The CORE Institute has announced that it has signed an agreement with The Arizona Neurological Institute, an entity with nine Phoenix area locations. As indicated by The CORE Institute, the agreement combines the largest orthopedic and neuroscience practices in Arizona. As of October 1, 2014 Arizona Neurological Institute physicians and staff will be formally employed by The CORE Institute.
CORE Institute Signs Agreement With Arizona Neurological Institute

“We’re thrilled to partner with the talented team at The Arizona Neurological Institute to expand and enhance the specialties that we can offer to our patients, ” said CORE Chairman and CEO David J. Jacofsky, M.D. in the August 7, 2014 news release. “The CORE Institute is very proud to have grown into the largest orthopedic practice in Arizona and this partnership allows us to also become the largest comprehensive neuroscience practice providing accessible outpatient and inpatient neurological, physical and rehabilitative medicine services.”
“We view partnering with The CORE Institute as an important opportunity for our patients, our physicians and our staff creating an excellent fit combining their orthopedic expertise with our neuroscience expertise, ” said Atul Syal, M.D., president of Arizona Neurological Institute. “The CORE Institute has earned an excellent reputation nationally as an innovative industry leader maximizing best practices to benefit its patients and we look forward to furthering that mission as the organization continues to grow in Arizona and nationally. We are excited about using The CORE Institute platform and infrastructure to continuously improve our quality and grow our services. Musculoskeletal care, rehabilitation and the neurosciences are deeply intertwined and many conditions require the integrated approach of both specialties, making this a natural partnership.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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