MRI continues to serve as the gold standard. These studies are vital in important Disc PI Cases.

We look for a high congruence with
	✓	Patient complaints
	✓	Doctors findings
	✓	MRI results

With this proof, it is impossible to argue against the existence of a nerve root lesion.

The question is what happens when the MRI comes back negative? Perhaps it’s time to consider a newer tool.

Lewkovich suggests using a Kinematic MRI performed in a weight bearing position with extension, flexion and neutral views to seek the degree of suspected cervical disc bulging. This is vital when you believe the patient suffers radiculopathy.

Ask JohnTawlian@shawnsteel.com for a copy of a new study from the European Spine Journal 2014 which outlines a large study that reveals this technology a “significant increase …of cervical disc bulge…when compared with neutral views alone.”

Dr. Derek Pelofsky DC was the case manager and began work to restore Angela’s health. Angela suffered extensive back and neck injuries. The pain was so volatile that Dr. Pelofsky had to refer Angela to an orthopedist and a pain management specialist, who gave epidural shots that relieved the pain—somewhat.

In court, Angela claimed she owed some $30,000 in medical costs and lost $12,000 in lost wages. Moreover, she would face over $222,000 in future lost wages.

Defendant offered only $40,000. Angela demanded policy limits of $300,000.

After 70 minutes of deliberation, the jury granted Angela $594,854.

Angela Davis v Gumina LA Superior Court, Hon. H Chester Horn, June 24, 2014, BC 486 892.

PRACTICE TIPS

+ Is your patient honest and endearing? 50% of most verdicts depend on the ‘likeability” of your patient.

+ Are you making the appropriate referrals that substantially helps your patient heal but that demonstrates the severity of her injury?