Hello Professionally Integrated! Here is a great paper that shows us that a correlation between sagittal alignment and pain does exist. We need to worry more about our patient outcomes and educating our patients compared to PV’s and our marketing efforts. Educate yourself and your patients by using this site, and you will not have to advertise again as your… Read More
Hello Professionally Integrated Care! Just take a look at the title of this paper. Here are surgeons explaining how an abnormally shaped neck leads to bad health!! Why does some of our profession ignore a fully subluxated neck? Why do we listen to insurance companies dictate how much care we should provide if most of the research completely disagrees with… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at multiple dens fractures and basically found that sagittal alignment played a bigger role than the force of the impact. I feel this is a good study demonstrating that impact (like in crashes with little car damage) is not the main factor in injury. Lets take a look at… Read More
Hello Professionally Integrated. Here is another paper to validate our care for better long term outcomes. Be sure to print some of this out and hand it to your patients to help them understand why our care is important. “Restoring better sagittal alignment is known as a key factor to spine fusion surgeries.” 120 patients with multilevel degenerative thoracolumbar… Read More
Hello Professionally Integrated, Here is a cool study that shows how spinal shape and movement can change a Chiari. On this site I posted a paper about MVC causing Chiari https://professionallyintegrated.com/diagnosis/instability/chiari-caused-from-wad/ Here is a bit at what the authors mention “Although minimal, we found that in many patients with a Chiari I malformation, the cerebellar tonsils ascended.” “Based on… Read More
Cervical spine trauma Cervical spine trauma is a common problem with a wide range of severity from minor ligamentous injury to frank osteo-ligamentous instability with spinal cord injury Indian J Orthop. 2007 Oct-Dec; 41(4): 255–267 “The reported frequency of missed injuries in the cervical spine varies from 4% to 30%.The most common reason cited for missed injuries is an inadequate radiographic… 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 that will help you be a better Chiropractor and allow you to educate more patients and separate your clinic, from all the others in town. In this paper, the authors discuss how a loss of curve, cervical kyphosis, and/or instability is a condition that will lead to further problems and decrease the patient’s… Read More
Hello Professionally Integrated. This is a 2017 study where the authors did a fusion from T9 down to the sacrum for abnormal sagittal alignment. The authors do say that the sagittal alignment is very important for better outcomes. WE can do this for a fraction of the cost and with what I feel , better outcomes as we are not… Read More
Hello Professionally Integrated! Here is a paper that correlates abnormal spinal shape and falls. I feel that educating our patients on the need of proper spinal shape is extremely important for both the short term and long term. On this site I have lots of papers that show how a loss of the normal spinal curves leads to health problems…. 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
Here is a video breakdown and a link to the full paper for you to use to educate your patients, the community, and to improve your documentation to validate your treatment as to why a loss of cervical curve is linked to worse outcomes. The authors look at MRIs of the cervical spine with neck pain and how it leads… Read More
Here is a paper discussing how abnormal spinal sagittal alignment is related to hypertension. This is similar to the study that I published with an abnormal curve decreasing blood flow to the brain (https://professionallyintegrated.com/content/free/loss-of-curve-correlated-to-decreased-brain-blood-flow/). This paper also confirms why x-rays may be important to address sagittal alignment, as it has been linked to many issues that can affect our patient’s… Read More
I have used this paper many times to educate many people and applied its principles to help grow our practice. This is evidence that if you find a cervical kyphosis, it should be treated to avoid LONG TERM COMPLICATIONS. Here is a study that they caused kyphosis in animals. What the authors observed was: 1) the kyphosis gets worse 2)… 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
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, I want to show you how beneficial this site is while practice is a little slower because of COVID-19. Here are ideas that we are doing to keep our patients connected to our office . . . You either need to log in or a different subscription to view this page. Sign Up Now!… 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 Care! Just take a look at the title of this paper. Here are surgeons explaining how an abnormally shaped neck leads to bad health!! Why does some of our profession ignore a fully subluxated neck? Why do we listen to insurance companies dictate how much care we should provide if most of the research completely disagrees with… Read More
Hello Professionally Integrated! Here is a paper that correlates abnormal spinal shape and falls. I feel that educating our patients on the need of proper spinal shape is extremely important for both the short term and long term. On this site I have lots of papers that show how a loss of the normal spinal curves leads to health problems…. Read More
Here is a study that in my opinion discusses many aspects to helping and understanding patients from trauma. This impact is similar to a rear end collision. This study discuses how the neck moves in a unnatural position (S shaped cervical curve) , how spinal cord injuries happen from a abnormal movement and how these injuries may not be detected… 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
MVC have been shown to cause a reversal of the cervical lordosis. This pathology has been shown to lead to future pain, spasms, disc pathologies, even CNS problems. Make sure you analyze this pathology and be sure to measure the curve. This will allow you to help your patient by explaining why they may hurt and why they need your… Read More