Ginger,

Interesting discussion. I do agree that some surgeries are done needlessly and surgeons very quick to get patients on the table. However, for my 85yo lady at the moment with AVN of her femoral head, I don't feel mobilisations of her upper Lx spine is going to benefit her too much.... In fact, this poses the question of duty of care. If I did continue to mobilise her spine without referral on to an orthopaedic surgeon, am I putting myself in a possible law suit??? Could I justify treating her back with only anecdotal evidence to back me up??

Which brings me to my next question... Can you give me any references/papers to back up what you're saying or is it indeed just low level anecdotal evidence you are basing this on..??