March 16, 2017

#49-March 16, 2017 -Is Your Patient a Victim of “VOMIT” or “BARF”? Does your LBP patient have an “Incidentaloma”?

Chris Showalter PT, OCS, COMT, FAAOMPT
MAPS Program Director

There is an astounding prevalence of “pathological” findings on lumbar spine MRIs. These findings are so common in ASYMPTOMATIC people that it raises the obvious questions. Does your low back pain (LBP) patient really NEED an MRI? What is the clinical relevance of commonly seen degenerative findings in patients with LBP?   

Richard Hayward, a consultant neurosurgeon in London, published a narrative in the British Medical Journal (BMJ) (Hayward 2003) regarding the overuse of diagnostic imaging. He described two … Charges. Health Ser. Res. 2015, 50 (6): 1927-1940
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