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
Normal jaw function comprises several essential behaviours such as mouth opening, biting, chewing, yawning, speech and emotional expressions. These sensory-motor tasks involve coordinated movements of both jaw and neck muscles, as well as the temporomandibular joint (TMJ) and the cervical spine joints. ( Make sure you evaluate the mechanics of the spine) Furthermore, patients with pain in the oro-facial area, that… 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
Dear PROFESSIONALLY INTEGRATED, Here is a paper where the authors looked at ABNORMAL SAGITTAL ALIGNMENT and how that correlates to SPINAL CORD DYSFUNCTION and how improvements of the abnormal curve IMPROVES OUTCOMES and health of the SPINAL CANAL AND CORD. These Authors used fusion to improve the alignment and documented how an improved alignment showed better outcomes. I still cannot… Read More
Hello Professionally Integrated. Here is a great neurosurgical paper that validates what we do. They explain why imaging is important, why spine shape is important, why instability is bad and how all the above can cause CNS irritation and must be corrected. I use this paper like the 100s of others to educate, make handouts, and to insert in notes… 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, Knowing what position your patients head is in is important! Many studies show that a head turned can increase injury to the cervical spine in a MVC ( I posted this on this site). Here is a study that shows neck injuries greatly increase if the head is turned a little. In this paper they look at… Read More
Hello Professionally Integrated, So you diagnosed instability or AOMSI? Did discuss how that can lead to vascular changes of the spinal cord, the canal, and even compression of the nerves and central nervous system? Or do you just stick with an impairment that really means nothing to your patient HEALTHCARE? This study shows the importance of dynamic imaging and… 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
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
Dear PROFESSIONALLY INTEGRATED, Here is a paper where the authors looked at ABNORMAL SAGITTAL ALIGNMENT and how that correlates to SPINAL CORD DYSFUNCTION and how improvements of the abnormal curve IMPROVES OUTCOMES and health of the SPINAL CANAL AND CORD. These Authors used fusion to improve the alignment and documented how an improved alignment showed better outcomes. I still cannot… Read More
Hello Professionally Integrated. Here is a great neurosurgical paper that validates what we do. They explain why imaging is important, why spine shape is important, why instability is bad and how all the above can cause CNS irritation and must be corrected. I use this paper like the 100s of others to educate, make handouts, and to insert in notes… Read More
Hello Professionally Integrated, So you diagnosed instability or AOMSI? Did discuss how that can lead to vascular changes of the spinal cord, the canal, and even compression of the nerves and central nervous system? Or do you just stick with an impairment that really means nothing to your patient HEALTHCARE? This study shows the importance of dynamic imaging and… Read More
Hello Gold and Premium Members of Professionally Integrated, Have you been asked by a patient, an attorney, or insurance company “How do you know the crash caused the instability?” As a member you know I go over this through many different avenues, but here is a paper that tested ligaments strength after a rear end impact. Be sure to educate… Read More
Hello Professionally Integrated GOLD AND PREMIUM MEMBERS, Here is a fascinating study where the authors looked at that ALL and PLL and the vascular and nerve structures that also can get damaged when the ligament gets disrupted (This is found with particular signs on Xray). The disc, vascular bundles, and nerve bundles can also get disrupted with this particular ligament… Read More
Hello Professionally Integrated, Here is a cool paper where the authors looked “misaligned” upper cervical vertebrae and they did surgery to correct it. As a Chiropractor I feel “misaligned” vertebrae are something that can be a problem like this paper shows but also possibly corrected by chiropractors. How many patients that are suffering are being overlooked and under diagnosed becasue… Read More
Dear Professionally Integrated, Here is a paper that shows that patients who had surgery for cervical myelopathy, did better when they had a lordosis afterwards. Remember, car crashes have been shown to cause a kyphosis, and many papers suggest that a loss of the curve has many bad consequences. This is one reason to document the shape of your… 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
Hello Professionally Integrated, FREE Here is a very cool study that looked at patients imaging of the SPINAL CORD after a car crash. As we know, if you are a GOLD or PREMIUM member, you have access to many different pathologies that can occur after a motor vehicle crash or trauma. This study shows changes on MRI in the spinal… Read More
Here is a study I helped author where we evaluated 261 patients flexion extension Xrays. This study shows that car crashes can cause instability, and different crash vectors and sex can change stability patterns. You have to make sure you are documenting this and being thorough with all your patients. Be sure to be a GOLD or PREMIUM member for… 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
Discussion about the recent cervical instability research paper published by Dr. Evan Katz et al. Read more about the paper “Diagnostic Accuracy of Videofluoroscopy for Symptomatic Cervical Spine Injury Following Whiplash Trauma” here. This webinar recording includes a LIVE Q&A session with Dr. Evan Katz. Below are a few excerpts from the paper: A total of 196 subjects… Read More