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.
News in Brief
ACA, Blue Cross Blue Shield Meet
On April 2, representatives of the American Chiropractic Association and the Blue Cross Blue Shield Association met in Washington, D.C., to discuss concerns related to BC/BSA's Jan. 1 reclassification of chiropractors within the Federal Employees Health Benefits Program. As reported in DC last issue ("Blue Cross Blue Shield Hits Below the Belt," May 6), doctors of chiropractic are no longer classified as "physicians" under the program, which could have profound implications, particularly as health care reform unfolds.
According to the ACA, the April 2 discussion was "cordial, frank and open," allowing each organization's perspectives and concerns to be detailed. Regarding instances in which chiropractors may already be affected by this change, BC/BSA "expressed its intent to clarify with local Blue plans that the Jan. 1 change did not in any way affect benefits and coverage."