Anna Rahm, 17, began experiencing back pain without relief. Anna’s parents took her to a chiropractor who suggested that she be taken to a physician so that she could undergo an MRI scan. Anna met with her primary care physician at Southern California Permanente Medical Group and was prescribed steroids.
Anna’s mother requested that Anna receive an MRI in light of her 8 months of back pain. However, the doctor said that she could not authorize the test. Anna consulted a physical medicine physician at the HMO clinic who denied her request for an MRI and instead recommended an epidural injection and exercise.
Anna’s back pain increased despite attempts to treat it with acupuncture.