Here is a great paper (and video breakdown) that is incredibly important if you take images after your patient was in a crash and they have degeneration. Most insurance companies will argue that because degeneration is on the image that is a reason further pain and not the crash. However, research and science can be a wonderful thing. Below is… Read More
Here are a great paper and video that discusses MVC consequences, particularly how facet joints can get damaged leading to ongoing chronic pain that can also lead to central nervous system irritation and central sensitization. This is another paper that clearly shows that patients involved in motor vehicle crashes do not just get better a lot of the time, but… Read More
Here is a study that examined low speed MVC injuries. Many of these significant MVC injuries happened at 4.3 M/S which is under 10 mph. The beauty of this research shows the following: 1) Injuries may vary greatly from person to person. This is why we must be thorough on every patient. 2) Lots of different injuries can be present in… Read More
At professionally Integrated, we want to provide you with information that we feel will make you a better doctor and help more patients that are hurt from traumas like car crashes. Here is a study that was done looking at what happens to the cervical spine and the exiting nerve roots as well as two different types of “anti-whiplash”… Read More
Hello PROFESSIONALLY INTEGRATED, Here is a video and paper I break down about radiculopathy after a rear end impact, and the rear impact would be considered “low-speed” by many. This radiculopathy was not from a disc herniation compressing the nerve root, but from damage to structures around the inter-vertebral foramen from spinal damage during the mechanism of “whiplash”. This is… Read More
Dear Professionally Integrated, Here is a great video and paper that I break down for you to make it easy to put in your notes and educate patients and your community. This paper describes the difference between chronic pain patients from a car crash, compared to patients with pain not from a car crash. The authors found a significant difference… 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
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
Hello Professionally Integrated, Here is a paper about axial neck pain. This can present like “sclerotogenous pain” from facets and ligaments and can even be irritated with a subluxation and loss of curve. This paper discusses how this pain decreases patients “quality of life”. I feel if we improve the curve and movement we can minimize this discomfort by increasing… Read More
Dear Professionally Integrated, Here is a break down of a great study that can also be viewed as “frustrating” to us providers and to our patients but is very important for us to understand clinically. Here, the authors took some spines that were in a normal lordosis (again another paper explaining normal) and subjecting it to one rear end impact…. Read More
Here are a great paper and video that discusses MVC consequences, particularly how facet joints can get damaged leading to ongoing chronic pain that can also lead to central nervous system irritation and central sensitization. This is another paper that clearly shows that patients involved in motor vehicle crashes do not just get better a lot of the time, but… Read More
Here is a study that examined low speed MVC injuries. Many of these significant MVC injuries happened at 4.3 M/S which is under 10 mph. The beauty of this research shows the following: 1) Injuries may vary greatly from person to person. This is why we must be thorough on every patient. 2) Lots of different injuries can be present in… Read More
At professionally Integrated, we want to provide you with information that we feel will make you a better doctor and help more patients that are hurt from traumas like car crashes. Here is a study that was done looking at what happens to the cervical spine and the exiting nerve roots as well as two different types of “anti-whiplash”… Read More
Hello PROFESSIONALLY INTEGRATED, Here is a video and paper I break down about radiculopathy after a rear end impact, and the rear impact would be considered “low-speed” by many. This radiculopathy was not from a disc herniation compressing the nerve root, but from damage to structures around the inter-vertebral foramen from spinal damage during the mechanism of “whiplash”. This is… 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 paper about axial neck pain. This can present like “sclerotogenous pain” from facets and ligaments and can even be irritated with a subluxation and loss of curve. This paper discusses how this pain decreases patients “quality of life”. I feel if we improve the curve and movement we can minimize this discomfort by increasing… Read More
Dear Professionally Integrated, Here is a break down of a great study that can also be viewed as “frustrating” to us providers and to our patients but is very important for us to understand clinically. Here, the authors took some spines that were in a normal lordosis (again another paper explaining normal) and subjecting it to one rear end impact…. Read More
Here is a study Professionally Integrated wants you to know about. The goal of professionally Integrated is to help you build your practice by YOU being an expert in your community. I want patients to seek you out. This study the authors MRI’d a few 100 joints of the cervical spine. Many of the patients were chronic WAD patients with pain,… Read More
Here is a study that Professionally Integrated wants you to understand to further help your patients. The authors examined patients 1 year after the crash. They examined asymptomatic and symptomatic people 1 year after the crash to see if they could determine why some were still in pain. They looked at many factors that WE need to be knowledgeable of… Read More
Here is a study that shows how quickly our CNS changes from a facet injury. Take a look at what the authors conclude. This may help explain why patients after a cash have sensation changes and hypersensitivity, helping us identify injuries so we can help our patients. Neuronal hyperexcitability in the dorsal horn develops within 1 day after a mechanical… Read More
Hello Professionally Integrated, Here is a study Professionally Integrated wants you to be aware of so you can help more patients be healthy and we can understand more about our patients and how our treatment helps. Make sure you show your patients the highlights I list below from this paper so you can educate them further. Here is what… Read More