🎙 Episode 64 – Clinical Pearls That Will Make You a Better Decompression Doctor

In this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down several clinical pearls that can help decompression doctors improve case selection, interpret MRI findings more accurately, and set better patient expectations.

He covers why Modic Type 1 changes matter, how discogenic pain can exist even without obvious nerve compression, and why larger herniations like extrusions and sequestrations may actually have a better chance of reabsorption than smaller bulges.

Key topics include:

• Why Modic Type 1 changes should change your treatment approach
• How discogenic pain can exist without nerve compression
• What rim enhancement may reveal about  ...