Are you a victim of misleading medical imaging?

It is only natural if you have a problem to want to resort to some form of imaging to try to identify a cause. From a patients perspective this is understandable, for patients, it makes logical sense. Unfortunately, as with most things there is far more to consider here as we will go on to explain... Patients are misled by imaging so frequently that we feel it is very important to cover this topic early on. 

ARE SCANS USEFUL? 
Absolutely this is a yes, they are key to many things. This is not a one sided argument about the problems we encounter with misleading images however. Obviously scans are essential for surgical planning, identifying major/serious pathology, fractures, lesions and dislocations etc. 

Will my scan ACCURATELY identify my problem? 
It is very common for scans to show abnormalities that do not relate to a person's symptoms. These findings are often purely radiological incidental findings! Our clinicians interpret images in daily surgical clinics and constantly encounter these issues when analysing the hundreds of MRI and Ultrasound scans we come across a year. We find ourselves often explaining to patients why it is that their MRI scan shows a huge disc prolapse clearly compressing a nerve on the right side but yet their symptoms are only on the left! 

FACTS AND FIGURES

SPINAL MRIS
48% of 20-22 year olds with absolutely no back pain or any issues had at least one degenerative disc seen on their scan, at least 25% had a disc bulge showing. (Source)

40% of individuals under the age of 30 and 90% of people over the age of 50 have disc degeneration, yet they are pain free. (Source)

One study found 98% of men and women with no neck pain had degenerative changes seen on their MRI scan. (Source)

SHOULDER ULTRASOUND SCANS
20% of pain free adults had a partial rotator cuff tear on MRI scan with 15% showing a major full thickness tear! For those people over 60, at least half have a rotator cuff tear they never even knew about. (Source)

KNEE XRAYS
If you x-ray a normal population of adults with no actual knee pain, at least 85% of the x-rays taken will show arthritis. (Source)

In one study, 48% of professional basketball players were shown to have cartilage damage on their knee MRI scans, none had any pain. (Source)
 

WHAT DO WE TAKE FROM THIS? 
Degenerative changes are simply normal. What we see on our scans, often does not represent reality. There is no need to worry if your scan shows certain changes, they are not necessarily associated with pain. If you allow your images to mislead you, theoretically you could end up in higher amounts of pain for longer amounts of time.

Don't get us wrong, as previously mentioned, where appropriate, imaging is an important part of a patients care. Our clinicians at consortium rely upon images to make surgical decisions in conjunction with the surgeons we work with. What is essential is that a patients symptoms directly correlate with the symptoms that they present with. Both us, and patients need to make sure we do not get side tracked with purely incidental findings. Next time you somebody tells you that your discs are worn out or your shoulder is torn then I hope you can see there is no reason to immediately panic! It is absolutely feasible for patients with worn out joints to function at high levels with no symptoms. 

Thanks
The Consortium Team

Hello! Welcome to our blog...

So this is our first ever blog as Consortium physiotherapists.  We have known for a long time that we wanted to open this clinic and have spent a lot of hours discussing the ideas and principles behind our service.  

We want to provide a forward thinking evidence based approach in a completely open and honest way.  We are passionate about our profession and believe that we can provide a huge amount of expertise to boost the quality of care in our regions private physiotherapy sector.  It is important to us to empower our patients, promote activity and avoid using the long established passive treatments that unfortunately still haunt many private physiotherapy practices across the uk.

We want to utilise this blog as a way to educate our patients about recent developments within our field. We will be including posts that focus on providing valuable advice and information, dispelling many of the traditional myths that we find are still being fed to patients on a day to day basis. 

We also want our customer experience at Consortium to be comfortable, convenient and enjoyable. For that reason we have spent a lot of hours considering how we want our clinic to look and feel inside. We are renovating what will be our clinic site as we speak and let's just say it has been a labour of love. Anyway, the diggers have now finally cleared out, the excavation is complete and we are starting to see some exciting progress! The building itself is a pretty old one, with a good amount of character so we intend to make the most of this and keep its style traditional but with a modern edge. Inside there will be two large private clinic rooms, a comfortable waiting area with reading material, TV and Wi-fi for customer use (some home comforts are always good). 

Outside we have a large spacious private car park, accessed through a private gated entry for an easy parking experience. We hope to be ready to see patients early in 2016. There is quite a bit of extra land on site so once up and running we also plan to build a well equipped gym to aid aspects of our exercise therapy and movement analysis.

So that's an update on where we are at the moment with Consortium. Now that you know a bit about us as a group,  next time we'll share a bit more about us as individuals and let you know what each of us will bring to the service.  We hope you'll join us to read this from time to time and feel free to share your comments, they are always welcome.

Thanks,
The Consortium Team