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Loss Of Lordosis and Surgery to fix For LONG TERM Outcomes.
December 14, 2022

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

Free

Chronic Headaches and Anterior Head Translation!
August 1, 2022

  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

Gold

Loss of curve leading to ALOD!
February 24, 2022

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

Premium

TMD, WAD, and The Cervical Spine
October 18, 2021

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

Gold

Sagittal alignment And Cervical Spondylotic Myelopathy
September 2, 2021

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

Gold

Loss of curve and neurologic problems
August 2, 2021

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

Free

Knee OA, and Loss of Lumbar Lordosis on QOL
July 26, 2021

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

Gold

Cervical Kyphosis Surgery with Myelopathy and Outcomes
February 7, 2021

  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

Gold

Lordosis After Fusion Gives Better Outcomes
January 20, 2021

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

Gold

Loss of Spinal Curve And Surgery!
September 20, 2020

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

Gold

Loss Of Lordosis and Surgery to fix For LONG TERM Outcomes.
December 14, 2022

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

Gold

Loss of curve leading to ALOD!
February 24, 2022

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

Gold

Sagittal alignment And Cervical Spondylotic Myelopathy
September 2, 2021

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

Gold

Loss of curve and neurologic problems
August 2, 2021

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

Gold

Cervical Kyphosis Surgery with Myelopathy and Outcomes
February 7, 2021

  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

Gold

Lordosis After Fusion Gives Better Outcomes
January 20, 2021

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

Gold

Loss of Spinal Curve And Surgery!
September 20, 2020

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

Gold

An Abnormal Neck Curve is Weaker and Fails Sooner
February 15, 2020

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

Gold

Lumbar Lordosis and Muscle Atrophy
December 23, 2019

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

Gold

2

Fusion To Improve Lordosis
December 2, 2019

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

Free

Chronic Headaches and Anterior Head Translation!
August 1, 2022

  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

Free

Knee OA, and Loss of Lumbar Lordosis on QOL
July 26, 2021

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

Free

Fibromyalgia and Loss of Neck Curve on X-Ray
January 18, 2020

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

Free

Spinal Curve Changes, Pain, and Imaging
April 21, 2018

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

Free

Modic Changes And Loss Of Curve
January 12, 2018

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

Free

Degeneration and Abnormal Curve
January 1, 2018

“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

Free

DMX, Loss Of Curve and Instability
September 12, 2017

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

Free

Loss Of Curve, Surgery, And Cord Position
November 14, 2015

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

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