Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Celiac Disease and Nerve Pain
- And Finally, a Story about Dynamic MRI and Cervical Stenosis
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #510 recorded June 5, 2015.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Celiac Disease and Nerve Pain
Swedish researchers looked at more than 28,000 people with celiac disease and a “control” group of more than 139,000 without the disorder. The researchers found that those with celiac disease were 2.5 times more likely to be diagnosed with nerve damage, medically known as neuropathy.
However, the risk of nerve damage among the study patients was still low and the association seen in the study did not prove a cause-and-effect relationship.
The study was published online May 11 in the journal JAMA Neurology.
According to the lead author, “Although absolute risks for neuropathy are low, celiac disease is a potentially treatable condition with a young age of onset. Our findings suggest that screening could be beneficial in patients with neuropathy.”
The study concluded that the authors found an increased risk of neuropathy in patients with celiac disease. This statistically significant association in a population-based sample suggests that celiac disease screening should be completed in patients with neuropathy.
Surf to our Show Notes for Links – http://archneur.jamanetwork.com/article.aspx?articleid=2279878
Dynamic MRI and Cervical Stenosis
Researchers found dynamic MRI is an important tool that may help detect cervical spinal stenosis in cases where standard MRI may not.
A total of 51 consecutive patients with cervical spondylotic myelopathy who underwent dynamic MRI in the neutral, flexion and extension positions of the cervical spine from levels C3-C7 were selected for inclusion in the study.
Patients were retrospectively evaluated with regard to canal stenosis and the presence of absence of hyperintense intramedullary lesions (HILs).
Of the 255 levels evaluated in three positions, the researchers found the stages in extension were higher than the stages in the neutral and flexion positions at each level. For the C3-C6 levels, approximately 22.5% of the Stage-3 levels were classified as Stage-1 levels in the neutral position.
HILs were observed to be better identified in the flexion position compared with the neutral and extension positions. Additionally, the researchers found that 10% of patients, HILs were identified only when using the T2-weighted sequence in flexion.
The researchers concluded extension MRI helped to identify HILs not detected in standard MRI, and that preoperative extension MRI can help a surgeon determine the accurate levels to surgically decompress.
Surf to our Show Notes for Links – http://www.healio.com/spine-surgery/imaging/news/online/%7Bc4b865e4-ff11-4631-9aa8-aeed0a2f7711%7D/flexion-extension-mri-protocol-can-help-reveal-undetected-stenosis?utm_source=maestro&utm_medium=email&utm_campaign=spine+surgery+news
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– Robert Collier
For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.