Chiropractors In Murfreesboro | X-Ray And Further Imaging Considerations
And health care practic in Murfreesboro pride ourselves on being if not the best. One of the best of the group of chiropractors in Murfreesboro today I want to go over radiographs x rain and special imaging. As far as what we look forward to make the determination if we need x rays we need an MRI if we need aC.T. scan. I mean there’s lots of things to consider in general we want to take a look and see what’s going on. Some of the chiropractors and referrers road don’t take advantage of the opportunity to take imaging on patients to see exactly what’s going on on the inside. I think this is a failure on the patient’s part or the doctors part to give the patient the best care possible so this chiropractor we want to make sure we know exactly what’s going on and how to treat that patient and further imaging x rays MRI is a big part of that. So when we make choice choices regarding the need for x ray or special gene we really keep in mind. One major question is there a reasonably high expectation that the information provided by the study will dictator alter the type of treatment or dictate whether medical referral is needed. If the answer is no it’s important to delay the delay. Sometimes we always find that we get a lot of information out of the x rays. So we generally go and take an X-ray on patients.
So but sometimes we don’t it’s time passes if we don’t do it the answer to the question may change and some secondary issues with regard to further testing are as you know can be as follows. What are the risks. What’s the cost. What are the legal ramifications of study or studies or are not performed so these are all things we talk about think about as well. But in the end the decision for x rays is based on a relative risk patients often McAdory categorized into high and low risk groups by compiling a history of giving them anation data. Many groups had developed similar standards for absolute or relative indication for the need for x rays but generally patients with joint pain. The following are some of the suggested indicators that we
follow. So trauma if there’s any type of suspicion of cancers maybe someone has unexplained weight loss prior history of cancer or even patients over 50. If there’s a suspicion of infection so a fever would be of unknown origin above 100 degrees and the chills that are chronic care corticosteroid use would be another indicator drug or alcohol abuse neuro motor deficits scoliosis history or surgery in that area. Among other things the choice of unions is really based on a professional knowledge working knowledge of the body as well and trying to figure out what to do with that patient and how to get them best. In the end extremes are really good screening tool. There’s a lot of signs of conditions like cancer fracture infection osteoporosis and degeneration that are often visible on X-ray.
For us as chiropractors and in Murfreesboro and health there’s chiropractic we also want to see a misalignment to see what areas of the spine has moved to put pressure on the nerve causing issues that patient may be coming in for other imaging tools would be MRI which stands for big noetic resonance imaging is extremely valuable in evaluating the soft tissue such as tendons ligaments and discs. In evaluating the volume of tumor infection while MRI is also valuable the spinal cord process such as multiple sclerosis is also something we can see on MRI. is also a very very valuable imaging and sources Stancer computed Temoc demography and what we’re attempting to further clarify the degree of Bonis stenosis spineless noses the extent of fracture or other bony processes. This is also very also a very good tool and better that MRI in many cases so in general MRI is good for soft tissue. CTE is good for heart tissue like bone. Sometimes both are good sources of research searching for something like a stress fracture metastasis to bone or something like Ava going across as bone scans certainly are a good way to provide valuable information and when determining the degree of osteoporosis the patient dual photon absorber or dual energy Radiography is really good. Now want to go over you know when we decide to do an MRI versus a versus an x ray. And so I want to talk about head injury head injury stuff first. So when we have things like severe headaches visual disturbances sensory neural hearing loss primary brain brain tumor said a brain tumor even things like dementia.
We would do an MRI of the head versus a ziti sometimes aC.T. scan an MRI you can do one or the other like maybe a brain atrophy type of injury when there is things like a fracture of the skull base type of bony type of thing fracture of the Calvet Beriah intracranial hemorrhage hemorrhaging as one to three days you would do aC.T. scan versus an MRI. We’re talking about the cervical and thoracic spine the neck in the mid back. We want to do an MRI when you when you suspect things like tumors or masses at the level of the frame and Magnum core. CONAN As tumor multiple sclerosis the spinal cord epidural abscesses epidural Medisave disease. MRI is equal to a seat is only Helga’s spinal stenosis. What we want to do is see T for an occult fracture of the vertebra complex pressure the or Bonya for Emmental encroachment double the lumbar spine. If someone has maybe a herniated disc interruption of the poster longitudinally meant things like that would certainly warn MRI versus aC.T. MRI and CDR Eakle when it comes down to a large herniation or specialist analysis. But CTE is better when it comes to any type of fractures bony fragment all encroachment or Spagnolo lysis or any type of evaluation of a poster element fusion again. C t is better for bony structures is better for soft tissue when looking at the shoulder. Generally MRI isn’t the best. Sometimes a C can be in there. Post-traumatic bone bruises vascular intersperses of the Himuro head impingement syndrome any type of lipoma a tumor or a brachial plexus tumor will want to take an MRI of the shoulder. If any of those are or suspected rotator cuff tear can be an MRI or CTE although I prefer an MRI on that CTE will be better for the shoulder and maybe a Gleno Labem hair or a little Himuro ligament evaluation. The knee is an extraction I want to talk about again.
MRI is generally used more on the knee let us c t bone bruise ACL tear which is anterior cruciate cruciate ligament tear a PCL tear which is postea cruciate ligament tear collateral ligament tear. That’s your media collateral or your lateral collateral ligament and that’s the inside and the outside of the knee. Patellar tendon abnormalities where things like infection or teamer those are all things I want to use an MRI for. Someone has a miniscule tear. It can be both but I prefer MRI on that if I’m like we’re evaluating the meniscus following a mastectomy so surgery or the cartilage would potentially be an MRI or a C T over an MRI in the end all the imagery that is designed to do is to get the patient understand what’s going on with the patients so we can manage their care so conservative management of musculoskeletal problems is definitely based on a few broad principles. So the initial amount management involves a greater degree of passive care with transition into active care dominance over time. The goal is very for patient to patient based on the acuteness of the problem. Rehabilitation progresses in the sequence we go from passive motion to active motion to active resisted motion to functional training. And this is involved in. This is a very good protocol to follow in most cases when a patient comes in with acute pain. So are there something new. The goal is to reduce the pain and assist healing as fast as possible. A lot of chiropractors and Mercer don’t have the tools that the chiropractors Healthworks chiropractic do to assist with this. Our laser is very good especially in the beginning of getting information out of there.
We could also use the rice method so Rice stands for rest ice compression and elevation we’ll also do muscle stem on these patients get the muscle to relax and we’ll even recommend ice and potentially even some beds would be appropriate for that as well. Generally options for care for pain include manipulations we’re going to adjust mobilization to your point therapy will give attends the unit again ice even things like acupuncture can be involved in that when you get into things like for hypermobility goods. We’re going to stretch those patients and adjust them. We’re going to mobilize those joints and we’re going to get the soft tissue relax and there was some mild fash release techniques. If someone is hyper mobile we’re going to potentially tape tape the patient use Kataib or various have a bracers in our office and help us. I’ve had to refer those patients out there are hyper mobile most most patients start to feel better within a few weeks. Cases that contin have a prolonged recovery time include maybe someone who’s come in who’s had symptoms for longer than eight days. A lot of pain a severe pain. More than four previous episodes are presenting you know conditions maybe a past injury in that areaetc. So again there’s lots of chiropractors and Murphysboro to choose from and Healthworks chiropractic. We want to be the go to for you. We want you to understand that we will get you better we’ll keep you better. We’re training so many different areas in so many ways to get you better.
Give us a call at 6 1 5 8 6 7 1 1 4 4 to set up your initial appointments. You can also look us up at W W W health care Pratik dot net. We are also the most reviewed clinic in middle Tennessee with over almost 300 combined reviews between each of our clinics. So don’t take our word for it take our patients word for it that we’re going to get you better. We’re going to keep you better.