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That Injection Your Doctor Recommended? Guidelines Say to Think Twice.
Or Maybe Not Do It At All
christinegoertz.substack.com
How would you respond to this????
Started by drusso
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christinegoertz.substack.com
lol these people who write these articles are just angry and lashing out.That Injection Your Doctor Recommended? Guidelines Say to Think Twice.
Or Maybe Not Do It At All
Several things: She doesn’t distinguish acute and chronic pain or axial and radicular pain. Why is she recommending spinal manipulation and acupuncture, which are based on pre-scientific theories of disease, and have no evidence for long term benefit? Not to mention the rare but real risk of stroke with neck manipulation, which a lot of chiropractors just seem to throw in there even when the patient presents for their back.
Second, I’m a huge fan of PT for chronic back pain, but it would be really nice if the PTs would also not engage in the FFS game and just stick a hot towel and TENS unit on the patient for 45 minutes. The long term evidence is there for exercise-based PT only. I need the PT to show the patient how to work their core taking into account their recently replaced knee, frozen shoulder, and arthritic thumb.
Second, I’m a huge fan of PT for chronic back pain, but it would be really nice if the PTs would also not engage in the FFS game and just stick a hot towel and TENS unit on the patient for 45 minutes. The long term evidence is there for exercise-based PT only. I need the PT to show the patient how to work their core taking into account their recently replaced knee, frozen shoulder, and arthritic thumb.
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her stance has some reasonableness.
she is a physical therapist so her focus obviously will be on non interventional and non operative treatment. she may very well be one of the "good ones", who focuses more on exercise based than symptomatic treatment.
i do agree with trial of conservative care prior to injections (with the exception of acute radics of course) and we really should consider whether to offer epidural injections for axial dominant chronic back pain.
she is a physical therapist so her focus obviously will be on non interventional and non operative treatment. she may very well be one of the "good ones", who focuses more on exercise based than symptomatic treatment.
i do agree with trial of conservative care prior to injections (with the exception of acute radics of course) and we really should consider whether to offer epidural injections for axial dominant chronic back pain.
She's a chiropractor.
that would explain the addition of spinal manipulation in her commentary.
