Overdiagnosis in healthcare is a problem. A big one. Clinicians are skilled at labelling people in ways that do not necessarily benefit them. Too often we create harms from unnecessary labels and subsequent treatments that waste healthcare resources. Learning from Preventing Overdiagnosis conferences, Choosing Wisely1, the BMJ’s Too Much Medicine2 and JAMA’s Less is More3 campaigns, we opine that sport and exercise medicine is not exempt from overlabelling. For clinicians and researchers, a single label captures a textbook chapter’s worth of information. It helps characterise and organise peoples’ conditions within definable boundaries. Just as a patient wants to find a cause for their woes, we clinicians pride ourselves on identifying it. If a label can legitimise an individual’s experience, provide identity, and enable external support through access to services and insurance, what's not to love? Why don't we clinicians quickly and indelibly punch the label into a patient’s electronic medical record? There is a dark side to the face of the diagnostic label. A label implies that the clinician knows the specific tissue pathology that is causing pain or dysfunction. In sport and exercise medicine, accurate tissue or pathoanatomical (‘structural’) diagnosis is often impossible; when a person presents with low back or knee pain, special …

中文翻译：

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剥离肌肉骨骼标签：棍棒和石头可能会折断我的骨头，但诊断标签会永远束缚我

医疗保健中的过度诊断是一个问题。一个大的。临床医生擅长以不一定有益于他们的方式给人们贴标签。我们经常因不必要的标签和浪费医疗资源的后续治疗而造成伤害。从预防过度诊断会议中学习、明智地选择 1、BMJ 的太多医学 2 和 JAMA 的少即是多 3 活动，我们认为运动和运动医学不能免于过度标签。对于临床医生和研究人员来说，一个标签就可以捕捉到教科书章节的信息价值。它有助于在可定义的范围内描述和组织人们的状况。就像患者想为自己的痛苦找到原因一样，我们临床医生也以能够找出原因而自豪。如果标签可以使个人的经历合法化，提供身份，并通过获得服务和保险来实现外部支持，有什么不值得喜欢的？为什么我们临床医生不快速且不可磨灭地将标签打入患者的电子病历中呢？诊断标签的正面有阴暗面。标签意味着临床医生知道导致疼痛或功能障碍的特定组织病理学。在运动和运动医学中，准确的组织或病理解剖（“结构”）诊断通常是不可能的；当一个人出现腰痛或膝痛时，特别... 标签意味着临床医生知道导致疼痛或功能障碍的特定组织病理学。在运动和运动医学中，准确的组织或病理解剖（“结构”）诊断通常是不可能的；当一个人出现腰痛或膝痛时，特别... 标签意味着临床医生知道导致疼痛或功能障碍的特定组织病理学。在运动和运动医学中，准确的组织或病理解剖（“结构”）诊断通常是不可能的；当一个人出现腰痛或膝痛时，特别...