Back pain can be frustrating. Patients hurt and don’t know why.
Tests show findings that don’t match the symptoms. Back pain is baffling, but
not usually for your Ashburn chiropractic physician who is rarely
confused by back pain and its iterations. Poulin Chiropractic of Herndon and Ashburn is well equipped to
examine, diagnose and treat your back pain for relief.
So how can back pain be puzzling? MRIs and images may be
MRIs of astronauts may look well hydrated. Yet, the
astronaut has pain due to swelling of the disc. (1) That just goes to show that
the back pain specialist must do the clinical examination and know the patient well
to correlate the symptoms to the image!
MRIs of average back pain sufferers may show a disc
herniation on one side while the clinical pain symptoms are on the other side!
The left leg may be painful, but the MRI shows the disc bulge on the right. As
a matter of fact 11.2% of MRIs don’t agree with clinical findings. (2)
A study of patients visiting an emergency room for pain even
tells emergency room physicians to order no diagnostic tests in patients
without “red flags” (indicators of more serious conditions). In those patients, a “focused history and
examination in conjunction with diagnostic laboratory tests and imaging” are
appropriate. Such a process would ferret out if there is a herniated disc or
spinal infection or other such issue. (3) That’s the approach Poulin Chiropractic of Herndon and Ashburn
takes with every Ashburn back pain and neck pain patient who comes
to the clinic. Your Ashburn chiropractic physician does all the
clinical tests to figure out what the real source of pain is and only orders
tests if truly needed.
76% of MRI images of people without any pain show disc
Diagnosing the level of a disc herniation is most accurately
found by where the pain travels. The pain path is called a dermatome. (5) So your Ashburn chiropractor will ask you where your pain is during
So what solves the puzzle of back pain? The clinical
examination. You and Poulin Chiropractic of Herndon and Ashburn
work together from examination to treatment plan execution for your customized
Ashburn back pain relief.
Just know that your Ashburn chiropractor is well
trained to determine if you need any additional imaging…and when. Contact
Poulin Chiropractic of Herndon and Ashburn for your Ashburn chiropractic examination and treatment
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page. Content is reviewed by Dr. James M. Cox I