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Letter
Degenerative disc disease and pre-existing spinal pain
  1. C J Centeno,
  2. J Fleishman
  1. The Centeno Clinic, Westminster, Colorado, USA
  1. Correspondence to:
    Dr C J Centeno, The Centeno Clinic, 11080 Circle Point Road, Building 2, Suite 140, Westminster, CO 80020, USA;
    centenooffice{at}centenoclinic.com

https://doi.org/10.1136/ard.62.4.371

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    A pportioning pain and disability after a car accident or work related injury can be difficult. Many doctors who undertake this task often state that because an x ray examination or magnetic resonance imaging (MRI) scan soon after the injury shows degenerative disc disease (DDD), some or all of the patient’s spinal pain and disability must be pre-existing. This interpretation of imaging is not consistent with the peer reviewed medical published reports.

    For this statement to be true, there would need to be a strong connection between MRI or x ray evidence of DDD and pain/disability. If we look at this concept and compare it with the published reports, we see that DDD, …

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