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A better way to measure and interpret pain severity?

October 27, 2014
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Have you ever been challenged with interpreting pain that a patient rates with a number from 0-10? To my knowledge, there is no formula to conveniently and accurately convert a sensation to a number. For example, how do we really know what the number 6 means? I for one, have great difficulty interpreting a...
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More Words on Diagnostic Testing: Likelihood Ratios and Test Probabilities

October 20, 2014
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Over the past three blog entries that I have presented, I looked at measures related to diagnostic testing. I started with this question: how do we know a diagnostic test measures what we think it is measuring, since we all know of cases where...
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More satisfied patient when I sit or stand?

October 13, 2014
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Several years ago, a patient thanked me for making them feel like the only person in my office, no matter how busy the practice seemed. To me, the comment was both rewarding and troubling. Though I had been in practice for several years, it...
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Patients and Study Participants

October 10, 2014
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Applying research findings to clinical decisions with patients always involves critical appraisal and reflection. If an intervention was shown to be effective for the participants in a study you...
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Some Not-So-Final Words on Diagnostic Testing

October 6, 2014
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  In my past two columns, I provided you with information related to sensitivity and specificity, as well as both positive and negative predictive values. These are measures of...
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Pain education, how can it benefit patients?

September 29, 2014
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A recent article published in the journal Spine describes a 30 minute educational program for patients undergoing surgery for lumbar radiculopathy.1 The education focused on giving patients a basic...
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