9 Comments
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Matthew Allen's avatar

While the evidence-based medicine aficionado in me is skeptical of hype around offerings like full body MRI, I think you hit the nail on the head. I've felt like this when thinking about treating MSK issues for a while (i.e. we need to be more comprehensive in our approach) but I've never been able to articulate it like this.

The ideas in this article are a big part of why I want to go into PM&R.

Ben Schwartz, MD's avatar

I agree that we need to remain evidence-based but have come around on the idea that traditional care is missing an opportunity to push the envelope on Medicine 3.0 (as Peter Attia calls it)

Evangelos Pappas's avatar

A thoughtful, well researched, and I would argue, realistic plan. Is there a "model" that can be followed? Who has come closer to offering something like this. It can be a game changer

sorina balan's avatar

Excellent plan, well said and so true. All specialists and patients would tremendously benefit from a holistic approach to a person tailored, holistic, and with a focus on prevention type of medical assistance: from patient and physician satisfaction to reducing costs, and saving time and energy to both parties involved in the therapeutical act.

Thad Glavin's avatar

Wonderfully dismissive of your colleagues in primary care.

FixCare!'s avatar

Yes! This was called a Doctor of Osteopathic Medicine dev by Dr Still MD.

Greg Shannon's avatar

Agree that there is a strong case for whole person care within MSK! Lots of complexity to referral management, follow-up, across each of these disciplines within whole person care. What is the right mix of staffing, technology, etc.?

Mat Coolidge's avatar

I love this idea. Most men I know, including myself, have struggled with MSK issues. It took me years to realize that managing pain and preventing injury wasn’t just about reacting to problems, but about actively strengthening and protecting my body. I wish this had been part of our basic education, rather than something I had to figure out on my own.

If orthopedic care were more proactive, could we shift from a ‘fix-it-later’ mindset to a ‘prevent-it-now’ model? What would it take for orthopedics to embrace this role?