377- The Correlation Between Steroid Injections and Rotator Cuff Tears

Steroid injections are commonly used to treat shoulder pain, but the after effects can be devastating. On today's episode, we explore the new research highlighting the correlation between steroid injections and rotator cuff tears.

Episode Notes:

A Positive Correlation between Steroid Injections and Cuff Tendon Tears: A Cohort Study Using a Clinical Database

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227- Finding the Best Treatment for Cervical Disc Herniations

Updated research from JMPT shows that chiropractic care provides nearly twice as many people relief from MRI-confirmed disc herniations than nerve root injections!

Episode Highlights-

Symptomatic, Magnetic Resonance Imaging-Confirmed Cervical Disk Herniation Patients: A Comparative-Effectiveness Prospective Observational Study of 2 Age- and Sex-Matched Cohorts Treated With Either Imaging-Guided Indirect Cervical Nerve Root Injections or Spinal Manipulative Therapy.

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Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!

032- Chiropractic Adjustments after Steroid Injections

This episode looks at patient's who received chiropractic care following a steroid injection.  Often, patients who begin getting injections choose, or be persuaded, to discontinue their chiropractic care.  Research like this proves that concurrent chiropractic care will help the patient obtain the best possible outcomes.

Episode Highlights

Spinal manipulation postepidural injection for lumbar and cervical radiculopathy: a retrospective case series.

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This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor.  Our members use research to GROW their practice. Are you interested in increasing your referrals? Click here now.

006- Steroid Injection Lead to Increased Risk of Vertebral Fracture

This week we look at an expansive (over 50,000 patients were a part of the study) piece of research released by The Journal of Bone & Joint Surgery in 2013. They found a staggering increased risk for lumbar vertebral fracture with every ESI that a patient received. This is of particular importance because patients typically go through a series of injections over the course of weeks, months, or years.  This paper indicates their may be a cumulative effect to these injections and a propensity for vertebral fracture. Clinically, this is important for Chiropractors because, statistically, we are seeing patients every day in practice who may have a heightened risk for vertebral fracture.

The Researchers Found-

“No significant difference between injected and non-injected groups with respect to age, predicted propensity score, sex, race, hypothyroidism, or steroid use.”

“Each successive injection increased the risk of fracture by a factor of 1.21 (95% confidence interval).”

“Of greater concern, the definable fracture risk as documented by Mandel et al. should be set against the best available evidence regarding the long-term efficacy of these interventions, which is admittedly less than robust.” - Andrew J Schoenfeld, MD

Episode Highlights-

 

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A Retrospective Analysis of Vertebral Body Fractures Following Epidural Steroid Injections

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This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor.  Our members use research to GROW their practice. Are you interested in increasing your referrals?  If so, click here.