Chiropractic (General)

IQ (Interesting Quote)

Dynamic Chiropractic Staff

"Physicians predicted a 'great improvement' of quality of life after surgery for 79% and 'moderate' improvement for 20% ... despite clear average improvement, surgeons tended to give overly optimistic predictions that were not correlated with patient outcome at 1-year follow-up."

- Results from a recent study comparing physician predictions with outcomes for patients undergoing surgery for low back pain and sciatica. According to the study, 56% of patients whose surgeons predicted "a great deal of improvement" reported no significant improvement in their health one year after surgery.

SOURCE: Graz B, Wietlisbach V, et al. Prognosis or "curabo effect?" Physician prediction and patient outcome of surgery for low back pain and sciatica. Spine, June 15, 2005;30(12):1448-52.

July 2005
print pdf
Trending
News / Profession
NBCE-FCLB Merger Approved
NBCE-FCLB Merger Approved

The proposed merger of the National Board of Chiropractic Examiners and Federation of Chiropractic Licensing Boards was approved by NBCE delegates and FCLB members at their respective annual meetings, held jointly in Atlanta, Ga., this year. Per the new bylaws, the new entity takes the NBCE name, with FCLB continuing as a department within NBCE. The federation will continue to enjoy Board of Directors representation on what will be a single, expanded board.

 |  Digital Exclusive
Dynamic Chiropractic Staff
Diagnosis & Diagnostic Equip
When Radiculopathy Isn’t Radiculopathy: A Clinical Series (Pt. 3)
When Radiculopathy Isn’t Radiculopathy

Before introducing subscapularis syndrome as an upper extremity analog, it is essential to revisit piriformis syndrome as a well-established example of myogenic pseudo-radiculopathy. Piriformis syndrome has long served as a clinical exception to disc-centric models of lower extremity pain and provides an important framework for understanding how deep muscular dysfunction can mimic radiculopathy in the absence of nerve root compression.

Ken Kaufman, DC
Healthcare / Public Health
From Pain Scores to Performance Metrics
From Pain Scores to Performance Metrics

Pain has become the dominant language of musculoskeletal healthcare. Numeric pain-rating scales and symptom reports are routinely used as primary indicators of clinical success. But while pain reduction is meaningful, it is an incomplete and often misleading representation of recovery. This has real consequences for patient adherence, long-term outcomes, and how conservative care is perceived within the broader healthcare system.

Christopher Proulx, DC, PhD(ABD), CSCS