RESULTS The results of this review confirm and help quantify the significant differences that existed in the terminology and all the areas of diagnosis and treatment of presumed discogenic pain .
Our findings show that suspected discogenic pain , despite its extensive affirmation in the literature and enormous re sources regularly devoted to it , currently lacks clear diagnostic criteria and uniform treatment or terminology
BACKGROUND CONTEXT Pain innate to intervertebral disc , often referred to as discogenic pain , is suspected by some authors to be the major source of chronic low back and neck pain .
Current management of suspected discogenic pain lacks st and ardized diagnosis , treatment , and terminology .
PURPOSE In an attempt to determine whether patterns existed that may facilitate st and ardization of care , we sought to analyze the terminologies used and the various modes of diagnosis and treatment of suspected discogenic pain .
Estimating cost of care for patients with acute low back pain: a retrospective review of patient records.
CONTEXT Low back pain ( LBP ) has a major economic impact in the United States , with total costs related to this condition exceeding $ 100 billion per year . OBJECTIVE To estimate the cost of st and ard care compared to st and ard care plus osteopathic manipulative treatment ( OMT ) for acute LBP of less than 6 months ' duration . METHODS A retrospective review of electronic medical records from patients who visited Florida Hospital East Orl and o in Orl and o. All patients had LBP of less than 6 months ' duration and had received care between January 1 , 2002 , and December 31 , 2005 . The control group comprised patients who received st and ard care ; the study group consisted of patients who received OMT in addition to st and ard care .  Healthcare utilization ( eg , radiologic scans , prescriptions ) was determined by " episodes of care , " and costs were averaged per patient . RESULTS A total of 1556 patients and 2030 episodes of care met inclusion criteria . Compared with subjects in the control group , individuals in the OMT group had an average of 0.5 more office visits per EOC , result ing in 38 % more office visits . However , OMT patients had 18.5 % fewer prescriptions written , 74.2 % fewer radiographs , 76.9 % fewer referrals , and 90 % fewer magnetic resonance imaging scans . In the OMT group , total average costs were $ 38.26 lower ( P=.02 ) , and average prescription costs were $ 19.53 lower ( P<.001 ) . Patients in the OMT group also had $ 63.81 less average radiologic costs ( P<.0001 ) . CONCLUSION Osteopathic manipulative treatment may reduce costs for the management of acute LBP . Further research in a prospect i ve study is needed
RESULTS The results of this review confirm and help quantify the significant differences that existed in the terminology and all the areas of diagnosis and treatment of presumed discogenic pain .
Our findings show that suspected discogenic pain , despite its extensive affirmation in the literature and enormous re sources regularly devoted to it , currently lacks clear diagnostic criteria and uniform treatment or terminology
BACKGROUND CONTEXT Pain innate to intervertebral disc , often referred to as discogenic pain , is suspected by some authors to be the major source of chronic low back and neck pain .
Current management of suspected discogenic pain lacks st and ardized diagnosis , treatment , and terminology .
PURPOSE In an attempt to determine whether patterns existed that may facilitate st and ardization of care , we sought to analyze the terminologies used and the various modes of diagnosis and treatment of suspected discogenic pain .