1. '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

2. Vote Hanne Albert 8 minutes Philip Sell 8 minutes Floor discussion and ranting 12-15 minutes Alistair Stirling 4 minutes Jeremy Fairbank 4 minutes Vote

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

4. I currently treat patients with 100 days of antibiotics for this specific type of back pain Yes I do No I do not

5. 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

6. 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

7. Modic One Hypo on T1 Hyper on T2

8. The final words

9. This house believes that in 2014 antibiotics should be used to treat certain specific types of chronic back pain Agree Disagree On the fence