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 –
- Early Imaging for Low Back Pain
- And Finally, a Story about Bone Marrow Edema and Low Back Pain
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #517 recorded July 31, 2015.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Early Imaging for Low Back Pain
Early imaging of older adults who visited their primary care physicians for new back pain may not lead to better treatment and may be a waste of resources, according to study findings.
“Among older adults going to a primary care physician for new back pain, early imaging was not associated with better outcomes in terms of disability, pain, or quality of life, but was associated with greater resource utilization,” Richard A. Deyo, MD, said at the International Society for the Study of the Lumbar Spine Annual Meeting.
The prospective cohort study analyzed 3,000 patients visiting their primary care physician (PCP) for new back pain. Patients were excluded if they had visited their PCP within the previous 6 months for back pain.
The Authors of the study used the Roland-Morris Disability scale and relative value units (RVUs) as a measure of health care utilization as the primary outcomes for their study.
The authors found older patients who underwent early imaging had no statistically significant differences in disability, back and leg pain, and EuroQol-5D outcomes vs. patients who did not undergo early imaging.
Earlier imaging tended to lead to unnecessary interventions, such as physical therapy and injections, according to Deyo.
As always, discuss all spine related treatment options with your qualified health care provider.
Surf to our Show Notes for Links – http://www.healio.com/spine-surgery/imaging/news/online/%7B0d6c1a21-a024-4906-b98f-a1f410d941a4%7D/early-imaging-for-back-pain-in-older-adults-not-associated-with-better-outcomes?utm_source=maestro&utm_medium=email&utm_campaign=spine%20surgery%20news
Bone Marrow Edema and Low Back Pain
A paper presented at the 2014 North American Spine Society Annual Meeting stated that the presence of bone marrow edema adjacent to vertebral endplates in patients with degenerative lumbar scoliosis may be a cause of low back pain, according to data recently presented.
Kiyotaka Yamada, MD, PhD, said in a presentation the cause of low back pain (LBP) can be controversial in patients with degenerative lumbar scoliosis (DLS), unlike the cause of leg pain, which can often be traced to neural compression, such as stenosis of the spinal canal.
“The authors of the study suggest that bone marrow edema adjacent to the vertebral endplate of degenerative scoliosis is strongly associated with low back pain.”
According to Yamada, bone marrow edema was significantly more evident in patients with LBP, and edema was present in 96.9%. The control group showed significantly less bone marrow edema, with edema present in 37.5% of those patients.
Surf to our Show Notes for details – http://www.healio.com/spine-surgery/deformity/news/print/spine-surgery-today/%7B62e588be-1339-4829-b5eb-1112a47ed4d4%7D/bone-marrow-edema-in-patients-with-scoliosis-may-correlate-with-low-back-pain
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For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.