Lee eugene michaels born michael olsen, november 24, 1945 is an american rock musician who sings and accompanies himself on organ, piano, or guitar. Psychological stress better predictor of back pain than standard diagnostic techniques. Eugene carragee, md is part of stanford profiles, official site for faculty, postdocs, students and staff information expertise, bio, research, publications, and. To address problems with the diagnosis of discogenic low back pain, we have designed a new test, the functional anaesthetic discogram. Nicknamed the duke of earl or simply the duke, he is best known for his most successful songs duke of earl and groovy situation and his association with the dukays, the impressions and curtis mayfield. Subjects with no history of low back pain underwent experimental discography. State of mind may contribute more to low back pain than. Eugene carragee was the first to prove that provocative discography may contribute to intervertebral disc degeneration. Todd alamin, md, a farbod malek, md, a eugene carragee, md, a and mijung kim, md, phd b, author information article notes. Discography is a diagnostic test used to determine which disc in the spine is causing. Some authors have estimated the prevalence of a highintensity zone in a group of symptomatic patients to be 86%. Page 1 of 17 eugene carragee, md professor of orthopaedic surgery at the stanford university medical center clinical offices stanford ortho spine center 420 broadway st pavilion d mc 6415. Carragee background context provocative discography, an invasive diagnostic procedure involving disc puncture with pressurization, is a test for presumptive discogenic pain in the lumbar.
To investigate the prevalence and significance of a highintensity zone in a group of patients asymptomatic for low back pain, but who had known risk factors for lumbar disc degene. Discographic, mri and psychosocial determinants of low. Carragee for the prosecution orthopedics this week. It was thought that discography could separate the wheat from the chaff, said eugene carragee, md, professor of orthopedic surgery and lead author of the study, which is published in the may 15 issue of spine. A prospective controlled study of patients without low back pain observed after experimental lumbar discography. Carragee is an orthopedic surgeon in palo alto, california and is affiliated with multiple hospitals in the area. But the bottom line is that it didnt predict who would go on to develop back pain. A gold standard evaluation of the discogenic pain diagnosis as determined by provocative discography carragee. One study was an assessment of patients who, like trisha bryant, underwent discography after having had some form of back surgery. Gene chandler born eugene drake dixon on july 6, 1937 is an american singer, songwriter, music producer and record label executive. A prospective observational study of patients with low back pain and those without was performed. Provocative discography is an imagingguided procedure in which a contrast agent is. The rates of falsepositive lumbar discography in select patients without low back symptoms. Lumbar highintensity zone and discography in subjects.
In the multicenter study, 75 patients without serious low. Albums include peter and the wolf young persons guide to the orchestra, rachmaninoff plays rachmaninoff. Essentially, carragee s previous studies in appropriately performed discography. Prospective controlled study of the development of lower back pain. A tenyear matched cohort study spine october 1, 2009, volume 34, number 21, pp 23382345 2009 issls prize winner international society for the study of the lumbar spine this study was done at stanford university school of medicine eugene j. Description of a novel diagnostic technique and report of 3 cases. Lowpressure positive discography in subjects asymptomatic of. Eugene carragee, the director of stanfords orthopedic spine center, who has received four national prizes in recognition of his work. Read more latest findings of the stanford discography group.
Ability of discography to accurately diagnose discogenic. Much of the recent research into the limitations of discography as a diagnostic tool was done by dr. There are false positive and false negative results in 25% of patients undergoing discography, according to franke, who cited research by eugene carragee, md, of stanford, calif. This important question was answered by the famous researcher in spine surgeon, eugene carragee of stanford, who performed an ingenious and awardwinning human experiment, which was published in 2009. In the early 60s he released the smash hit the duke of earl, a title that became a regular persona for his act. Rhapsody on a theme of paganini, and carmina burana. This longterm study proves what many spine specialists have suspected. The phenomenon of adjacent segment disease following interbody fusion i. Surgeons attending the international society for the study of the lumbar spine issls got the surprise of the decade. They have reported a strong correlation between a high. These omissions are clearly troubling to a growing number of experienced and respected north american spine society nass. Eugene carragee, md is part of stanford profiles, official site for faculty, postdocs, students and staff information expertise, bio, research, publications, and more.
Eugene carragee, md, professor of orthopedic surgery, was honored with the north american spine societys outstanding paper award, for his. The site facilitates research and collaboration in academic endeavors. He is best known for his powerful soulful voice and his energetic virtuosity on the hammond organ, peaking in 1971 with his top 10 pop hit single, do you know what i mean. This was an excellent paper written by the world famous, volvo award winning, issls winning professor eugene carragee md, orthopedic surgeon, stanford university school of medicine. Video chat, send a message, ask a text question, or make a virtual appointment on the doctors virtual practice on healthtap. In its simplest form, provocative discography is an injection into the nucleus of an intervertebral disc, and the test result is determined by the pain response.
Eugene carragee, a spine surgeon at the orthopaedic spine center, treats herniated disc and infection. Discography, functional anaesthetic discogram, discogenic pain, diagnosis. Carragee ej, paragioudakis sj, khurana s 2000c 2000 volvo award winner in. Decision memo for thermal intradiscal procedures cag00387n. Evidencebased management of low back pain in print chapter 30, fusion surgery and disc arthoplasty.
The problem with carragee is that he is aggressively promoting a point of view and is omitting information which would modify his conclusions. This asymptomatic group was compared with a symptomatic group of patients with respect to the presence of anular highintensity zone and the pain response with discography. A group of researchers from stanford university led by eugene carragee presented the results of 10 years of study on discography. Disc degeneration can be induced either by mechanical trauma caused by the puncturing needle or as a pharmacological effect of. The authors undertook to study discography in subjects without low back pain but with clinical profiles similar to patients undergoing discography in clinical practice. Cohen over at hopkins put out a paper in pain physician journal that refuted this guys studies. Although discography is thought by some to be important in diagnosing discogenic back pain. Does discography cause accelerated progression of degeneration changes in the lumbar disc. State of mind may contribute more to low back pain than torn discs. Eugene carragee, the director of stanfords orthopedic spine center. Per cohen, in the right patient, with the right iasp criteria for discogenic pain.
The authors undertook to study discography in subjects without low back pain but with clinical profiles similar to patients undergoing discography in. Carragee e, tanner c, khurana s, et al false positive lumbar discography in select patients without low back complaints. This study suggests that you are at the mercy of the size of the annular tear that produced your herniation. Influence of intradiscal medication on nucleus pulposus. Psychological stress better predictor of back pain than. Lumbar provocative discography, including post discography computed. Course and prognostic factors for neck pain in whiplashassociated disorders wad.
Does provocative discography cause clinically important. A range of morphologic and psychosocial variables has been suggested as risk factors for serious low back pain lbp illness. Music profile for eugene ormandy, born 18 november 1899. However, provocation discography is also considered to be a.
Carragee s mismeasure of rhbmp2 and spine surgeons robin young mon, october 17th, 2011 print this article. Shop for vinyl, cds and more from euge groove at the discogs marketplace. Although the relative contributions of structural and psychosocial variables are intensely debated, the validity of differing hypotheses has proven difficult to test because the incidence of serious disabling lbp illness is low in healthy subjects. Chapter 16 discography eugene carragee, md provocative discography is a diagnostic test sometimes used to evaluate the disc as a potential source of persistent back and neck pain syndromes. Eugene carragee, orthopedic surgery, redwood city, ca. Nevertheless, even when diagnostic imaging reveals only degenerative changes, some people become seriously debilitated in the absence of any serious pathology or instability. Pdf no transfer of pressure to adjacent discs during human low. The textbook of spinal surgery, third edition chapter 43, the use of discography to evaluate lumbar back pin with an eye towards surgical treatment eugene carragee, angus s don.
Eugene carragee, md, and a multidisciplinary team of researchers conducted a 10year, matchedcohort surveillance study comparing the incidence of adverse lower back pain lbprelated events, and the need for imaging studies, medical care, hospitalization and surgery among 75 patients who underwent discography, and 75 matched controls who did not. Comparative results and postoperative clinical outcomes alamin, todd. Is lumbar discography a determinate of discogenic low back. Don lumbar back pain is extremely common, but most cases are selflimiting with no functional deficit.
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