This is a deimplementation problem! I am currently aggregating harm/cost evidence. Looking forward to learning how to dissect this idea.
There is evidence that positive messaging to patients about back pain/natural recovery, focusing on inherent strength of spine, encouraging restoration of natural movement (and avoiding telling people NOT to move/promoting fear) and teaching pain science improves outcomes. Clinical guidelines recommend this however many PTs don't do this. Perhaps I may switch gears and focus on this?
Thank you for getting wheels turning on this!