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
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 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
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
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, 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
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 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
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
Hello Professionally Integrated, Here is a paper where surgeons understand that an abnormal sagittal alignment leads to pathologies and poor outcomes. The surgeons are looking for ways to improve the alignment. We can do this for a fraction of the cost and a fraction of the possible complications of surgery. Lets educate our patients and community about how we can… Read More
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
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 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
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 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