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, 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
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, 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, 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
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
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
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 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
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, 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, 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
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
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
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 paper from Neurosurgeon Dr. Villavicencio. He and I are planning a webinar as I recently did one with a surgeon who works for him ( I will add that link below.) However, he did a double blinded paper showing that cervical sagittal alignment makes a difference in outcomes and a better lordosis is best. … Read More
Hello Professionally Integrated, Here is a paper where the authors looked at spinal shape of a population in Tanzania. What they found is a correlation of back pain and abnormal sagittal alignment. This is a great paper to use to further educate your patients on the importance of appropriate spinal alignment even before pain comes on. Be sure to use… 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 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, 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
Here is a free breakdown and video of the paper published from AMERICAN COLLEGE OF RHEUMATOLOGY. They were able to identify patients suffering with fibromyalgia just by the shape of their neck curve on x-ray. Make sure to contact local clinics in your area and inform them of how fibromyalgia and neck curve may be related to increase referrals. Moreover,… 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 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 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
Hello Professionally Integrated, Here is a paper I authored and had published in the peer reviewed journal ” The Journal Of Legal Nurse Consulting”. In this paper I discuss Digital motion X-ray and some of the findings it can detect. I discuss how a loss of the cervical curve is linked to crashes as well as pathologies, both short and… Read More