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
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
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 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
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 analyzed sagittal alignment of the spine and measured on x-ray to determine how to fuse the spine in the appropriate sagittal alignment. (Yes, xrays are necessary and alignment is incredibly important) Now, for some reason there are a few chiropractors that believe the sagittal alignment of the spine is of… 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
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 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 analyzed sagittal alignment of the spine and measured on x-ray to determine how to fuse the spine in the appropriate sagittal alignment. (Yes, xrays are necessary and alignment is incredibly important) Now, for some reason there are a few chiropractors that believe the sagittal alignment of the spine is of… 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
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
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
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
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
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
Here is a study that surgeons had patients with DDD and spinal cord compression. These are patients that should have been treated earlier on so it could have stopped degeneration. Anyway, here is what they had to say: “Posterior decompression and stabilization in lordosis is a valuable procedure for patients affected by multilevel CSM, leading to significant clinical improvement thanks to the spinal… Read More