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.
IQ -- Interesting Quote
How Efficacious Is Electrotherapy Equipment?
"Physiotherapy Management of Chronic Low Back Pain," a paper published in the October 1992 issue of the British journal Physiotherapy, makes an interesting remark in its conclusion that should send electrotherapy manufacturers reeling:
"Electrotherapy equipment, found in most physiotherapy departments, is expensive and has neither the advantage of manual therapy or exercise. Research evaluating the efficacy of electrotherapy treatment is necessary."The paper explores physiotherapy, manipulative therapy, exercise, nonsteroidal anti-inflamatory drugs, and rehabilitation programs. This may be another case when a hands-on approach is preferred. It also could be the beginning of third-party payers questioning the wisdom of reimbursement for care utilizing electrotherapy equipment.