I just posted article on PLDD here:
http://www.ispine.org/forum/abstract...html#post14093
7 of 10 sounds too good to be true. (My clients all know that I don't believe much in the literature... even from the doctors that I know and love.)
I had a lengthy discussion today with one of the pro-spine surgeons who's opinion I respect VERY highly. Her opinion was that while intradiscal treatment does not come with great results, the likelihood of it making things worse is very, very low and that trying it (even at end of discography, since they are already there) was a very reasonable step to take. (Not using names here because I paraphrase and may have it wrong… just relying on my unreliable memory.) “Even if the results are less than 50%, if you are one of the lucky 30%, you’ve improved things substantially.” I did call her on the jump from 50 to 30%... that was good for a laugh, but I’ll bet dollars to donuts that 30% is much closer to reality than MicroSpine’s 70%.
More as I know it. All the best,
Mark
PS, I think we need a new phrase here. When a donut costs a dollar, our slang expression doesn’t make much sense!