Car crashes can cause a reversed cervical curve. Being able to treat this problem may require ongoing appropriate care and treatment and patient education. Here is a study that shows how a straight neck (not even kyphotic) increases pressure on the facets and discs by a large factor, including areas of the brain! Our patients need appropriate care. This study explains… Read More
Here is a study where the authors looked at acute, chronic, and asymptomatic necks. What they found was a correlation between pain and a loss of the cervical lordosis. Again, this study further helps you validate care for patients diagnosed with a loss of the cervical curve. Plus, in this site I also posted studies showing car crashes cause this… Read More
MVC can significantly change your patients cervical lordosis. So what, right? Well, many studies suggest this is a significant pathology that can lead to further complications. This is improtant to understand so 1) we can get our patients the treatment they need, 2) try to prevent our patients from getting worse 3) explain to your patients, insurance companies and attorneys… Read More
I digitize every X-Ray I can. Why? I feel with out it, it is like using a blood pressure cuff, but not having a dial to objectify the numbers. Having the information to tell us as doctors, what a normal or abnormal spine is (I have posted research to support this) is important. This is how we can document why a… Read More
Again, as a doctor you need to be specific in your diagnosis. 1) that is our job 2) It allows us to help the patient better understand what is wrong, 3) an insurance company will have to argue that the diagnosis is wrong which is difficult. Here is a picture that shows a loss of cervical curve is common in… 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
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 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
Here is a paper that can be used to educate your patients and put in your notes to really show why accident crash Re-constructionist, hired by the insurance company cannot make a scientific point as it relates to likelihood of MVC injuries. This paper looks at how our spine changes shape when we are sitting in the car compared to… Read More
Hello Professionally Integrated, Here is some great information that shows what happens to the cervical spine during a whiplash rear end impact starting at only 2 gs. Notice how the authors do NOT say “soft tissue” but describe what soft tissue was damages such as the facet capsule and vertebral artery. The authors also show that the tested impact causes… 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, 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
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