#4. De-emphasize imaging

Imaging (MR, XR) has its use.  It can be great to rule out sinister disorders, fractures, space occupying lesions, etc.  However, for the most part it is opposite of milk’s slogan, “does a body good”.

De-emphasizing impractical and useless terms to how I, as a physical therapist, will treat the patient comes at day one.  I don’t get nasty with it as patients take the liberty to bring in their imaging results, but I make it a point that it will not change the way I treat you.  Again, I do not need to preach to the choir here but I recommend addressing this sooner than later in the treatments.  It should allow you and the patient to have a clean slate and move on from what is seen deep inside.

There are many ways to address this issue, including telling the patient that a one time picture of their spine does not show me how they move day to day.  The dysfunctional movement patterns, disharmony in motor control and symmetry during daily activities is what I want to know.  Uncovering the truth with a thorough subjective and objective examination will allow me to treat you more effectively, and get you quicker faster!

I’m a number’s guy, so I always throw out the 40-70% of asymptomatics have IDH on MRIs too.

If these fail, I also go to the “Wrinkles on the Inside” presentation by Evidence in Motion.  You can find it here.

 

Advertisements

2 comments

  1. Thanks on your marvelous posting! I really enjoyed reading it, you happen to
    be a great author.I will be sure to bookmark your blog and may come back from
    now on. I want to encourage continue your great
    writing, have a nice morning!

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s