Tests – what are they good for?
When it comes to back pain tests, of
MRIs that question must be examined. What are MRIs good
for when the proportion
of constructive, influential MRI studies is so little?
False positive MRI results trouble those who receive
such results. They inspire fear or caution where it’s not always warranted. MRIs like this confuse the
proper treatment plan. They cost quite a bit.
Chiropractic Spine Sports And Rehabilitation carefully weighs the need for
MRI in the Tonawanda chiropractic treatment plan of Tonawanda
back pain relief.
Interpretations of MRI images by
radiologists often vary.
The true-positive finding rate was 56.4%, and the miss-rate was 43.6%. (1)
MRI imaging may produce misleading suspicion. When
following the guidelines of the American College of Radiology, 93% of lumbar
spine MRIs were appropriate. Of those, only 13% uncovered
anything suspicious. Of the 36 MRIs that provoked
suspicion of cancer or infection, 81% were false-positive. 59% of the follow-up
MRIs on those suspicious findings were false positives. (2) MRI imaging may mislead.
For example, MRI shows that the appearance of
disc degeneration in asymptomatic persons – persons with no back pain – grows
with age: 37% in 20 year olds and 96% in
80 year olds; disc bulges: 30% to 84%; disc protrusion: 29% to 43%; annular
fissures 19% to 29%. These imaging findings indicate that
these are signs of normal aging. They remind all doctors, remind chiropractors
like yours at Chiropractic Spine Sports And Rehabilitation, to correlate all such
findings to patient symptoms. (1,3) Your Tonawanda
chiropractor does this!
Choosing Wisely guidelines for American chiropractors suggest30
not repeating spinal imaging and not obtaining spinal imaging for
patients with acute low back pain in the first 6 weeks of back pain (except when “red flags” are present– issues that indicate
something more sinister). (4) A review of the efficacy
of the Canadian Choosing Wisely recommendations for imaging nonspecific spinal
pain and symptoms reported that there is very low risk of missing
a worrying cause of back pain. (5) The purpose
of guidelines is less imaging, fewer false positives. Chiropractic Spine Sports And Rehabilitation wants what is
best for our Tonawanda chiropractic care patients.
COX® TECHNIC’S VIEW
Chiropractors like yours at Chiropractic Spine Sports And Rehabilitation review
all the symptoms, tests and images our Tonawanda chiropractic back
pain patients [[present on|bring with them39] their first Tonawanda
chiropractic visit. So many back pain patients come to
Chiropractic Spine Sports And Rehabilitation with MRI images already done.
Chiropractic Spine Sports And Rehabilitation will study them but will depend more
on clinical exam findings and link them to what the MRI shows.
A rule of thumb with the Cox Technic System of Back Pain Relief is to seek 50% reduction of back pain in the first 30 days
of care before arranging more imaging or
testing or arranging surgical consultation. (6)
CONTACT Chiropractic Spine Sports And Rehabilitation
Listen to this PODCAST
with Dr. Dan Clark on the Back Doctor’s Podcast with Dr. Michael Johnson as he explains
the role of imaging for back pain in the scheme of treatment
for pain relief.
Schedule your Tonawanda chiropractic appointment
with Chiropractic Spine Sports And Rehabilitation today. Let’s explore together
the best path to Tonawanda back pain relief – with or without MRI
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER
page. Content is reviewed by Dr. James M. Cox I