
3. Although medical guidelines try to eliminate the use of unnecessary MRI’s, many primary care physicians find it difficult to follow the guidelines.