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 distress those who get
these results. They arouse fear or caution where it’s not always warranted. MRIs like this blur the
proper treatment plan. They cost quite a bit.
Family & Sports Chiropractic of St. Francisville carefully evaluates the necessity of
MRI in the St. Francisville chiropractic treatment plan of St. Francisville
back pain relief.
MRI interpretations by
radiologists often vary.
The true-positive finding rate was 56.4%, and the miss-rate was 43.6%. (1)
MRI imaging may trigger false suspicion. When
following the guidelines of the American College of Radiology, 93% of lumbar
spine MRIs were appropriate. Of those, only 13% uncovered
anything that needed to be addressed. 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 misinform.
For example, MRI demonstrates that the presence of
disc degeneration in asymptomatic persons – persons with no back pain – rises
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 imply that
these are signs of normal aging. They remind all doctors, remind chiropractors
like yours at Family & Sports Chiropractic of St. Francisville, to compare all such
findings to patient symptoms. (1,3) Your St. Francisville
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 (unless there
are “red flags” – issues that suggest
something more sinister). (4) A review of the effectiveness
of the Canadian Choosing Wisely recommendations for imaging nonspecific spinal
pain and symptoms stated that there is very low risk of missing
a worrying cause of back pain. (5) The objective
of guidelines is less imaging, fewer false positives. Family & Sports Chiropractic of St. Francisville wants what is
best for our St. Francisville chiropractic care patients.
COX® TECHNIC’S VIEW
Chiropractors like yours at Family & Sports Chiropractic of St. Francisville review
all the symptoms, tests and images our St. Francisville chiropractic back
pain patients [[present on|bring with them39] their first St. Francisville
chiropractic visit. So many back pain patients come to
Family & Sports Chiropractic of St. Francisville with MRI images already with them.
Family & Sports Chiropractic of St. Francisville will study them but will rely 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 work
toward 50% reduction of back pain in the first 30 days
of care before ordering more imaging or
testing or arranging surgical consultation. (6)
CONTACT Family & Sports Chiropractic of St. Francisville
Listen to this PODCAST
with Dr. Dan Clark on the Back Doctor’s Podcast with Dr. Michael Johnson as he describes imaging for back pain in the program of treatment
for pain relief.
Schedule your St. Francisville chiropractic appointment
with Family & Sports Chiropractic of St. Francisville today. Let’s explore together
the best path to St. Francisville back pain relief – with or without MRI