Sure, social media is an easy platform for sharing photos, but I want this to last longer than a "like."
A lot of my patients who come to me specifically for Prolotherapy or Platelet Therapy either come with MRI in hand, or are urgently wanting an MRI to show me their pain and health conditions in order for us to make a treatment plan.
But in reality, that is putting the cart before the horse so to speak.
What do I think of as holding more weight than an MRI?
Your history (complete history of all leading up to, during, and after the injury)
The rest of your medical history
An assessment of your "foundations of health": stress, activity level, nutrition, sleep, energy
What the physical exam shows in-office
And then, after all that, if imaging could potentially be helpful to confirm a suspected diagnosis, then by all means I will order it. Though nowadays with insurance being what it is, patients often have to meet large "imaging deductibles", have a pre-authorization approved or any other number of insurance hoops.
So no, I do not knee-jerk reflex to MRI ordering, and use that as a road map for injecting. Why? Because that would be a very inefficient and unhelpful way to provide care. I want to be effective in my care, and as you can see below the vast majority of middle-aged Americans have "disc degeneration" and "disc bulges." Being as you don't see 80% of our Baby Boomers in chronic pain clinics, ultra sensitive imaging is not all it's cracked up to be.