Therapists

Luna Research Recap Part 4 of 4: Can Physical Therapy Decrease Unnecessary Imaging and Procedures?

The rising reliance on medical imaging for low back pain has led to increased healthcare costs, unnecessary procedures, and patient dependence on test results. Research suggests that starting with physical therapy instead of advanced imaging can lead to better outcomes and lower expenses. This blog explores the unintended consequences of excessive imaging and highlights why PT should be the first-line approach for low back pain management.

Luna Ben Wobker

By Luna and Ben Wobker

Table of Contents

Key Takeaways
  • Increased use of MRIs and CT scans has led to unintended consequences, including excessive procedures and patient dependence on imaging.
  • A thorough history and physical evaluation often provide the same insights as advanced imaging.
  • Physical therapy as an initial treatment strategy can reduce future healthcare costs and improve recovery.

One of the greatest costs to the medical systems is imaging. As physical therapists we have seen the past 20 years increase dramatically the use of MRI, CT scans and overall diagnostics tests. Many of the motives behind testing is well placed, but what we have found is that it created many unintended consequences including:

  • Reliance on imaging
  • Excessive injections and procedures 
  • Perseveration of result findings
  • Learned helplessness.

decrease 

Physical therapy or advanced imaging as first management strategy following a new consultation for low back pain in primary care: associations with future health care utilization and charges

*Patients with MRI first, n=385

*Patients with PT first, n=377

 

“The imaging continues to get more advanced, precise, and costly. Unfortunately much of what is learned can be found through a great history, physical evaluation, and close observation of progress or lack thereof in their rehab program.”

 

Our recent webinar covers this topic and more:

webinar promo

Luna

Physical therapy, delivered.

Luna is the leading provider of in-home physical therapy, delivering exceptional care to thousands of patients across the country.

Ben Wobker

PT, MSPT, CSCS, SFMAc

A lifelong Redmond resident, he turned his passion for sports and rehabilitation into a career in physical therapy. After earning his degree from the University of Montana, he gained experience at top clinics, working with professional athletes and local teams. When he’s not working, he enjoys outdoor sports and giving back through organizations like Hopelink, helping those in need in his community.

Stay Connected

Subscribe for fierce articles in your inbox.