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 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 the authors publish: (… 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
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
Here is a paper that basically discusses how too many factors in the real world are important when it comes to evaluating a patient. Many insurance companies will look at car damage. This paper looked at real world “black boxes” from car crashes and bodily injury. The authors basically concluded that patient position, if the car had a tow bar,… Read More
Here is a study where the authors performed a bilateral facet dislocation. What I found interesting was the supporting stabilizers included and injured around a damaged facet joint. This can help us when treating a patient who has a injured facet joint to understand other tissues that may be damaged as well. Her is what the authors say “This study… 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
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
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
Here is a great study showing the movement of the cervical facet joints and how the areas may be injured. This is clinically important for us to understand when treating patients with neck pain from a trauma such as a car crash. What I find interesting is how low the G forces are to cause injury. This is important as… 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 paper where the authors used finite element modeling of the cervical spine to predict what structures have the potential for injury in a rear end impact. The interesting part is the forces applied is what many insurance companies would call a “low impact” collision. However, this study shows that areas of the spine can get damaged and… Read More
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 the authors publish: (… Read More