Stemcelldoc's Weblog

November 1, 2010

X-rays don’t not accurately identify source of pain

All too often degenerative changes on x-ray or MRI are identified as the source of pain.  At the Centeno-Schultz Clinic we acknowledge that pain can arise from many sources and that abnormalities on x-ray or MRI do not localize the source of pain.  There are patients with abnormal radiographic studies who have no pain and patients who have normal studies with debilitating pain.

Degnerative lumbar spine

This concept was validated in a recent study which examined the relationship between age/gender and prevalence of wrist arthritis.  The authors found the same variability that we see in the Centeno-Schultz Clinic:  “Patients with little radiographic evidence of arthritis may have many complaints while others with severe arthritis have very few if any.” 

Therapy based on radiographic abnormalities alone does not make sense.  The authors conclude: “a recommendation to operate on trapeziometacarpal (wrist) arthritis based upon radiographic criteria when the patient has adapted well to their illness would be questionable.” This makes particular sense given that arthritis is an inevitable part of aging.

After a complete evaluation potential pain generators are identified through ultrasound or x-ray guided diagnostic injections.  Therapies at the Centeno-Schultz Clinic include  platelet rich plasma, low dose cortisone, prolotherapy and autologous stem cell injections.

Leave a Comment »

No comments yet.

RSS feed for comments on this post. TrackBack URI

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: