FT Irwin question pt 1

Medical Q&A [Moderated]
1

Hi and thanks for a great presentation!

Dr. F,

You state that disc related back pain is only 2-5%.
Could you site a reference for this? How is it determined that a bulging or herniated disc IS the cause?

PS when are you coming back to Europe?
Best
Glenn

2

This is a difficult one to answer confidently. To quote from Hartvigsen et al:

Although some imaging and clinical findings increase the likelihood that pain is arising from the intervertebral disc (with the reference standard of discography), no investigation has accurately identified a disc problem as contributing to an individual’s pain; there is no widely accepted reference standard for discogenic pain

In practice, being able to more confidently state that symptoms are related to a disk herniation, for example, would involve an individual having symptom distribution or neurological deficits that specifically correlate to the anatomic level of the disk in question.

3

Thanks,
Nice touch siting a reference from Scandinavia.I live in Norway.

BTW I saw this article and you were quoted with a photo that didn´t look like you.What happened?

https://trebelwellness.com/what-to-do-when-you-tweak-your-back.html

Merry Christmas

4

I was unaware of this post and have never been contacted with / am not affiliated with their site. With that said, we’re glad they are spreading the word.