Physical therapy alone is better than Neck surgery for disc disease

New in the Literature: Physical Therapy for Cervical Disc Disease (Spine [Phila Pa 1976]. 2013;38(4):300-307.)

In patients with radiculopathy due to cervical disc disease, anterior cervical decompression and fusion (ACDF) followed by physical therapy did not result in additional improvements in neck active range of motion, neck muscle endurance, or hand-related function compared with a structured physical therapy program alone, say authors of an article published this month in Spine. They suggest that a structured physical therapy program should precede a decision for ACDF intervention in patients with radiculopathy to reduce the need for surgery.

In this prospective randomized study, 63 patients with radiculopathy and magnetic resonance imaging-verified nerve root compression received either ACDF in combination with physical therapy or physical therapy alone. Outcomes, including active range of neck motion, neck muscle endurance, and hand-related functioning, were measured in 49 of these patients by an independent examiner before treatment and at 3-, 6-, 12-, and 24-month follow-ups.

There were no significant differences between the 2 treatment alternatives in any of the measurements performed. Both groups showed improvements over time in neck muscle endurance, manual dexterity, and right-handgrip strength.

Don’t rush for CT scan for your child’s minor head injuries!

Don’t automatically use CT scans to evaluate children’s minor head injuries. Approximately 50 percent of
children who visit hospital emergency departments with head injuries are given a CT scan. CT scanning is
associated with radiation exposure that may escalate future cancer risk. The recommendation calls for clinical
observation prior to making a decision about needing a CT. (American Academy of Pediatrics)

New study, direct access to physical therapy services saves heathcare dollars!

Did you know that you can see a physical therapist directly here in NJ without a physician referral? A recently published study proves that direct access to PT services can save approximately $1500 in future healthcare costs. About 30% of my practice is now direct access to my services so these patients are directly benefiting, saving money, and getting better!