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 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
Hello Professionally Integrated, Knowing what position your patients head is in is important! Many studies show that a head turned can increase injury to the cervical spine in a MVC ( I posted this on this site). Here is a study that shows neck injuries greatly increase if the head is turned a little. In this paper they look at… Read More
Hello Professionally Integrated, FREE Here is a very cool study that looked at patients imaging of the SPINAL CORD after a car crash. As we know, if you are a GOLD or PREMIUM member, you have access to many different pathologies that can occur after a motor vehicle crash or trauma. This study shows changes on MRI in the spinal… Read More
Hello Gold and Premium Members of Professionally Integrated, Have you been asked by a patient, an attorney, or insurance company “How do you know the crash caused the instability?” As a member you know I go over this through many different avenues, but here is a paper that tested ligaments strength after a rear end impact. Be sure to educate… Read More
Hello PROFESSIONALLY INTEGRATED gold and premium members, Here is a great study that I break down for you to easily insert in your notes, to educate patients, make hand outs, as well as a video for you to watch and listen to as these authors describe how “whiplash” injuries from different impact vectors can lead to damage of the upper… Read More
Here is a study Professionally Integrated wants you to be familiar with. This study shows how head and neck position and/or direction of the impact, will increase the possibility of injury to the cervical spine. I feel this is important to know because in a trauma, like a car crash, knowing our patients head postilion is more clinically relevant than… Read More
Here is a paper where the authors evaluated many different changes associated with a car crash, one of them being a change in blood velocity. I hope you have always heard me say that “whiplash” is NOT a diagnosis, but a mechanism of injury. “Whiplash” can cause no injuries or death and everything in between. Be sure to educate yourself… 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, FREE Here is a very cool study that looked at patients imaging of the SPINAL CORD after a car crash. As we know, if you are a GOLD or PREMIUM member, you have access to many different pathologies that can occur after a motor vehicle crash or trauma. This study shows changes on MRI in the spinal… Read More
Hello Gold and Premium Members of Professionally Integrated, Have you been asked by a patient, an attorney, or insurance company “How do you know the crash caused the instability?” As a member you know I go over this through many different avenues, but here is a paper that tested ligaments strength after a rear end impact. Be sure to educate… Read More
Hello PROFESSIONALLY INTEGRATED gold and premium members, Here is a great study that I break down for you to easily insert in your notes, to educate patients, make hand outs, as well as a video for you to watch and listen to as these authors describe how “whiplash” injuries from different impact vectors can lead to damage of the upper… Read More
Here is a study Professionally Integrated wants you to be familiar with. This study shows how head and neck position and/or direction of the impact, will increase the possibility of injury to the cervical spine. I feel this is important to know because in a trauma, like a car crash, knowing our patients head postilion is more clinically relevant than… Read More
Here is a paper where the authors evaluated many different changes associated with a car crash, one of them being a change in blood velocity. I hope you have always heard me say that “whiplash” is NOT a diagnosis, but a mechanism of injury. “Whiplash” can cause no injuries or death and everything in between. Be sure to educate yourself… 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
Here is a paper I use to educate my patients and the community about concussions and cervical injuries and how BOTH need to be examined. I broke down the paper below for easy access and to improve and to place in your SOAP notes. This paper goes over MTBI, as well as “G forces” that can damage the brain as… 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 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
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
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
Hello Professionally Integrated, Here is a narrative I was paid to produce and the demand letter a very good attorney wrote based on the narrative and science to help her client, my patient get compensated for her injuries. As I have mentioned, in my experience most docs and attorneys do not know enough about these injuries to truly help, this… 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