This is such an incredibly important paper that I break down for ease of documenting in your notes, educating your patients and others, and a video breakdown. This paper discusses important factors in terms of the importance of a normal sagittal alignment of the cervical spine. The authors looked at cervical spines with and without a normal lordosis and applied… Read More
Here is a video break down and info from a paper that can really help more patients and increase your patient education and documentation. Being able to take our patients subjective complaints and correlate them to research is a wonderful starting point to 1) help our patients 2) validate our diagnosis 3) validate our treatment recommendations. This is the core… Read More
Here is a great paper (and video breakdown) that is incredibly important if you take images after your patient was in a crash and they have degeneration. Most insurance companies will argue that because degeneration is on the image that is a reason further pain and not the crash. However, research and science can be a wonderful thing. Below is… Read More
Hello Professionally Integrated, Abnormal spinal shape is correlated to muscle death in the lumbar spine. This paper discusses how the loss of the sagittal alignment causes the muscles to work differently and in some cases even death. Let’s evaluate the finding seen on X-ray (sagittal alignment) and MRI (to see muscle wasting). If a patient gets in a car crash… Read More
These surgeons did a cervical fusion with the goal being to improve the cervical lordosis. Why? Because surgeons know, based on the literature and science, that a better cervical curve increases the patients outcomes in both the short and long-term. I use this information to educate patients, as well as other providers and attorneys, on the importance of my care… Read More
This paper discusses how an abnormal sagittal alignment (kyphosis) can lead to increase cell death, which then can lead to further pain, degeneration, and even central nervous system issues. If a patient presents to your office and you diagnose this, for example after a car crash, do you feel this pathology should be left to get worse? Do you feel… Read More
So you diagnosed a “disc pathology,” how does YOUR care help? I hate hearing that disc degeneration is “normal for age.” If this were true, all the discs would degenerate at the same rate because they are all the same age. Here is a study where discs were loaded to determine if it would increase cell death, thus causing degeneration…. Read More
Here are a great paper and video that discusses MVC consequences, particularly how facet joints can get damaged leading to ongoing chronic pain that can also lead to central nervous system irritation and central sensitization. This is another paper that clearly shows that patients involved in motor vehicle crashes do not just get better a lot of the time, but… Read More
Here is a video breakdown and a link to the full paper for you to use to educate your patients, the community, and to improve your documentation to validate your treatment as to why a loss of cervical curve is linked to worse outcomes. The authors look at MRIs of the cervical spine with neck pain and how it leads… Read More
Here are a free video and paper that discuss “nonspecific back pain” and how that is not a specific diagnosis, as well as all the causes that can lead to pain. Make sure you use this to educate your patients, your community, and you can easily “copy and paste” to put in your notes for better documentation. Join today to… Read More
This is such an incredibly important paper that I break down for ease of documenting in your notes, educating your patients and others, and a video breakdown. This paper discusses important factors in terms of the importance of a normal sagittal alignment of the cervical spine. The authors looked at cervical spines with and without a normal lordosis and applied… Read More
Here is a video break down and info from a paper that can really help more patients and increase your patient education and documentation. Being able to take our patients subjective complaints and correlate them to research is a wonderful starting point to 1) help our patients 2) validate our diagnosis 3) validate our treatment recommendations. This is the core… Read More
Hello Professionally Integrated, Abnormal spinal shape is correlated to muscle death in the lumbar spine. This paper discusses how the loss of the sagittal alignment causes the muscles to work differently and in some cases even death. Let’s evaluate the finding seen on X-ray (sagittal alignment) and MRI (to see muscle wasting). If a patient gets in a car crash… Read More
These surgeons did a cervical fusion with the goal being to improve the cervical lordosis. Why? Because surgeons know, based on the literature and science, that a better cervical curve increases the patients outcomes in both the short and long-term. I use this information to educate patients, as well as other providers and attorneys, on the importance of my care… Read More
This paper discusses how an abnormal sagittal alignment (kyphosis) can lead to increase cell death, which then can lead to further pain, degeneration, and even central nervous system issues. If a patient presents to your office and you diagnose this, for example after a car crash, do you feel this pathology should be left to get worse? Do you feel… Read More
So you diagnosed a “disc pathology,” how does YOUR care help? I hate hearing that disc degeneration is “normal for age.” If this were true, all the discs would degenerate at the same rate because they are all the same age. Here is a study where discs were loaded to determine if it would increase cell death, thus causing degeneration…. Read More
Here are a great paper and video that discusses MVC consequences, particularly how facet joints can get damaged leading to ongoing chronic pain that can also lead to central nervous system irritation and central sensitization. This is another paper that clearly shows that patients involved in motor vehicle crashes do not just get better a lot of the time, but… Read More
Here is a video breakdown and a link to the full paper for you to use to educate your patients, the community, and to improve your documentation to validate your treatment as to why a loss of cervical curve is linked to worse outcomes. The authors look at MRIs of the cervical spine with neck pain and how it leads… Read More
Here is a study that examined low speed MVC injuries. Many of these significant MVC injuries happened at 4.3 M/S which is under 10 mph. The beauty of this research shows the following: 1) Injuries may vary greatly from person to person. This is why we must be thorough on every patient. 2) Lots of different injuries can be present in… Read More
Here is a paper I use to educate my patients and the community about concussions and cervical injuries and how BOTH need to be examined. I broke down the paper below for easy access and to improve and to place in your SOAP notes. This paper goes over MTBI, as well as “G forces” that can damage the brain as… Read More
Here are a free video and paper that discuss “nonspecific back pain” and how that is not a specific diagnosis, as well as all the causes that can lead to pain. Make sure you use this to educate your patients, your community, and you can easily “copy and paste” to put in your notes for better documentation. Join today to… Read More
Dear Professionally Integrated, Here is a FREE paper and video I breakdown so you can have this information for yourselves and to further educate your patients, as well as document this in your notes. This paper suggests that instability is about 2 mm in the cervical spine, which is less than 3.5 mm that has been used for a very… Read More
Hello Professionally integrated, Here is a paper that my wife and I published along with other wonderful doctors. First off, I would like to say thank you so much to the GOLD and Premium members. Your support of this site has allowed us to fund a study like this. We took multiple patients with abnormal cervical curves and did MRI… 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