While cervical disc pathology can unquestionably produce radiculopathy, many patients presenting with arm pain, paresthesia or perceived weakness do not exhibit the clinical behavior of true nerve-root compromise. In these cases, failure to differentiate the primary pain generator may lead to unnecessary spinal injections, nerve ablation procedures or surgical consultation despite limited likelihood of benefit.
Treating the Common Cold
When an MD is armed only with a prescription pad, the treatment regime for the common cold is fairly predictable. Consider how 1,439 patients in 2,144 medical encounters were treated for the common cold:
Antibiotics Prescription Only -- 32%
Symptomatic Medication Prescription Only -- 6%
Antibiotics and Symptomatic Medication -- 28%
Never Filled the Prescription -- 35%
While over one-third of the patients never bothered to get the antibiotic prescriptions filled, the 60 percent who did contributed to what the authors describe as a misuse of antibiotics by MDs, which, conservatively, is a $37.5 million annual expenditure in the U.S.
SOURCE: Mainous AG, Hueston WJ, Clark JR. Antibiotics and upper respiratory infection. J Fam Pract 1996; 42:357-361.