I get pts coming in asking for work restrictions...moderate changes on lumbar MRI. Nonfocal neuro exam. Just telling me it is too painful. Asking for light duty, 10# limit or whatever. How am I supposed to know how true that is and even what restrictions are reasonable? Sometimes orthos will even write a letter with restrictions and write in the letter that all further restrictions will come from me. Or an employer will say they want a letter from me agreeing with the PCPs restriction letter. Also people wanting disability in similar circumstances. Pcps pissed if I punt. How do u guys handle this? So overwhelming and discouraging for a new grad. I don't want anything to do with all this crap, and feel I am not trained or adept to even make these decisions. I told a couple people so far they could do an FCE and I would write whatever restrictions in accordance with this...but I know these are not perfect tests either? Thanks in advance, struggling here. I wanna do what's right, but really feel like the pts and other Drs are just crapping all over me with this...I don't want to contribute to the rampant disability abuse, but possibly some of these people have major pain with their factory type lifting jobs?