Hello Professionally Integrated, Here is a paper where the authors looked at what areas cause pain in e lumbar spine AFTER a car crash. You can clearly see the pain is not diagnosed as “whiplash”. By understanding where the pain generator is, we can get a specific diagnosis that can lead to a better treatment plan. Lets take a look… Read More
Hello Professionally Integrated, Here is a video and FULL PAPER on a new view to maybe ask for when ordering a cervical MRI when the patient has radiculopathy. I already called my local MRI center and after I sent them this link, they agreed to start doing them. I am also adding in my videos a section on “How to… Read More
Hello Professionally Integrated, Here is a paper and video that I break down as I feel it will lead to better long term outcomes, and improved documentation to help validate our care. I have also added in a “HOW TO IMPLEMENT IN YOUR PRACTICE” section in the video where I show you how I use this paper to educate my… Read More
Dear Professionally Integrated, Here is a study that shows car crashes, even “low impact” crashes, causes jaw dysfunction as well as damage to the upper cervical spine, and how the jaw correlates to the upper spine. This study also shows how “low impact” caused significant damage to the occupants. I have used this study to present to my patients and… Read More
Hello Professionally Integrated, Here is a study where the authors show how a compressive load decreases pressure in the disc. I feel we can use this to educate our patients on what happens with abnormal load over a period of time and how our treatment can help reduce load. Eur Spine J. 2006 May; 15(5): 597–604. Published online 2005 Aug… Read More
Hello Professionally Integrated, Here is a paper where I believe helps us explain 1) the age of the specimen is NOT why they have degeneration, but the length of abnormal spinal mechanics is. 2) Why our treatment to decrease spinal load can actually regenerate the discs. This, I believe can be important for validating our care in the long term… 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
Magnetic resonance imaging Medicine 2017 Sep A possible alternative to a standing lateral radiograph for evaluating cervical sagittal alignment in patients with cervical disc herniation? Convincing evidence supporting the use of magnetic resonance imaging (MRI) as an effective tool for evaluating cervical sagittal alignment is lacking. This study aims to analyze the differences and correlations between cervical sagittal parameters on x-ray… Read More
Here is a study where the authors used humans to evaluate what happens during frontal impacts. Professionally Integrated wants you to understand that not all crashes are the same and we, as doctors, should have an understanding on what areas may be injured in our patients. Lets take a look at some comments from this paper that I find… Read More
Dear Professionally Integrated docs. This is a very important ruling!! You can read it all below here but basically this court ruling shows how we can determine injury IF we are good docs. Professionally Integrated gives you all the tools to be able to do this to help more patients. Dr. Freeman just emailed this as he was one of… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at what areas cause pain in e lumbar spine AFTER a car crash. You can clearly see the pain is not diagnosed as “whiplash”. By understanding where the pain generator is, we can get a specific diagnosis that can lead to a better treatment plan. Lets take a look… Read More
Hello Professionally Integrated, Here is a video and FULL PAPER on a new view to maybe ask for when ordering a cervical MRI when the patient has radiculopathy. I already called my local MRI center and after I sent them this link, they agreed to start doing them. I am also adding in my videos a section on “How to… Read More
Hello Professionally Integrated, Here is a paper and video that I break down as I feel it will lead to better long term outcomes, and improved documentation to help validate our care. I have also added in a “HOW TO IMPLEMENT IN YOUR PRACTICE” section in the video where I show you how I use this paper to educate my… Read More
Dear Professionally Integrated, Here is a study that shows car crashes, even “low impact” crashes, causes jaw dysfunction as well as damage to the upper cervical spine, and how the jaw correlates to the upper spine. This study also shows how “low impact” caused significant damage to the occupants. I have used this study to present to my patients and… Read More
Hello Professionally Integrated, Here is a study where the authors show how a compressive load decreases pressure in the disc. I feel we can use this to educate our patients on what happens with abnormal load over a period of time and how our treatment can help reduce load. Eur Spine J. 2006 May; 15(5): 597–604. Published online 2005 Aug… Read More
Here is a great study where the authors looked at whiplash associated disorders (WAD) and TMJ pain and dysfunction. Professionally Integrated would like you to have this paper as it shows a clear relationship with car crashes, neck injuries and jaw pain. These authors have shown how the neck is closely related to the TMJ and in my opinion the… Read More
I hate hearing that degeneration in the disc is “normal for age”. If this were true, all the discs would degenerate at the same rate because they are all the same age. Here is a study where they loaded discs to determine if it would increase cell death causing degeneration. They applied compression. Now, from a clinical perspective, imagine your… Read More
Always wear your seat belt! This will help us from smashing our face against the windshield or getting ejected. Many people feel , and many people who work for insurance companies, will claim that ” the person should be OK because the patient was wearing a seat-belt.” As members of Professionally Integrated, we know many factors need to be analyzed… Read More
Here is a a study where the authors did a surgery on animals to induce a kyphosis. This is important as some may argue that a kyphosis is a “normal” variant. Obviously, they are wrong. What they looked at was the cartilagenous end plates and found that when compression was on the endplates from the kyphosis, cells were produced to… Read More
Here is a study that showed cadaver specimens that were rear ended at what many insurance companies would call “low speed”. Basically, many different structures got damaged in the impact. The authors imaged the spines before and after. The next time some insurance company says the diagnosis of ligament or facet or discs do not get injured in crashes, show… Read More
Magnetic resonance imaging Medicine 2017 Sep A possible alternative to a standing lateral radiograph for evaluating cervical sagittal alignment in patients with cervical disc herniation? Convincing evidence supporting the use of magnetic resonance imaging (MRI) as an effective tool for evaluating cervical sagittal alignment is lacking. This study aims to analyze the differences and correlations between cervical sagittal parameters on x-ray… Read More