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Updates from the last month at Integrative Osteopathy.
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June 2015 Newsletter

Hey there!

There wasn't a May newsletter, because I didn't have anything valuable to say.

There were a few postings on Facebook, in fact, one went viral and stirred up quite a response in the comments. Check it out here.

I also updated the blog post on pain. It's a more comprehensive overview now, as opposed to a short entry.

I am aiming to create a comprehensive reference with each post, which means they take quite a long time to research and write, time which is at a premium. So bear with me, I'm prioritising quality over quantity.

This will be a short newsletter, touching on an important topic: the role of medical imaging in painful presentations.
 

VOMIT (Victims of Medical Imaging Technology)


There is an infographic that started doing the rounds online last year, summarising the most relevant information about medical imaging (X-rays, ultrasounds, CT scans and MRIs).

What has emerged, is a growing understanding that "degenerative" findings are quite common in asymptomatic people, and thus these are likely to be normal age related findings.

Here is the infographic (when the link opens, you have to click the image to enlarge it).

As you can see, these findings are quite common, and don't correlate with symptoms all the time.

In fact, I have started describing them to people as "wrinkles on the inside". No one walks around fearing their skin is degenerating because it changes with age, but this is exactly what happens (fear/anxiety/worry) when people are sent for routine imaging for non traumatic, non-pathological pain problems that reveals "degenerative" changes.

Instead of focusing on static images, what is more important, is gaining an understanding of function - how your body works - and aiming to improve this.

To summarise, you are not your imaging findings. Whilst medical imaging is definitely an important diagnostic tool, even more important is knowing when to use it, and how to interpret the results in the context of the broader clinical picture.

I hope that from reading these newsletters and blog posts you are starting to gain a real appreciation that pain is not analogous to tissue damage, and that a focus on function - both physical function and psycho-social function is the best approach to both treating pain in the short term and managing it in the long term.

As always, if you have any questions, comments, thoughts or feelings, please feel free to contact me via any of the channels listed (email, phone, Facebook, in person etc).

Best wishes for the new financial year,

Nick
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