Modic changes & Spinal degeneration

Dr. Mark Percy, Specialist Radiologist with MIA Victoria, who previously guided me on the topic of VBI and pre-manipulative screening also spoke with me about Modic changes. Previously I didn't completely understand the clinical significance of this term and why as Physiotherapists we need to consider the implications of this word being written on the radiology report. Dr. Percy explains what we need to know about them. 

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Can the risk of Vertebral Artery Dissection be determined with pre-manipulative screening?

Cervical manipulation has inherent risks. One of the the most dangerous adverse effects following cervical manipulation is vertebral artery dissection (VAD). For the past two decades, functional pre-manipulative screening tests have been used by Physiotherapists to identify patients at risk of vertebral artery insufficiency (VBI). Many experts in the field of VAD and cervical manipulation have started to question the clinical validity of these tests and currently there is great uncertainty if the tests themselves are potentially dangerous enough to cause VAD. 

This blog aims to review the risk of cervical manipulation, the clinical presentation of VBI and the current assessment recommended by the Australian Physiotherapy Association. I'm also pleased to include the thoughts and recommendations of Dr. Mark Percy, Specialist Radiologist from MIA Lilydale, Victoria. 

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