A Glimmer of Hope- An End to the Madness?

I have frequently commented on the madness of the spinal implant industry that continues to produce more and more surgery for neck and back pain with marginal to poor results. It is truly out of control.  I live in one of those high volume zones...  I always think that it can't get worse, however the 51 y/o female with neck pain that I saw yesterday might have topped the list.  Neck and "occassional" arm pain with an absolute excellent neurological exam was offered a 2 level artificial disk surgery for her pain!  The good news is that after 1 visit and dramatic reduction in pain and increased ROM that is not something she will be seeking. 

However, a glimmer of hope comes from hearing Atol Guwande's interview on NPR's Fresh Air  We have previously mentioned his New Yorker piece The Cost Conundrum on the blog and this expansion of this was superb.  The over imaging and over treating of many things including spine care was highlighted.  Kudos to Britt Smith, PT and his work in making Grand Junction, CO spine care better and cheaper.  I encouraged all EIM followers to tune into the NPR interview and forward the link to all members of your healthcare community.  

Tim