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Rheumatology Advance Access originally published online on February 28, 2003
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Rheumatology 2003; 42: 401-404
© 2003 British Society for Rheumatology

Editorial

Understanding the process of care for musculoskeletal conditions—why a biomedical approach is inadequate

N. E. Foster, T. Pincus1, M. R. Underwood2, S. Vogel3, A. Breen4 and G. Harding2

Department of Physiotherapy Studies and Primary Care Sciences Research Centre, Keele University, Keele, Staffordshire,
1 Department of Psychology, Royal Holloway, University of London, Egham, Surrey,
2 Department of General Practice and Primary Care, St Barts and the London, Queen Mary's School of Medicine and Dentistry, Mile End, London,
3 Research Centre, The British School of Osteopathy, London and
4 Institute for Musculoskeletal Research and Clinical Implementation, Anglo-European College of Chiropractic, Bournemouth, Dorset, UK

The first 10% of the full text of this article appears below.

Chronic musculoskeletal pain is a major health problem affecting a quarter of the population [1], accounting for around a quarter of GP consultations [2]. It has large direct and indirect health care costs, with most available financial data focusing on back pain. In 1998 physical treatments for back pain cost the UK almost £500 million [physiotherapy £251 million (£151 million NHS), osteopathy £173 million and chiropractic £69 million] [3].

A range of practitioners, often conceptualized as offering only single therapeutic approaches in either NHS or private primary care, manage the majority of those seeking care for musculoskeletal problems. These include drug therapists (general practitioners and community pharmacists), physical therapists (chiropractors, osteopaths and physiotherapists), behavioural therapists (counsellors, psychologists and psychotherapists) and complementary medicine practitioners (for example, acupuncturists and aromatherapists). Few, if . . . [Full Text of this Article]


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