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.
I.Q. -- Interesting Quotes
Chiropractic Clout
As hospitals, insurance carriers, managed care organizations, other health care providers, and even venture capitalists are scrutinizing the chiropractic profession, they eventually discover our extensive patient database. While they may never become proponents of chiropractic care, they may be starting to see the chiropractic profession as the key to a new source of potential patients.
A statement made in a recent issue of The Back Letter1 acknowledges this reality:
"With an estimated patient base of 10-20 million Americans, chiropractors wield considerable economic power."Cost-effectiveness and efficacy are more important than ever, and as health care reform continues, economic issues will more than likely continue to override philosophical biases and barriers.
1. U.S. hospitals granting clinical privileges to chiropractors in record numbers, The Back Letter, 1995 (5):51.