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Most people assume that pain and illness are caused only by injury or disease. If your back hurts, it must be damaged; abdominal pain must come only from inflammation, infection, or tumor. Most physicians learn this in medical school, as I did. But treatment based on this assumption often fails to provide relief for persistent pain, leaving millions of patients and countless well-intentioned physicians frustrated and in despair.
I have interviewed 7,000 people with unexplained pain or illness. Here is what I learned. About 40% of patients in primary care have pain or illness that cannot be explained by diagnostic tests. It is commonly assumed that the symptoms are “all in their heads,” and that little or nothing can be done.
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