Ranvier, (edited ) to memes in We don't accept insurance

Unfortunately doctors have no magic fixes for back pain related to muscular strains or degenerative disease/arthritis, which is most back pain. Treatments are basically physical therapy and nsaid medications. Surgery for low back pain from degenerative disease/arthritis alone has poor evidence with most randomized trials suggesting no difference. Even opiates fail to show any superiority over nsaids (like ibuprofen or naproxen) for back pain. Not saying don’t see your doctor about bad persistent back pain, there’s always edge cases or bizarre causes that may need addressing. But unfortunately no magic bullet for the vast majority of typical low back pain.

Review on surgery indications in back pain ncbi.nlm.nih.gov/pmc/articles/PMC10107811/

Randomized trial of opioid and nsiads in back pain, hip pain, and knee pain from degenerative disease/arthritis pubmed.ncbi.nlm.nih.gov/29509867/

Also, I know it’s a meme, but the billing code doctors use for even the most complicated of visits going over an hour and involving multiple potentially life threatening conditions or treatments isn’t anywhere close to $3000. Let alone a visit for routine back pain which wouldn’t qualify for anything like the highest billing codes.

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