The Guardian

What can doctors do for your back pain? Not as much as you can | Ranjana Srivastava

Opioids don’t work. Surgery and injections rarely do, and scans are unnecessary. Better to get moving
‘Patients feel cheated when the neighbour, colleague and spouse seem to obtain an immediate MRI, a script for morphine, and a neurosurgery referral.’ Photograph: baona/Getty Images/iStockphoto

“I’m sorry you’re in pain.”

“You have no idea,” she growls. She is a middle-aged, obese woman with chronic back pain admitted to hospital for the third time in a year.

“Will you at least talk to the physio?”

She has stayed put in bed, refusing to move, and the nurses are tired.

“No, he can take you for a walk.”

This isn’t going well, I rue.

“And you won’t increase my morphine!” she harrumphs.

“I’d like to manage your pain in other ways. Opioids don’t help in this situation and there can be serious side effects.”

“My doctor always gives me a script.”

Now, I am treading the fine line

You’re reading a preview, subscribe to read more.

More from The Guardian

The Guardian4 min read
Whether In Song Or In Silence, Shane MacGowan Exuded The Very Essence Of Life
Shane MacGowan and I sat in near silence for two hours last year. We were at his home, just outside Dublin. I’d been warned by his wife, the writer Victoria Mary Clarke, that he was depressed and anxious, not really in the mood to talk. But nothing c
The Guardian7 min read
Gwyneth Paltrow: Is Her Life A Work Of Performance Art?
Ripping to shreds Gwyneth Paltrow’s Goop gift list has been a media preoccupation for years now, to the point that the website even titles it, “The ridiculous but awesome gift guide”. Still, even those not driven by well-documented animus towards Pal
The Guardian4 min read
‘Perfect Linearity’: Why Botticelli’s Drawing Abilities Remain One-of-a-kind
Throughout the Renaissance, drawings became an integral part of the massive paintings and frescoes that have long been associated with that period. Among other things, they were a way for artists to get a feel for how to arrange the space of a compos

Related Books & Audiobooks