Diagnosing PID (prolapse intervertebral disc)

[Dr Damien]

Which is a very reasonable advice however as a care manager, medical cost to patient should be considered. If you can make a diagnosis based on clinical presentation then make it, moreover radiographic evidence cannot be trusted all the time. MRIs may introduce fear avoidance beliefs if they show something too interesting when in fact the interesting shots do not necessarily correlate with symptoms. So deciding whether to suggest MRI will depend on other factors as well.If symptoms are very clear, I do not think an MRI is needed, it may complicate issues.
I would suggest an MRI when I suspect something sinister going on and I can not put my finger on it.

[linbin]

"I disagree, u can diagnose where a prolapse disc is but i'd rather use the term protrusion as prolapse discs would most likely be sequestered anyway."
hello,
i am not getting what you are intending to say.prolapse can be subclinical.i not the least agree with you comment that disc might be sequestrated mostly.by doing prone knee bend you are checking for femoral nerve involvement.it doesnot help you to localise where the prolapse is,even in case of stenosis,mechanical sensitivity also neurodynamic test will be positive.