Hello Professionally Integrated, AOMSI does NOT even come into the equation in this area of the spine. This is a paper that the authors looked at ways to identify upper cervical instability. The paper that I helped author explains a lot more in terms of what is normal stability through different ranges of motion. Most of the instability in… Read More
Hello Professionally Integrated! AOMSI and 25-28% really doesn’t explain much about what “instability” does physiologically. Here is a paper where the authors looked at instability and how it can affect the spinal cord leading to upper extremity weakness. As a member of the site under the tab “instability” , we have lots of papers and information and webinars about… Read More
Hello professionally integrated, Here is a great paper and break down about upper cervical instability, Chiari malformation type one, causation and symptoms. This condition has been shown to occur after trauma and on this site there are other papers and videos discussing that. This is a great paper for us to be aware of as well as to share with… Read More
Hello Professionally Integrated. Here is a finite element study where the authors evaluated C2-C3 during “whiplash” simulation. During the evaluation they recorder many ligamentous areas of the spine and how they react, or fail during a “whiplash” mechanism. This is important for us to know as it will only help us understand and identify common injuries in crashes that in… Read More
Dear Professionally Integrated, Here is a video breakdown looking at “lumbar instability” and pain. This is another great paper showing why X-rays with movement are important and how abnormal movement is related to pain. The authors looked at sagittal instabilities and pain. Take a look below at what this paper discusses and see how what we do is clinically relevant… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at how much force it requires to completely rupture both the alar ligaments. Lots of research and literature, as well as clinical experience shows that the upper cervical spine can be damaged in trauma, especially motor vehicle crashes. On this site I have lots of information from research… Read More
Dear Professionally Integrated, Here is a very interesting study that shows the link between head and neck trauma, and MTBI, and how small changes in head position can dramatically affect the structures (ligaments at different levels of the spine and bran). This is interesting to me, and I will certainly document this in many of my patients charts as… Read More
Dear Professionally Integrated, Here is a great paper and video breakdown where the authors looked at damage to the anterior longitudinal ligament (ALL) as well as the ligamentum flavum (LF) and how that can affect spinal stability. They also discussed how spinal instability can disrupt nerves and other tissue. The authors also looked at how much force it can take… Read More
Hello professionally integrated, Here is a paper where the authors looked at patients who were diagnosed with “discogenic pain” and evaluated them with flexion extension lumbar x-rays to determine the likelihood of instability. This paper is great to explain how abnormal movement can lead to increased pain. The authors suggest this imaging should be done on patients with “nonspecific pain”… Read More
Hello Professionally Integrated, This study shows that a car crash can injure different ligaments in the spine. Even “low impact” . As a provider if we take flex/ext films and mainly a digital motion Xray, we have a better chance of identifying which areas are damaged. When we do that, we can treat more effectively and better educate our patients… Read More
Hello Professionally Integrated, AOMSI does NOT even come into the equation in this area of the spine. This is a paper that the authors looked at ways to identify upper cervical instability. The paper that I helped author explains a lot more in terms of what is normal stability through different ranges of motion. Most of the instability in… Read More
Hello Professionally Integrated! AOMSI and 25-28% really doesn’t explain much about what “instability” does physiologically. Here is a paper where the authors looked at instability and how it can affect the spinal cord leading to upper extremity weakness. As a member of the site under the tab “instability” , we have lots of papers and information and webinars about… Read More
Hello professionally integrated, Here is a great paper and break down about upper cervical instability, Chiari malformation type one, causation and symptoms. This condition has been shown to occur after trauma and on this site there are other papers and videos discussing that. This is a great paper for us to be aware of as well as to share with… Read More
Hello Professionally Integrated. Here is a finite element study where the authors evaluated C2-C3 during “whiplash” simulation. During the evaluation they recorder many ligamentous areas of the spine and how they react, or fail during a “whiplash” mechanism. This is important for us to know as it will only help us understand and identify common injuries in crashes that in… Read More
Dear Professionally Integrated, Here is a video breakdown looking at “lumbar instability” and pain. This is another great paper showing why X-rays with movement are important and how abnormal movement is related to pain. The authors looked at sagittal instabilities and pain. Take a look below at what this paper discusses and see how what we do is clinically relevant… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at how much force it requires to completely rupture both the alar ligaments. Lots of research and literature, as well as clinical experience shows that the upper cervical spine can be damaged in trauma, especially motor vehicle crashes. On this site I have lots of information from research… Read More
Dear Professionally Integrated, Here is a very interesting study that shows the link between head and neck trauma, and MTBI, and how small changes in head position can dramatically affect the structures (ligaments at different levels of the spine and bran). This is interesting to me, and I will certainly document this in many of my patients charts as… Read More
Dear Professionally Integrated, Here is a great paper and video breakdown where the authors looked at damage to the anterior longitudinal ligament (ALL) as well as the ligamentum flavum (LF) and how that can affect spinal stability. They also discussed how spinal instability can disrupt nerves and other tissue. The authors also looked at how much force it can take… Read More
Hello professionally integrated, Here is a paper where the authors looked at patients who were diagnosed with “discogenic pain” and evaluated them with flexion extension lumbar x-rays to determine the likelihood of instability. This paper is great to explain how abnormal movement can lead to increased pain. The authors suggest this imaging should be done on patients with “nonspecific pain”… Read More
Hello Professionally Integrated, This study shows that a car crash can injure different ligaments in the spine. Even “low impact” . As a provider if we take flex/ext films and mainly a digital motion Xray, we have a better chance of identifying which areas are damaged. When we do that, we can treat more effectively and better educate our patients… Read More
Hello Professionally Integrated, Here is an interesting paper that discusses CAROTID ARTERY INJURY after a crash and raises the clinical question if we should do angiograms after trauma. This is a tough clinical decision to make as we want to start with a more conservative approach, yet trauma such as crashes, have shown to disrupt the vessels of the… Read More
Here is a published paper that you should use to educate your patients in your community on how you can help patients with spondylolisthesis cases and instability, as well as loss of curve. These pathologies have been shown to cause significant problems in the patient’s health, and quality of life both in the long and short term. You now have… Read More
Here is a study the I, at Professionally Integrated want you to be familiar with. This shows many injuries that can be caused by “whiplash” and shows how “whiplash” is NOT a diagnosis. This also demonstrates how low the Gs are for a patient to potentially be hurt. The insurance companies may say that “no damage to the car, so… Read More
Hello PROFESSIONALLY INTEGRATED, Here is a very cool paper on a new ligament in the upper cervical spine and what motion it is intended TO PROTECT. Having this information to easily transfer to your notes and to educate your patients is incredibly important. The more specific we are with their injury, the easier it is to validate our treatment as… 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
Discussion about the recent cervical instability research paper published by Dr. Evan Katz et al. Read more about the paper “Diagnostic Accuracy of Videofluoroscopy for Symptomatic Cervical Spine Injury Following Whiplash Trauma” here. This webinar recording includes a LIVE Q&A session with Dr. Evan Katz. Below are a few excerpts from the paper: A total of 196 subjects… Read More
Here is what I believe to be one of the most groundbreaking papers on spinal biomechanics comparing injured patients and noninjured patients. I am proud to be one of the authors of this paper where we evaluated 196 patients. Some had chronic pain after a crash, while others have never had neck pain that lasted more than a week in… Read More
Here is a FREE paper and video I breakdown so you can have this information for yourselves and to further educate your patients, as well as document this in your notes. This paper suggests that instability is about 2 mm in the cervical spine, which is less than 3.5 mm that has been used for a very long time. However,… Read More
Hello Professionally Integrated, Here is a great video you need to implement for patient education and VALIDATING your care. As a member you will be given what you need on a “silver platter” to educate, document, and increase your referrals based on your expertise. Abstract: Ligament injuries are among the most common causes of musculoskeletal joint pain and… Read More
Dear Professionally Integrated, Here is a paper where the authors examined a patient who was in a “very low impact” collision that caused a VERY serious injury. I use this paper in my notes and education of patients that no link has been made to car damage and bodily injury. This paper also discusses how important other factors are in… Read More