Prognosis- low back and neck pain

The latest issue of Spine had a few interesting articles related to prognostic factors for outcomes in patients with spinal disorders. The first article identified the patient reported level of bothersome to be directly correlated with the level of severity of LBP. The reported level of bothersome can potentially be useful in identifying loss of work time and need to…

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Technology and EBP

I was speaking today with a physical therapist in an active clinical practice who mentioned she didn’t find much use for computers and so has never embraced technology in general. Specifically, she was looking for some information on a particular topic, and I said I would email her a .pdf file. She almost proudly confessed that she didn’t…

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Operative vs Non-operative Care for Painful Musculoskeletal Disorders

During the course of conversation with physicians, patients, and other people (both medical and non-medical), the following line of thought often seems to emerge:

"Non-operative care (ie. common physical therapy interventions) can help relieve the pain and limitations due to painful musculoskeletal disorders (LBP, neck pain, shoulder, pain, knee and hip OA, etc.) quite a bit and…

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EBP and patient choices…

This is an article recently published in the NY Times discussing difficulties some patients have faced in our information and consumer driven health care culture:  http://www.nytimes.com/2005/08/14/health/14patient.html?th&emc=th
   
  What a good example of some of the flaws in the trend of consumer driven health care…

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Conflicts of Interest and EBP

Here is an interesting healthcare quality blog (http://hcrenewal.blogspot.com/) that chronicles "current threats to health care’s core values, especially those stemming from concentration and abuse of power." There should be a disclaimer from the Surgeon General posted on the front page stipulating that excessive reading of this blog might be associated with increased risk of…

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Compliance…

Doctor Trust Helps Patients Stick with Meds Tue Aug 9, 7:01 PM ET TUESDAY, Aug. 9 (HealthDay News) — Depression and trust in their doctors are important factors influencing whether patients take their prescription medicines, and this may be especially true when medication costs are high, researchers report. The study of 912 patients with diabetes found that patients who trust…

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One bum knee visits 5 physical therapists

A physical therapist colleague of mine in the Air Force, Jim Vakos, sent me a fascinating article originally published in the Wall Street Journal (WSJ) in 1994. Some of you may recall hearing about this story when it was originally published. Others (myself included) were not even aware they would become a physical therapist at this point in the 20th…

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cerivcal myelopathy or fibromylagia?

Before we direct the course of care with patients with the diagnosis of fibromyalgia, consider the possibility that they have cervical myelopathy underlying their symptomology. Here is an interesting paper on the subject from the European Spine Journal. Download evidence_of_cspine_myelopathy. fibromylagia. 04.pdf. 46% of the patients had significant spinal stenosis in extension with imaging…gives one pause for reflection…

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