Hello Professionally Integrated, So many different injuries can occur in car crashes. Body and head position can play a major role into potentially increasing damage to certain structures of the neck. As a member, you have access to this information to keep you informed which will only increase your confidence leading to excellence. Here is a paper where the authors… Read More
Hello Professionally Integrated, Here is a great video you need to implement for patient education and VALIDATING your care. As a member you will be given what you need on a “silver platter” to educate, document, and increase your referrals based on your expertise. Abstract: Ligament injuries are among the most common causes of musculoskeletal joint pain and… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at what areas cause pain in e lumbar spine AFTER a car crash. You can clearly see the pain is not diagnosed as “whiplash”. By understanding where the pain generator is, we can get a specific diagnosis that can lead to a better treatment plan. Lets take a look… Read More
Hello professionally integrated, Here is a paper where the author discusses many papers that he has published on cervical and lumbar instability and the long-term consequences of this pathology. Many docs are taught to identify instability to increase the value of the motor vehicle claim. However, many docs do not understand what the long-term implications are and what we can… Read More
Hello Professionally Integrated, Here is a paper where the authors compared the sagittal alignment of 1026 asymptomatic individuals. Many people in the health care profession make statements like the “cervical curve has no clinical implication”, despite lots of evidence. In fact, on this site we have LOTS and LOTS of papers that show what happens with a loss of the… Read More
Dear Professionally Integrated, Here is a paper that shows differences on MRI’s in the cervical spine between crash patients and non crash patients. This is a significant finding and we should start asking our MRI radiologists if they can start mentioning this finding so we can document it and educate our patients. Plus, this study also shows that a LARGE… Read More
Hello Professionally Integrated, Here is a video and FULL PAPER on a new view to maybe ask for when ordering a cervical MRI when the patient has radiculopathy. I already called my local MRI center and after I sent them this link, they agreed to start doing them. I am also adding in my videos a section on “How to… Read More
Hello Professionally Integrated, Here is a paper and video that I break down as I feel it will lead to better long term outcomes, and improved documentation to help validate our care. I have also added in a “HOW TO IMPLEMENT IN YOUR PRACTICE” section in the video where I show you how I use this paper to educate my… Read More
Hello Professionally Integrated, Here is a paper where the authors evaluated many different changes associated with a car crash, one of them being a change in “Blood Velocity”. I hope you have always heard me say that “whiplash” is NOT a diagnosis, but a mechanism of injury. ‘Whiplash” can cause no injuries or death and everything in between. Be sure… Read More
Hello Professionally Integrated, So many different injuries can occur in car crashes. Body and head position can play a major role into potentially increasing damage to certain structures of the neck. As a member, you have access to this information to keep you informed which will only increase your confidence leading to excellence. Here is a paper where the authors… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at what areas cause pain in e lumbar spine AFTER a car crash. You can clearly see the pain is not diagnosed as “whiplash”. By understanding where the pain generator is, we can get a specific diagnosis that can lead to a better treatment plan. Lets take a look… Read More
Hello professionally integrated, Here is a paper where the author discusses many papers that he has published on cervical and lumbar instability and the long-term consequences of this pathology. Many docs are taught to identify instability to increase the value of the motor vehicle claim. However, many docs do not understand what the long-term implications are and what we can… Read More
Hello Professionally Integrated, Here is a paper where the authors compared the sagittal alignment of 1026 asymptomatic individuals. Many people in the health care profession make statements like the “cervical curve has no clinical implication”, despite lots of evidence. In fact, on this site we have LOTS and LOTS of papers that show what happens with a loss of the… Read More
Dear Professionally Integrated, Here is a paper that shows differences on MRI’s in the cervical spine between crash patients and non crash patients. This is a significant finding and we should start asking our MRI radiologists if they can start mentioning this finding so we can document it and educate our patients. Plus, this study also shows that a LARGE… Read More
Hello Professionally Integrated, Here is a video and FULL PAPER on a new view to maybe ask for when ordering a cervical MRI when the patient has radiculopathy. I already called my local MRI center and after I sent them this link, they agreed to start doing them. I am also adding in my videos a section on “How to… Read More
Hello Professionally Integrated, Here is a paper and video that I break down as I feel it will lead to better long term outcomes, and improved documentation to help validate our care. I have also added in a “HOW TO IMPLEMENT IN YOUR PRACTICE” section in the video where I show you how I use this paper to educate my… Read More
Dear Professionally Integrated, Here is a study that shows car crashes, even “low impact” crashes, causes jaw dysfunction as well as damage to the upper cervical spine, and how the jaw correlates to the upper spine. This study also shows how “low impact” caused significant damage to the occupants. I have used this study to present to my patients and… Read More
Hello Professionally Integrated, Here is a study that looks at over a 1000 cervical spines and the shape and findings as well as the patients pain and quality of life. This study suggests that a abnormal cervical spine, anterior head translation, and kyphosis decrease our patients quality of life and increase pain. We have the ability with CBP and corrective… Read More
Hello Professionally Integrated, Here is a paper where the authors used ultrasound to compare muscle function of MVC patients and non MVC patients and their was a significant difference. Now, we need to look at why are some of these muscles active, non active, and stretched? Is it due to abnormal sagittal alignment, instability, etc?? This site has numerous papers… Read More
Hello Professionally Integrated, Here is a great video you need to implement for patient education and VALIDATING your care. As a member you will be given what you need on a “silver platter” to educate, document, and increase your referrals based on your expertise. Abstract: Ligament injuries are among the most common causes of musculoskeletal joint pain and… Read More
Hello Professionally Integrated, Here is a paper where the authors evaluated many different changes associated with a car crash, one of them being a change in “Blood Velocity”. I hope you have always heard me say that “whiplash” is NOT a diagnosis, but a mechanism of injury. ‘Whiplash” can cause no injuries or death and everything in between. Be sure… Read More
Dear Professionally Integrated, Here is a paper where the authors examined a patient who was in a “very low impact” collision that caused a VERY serious injury. I use this paper in my notes and education of patients that no link has been made to car damage and bodily injury. This paper also discusses how important other factors are in… Read More
Dear Professionally Integrated, Here is a study where the authors looked at THOUSANDS of spinal images to determine if a change in the spinal shape leads to pain, dysfunction, and a change in the quality of life. Many providers feel a change of the spinal shape may be “normal” for a person and therefore treatment to address these changes is… Read More
Hello Professionally Integrated, Here is a paper and breakdown for your notes and education. The authors looked at multiple criteria on what is needed to properly evaluate instability in the cervical spine. The authors did not mention C1/2 translation, but I have a paper on that topic coming out soon. Be sure to do a FULL examination, and history as… Read More
Hello Professionally Integrated, Here are some diagnosis’ that I would like you to look for in a trauma, or pain patient, as A LOT of the research (much of what is on this site) suggests that many areas can be damaged. Please watch this video for more information . . . You either need to log in or a different… Read More
Hello Professionally Integrated, Here is a great paper that I feel we should explain to our patients about the long term consequences if we do NOT improve the shape of their spine. “The aim of this study is to investigate the relationship between the Modic changes (MCs) and sagittal parameters of the cervical spine.” “We conducted a retrospective review… Read More
“Five hundred digital sets of standing A-P lumbo-pelvic and lateral lumbar radiographic images were randomly selected according to a computer-generated list and analyzed retrospectively from a pool of approximately 1300 radiographic series in the RMIT University Teaching Clinic archives. All radiographs were de-identified except for date of birth, gender and date of examination. One hundred ninety nine sets of images… Read More
Hello Professionally Integrated Care! Just take a look at the title of this paper. Here are surgeons explaining how an abnormally shaped neck leads to bad health!! Why does some of our profession ignore a fully subluxated neck? Why do we listen to insurance companies dictate how much care we should provide if most of the research completely disagrees with… Read More
Magnetic resonance imaging Medicine 2017 Sep A possible alternative to a standing lateral radiograph for evaluating cervical sagittal alignment in patients with cervical disc herniation? Convincing evidence supporting the use of magnetic resonance imaging (MRI) as an effective tool for evaluating cervical sagittal alignment is lacking. This study aims to analyze the differences and correlations between cervical sagittal parameters on x-ray… Read More