Hello Professionally Integrated, Here is a study that looked at the Anterior Longitudinal Ligament (ALL) before and after it a rear end impact. Notice how the authors did not simply say this is a “whiplash injury”? This is a specific injury caused by a whiplash type of event. They also discuss how this injury will lead to chronic issues. They… 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
Here is a paper where the authors did a cervical fusion and evaluated disc degeneration. This study confirms again why our treatment is important in PREVENTING further pathologies. The authors clearly mention that a lordosis in the cervical spine is extremely important. I feel we must do what we can to preserve our patients spine both in the short and… Read More
At professionally Integrated, we want to provide you with information that we feel will make you a better doctor and help more patients that are hurt from traumas like car crashes. Here is a study that was done looking at what happens to the cervical spine and the exiting nerve roots as well as two different types of “anti-whiplash”… Read More
Hello PROFESSIONALLY INTEGRATED, Here is a video and paper I break down about radiculopathy after a rear end impact, and the rear impact would be considered “low-speed” by many. This radiculopathy was not from a disc herniation compressing the nerve root, but from damage to structures around the inter-vertebral foramen from spinal damage during the mechanism of “whiplash”. This is… Read More
Dear Professionally Integrated, Here is a VIDEO and PAPER to educate on why “PAIN” and “SPASM” is not a full diagnosis. I have used this many times to educate why a patient with THIS DIAGNOSIS will need ongoing care. This explains how true spinal subluxations and injuries can cause pain and spasm. I use this to educate patients as to… Read More
Hello Professionally Integrated, Here is another video and break down of a paper to help educate your patients and improve documentation to help validate your care. In this paper that authors look at an evaluate many MRIs and they measure many areas to look at the difference between patients in pain and those not in pain. Understanding these findings help… 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
Dear Professionally Integrated, Here is a great video and paper that I break down for you to make it easy to put in your notes and educate patients and your community. This paper describes the difference between chronic pain patients from a car crash, compared to patients with pain not from a car crash. The authors found a significant difference… Read More
Hello professionally integrated, There is a great study that shows many factors are important from a clinical perspective. This paper discusses about the need for appropriate diagnosis, why somebody types may be more hurt in a crash, leading to significant injuries that can lead to disability. As a GOLD OR PREMIUM member you have access to papers and videos like… Read More
Here is a paper where the authors did a cervical fusion and evaluated disc degeneration. This study confirms again why our treatment is important in PREVENTING further pathologies. The authors clearly mention that a lordosis in the cervical spine is extremely important. I feel we must do what we can to preserve our patients spine both in the short and… Read More
At professionally Integrated, we want to provide you with information that we feel will make you a better doctor and help more patients that are hurt from traumas like car crashes. Here is a study that was done looking at what happens to the cervical spine and the exiting nerve roots as well as two different types of “anti-whiplash”… Read More
Hello PROFESSIONALLY INTEGRATED, Here is a video and paper I break down about radiculopathy after a rear end impact, and the rear impact would be considered “low-speed” by many. This radiculopathy was not from a disc herniation compressing the nerve root, but from damage to structures around the inter-vertebral foramen from spinal damage during the mechanism of “whiplash”. This is… Read More
Dear Professionally Integrated, Here is a VIDEO and PAPER to educate on why “PAIN” and “SPASM” is not a full diagnosis. I have used this many times to educate why a patient with THIS DIAGNOSIS will need ongoing care. This explains how true spinal subluxations and injuries can cause pain and spasm. I use this to educate patients as to… Read More
Hello Professionally Integrated, Here is another video and break down of a paper to help educate your patients and improve documentation to help validate your care. In this paper that authors look at an evaluate many MRIs and they measure many areas to look at the difference between patients in pain and those not in pain. Understanding these findings help… Read More
Hello professionally integrated, There is a great study that shows many factors are important from a clinical perspective. This paper discusses about the need for appropriate diagnosis, why somebody types may be more hurt in a crash, leading to significant injuries that can lead to disability. As a GOLD OR PREMIUM member you have access to papers and videos like… 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 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
“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