Resources & Forms

Research

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Common assumptions about MRI’s for spine patients
MRI scans have become extremely common for people with low back problems. They have the ability to show bone and soft tissue. The sensitivity of MRI’s causes them to show many abnormalities that have little relevance to the patient’s symptoms. This causes confusion and many times inappropriate or unnecessary treatment. 70% of people with no back symptoms have MRI’s that show bulging and/ or herniated discs. There are also patients who have severe back symptoms and they have normal MRI’s.
Is it unsafe to begin physical therapy without one?
Research supports that a good mechanical assessment by a certified and skilled MDT clinician can best determine the probability of a patient responding to specific care. It will also indicate if a patient is inappropriate and should be referred elsewhere. Conditions that would get worse with treatment are quickly identified and are not treated.
Will treatment be more effective with MRI results?
An MRI does not have the ability to determine how a patient will respond to treatment, or what treatment will be the most effective. An evaluation by a highly skilled and trained MDT clinician does have the ability to determine the most effective type of treatment. Current research supports that care under the skilled supervision an MDT clinician will have the best outcomes.
References

Long A. Donelson R, and Fung T., Does it matter which exercise? A randomized controlled trial of exercise for low back pain.  Spine 2004.29(23) p.2593-2602

Boden S, Davis D, and Dina T, Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects: a prospective investigation.  Journal of Bone and Joint Surgery, 1990.72 p. 403-8

Boos N, et al., The diagnostic accuracy of magnetic resonance imaging, work perception, and psychosocial factors in identifying symptomatic disc herniations.  Spine 1995.20 (24):p.2613-25.

Donelson R, Silva G, and Murphy K, The centralization phenomenon: its usefulness in evaluating and treating referred pain.  Spine, 1990.15 (3):p211-13

Resources

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Integrated Mechanical Care
IMC offers clinical services and other musculoskeletal solutions that help orthopedic patients recover from musculoskeletal disorders (MSDs) with exceptional speed and remarkably low recurrence rates—the best in the industry
McKenzie Institute International
The Institute’s objective is the worldwide promotion of the assessment, treatment, education and empowerment of patients with musculoskeletal disorders.
The McKenzie Institute, USA
The sanctioned provider of training and certification in the McKenzie Method® of MDT, a scientifically proven assessment process that will identify the best treatment solution for back, neck and extremity problems.

Patient Forms

Refer to the relevant body part(s) below to fill out your paperwork prior to your first appointment. All patients will need to download and complete the forms on the General Info tab as well.

What our patients are saying:

I had a wonderful experience and would recommend your clinic to others.

"I especially appreciate that I was taught methods for managing the pain/symptoms that are easy, maintainable and that work with my schedule and overall lifestyle. So happy that I didn't need medications or surgery!"
Elizabeth-31 years old – Hip

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