Referenced articles on back pain in correlation with X-rays would be great.
I have this discussion at least twice a week with patients--I have always
been TOLD by radiologists that there is NO correlation between degenerative
findings and back pain but I don't have references. Hopefully no one will
confuse this and think there isn't a correlation between X rays and
fractures, tumors, instability, spondylolisthesis (above 30%), etc. where
there is a correlation and there is a need to "rule out" certain findings
with x-ray.
At 07:35 PM 12/25/98 -0800, you wrote:
>I would like to post this question again as I have several articles
>pertaining to MRI results among assymptomatic individuals (low back
>pain).
>But very little on xrays, although there must be some.
>
>I have a question concerning degenerative findings on xray in regards to
>mechanical low back pain, and that from these findings,
>"medical specialists", often employed by Insurance companies, are
>declining cover for patients with low back pain.
>Due to the belief that their condition (low back pain) is wholly or
>substantially caused by the ageing process.
>This issue at the moment seems to be causing a great deal of emotional
>trauma for some patients, as they remember lifting and
>hurting their back, their doctor tells them they have strained their
>back and prescribes a course of action. Often involving some
>aspect of insurance entitlement to treatment.
>And yet cover may not be forthcoming.
>
>Can you lead me to any definitive articles that state the probability of
>degenerative changes on xray, being a causative (or associated)
>factor with low back pain.
>or the degree and incidence of degenerative changes in a large normal
>asymptotic population.
>
>Kind Regards
>
>craig
>
>
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Herb Silver
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