Jim seemed to be alive with energy and movement. As he talked his body leaned forward in the chair and I felt the presence of someone who was ready for action. His rosy complexion and informal attire reflected his natural love of nature and his desire to enjoy the outdoors. But the extra 20 pounds of weight he carried on his small frame revealed his growing physical inactivity over the last twelve months due to the low back pain and increasing sciatica pain he had been experiencing in his left buttock and leg.

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