The pain epidemic that plagues Western society today is almost entirely a result of the nocebo. You have an attack of back and leg pain, visit the doctor and are told that it is probably a problem with the spine, most likely a herniated disc. [...] being told that the pain is the direct result of a structural problem ensures that the pain will continue. Advised to stay in bed, you believe it must be serious, and the pain worsens. Despite bed rest the pain continues and an MRI is ordered; not only does it show a herniated disc at L5-S1, but the doctor informs you that the two discs above the herniated one are degenerated and the vertebral bodies are rubbing together. This is terrible; you now have objective evidence that you have a "bad" back. Often immediate surgery is recommended, or you are told it may be necessary if you do not respond to conservative treatment. The result: intensifying pain.

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