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Comment dx by MRI is inappropriate for many condititions (Score 1) 46

MRI's are great for some things, but orthopedists frequently use x-rays & MRI's to diagnose conditions that are completely unrelated to the patients' symptoms. Many/most are clueless about certain types of soft tissue conditions that are not well visualized by MRI. They also suggest steroid injections (which 80-90% of the time are not warranted, especially "diagnostic" ones), or refer to Physical therapy (which can be great for SOME patients, but will worsen existing inflammation of many soft tissue conditions among folks that already exercise). I had a hip replacement after a 3 year period when 10 orthopedists all insisted it was necessary. I knew they were wrong, but nothing else had helped and I was in pain. Surprise - they were wrong. It did not help (in fact caused additional problems). Ultrasound, when used by a "sports orthopedist" IN clinic for dx (ie: NOT when done at an imaging factory by a tech) can effectively show calcification, scar tissue, and tendinosis. Such conditions can frequently be alleviated by needling (PUT - percutaneous ultrasound tenotomy). PRP, Tenex, D5W (sugar water) are substances that may be used during needling. Some are covered by insurance (D5W, tenex), others are not (PRP) and require an out-of-pocket. If a sports physician only does PRP, and does it via fluoroscopic guidance, - find a different practitioner. The procedure works, but the practitioner is just after your money, and is un-necessarily exposing the patient to radiation. I am not a physician.

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