Hello Professionally Integrated, Here is an interesting paper where they looked at cervical spine alignment and upper cervical spine measurements on x-ray and basilar invagination. This is another paper that helps us understand the importance of measuring x-rays as well as other pathologies that may be present in patients that we see on an everyday basis that have gone mis-… Read More
Car crashes and trauma can cause a reversed cervical curve. Being able to identify and treat this problem may require ongoing appropriate care and treatment and patient education. Here is a study that shows how a straight neck (not even kyphotic) increases pressure on the facets and discs by a large factor, including areas of the brain and decreases ROM… Read More
Hello Professionally integrated, This is a great paper to discuss with your “shoulder pain” patients and with the shoulder orthopedists in your area for better referrals and co-management. Why take a full body approach? Well, here is a study that shows an increased thoracic kyphosis causes pain and decreased shoulder ROM. Many structures may have a direct, or indirect role… Read More
Hello professionally integrated, We are proud to be able to publish one of, if not the first and only conservative treatment and management of upper cervical instability!! in this published article, published in a high-impact medical journal , “Journal of Clinical Medicine”, we were able to show that upper cervical instability is a significant health issue, caused by trauma such… Read More
Hello Professionally Integrated. Here is a paper you should be aware about as it relates to just one impact on the disc (like a crash) and how that leads to INFLAMMATION and DEGENERATION in as little as 7 DAYS!! We can discus this with our patients and educate them on what may be going on and why our care is… Read More
Hello Professionally Integrated, AOMSI does NOT even come into the equation in this area of the spine. This is a paper that the authors looked at ways to identify upper cervical instability. The paper that I helped author explains a lot more in terms of what is normal stability through different ranges of motion. Most of the instability in… Read More
Hello professionally Integrated, Here is a paper where the authors looked at cervical cord compressive myelopathy (CCM) and how a loss of the cervical curve makes this happen and worse. However, the surgeons understand that sagittal balance is important for joints as well as the CNS. Unfortunately, instead of these patients going to chiropractors that accept and fix the sagittal… Read More
Hello Professionally Integrated! AOMSI and 25-28% really doesn’t explain much about what “instability” does physiologically. Here is a paper where the authors looked at instability and how it can affect the spinal cord leading to upper extremity weakness. As a member of the site under the tab “instability” , we have lots of papers and information and webinars about… Read More
Hello professionally integrated, Here is a great paper and break down about upper cervical instability, Chiari malformation type one, causation and symptoms. This condition has been shown to occur after trauma and on this site there are other papers and videos discussing that. This is a great paper for us to be aware of as well as to share with… Read More
Hello Professionally Integrated. Here is a finite element study where the authors evaluated C2-C3 during “whiplash” simulation. During the evaluation they recorder many ligamentous areas of the spine and how they react, or fail during a “whiplash” mechanism. This is important for us to know as it will only help us understand and identify common injuries in crashes that in… Read More
Hello Professionally Integrated, Here is an interesting paper where they looked at cervical spine alignment and upper cervical spine measurements on x-ray and basilar invagination. This is another paper that helps us understand the importance of measuring x-rays as well as other pathologies that may be present in patients that we see on an everyday basis that have gone mis-… Read More
Hello Professionally integrated, This is a great paper to discuss with your “shoulder pain” patients and with the shoulder orthopedists in your area for better referrals and co-management. Why take a full body approach? Well, here is a study that shows an increased thoracic kyphosis causes pain and decreased shoulder ROM. Many structures may have a direct, or indirect role… Read More
Hello Professionally Integrated. Here is a paper you should be aware about as it relates to just one impact on the disc (like a crash) and how that leads to INFLAMMATION and DEGENERATION in as little as 7 DAYS!! We can discus this with our patients and educate them on what may be going on and why our care is… Read More
Hello Professionally Integrated, AOMSI does NOT even come into the equation in this area of the spine. This is a paper that the authors looked at ways to identify upper cervical instability. The paper that I helped author explains a lot more in terms of what is normal stability through different ranges of motion. Most of the instability in… Read More
Hello professionally Integrated, Here is a paper where the authors looked at cervical cord compressive myelopathy (CCM) and how a loss of the cervical curve makes this happen and worse. However, the surgeons understand that sagittal balance is important for joints as well as the CNS. Unfortunately, instead of these patients going to chiropractors that accept and fix the sagittal… Read More
Hello Professionally Integrated! AOMSI and 25-28% really doesn’t explain much about what “instability” does physiologically. Here is a paper where the authors looked at instability and how it can affect the spinal cord leading to upper extremity weakness. As a member of the site under the tab “instability” , we have lots of papers and information and webinars about… Read More
Hello professionally integrated, Here is a great paper and break down about upper cervical instability, Chiari malformation type one, causation and symptoms. This condition has been shown to occur after trauma and on this site there are other papers and videos discussing that. This is a great paper for us to be aware of as well as to share with… Read More
Hello Professionally Integrated. Here is a finite element study where the authors evaluated C2-C3 during “whiplash” simulation. During the evaluation they recorder many ligamentous areas of the spine and how they react, or fail during a “whiplash” mechanism. This is important for us to know as it will only help us understand and identify common injuries in crashes that in… Read More
Dear Professionally Integrated, Here is a video breakdown looking at “lumbar instability” and pain. This is another great paper showing why X-rays with movement are important and how abnormal movement is related to pain. The authors looked at sagittal instabilities and pain. Take a look below at what this paper discusses and see how what we do is clinically relevant… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at how much force it requires to completely rupture both the alar ligaments. Lots of research and literature, as well as clinical experience shows that the upper cervical spine can be damaged in trauma, especially motor vehicle crashes. On this site I have lots of information from research… Read More
Hello professionally integrated, We are proud to be able to publish one of, if not the first and only conservative treatment and management of upper cervical instability!! in this published article, published in a high-impact medical journal , “Journal of Clinical Medicine”, we were able to show that upper cervical instability is a significant health issue, caused by trauma such… Read More
Hello professionally Integrated, How many times have you been asked, “Why did you NOT send your patient to a medical doctor for chronic back pain?”? Well, I think based on this study the REAL question should be asked to the medical doctor, “Why did you not send this patient to the chiropractor for chronic low back pain before prescribing the… Read More
Hello Professionally Integrated, Here is a brief break down and a FREE video for you to watch and to use to make handouts for your patients as well as social media and to document in your notes. Normally, for GOLD or PREMIUM members, I break the paper down a lot more so there’s more information for you to put… Read More
Dear Professionally Integrated Here is a cool paper that looks at the sagittal alignment of the cervical spine and if it is correlated to sleep apnea. This is something you should be educating your patients on that are suffering with sleep apnea. You should also use this to talk to other providers that specialize in this condition, so you… Read More
Hello Professionally Integrated, Listen to a Med Pay insurance adjuster change my patients diagnosis without permission and get called out on it! . In the video you will see actual examples that are in my notes and why document they way I do and teach you to as well . . . You either need to log in or a… Read More
Hello Professionally Integrated, Here is an interesting paper that discusses CAROTID ARTERY INJURY after a crash and raises the clinical question if we should do angiograms after trauma. This is a tough clinical decision to make as we want to start with a more conservative approach, yet trauma such as crashes, have shown to disrupt the vessels of the… Read More
Hello Professionally Integrated, Here is a paper where the authors discuss “low impact” and ongoing back pain. Many insurance companies, and some providers may suggest that car damage somehow correlates to pain. As a member of the site you get access to research that clearly shows car damage does not matter, as well as videos and research to… Read More
Hello Professionally Integrated, Here is a free video and paper break down on PTSD caused by motor vehicle crashes. I am not breaking this down as much as I normally do because this is not my area of expertise, but it is important to understand patients can suffer for over five years with PTSD. This can help with an appropriate… Read More
Hello Professionally Integrated, Here is a free video breakdown, as well as information for you to quickly and easily insert in your notes for improved documentation & patient education. This is a study where the authors looked at “low-speed” car crashes and compared them to the likelihood of injury during activities of daily living. Insurance companies and IMEs will sometimes… Read More
Dear Professionally Integrated, Here is a free video for you all to have as I want you all to be aware of this paper. Recently I testified in court and the insurance company, which happened be State Farm, used this paper as it is published in a good Journal. They use this paper to try and argue that certain types… Read More