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, 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 very interesting study that shows the link between head and neck trauma, and MTBI, and how small changes in head position can dramatically affect the structures (ligaments at different levels of the spine and bran). This is interesting to me, and I will certainly document this in many of my patients charts as… 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, 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
Dear Professionally Integrated, Here is a very interesting study that shows the link between head and neck trauma, and MTBI, and how small changes in head position can dramatically affect the structures (ligaments at different levels of the spine and bran). This is interesting to me, and I will certainly document this in many of my patients charts as… Read More
Dear Professionally Integrated, Here is a great paper and video breakdown where the authors looked at damage to the anterior longitudinal ligament (ALL) as well as the ligamentum flavum (LF) and how that can affect spinal stability. They also discussed how spinal instability can disrupt nerves and other tissue. The authors also looked at how much force it can take… 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 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, 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