The most important aspect of a persons diagnostics are a detailed history of the patients symptoms, the aggravating factors, positions and activities, a summary of the variables mentioned above, the general health of each individual, the relative liabilities or losses attributable to their problem and the trends and frequencies of symptoms relative to rest, time and treatment options.
- Plain x-rays can tell much about stability, degeneration, arthritis, bone density and general health.
- MRI are the gold standard for soft tissue diagnosis of the patient with the injured spine.
- CT scans are useful in assessing the bone quality and all aspects relative to bone anatomy and disease.
- Diagnostic injections are selectively and precisely used not only as treatment alternatives, but also to specifically target the objectives of a given surgical treatment.
- Dynamic Imaging including fluoroscopy, plain x-rays, and MRI’s are all useful in evaluating the injury in a position likely to demonstrate aggravation of the problem.
- Electro physiological Studies such as Emg/ncv, or somatosensory evoked potentials are also useful in the detailed assessment of an individuals neurological function.
- Physical and Neurological Exam coupled with history enables the coupling of objective and subjective findings in pinpointing an injury target and facilitating the most specific minimally disruptive treatment possible, conservative or otherwise.