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004- Where MRI and Referrals Meet
The use of spinal MRI has been a topic of increasing popularity in the last few years due to it’s “gold standard” diagnostic reputation. This study from SPINE shows that the use of MRI has minimal significance on the clinical decision making of primary care physicians, and ultimately minimal correlation with the subsequent intervention.
The authors suggest the use of a non-surgical spine specific physician as the most effective way to manage these patients. In this episode we explore how you can use this knowledge to market your practice, build confidence, and gain additional referrals through appropriate communication.
The authors of the paper found-
“Specific findings on the index MRI scans (i.e. degenerative disc disease, disc herniation, spinal stenosis, ...) were not very predictive of subsequent consultation with a spine surgeon.”
“...among patients who received an MRI scan in the primary care setting, MRI scans almost always contain abnormal imaging findings, referral for surgical assessment is frequent, and subsequent surgery is infrequent.”
“MRI scan results do not discriminate very well between those who will and will not undergo surgery, suggesting that alternative models for the assessment of patients with spinal complaints in primary care should be explored...”
“Alternate models of health care delivery for individuals with spinal complaints, such as multidisciplinary spine assessment centers staffed by highly trained personnel, could potential result in more targeted use of MRI testing, may provide a more optimal pathway to transition patients from general practice to surgical care...”
Episode Highlights-
Patterns of Care After Magnetic Resonance Imaging of the Spine in Primary Care
This episode brought to you in conjunction with RockTape
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
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.
003- The Award Winning CHIRO Research Article
This weeks episode focuses on the award winning CHIRO Research article.
The CHIRO study received the 2010 Outstanding Paper award from The Spine Journal in part because it is a randomized controlled trial which places the treatment of acute low back pain in a “real world” context. The authors found that the study “clearly supports” the use of Evidence Based Care which included chiropractic manipulation as a focal treatment. In this study the patient age range was 19-65 years. We both know that improving patient outcomes in the acute phase of injury is imperative because the development of chronic back pain often begins with poor outcomes during acute management. In my opinion this study exhibits why cooperation and co- management of acute back pain can lead to better outcomes for our patients.
In short, the authors found-
“The evidence-based care group demonstrated significantly greater improvements in reported function through 6 months follow up.”
“The results of this study demonstrated that in equivalent groups of patients with Acute Low Back Pain of less than 4 weeks duration, carefully controlled and comprehensive Clinical Practice Guideline based care was associated with greater improvement in terms of condition specific functioning at 16 weeks...”
“This study follows two previous studies conducted by our group that demonstrated that treatments commonly recommended by primary care physicians are often highly guideline discordant, and other studies have demonstrated that PCP’s are highly resistant to changing their patterns of practice for managing patients with Acute Low Back Pain.”
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.
Episode Highlights-
This Episode was brought to you in conjunction with RockTape
Featured as one of our "Top 10 Chiropractic Research Articles"
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
002- Chiropractic Outperforms NSAID's for Low Back Pain
Spinal manipulation outperforms NSAID's for low back pain. Not only did patients in this study receive decreased pain, but they also had improved FUNCTION.
Learn how you can use this study to grow your practice!
Episode Highlights-
This episode brought to you in conjunction with RockTape
Get More Referrals with The Evidence Based Chiropractor
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
001- Research in Support of Maintained Chiropractic Care
Learn the about the cutting edge research which supports maintained chiropractic care. Also, discover how this can lead to practice growth and better communication with your local referral partners.
Highlighted Content
Free AAOS Inspired Chiropractic Office Forms for Through Documentation (value of $199)
The Documentation Guru- Dr. John Davilla
Marketing Your Practice Through Research with The Evidence Based Chiropractor
A Weekly Podcast on The Latest Chiropractic Research and Marketing.
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