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Yalich Clinic is proud to tout our involvement with the following sports leagues:
by: Jonathan Dunbar D.C., C.S.C.S.More
Crain Health Park
331 Oak Manor Drive, Suite 101
Glen Burnie, MD 21061
By Peter W. Crownfield, Executive Editor
The University of Pittsburgh Medical Center (UPMC) Health Plan, a health maintenance organization affiliated with the university's School of Medicine, has adopted landmark guidelines for the management of chronic low back pain. As of Jan. 1, 2012, candidates for spine surgery must receive "prior authorization to determine medical necessity," which includes verification that the patient has "tried and failed a 3-month course of conservative management that included physical therapy, chiropractic therapy, and medication." Surgery candidates also must be graduates of the plan's LBP health coaching program. The program features a Web-based decision-making tool designed to help plan members "understand the pros and cons of surgery and high-tech radiology."
Dr. Sok’s Comments:
The above article has been common practice here at the Yalich Clinic of Glen Burnie for over 25 years. Here are the pros and cons: First of all, there are no cons. The pros are if someone can be helped and avoid surgery, it saves the patient from going through a life altering event in which many modifications to their lifestyle, have to be made in order to aid in a person’s simple activities of daily living. If the person does fail conservative care, they will be going into surgery with a greater base or foundation to work with. They will have greater joint motion, greater gross ranges of motion, reduced spasms, and a stronger background and idea of what to do to not only help themselves after surgery, but what they need to keep up with forever. We call it “pre-hab”. In some extreme cases, surgery is necessary. If that is the case, conservative care may not be an option at that time, but can be after surgery.