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Ep 276 – When Should You Get An MRI?

Should You Get An MRI for Your Pain?

Most medical providers overuse the MRI technology.  Now before you or I jump to conclusions, I will say  that MRI and diagnostic imaging is important, there are times that it should be used, and you can get a lot of information from these images.

That being said, when you get injured the standard of care should be (and is) that you seek care first.  Essentially, you don’t just jump right into imaging an area.  First of all, its expensive.  Not only do you have to cover the costs of the imaging but the healthcare system has to cover the costs as well.  Seeking care and treatment first can often heal your pain, problem, and dysfunction.  As a result, if you “Fix” your problem then you not are only feeling better but you avoid excessive, unnecessary, and expensive procedures.

Realistically, you should wait and have had professional care for at least 4-8 weeks.  If after that time, then you should consider (notice I said consider) the possibility of the testing.  Symptoms or red flags such as worsening pain, increasing problems, traumas, progressive neurological changes should likely achieve or warrant such examination.

The truth is that many if not most people will get better and heal within time and with professional care.  That is the truth and stick with it!

Inversion Table – Should You Use It For Low Back Pain

Should You Use Inversion Tables For Lower Back Pain?

After countless cases of lower back pain, disc herniation’s, disc degeneration, arthritis, facet syndromes, etc, you would think that there would be a definitive answer to solve lower back pain.  Well, there isn’t, but what question does arise often in my experience is whether or not inversion tables work?

So what is an inversion table? Do they work and should you use them?  Here we will dive a little into some questions and answers surrounding inversion tables so that you can be a little more informed.  Of course I will rant on and give you my opinion at the end.

Okay, what is an inversion table? 

An inversion table is essentially a table that you strap yourself into and allow yourself to flip over (inverting your body) so that your head is now facing the ground and the feet pointing to the sky.  The table is approximately 100 to 500 dollars and may also allow you stop at different angles so that you are not hanging completely upside down.

What does it do?

The theory behind inversion is that it decompresses the spine, disc and joints by applying a traction force. By hanging upside down or on an inverted angle the body decompresses by the weight of gravity.  It is supposed to separate the surfaces of the joint, thus taking pressure away or off of he spine.

Some studies show that inversion has helped to decompress the spine by 3mm during the treatment, and yes, this is enough to take compression off a nerve, disc or other structure that may be inflicting pain.

Is it safe? 

Well, that can be a question within a question… Do you have blood pressure issues? Glaucoma? Cardiovascular disease? Sever low back pain?  Inversion can cause some of these conditions to intensify.

Its hard to determine if you are going to have adverse effects of inversion but most common side affects include dizzy or disorientation due to blood rushing to the head while inverted.

Most people do not have increased lower back pain but it is possible for you to have an ache or discomfort after standing due to the effects of gravity being reintroduced on the spine.

Does my opinion even matter?

I believe that the inversion tables have some benefits.  It may also be a total waste of time and money. So which one is it?

Most of the patients that I have had, had used a inversion table with success.  Now this is a rough estimate but I would say about 65% state that its beneficial while the remainder state that it had no affect.  Well, what about the risks?  After countless owners and experimenters with the inversion table, I still have had no cases of a patient reporting an increase in pain or other problems due to the inversion table.  Based on anecdotal evidence I say its safe to go.

Just remember that an inversion table is not going to cure you or fix your problem although it may help.  You need to combat it with proper treatment and some sort of rehabilitation to stabilize the spine.   While inversion has its benefits, hanging upside down like a monkey cause I said it was safe should not be your go to move to fix lower back pain.