By Warren Hammer, MS, DC, DABCO
How often does a patient come in with an MRI showing a herniated or extruded disc who has been told they need surgery? Examination may show minimal weakness or even diminished reflexes.
The problem is that often, the patient did not receive a functional examination to determine other possible causations or treatments that might help repair the area without surgery.
Structural changes are immediately assumed to be causative from a torn meniscus to a disc herniation to facet degeneration, etc. A significant portion of the population have torn menisci, rotator-cuff and disc lesions, especially as they age. Frequently, rather than the spine being the causative factor, passive and resistive testing of the hip reduplicate the patient's pain.
There is no doubt that MRI is a wonderful diagnostic instrument, but doctors must make sure they provide a clinical examination that emphasizes soft-tissue examination and function before a final decision is made based on structure alone. Regrettably, the rush to surgery based on an MRI occurs too often.
complete article: Dynamic Chiropractic