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        The Elephant in the Room: Too Much Medicine in Musculoskeletal Practice

        Author
        Lewis, Jeremy
        Cook, Chad
        Hoffman, Tammy
        O'Sullivan, Peter
        Attention
        2299/22077
        Abstract
        While advances in assessment and management of musculoskeletal conditions have improved care for many people, there have been other, less beneficial developments in the provision of care for people with musculoskeletal pain conditions, one of which is the worrying tendency to provide too much medicine. Too much medicine occurs when the provision of either investigation or intervention (or both) is unjustifiably excessive. Another concern in musculoskeletal health care is medicalizing normality-when a normal human function or condition is labeled as abnormal. In this Viewpoint, the authors argue that medicalizing normality creates health concerns where none exist, while too much medicine involves provision of care where benefits do not outweigh harms, and wastes precious health care resources. The authors (1) list 2 common examples of too much medicine, and 2 examples of medicalizing normality, relevant to physical therapy practice; (2) outline the drivers of too much medicine and medicalizing normality; and (3) make suggestions for change.
        Publication date
        2020-01-01
        Published in
        Journal of Orthopaedic & Sports Physical Therapy
        Published version
        https://doi.org/10.2519/jospt.2020.0601
        Other links
        http://hdl.handle.net/2299/22077
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