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testing of a patient with a suspected lumbar disc herniation and radiculopathy can provide specific clues to the level of disc herniation , but are not very ...
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James J. Lehman, DC, MBA, FACO Director Health Sciences Postgraduate Education University of Bridgeport
Lumbar Radiculopathy
ļ® This clinical guideline should not be construed as including all proper methods of care or excluding of other acceptable methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding any specific procedure or treatment is to be made by the physician and patient in light of all circumstances presented by the patient and the needs and resources particular to the locality or institution.
Natural History of Lumbar Radiculopathy
The majority of patients will improve independent of treatment.
Disc herniations will often shrink/regress over time.
Diagnosis and Imaging
In the assessment of diagnostic tests, both accuracy and the effect of testing on the outcome should be considered.
Accuracy Sensitivity and Specificity
Accuracy Sensitivity and Specificity
Accuracy Sensitivity and Specificity
Positive Predictive Value (PPV) Negative Predictive Value (NPV)
Performance of a test in a given population can also be stated in terms of positive and negative predictive value, which depends directly on the prevalence of disease in the tested population.