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
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 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
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 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 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