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I had a patient whose back pain always returned after the weekend. He traveled 3-4 days a week out of town, but we couldnt trace the source of the Monday return of low back/left hip pain. He was not doing projects around the house. He walked but didn't workout. His mattress was comfortable. Finally I had him recite his list of typical weekend activities and one stuck with me: he loved driving his mustang convertible for 1 to 2 hours on Sundays. It was a stick-shift and when asked he told me the clutch pedal was REEEEL heavy. Bingo!
I prescribed a "Mustang Abstinance" month and - to our relief - the pain did not return. I advised that he shop for an automatic sports car to trade for.
I did not buy a convertible that year.
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