Posted 7/22/2009 2:45 AM (GMT 0)
One of the biggest frustrations with health is finding the root cause of our problems. If more practitioners could focus on doing so, we'd be much better. Here's what I felt was an amazing example (sorry it's a bit lengthy, but hopefully you'll find it interesting/relevant):
Exec at my company had horrible lower and mid arm pain, so bad he could barely type, couldn't bathe without assistance, and required his son to drive him around. He sits at the computer a lot, and his livelihood is dependent on his ability to type. The doctors sent him home with painkillers. This starts the symptom/"solution" chain:
Symptom: Arm pain
Caused by: ???
Family doc solution -> mild painkillers / NSAIDs
Later tests and MRIs showed massive inflammation around his elbows, and they gave him heavier anti-inflammatory drugs/painkillers:
Symptom: Arm pain
Caused by: inflammation?
MD solution -> prescription anti-inflammatory and painkillers
After a few months, the pain kept getting worse, and the painkillers were affecting his work. He went to a surgeon, who decided the inflammation was caused because his tendons and muscles were rubbing against the bone incorrectly. Literally recommended cutting off his muscles and re-attaching
Symptom: Arm pain
Caused by: inflammation
Caused by: bone rubbing against tendon/muscle
Surgeon solution -> cut and re-attach, 6 months rehabilitation
The exec refused, and saw a physical therapist, who said his muscles were too tight and that caused the problem.
Symptom: Arm pain
Caused by: inflammation
Caused by: bone rubbing against tendon/muscle
Caused by: tight muscles
PT solution -> therapy
3 months of PT helped some, but still had problems. He began reconsidering surgery, and asked me to discuss his case with my wife (a Chiropractor). Without seeing him, her first question was "does he rest his arms on the end of his desk while typing?".
Symptom: Arm pain
Caused by: inflammation
Caused by: bone rubbing against tendon/muscle
Caused by: tight muscles
Caused by: poorly configured workspace
Chiro solution -> reconfigure desk
Upon changing his desk configuration, his problems stopped immediately. Through dozens of doctors visits, he was never asked this simple question.
Every problem has a cause. That cause can often be found if the doctor asks themselves "why" enough times and follows up. Unfortunately most MDs don't have time to do so, or have already bought into the "treat the symptoms with drugs" mentality. Many patients aren't willing to address the root cause either. "I'll just take lipitor" is a much easier course than diet/lifestyle modification. Finally, some problems have an unknown cause (e.g. UC), and trying to find the root cause is like getting rid of groundhogs by covering up their holes - another one always pops up.
In the end though, I think you're always best to find someone who is willing to drill down into your symptoms a bit to find out the root cause of your problems.