In episode 9 of season 8 of Inside the Science we’re highlighting the study, “The Outcome of Epidural Injections in Lumbar Radiculopathy Is Not Dependent on the Presence of Disc Herniation on Magnetic Resonance Imaging: Assessment of Short-Term and Long-Term Efficacy” with Dr. Eduard Verheijen. You’ll hear him describe some background information on this topic of the effectiveness of transforaminal epidural injections contrasting those to have lumbar disc herniation versus those without, the important findings of how many show herniation and how those with herniation respond to injection versus those without herniation, the effectiveness of a second injection when the first didn’t resolve the symptoms, some future related work he’s working on, the clinical implications and big takeaways.
Season 4, Episode 2 with Sinikka Kilpikoski: Comparison of Prevalence of Degenerative Findings in Lumbar Magnetic Resonance Imaging among Sciatica Patients classified using the McKenzie Method
In episode 2 of season 4 of Inside the Science we’re highlighting the pre-published study, “Comparison of Prevalence of Degenerative Findings in Lumbar Magnetic Resonance Imaging among Sciatica Patients classified using the McKenzie Method ” with Dr. Sinikka Kilpikoski. She explains the differences in MRI findings in those who classified as derangement versus mechanically unresponsive radicular syndrome or MURS, the details of how this study was conducted, how she uses this information to educate others and with whom she shares it, the clinical implications and the big takeaways.
Season 1, Episode 13 with Hans van Helvoirt: Epidural injection followed by MDT to prevent disc surgery
In episode 13 of season 1 of Inside the Science, we’re highlighting the study, Transforaminal Epidural Steroid Injections Followed by Mechanical Diagnosis and Therapy to Prevent Surgery for Lumbar Disc Herniation and discussing it with one of its authors Hans van Helvoirt. He shares a look at this popular paper analyzing the effects of epidural steroid injections on non-responders per MDT assessment. He explains what prompted this work, its clinical implications, how he uses it with patient education, the big takeaways, and recommended other work that would shed further light on this topic.
Season 1, Episode 2 with Cody Mansfield: A case report identifying the cause of a false positive Sharp–Purser test
In S1E2 we highlight a case report by Dr. Cody Mansfield entitled, Cervical myelopathy causing numbness and paresthesias in lower extremities: A case report identifying the cause of a false positive Sharp–Purser test. Differential diagnosis, the diagnostic accuracy and safety and appropriateness of utilizing the Sharp-Purser test are all major themes in this paper. Subscribers to the premium version will hear more details on this case, how this case prompted a systematic review of the Sharp-Purser test which we’ll highlight in S1E3, the big takeaways and additional studies which will further focus on screening for red flags, special test sensitivity, and other, related special tests.