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Back Pain RadiologistBack Pain Radiologist / Hero or Villain?
Most radiologists are hired to ascertain if there is any structural reason which might be used to explain an
acute
or
chronic back pain
complaint. Generally, radiologists simply do the tests and write an objective report detailing anatomical findings. These findings are provided to the patient's doctor, who will interpret the results and compare them to the
symptoms
and experiences of the affected patient. In this case, the radiologist is a HERO, since they help to make an accurate
diagnosis
and do not taint the process with speculation about the nature of the painful condition. However, some radiologists go that extra step and write about the potential symptoms and possible impairments caused by their findings. This is very speculative business and can border on inappropriate, when the words will definitely have an iatrogenic effect on the patient. Remember, once a structural condition is discovered in the spine, the way the diagnosis is presented can calm and reassure the affected individual or can enact a powerful nocebo effect, leading to an escalation and perpetuation of symptoms. In this case, the radiologist might certainly be viewed as a villain… Back Pain Radiologist AdviceI do however, receive many spinal MRI reports from all of you and sometimes, I am horrified at what I read. In some cases, the radiologist is obviously speculating on conditions which are not even close to be proven via the test results. In rare instances, the radiologist completely oversteps their boundaries and is obviously in league with a crooked care provider to frighten the living daylights out of some poor soul, who is already in so much pain… This type of behavior disgusts me and I find it amazing that these providers continue to practice medicine without constant litigation… Often times, these particular radiologists are part of a personal injury mill, working to enslave the patient in long term and highly profitable therapy. When back doctors place the value of money above the health and wellbeing of their patients, something must be done! To me, the penalties are not great enough and probably never will be… This page is not a cheap shot at the majority of respected and ethical back pain radiologists who mostly fill the medical system. It is merely a word of warning to the minority of radiology professionals who help create back pain with their speculative and often illogical conclusions… It must be mentioned that SOMEONE does notice these diagnostic concerns…
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