Tests – what are they good for?
In the realm of back pain tests, of
MRIs that question must be examined. What are MRIs good
for when the percentage
of constructive, influential MRI studies is so little?
False positive MRI results upset those who receive
such results. They inspire fear or caution where it
is not always warranted. MRIs like this confuse the
proper treatment plan. They cost quite a bit.
Cross Chiropractic Center carefully weighs the need for
MRI in the Sandy Springs chiropractic treatment plan of Sandy Springs
back pain relief.
Interpretations of MRI images by
radiologists often differ.
The true-positive finding rate was 56.4%, and the miss-rate was 43.6%. (1)
MRI imaging may cause false suspicion. When
following the guidelines of the American College of Radiology, 93% of lumbar
spine MRIs were proper. Of those, only 13% revealed
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 – 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 Cross Chiropractic Center, to correlate all such
findings with patient symptoms. (1,3) Your Sandy Springs
chiropractor does this!
Choosing Wisely guidelines for American chiropractors recommend
not repeating spinal imaging and not getting 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 success
of the Canadian Choosing Wisely recommendations for imaging nonspecific spinal
pain and symptoms reported that there is very low risk of missing
a serious cause of back pain. (5) The objective
of guidelines is less imaging, fewer false positives. Cross Chiropractic Center wants what’s
best for our Sandy Springs chiropractic care patients.
COX® TECHNIC’S VIEW
Chiropractors like yours at Cross Chiropractic Center study
all the symptoms, tests and images our Sandy Springs chiropractic back
pain patients [[present on|bring with them39] their first Sandy Springs
chiropractic visit. So many back pain patients present to
Cross Chiropractic Center with MRI images already done.
Cross Chiropractic Center will look at 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 arranging additional imaging or
testing or referring for surgical consultation. (6)
CONTACT Cross Chiropractic Center
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 Sandy Springs chiropractic appointment
with Cross Chiropractic Center today. Let’s explore together
the best path to Sandy Springs back pain relief – with or without MRI