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 –
- Low Back Work Injuries and Time Off Work
- And Finally, a Story about Characterization of symptomatic lumbar foraminal stenosis by conventional imaging
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #526 recorded October 16, 2015.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Low Back Work Injuries and Time Off Work
An analysis by McMaster University researchers has found that workers disabled by low back pain and receiving disability benefits are more likely to stay on claim if they are treated with opioids.
This study of administrative data from the Ontario Workplace Safety and Insurance Board (WSIB) was recently published by BMJ Open.
The author’s “findings found that reimbursement for early opioids is associated with longer claim duration is worrisome”.
“The evidence does not establish causation”. “For instance, although we enrolled workers with similar injuries, those who received opioids may have been worse off — that is why they received opioids — and that may be the reason for delay in claim resolution. On the other hand, adverse effects of opioids on mental and physical function could be the reason. Definitive research studies — ideally randomized trials — need to sort this out.”
The study concluded that the study’s analysis found that early WSIB reimbursement for physiotherapy or chiropractic care, in claimants fully off work for more than 4 weeks, was not associated with claim duration, and that early reimbursement for opioids predicted prolonged claim duration.
Well-designed randomised controlled trials are needed to verify the study’s findings and establish causality between these variables and claim duration.
Surf to our Show Notes for Links – http://bmjopen.bmj.com/content/5/8/e007836.abstract?sid=e79f0348-33aa-4549-a5f6-0f0932d78d7a
Characterization of symptomatic lumbar foraminal stenosis by conventional imaging
The preoperative identification of lumbar foraminal stenosis (LSFS) is important because a lack of recognition of this clinical entity is often associated with failed back surgery syndrome.
Although magnetic resonance imaging (MRI) is widely used, and is considered by many as an appropriate tool for studying spine pathologies, there is limited data to suggest that MRI examinations are sufficiently sensitive or specific for the diagnosis of lumbar foraminal stenosis.
There is a paucity of literature on the diagnostic performance of the combination of conventional diagnostic imaging methods. The purpose of this study is to determine the characteristics of conventional diagnostic imaging for symptomatic lumbar foraminal stenosis.
The characteristics of conventional diagnostic imaging of lumbar foraminal stenosis (X-ray, computed tomography (CT) and MRI) were assessed in 68 patients in whom the site of the stenosis was confirmed by means of selective decompression surgeries.
This study demonstrates combination of conventional imaging techniques, to improve the detection of symptomatic foraminal stenosis.
Surf to our Show Notes for Details – http://link.springer.com/article/10.1007/s00586-015-3859-4?wt_mc=alerts.TOCjournals
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For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.