While cervical disc pathology can unquestionably produce radiculopathy, many patients presenting with arm pain, paresthesia or perceived weakness do not exhibit the clinical behavior of true nerve-root compromise. In these cases, failure to differentiate the primary pain generator may lead to unnecessary spinal injections, nerve ablation procedures or surgical consultation despite limited likelihood of benefit.
Alternative Health Care Law Repealed in Washington State
A federal judge in Washington state has ruled that the existing alternative care law should not apply to ERISA plans (approximately 50% of the health plans in Washington). The law required health insurance companies to offer "any category of provider" which would ultimately include at least one chiropractor in each plan. The ruling is expected to be appealed by State Insurance Commissioner Deborah Senn. If so, the law will remain in effect during the lengthy appeals process. This would obviously be a step backwards for all forms of "alternative care." For more information, visit the website of the Washington State Insurance Commissioner's Office at [url=http://www.wa.gov/ins]http://www.wa.gov/ins[/url].