‘Dear Mr Aylott,

I thank you for your report following your examination.

Following my consultation I found my back pain was improving to the extent that I was able to reduce the amount of pain relief I was taking. Consequently, as you know, I decided not to proceed with the nerve block for the moment.

I would like to thank you for your comprehensive examination and clear diagnosis. It may be that armed with this knowledge I have unconsciously relaxed more enabling my back to recover itself to its current extent. Rest assured that I am not assuming that all is well although I am determined to improve the situation.’