'This house believes that in 2014 antibiotics should be used to treat certain specific types of chronic back pain'

Moderator Mr M P Grevitt

QMC Nottingham

Vote

Hanne Albert 8 minutesPhilip Sell 8 minutes

Floor discussion and ranting 12-15 minutes

Alistair Stirling 4 minutes Jeremy Fairbank 4 minutes

Vote

This house believes that in 2014 antibiotics should be used to treat certain specific types of chronic back pain

• Agree• Disagree

I currently treat patients with 100 days of antibiotics for this specific type of back pain

• Yes I do

• No I do not

The context

• Mr Hugh Jarce• Age 44 .7 years• 18 months pain that started with sciatica• MRI one year ago showed Modic changes and

small disc at L4/L5

Mr Hugh Jarce• MRI one year ago showed Modic changes and

small disc at L4/L5• VAS Back 6.8 VAS Leg 5.3• Roland Morris 15• Exercise therapy and pain killers already• Most recent MRI shows Modic one changes at

level of previous disc herniation

Modic One Hypo on T1 Hyper on T2

The final words

This house believes that in 2014 antibiotics should be used to treat certain specific types of chronic back pain

• Agree

• Disagree

• On the fence