Abstract
.M. IS A 49-year-old woman who has had persistent lower back pain for 5 years. She first injured her back when she moved to the Durham area. During the move, she was lifting a box and turning to pass it to her husband when she felt excruciating pain in her lower back and radiating down her right leg. After a 3-week trial of conservative treatment, she went to see an orthopedic surgeon and was found to have a large herniated disc at L4-5. She had a laminectomy, which reduced her leg pain somewhat but had no effect on her lower back pain. The back pain
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