Referrals for Lordex Spinal System

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Doctors often ask us which patients should be referred for consideration of the Lordex spinal protocol.

Basically, patients who have been under care for a period of time and have not responded to traditional chiropractic protocols in a satisfactory manner and continue to be symptom expressive in the lower back and/or lower extremities. Especially those patients being considered for orthopedic or neurosurgical referrals are potential candidates for the Lordex protocol.

Indications

low back pain, unilateral or bilateral

sciatica; leg and or foot pain; paresthesia

post surgical; failed back

Typical candidates include low back and leg pain related to disc injury, facet syndrome and failed back syndrome. We see patients with diagnoses including disc lesions, internal disc derangement, spinal stenosis, facet syndrome, DJD, and post-surgical failed back syndrome.

It is equally important to consider which patients are definitely NOT potential candidates for the Lordex protocol.

Contraindications

cauda equina syndrome

open growth centers

spinal tumors

vertebral fractures

spondylolisthesis grade II above

Advanced Osteoporosis (dexa scan required)

severe medical conditions

pregnancy

Ankylosing spondylitis

spinal fusion with retained hardware

spinal infections

Another frequent question is to provide our protocol for new patient intake when a referral is made by another physician.

The patient is provided a consult that includes an introductory video and a discussion of their history to determine if they are a potential candidate for the procedure. This is followed by a focused physical exam including orthopedic and neurologic testing, and a review of available imaging studies, preferably including an MRI within the previous 6 month period.

A report of findings and recommendations are made on the second visit with a narrative report provided to the referring physician. Sample reports are available.

We invite you to visit the clinic at your convenience. We are happy to provide in-services for you and your staff upon request.

Please don’t hesitate to contact us with any questions you may have.

K. Tunick, D.C.

J. Tomaino, D.C.