Evidence Based Rehabilitation - Latest Comments in If We Know We Shouldn't...Why Do We Still Do?

Re: If We Know We Shouldn't...Why Do We Still Do?

Jason Brown, DC- Chiropractor — Sat, 13 Feb 2010 12:21:59 -0000

I couldn't agree with you more. Explaining the benign nature of these false positive results is a challenge, not to mention these findings often create an idea of disability in the patient. The hard part even for clinicians who try to follow evidenced based guidelines for imaging, is that patients are convinced they need an x-ray or MRI long before it is clinically warranted. As a chirorpactor who treats patients using EBM I'm stuck two ways.. I either spend my time discussing findings of imaging that was performed too early in care or I spend my time convincing the patient that they don't need radiographic or MR imgaging for uncomplicated LBP. Best solution: Educate the public. Keep spreading the good message and eventually it will happen.

Re: If We Know We Shouldn't...Why Do We Still Do?

Dr David Black — Thu, 09 Jul 2009 20:20:03 -0000

Could it be that insurance companies want an MRI done ?
Dr.David Black
www.blackchiropractic.com.au

Re: If We Know We Shouldn't...Why Do We Still Do?

Harrison Vaughan, PT, DPT — Tue, 09 Jun 2009 22:57:41 -0000

Jason,
Great information that is extremely relevant to all therapists & pts in my opinion. I quote other articles daily about overuse of MRIs and irrelevant data that can be found, even on asymptomatic people. Everyone seems to want an MRI as that will "treat" them.
To go along with this post, I wasn't sure if you get any offices that only keep radiographs in house and get defensive if anyone asks for them. I actually don't go about trying to obtain them if the pt doesn't have them handy; but it has happened in past. You would think after all money and time spent, at least the provider seeing the pt often could at least get a report?
Keep up the good work.
Harrison
It isn't needed for all patients,