Breaking the Cycle of Fear and Disability

Spinal surgery is on the rise. The annual number of laminectomy and spinal fusion surgeries increased from 1998 to 2008 by 11% and 137% (!) respectively,¬†even though the benefit of spinal surgery for some patients is questionable at best. Three randomized controlled trials (RCTs) found no evidence for the superiority of lumbar fusion at 11-year […]

The STarT Back Screening Tool is Changing Physical Therapy

Forecasting is tough work. Whether one is a meteorologist or a stock broker, it takes guts to make a prediction. The same applies to making predictions in the physical therapy profession. The beauty of a prediction is that it is testable. We can look at a set of data, make a reasonable guess about what […]