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Phase one, patient experiences back pain. Phase two, the GP prescribes painkillers and rest. Phase three, the pain persists, so they refer them to a physiootherapist because they’re under the National Health Service. Phase four, exercise provides temporary relief. The physiootherapy will give you a sheet of exercises, which again is getting the movement, which you should be doing, right? not into pain but as much as you can because you need that muscle movement, you need the blood flow. Phase five, pain returns. So you go back to the GP and he prescribes even stronger medication. Phase six, the patient is told to live with it. He’s told to live with it. Phase seven, chronic pain, disability, depression, career impact.

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