Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 53 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"Missed MRI Diagnosis"

Cord Compression & Extruded Disc

This was reported by the board certified GENERAL radiologist as a normal disc. Adjusting this patient could have serious negative effects. At the very least, you need a full clinical picture to create an accurate diagnosis, prognosis and treatment plan.

In today's clinical setting, the doctor of chiropractic MUST know how to interpret his/her own MRI images because general radiologists misread 42.2% of all images.(1) Thankfully, the doctor who sent this to me knew enough to question the interpretation before he potentially hurt his patient. This patient has an extruded disc that has caused spinal cord compression. There is no room for the cord in an adjustment and if clinical signs warrant, this patient should have a second opinion.

You must get certified in MRI inpterpretation...It is non-negotiable!

(1) Lurie, J. D., Doman, D. M., Spratt, K. F., Tosteson, A. N. A., & Weinstein, J. N. (2009). Magnetic resonance imaging interpretation in patients with symptomatic lumbar spine disc herniations. Spine, 34(7), 701-705.

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