Precision Spine: The Spinal Kinetics Blog on Accurate Diagnosis & Care

Explaining CRMA Results: A Guide for Effective Patient Communication

Written by The Spinal Kinetics | Dec 19, 2024 1:00:00 PM

Introduction

Communicating medical findings to patients is both an art and a science. When it comes to Computerized Radiographic Mensuration Analysis (CRMA), helping patients understand their results is critical for fostering trust, ensuring compliance, and achieving successful outcomes. Here's a step-by-step guide on how to effectively explain CRMA results to your patients.

1. Set Expectations Before the Test

Before the CRMA test, prepare your patient by explaining what the study is and its purpose. Here's an example of how to frame it:

"One of the things we’re going to do is an excessive motion study to evaluate the damage to your spinal ligaments. Ligaments hold your bones together, and if they’re injured, they can cause instability, chronic pain, or headaches. Many people with ongoing pain have undiagnosed ligament injuries, and we’re committed to ensuring that doesn’t happen to you. This test will help us pinpoint the exact nature and extent of the damage so we can provide you with the best care possible."

Providing educational materials about ligament injuries in advance can also help patients feel informed and engaged in their care.

2. Introduce the Results with Clarity and Confidence

When the results come in, ensure your staff sets the stage for the discussion:
"Hi [Patient’s Name], your test results are back, and Dr. Cronk will review them with you today."

During the conversation, emphasize the importance of the findings while maintaining a calm, reassuring tone. For example:

"Jerry, your results are in, and they show two levels of significant ligament damage in your upper cervical spine at C2-C3 and C3-C4. Let me show you exactly where this is on your spine."

Avoid overwhelming the patient with technical details or unnecessary alarm. Instead, highlight the actionable steps you’ll take together to address the condition.

3. Explain the Condition in Simple Terms

Describe ligament injuries and their implications in a way that’s relatable:

"Ligaments are like the cables that hold your bones in place. When they’re damaged, the spine can become unstable, which can lead to chronic pain and unpredictable symptoms. Think of it like an unstable neighbor who acts unpredictably—your spine can do the same thing if it’s unstable."

4. Address the Patient’s Concerns About Pain and Recovery

Patients often worry about long-term implications, so it’s important to manage their expectations:

"This type of injury can lead to long-term residual complaints, meaning symptoms might not fully go away. However, we’re very experienced in stabilizing these injuries. The key is to be consistent with care and let me know if anything feels off or causes discomfort."

Normalize potential setbacks to reduce frustration down the road:

"For example, three months into treatment, you might feel great, and then after sleeping in a funny position, wake up feeling like you’re back to square one. That’s normal. It doesn’t mean the treatment isn’t working—it’s just part of the process. When that happens, come in for an adjustment, and we’ll stabilize it again."

5. Emphasize Consistency and Communication

Encourage patient commitment and open communication to ensure treatment success:

"If I recommend treatment three times a week, it’s critical to follow that schedule. If you miss a session, make it up. Also, if any exercises or treatments feel irritating, let me know immediately so we can adjust."

6. Explain the Long-Term Nature of Ligament Injuries

Patients need to understand that ligament injuries are permanent and may require ongoing care:

"Once we stabilize your spine, you’ll likely need supportive care every quarter or twice a year to maintain that stability. I’ll assess your progress as we go and make recommendations for long-term maintenance at the appropriate time."

7. Reassure the Patient with Preparedness and Expertise 

Patients should leave feeling confident in your understanding of their condition:

"The CRMA study gives us an exact profile of your spine, so if you ever experience a new injury in the future, we already have a clear baseline to work from."

End the conversation with a clear plan of action and an invitation for questions:

"We’ll get started with your care plan today. Remember, consistency is key, and I’m here to support you every step of the way. Does that make sense? Do you have any questions for me?"

8. Why Effective Communication Matters

Explaining CRMA results isn’t just about sharing findings; it’s about building trust and setting realistic expectations. When patients understand their condition and the potential challenges ahead, they’re more likely to stay engaged and committed to their care.

By clearly explaining what ligament injuries mean, outlining the treatment process, and preparing patients for potential setbacks, you position yourself as a knowledgeable, compassionate provider. This not only improves patient outcomes but also strengthens the doctor-patient relationship.