Dear Professionally Integrated, Below is a paper where they looked at MRI findings in patients involved in crashes and not in crashes. They looked at CSF flow and other morphologic changes. This paper says there is not a difference between the crash and non-crash patients. However, when you look at the symptoms, as well as other findings, there appears… Read More
Hello professionally integrated, Here is a paper where the authors looked at patients who were diagnosed with “discogenic pain” and evaluated them with flexion extension lumbar x-rays to determine the likelihood of instability. This paper is great to explain how abnormal movement can lead to increased pain. The authors suggest this imaging should be done on patients with “nonspecific pain”… Read More
Hello professionally Integrated, Here is a great paper that discusses the physiological problems that occur with a diagnosis of a “facet injury”. This goes over instability of the facet joint, how it affects movement and stability, how it disrupts nerves, tissue of the facet and cartilage, and trauma to the joint, and lots more. This is a wonderful way… Read More
Hello Professionally Integrated, FREE for all. If you have a patient that on imaging has a “loss of the cervical curve” here is a paper I suggest you use in your practice and in your notes to explain the poor physiologic long-term outcomes, and why your care is necessary to improve this pathology. These authors, which are surgeons, explain how… Read More
Hello Professionally Integrated, This study shows that a car crash can injure different ligaments in the spine. Even “low impact” . As a provider if we take flex/ext films and mainly a digital motion Xray, we have a better chance of identifying which areas are damaged. When we do that, we can treat more effectively and better educate our patients… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at a “loss the cervical curve”, degeneration, and how it correlates. The way they fixed it to prevent further degeneration is fusion. As chiropractors this is a structural abnormality, a true subluxation, and I believe we can address this better than almost any other treatment and by doing… 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, if you accurately diagnose a “facet injury”, which as a member you have information on the site showing how to do an exam for facets, as well as lots of research to explain facetogenic pain as well as imaging findings. Here is a paper that shows facet injuries can cause ongoing constant pain and central sensitization which… 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 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, Below is a paper where they looked at MRI findings in patients involved in crashes and not in crashes. They looked at CSF flow and other morphologic changes. This paper says there is not a difference between the crash and non-crash patients. However, when you look at the symptoms, as well as other findings, there appears… Read More
Hello professionally integrated, Here is a paper where the authors looked at patients who were diagnosed with “discogenic pain” and evaluated them with flexion extension lumbar x-rays to determine the likelihood of instability. This paper is great to explain how abnormal movement can lead to increased pain. The authors suggest this imaging should be done on patients with “nonspecific pain”… Read More
Hello professionally Integrated, Here is a great paper that discusses the physiological problems that occur with a diagnosis of a “facet injury”. This goes over instability of the facet joint, how it affects movement and stability, how it disrupts nerves, tissue of the facet and cartilage, and trauma to the joint, and lots more. This is a wonderful way… Read More
Hello Professionally Integrated, FREE for all. If you have a patient that on imaging has a “loss of the cervical curve” here is a paper I suggest you use in your practice and in your notes to explain the poor physiologic long-term outcomes, and why your care is necessary to improve this pathology. These authors, which are surgeons, explain how… Read More
Hello Professionally Integrated, This study shows that a car crash can injure different ligaments in the spine. Even “low impact” . As a provider if we take flex/ext films and mainly a digital motion Xray, we have a better chance of identifying which areas are damaged. When we do that, we can treat more effectively and better educate our patients… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at a “loss the cervical curve”, degeneration, and how it correlates. The way they fixed it to prevent further degeneration is fusion. As chiropractors this is a structural abnormality, a true subluxation, and I believe we can address this better than almost any other treatment and by doing… Read More
Hello Professionally Integrated, if you accurately diagnose a “facet injury”, which as a member you have information on the site showing how to do an exam for facets, as well as lots of research to explain facetogenic pain as well as imaging findings. Here is a paper that shows facet injuries can cause ongoing constant pain and central sensitization which… Read More
Dear Professionally Integrated, Patients with a loss of the cervical curve are shown to have less blood flow in the vertebral arteries in this study. Now, let me ask you doctor, if you have objectively shown that your patient has a kyphotic neck, do you release them from care knowing that it has a higher likelihood of other pathologies from… Read More
Hello Professionally Integrated, Here is a paper that looks at “common” injuries’ in kids in car crashes. They looked at car vectors , vehicle type, etc.. Many “people” (insurance companies) have said kids can not really get injured in crashes. Here is a great paper to educate your patients and even use to talk to pediatricians to show them… Read More
Hello Professionally Integrated, Here is a paper where the authors take a look at anterior cervical discectomy and fusion (ACDF) for radiculopathy due to degenerative changes. They wanted to see what the quality of life (QOL) was like in patients that had to undergo this procedure compared to those who do not. The authors found that after a fusion… 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 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
Hello Professionally Integrated, Here is a free paper and break down on how knee arthritis and loss of the lumbar lordosis are related to a poor quality-of-life. This is something as with all posts on Professionally Integrated that I use to educate my patients for further education, to use in my documentation, and to explain how sagittal alignment is linked… Read More
Hello PROFESSIONALLY INTEGRATED, Here is a FREE paper where the authors followed people that were involved in a car crash and people who were not involved in a car crash for 20 YEARS! What the authors found was that people involved in a car crash have significantly more pain than those who were not initially in a car crash. The… Read More
Here is a published paper that you should use to educate your patients in your community on how you can help patients with spondylolisthesis cases and instability, as well as loss of curve. These pathologies have been shown to cause significant problems in the patient’s health, and quality of life both in the long and short term. You now have… Read More
Here is a study the I, at Professionally Integrated want you to be familiar with. This shows many injuries that can be caused by “whiplash” and shows how “whiplash” is NOT a diagnosis. This also demonstrates how low the Gs are for a patient to potentially be hurt. The insurance companies may say that “no damage to the car, so… Read More
Hello Professionally Integrated, Here is a FREE video and paper breakdown on how you can use this information to educate the hospitals emergency department (ED). This paper explains the population that goes to the ED, how they are treated (medication) and how they would like other providers to help these patients so they do not go to the ED. WHY… Read More
Hello PROFESSIONALLY INTEGRATED, Here is a very cool paper on a new ligament in the upper cervical spine and what motion it is intended TO PROTECT. Having this information to easily transfer to your notes and to educate your patients is incredibly important. The more specific we are with their injury, the easier it is to validate our treatment as… Read More
Hello Professionally Integrated, I want to show you how beneficial this site is while practice is a little slower because of COVID-19. Here are ideas as to how to stay connected with patients during COVID-19 measures. Make sure to log onto Professionally Integrated for more resources . . . You either need to log in or a different subscription to… Read More