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 –
- Biomarkers of Inflammation related to Disc Herniation
- And Finally, a Story about MRIs and Spinal Pathology
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #537 recorded January 22, 2016.
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 ….
Biomarkers of Inflammation related to Disc Herniation
The role of inflammation and fibrinolysis for the development of back pain and sciatica has been discussed.
The aim of this study recently published in the European Spine Journal, was to assess the relationship between markers of inflammation and fibrinolysis, to predict the outcome after surgery for lumbar disc herniation.
177 patients were recruited. High sensitive C-reactive protein (hsCRP), plasminogen activator inhibitor 1 (PAI-1), fibrinogen, and D-dimer were analyzed preoperatively. Visual analogue scale (VAS) for back and leg pain, Oswestry Disability Index (ODI), and EuroQol 5 Dimensions (EQ-5D) were assessed preoperatively and at 6 weeks, 6-, 12-, and 24- months postoperatively.
The study concluded that high plasminogen activator inhibitor 1, a marker of fibrinolysis, was fairly consistently associated with poor outcome, while High sensitive C-reactive protein, fibrinogen, and D-dimer were not.
Surf to our Show Notes for Links – http://link.springer.com/article/10.1007/s00586-015-3998-7?wt_mc=alerts.TOCjournals
MRI and Spinal Pathology
The use of magnetic resonance imaging (MRI) as initial imaging for back pain has increased in general practice. However, few data are available on the characteristics of these referred patients.
The objective of a recent study published in the journal Family Practice, was to describe the baseline characteristics and MRI findings of patients presenting for a lumbar MRI examination as referred by their GP.
Patients presenting for a lumbar MRI examination as referred by their GP were recruited at the MRI Center. The MRI radiology reports were scored for the presence of disc bulging, disc herniation, nerve root compression, spinal stenosis, spondylolisthesis and serious pathologies.
The results of the study found that in total, 94% of patients had abnormal MRI findings.
The study concluded that almost all patients presenting for a lumbar MRI examination as referred by their GP had abnormal MRI findings. In total, 55% of the patients reported persistent sciatica in which imaging is recommended according to international guidelines.
Surf to our Show Notes for Links – http://fampra.oxfordjournals.org/content/early/2015/12/08/fampra.cmv097.short?rss=1
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– John Wayne
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.