Hello Professionally Integrated, Here is a paper where the authors used ultrasound to compare muscle function of MVC patients and non MVC patients and their was a significant difference. Now, we need to look at why are some of these muscles active, non active, and stretched? Is it due to abnormal sagittal alignment, instability, etc?? This site has numerous papers… Read More
Hello Professionally Integrated, Here is a paper and breakdown for your notes and education. The authors looked at multiple criteria on what is needed to properly evaluate instability in the cervical spine. The authors did not mention C1/2 translation, but I have a paper on that topic coming out soon. Be sure to do a FULL examination, and history as… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at a “whiplash like injury”, but they looked at the injury that was caused by the “whiplash”. The authors found that a specific injury was causing pain and a decreased quality of life, and that about 50% of patients that suffer a whiplash like injury, can not be cured… Read More
Hello Professionally Integrated, here is a paper that helps us understand what signs to look for on imaging that can lead to worse outcomes. I believe we need to educate our patients about how our care can help minimize LONG TERM health problems. “Not all patients with spinal cord compression due to cervical spondylotic myelopathy (CSM) have clinical symptoms and… Read More
Hello Professionally Integrated, Here is a paper where the authors looked at multiple dens fractures and basically found that sagittal alignment played a bigger role than the force of the impact. I feel this is a good study demonstrating that impact (like in crashes with little car damage) is not the main factor in injury. Lets take a look at… 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 that will help you be a better Chiropractor and allow you to educate more patients and separate your clinic, from all the others in town. In this paper, the authors discuss how a loss of curve, cervical kyphosis, and/or instability is a condition that will lead to further problems and decrease the patient’s… 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
Dear Professionally Integrated, Here is a cool paper that I believe 1) Helps us help more patients 2) Helps us understand more, making us different than most in our community 3) this suggests how much damage may be associated with abnormal spinal movement. The authors cut ligaments and joints of the spine before and after they measured vertebral spinal movement… Read More
Dear Professionally Integrated, Here is a great paper that will help us help more patients. This paper looks at upright to supine images, and also discusses how injuries, injuries I believe we can really help with, can be “hidden” and we must look a little closer to identify them. This will validate our decision making and guide us to more… Read More
Hello PROFESSIONALLY INTEGRATED, WOAH!!! This is an incredible paper that shows how an upper cervical “issue” can directly affect the CNS! This shows the anatomy on how this delicate region is way more than a “soft tissue” injury! This paper is incredibly important for headache patients and patients you diagnosed with an upper cervical injury. The suboccipital region is… Read More
Here is a video break down and info from a paper that can really help more patients and increase your patient education and documentation. Being able to take our patients subjective complaints and correlate them to research is a wonderful starting point to 1) help our patients 2) validate our diagnosis 3) validate our treatment recommendations. This is the core… 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
I just explained this paper to attorneys, docs, and other providers and it generated many new patients. Here is a complex study that looks at myelopathy in the cervical curve. Many studies I have posted show that abnormal shape and mechanics of the cervical spine will lead to myelopathy. This study looked at quality of life and how abnormal spinal mechanics… Read More
Dear Professionally Integrated, Here is a VIDEO and PAPER to educate on why “PAIN” and “SPASM” is not a full diagnosis. I have used this many times to educate why a patient with THIS DIAGNOSIS will need ongoing care. This explains how true spinal subluxations and injuries can cause pain and spasm. I use this to educate patients as to… Read More
Hello Professionally Integrated, Here is another video and break down of a paper to help educate your patients and improve documentation to help validate your care. In this paper that authors look at an evaluate many MRIs and they measure many areas to look at the difference between patients in pain and those not in pain. Understanding these findings help… Read More
So many different injuries can occur in car crashes. Body and head position can play a major role into potentially increasing damage to certain structures of the neck. As a member, you have access to this information to keep you informed which will only increase your confidence leading to excellence. Here is a paper where the authors looked at many… Read More
Hello professionally integrated, Here is a paper where the author discusses many papers that he has published on cervical and lumbar instability and the long-term consequences of this pathology. Many docs are taught to identify instability to increase the value of the motor vehicle claim. However, many docs do not understand what the long-term implications are and what we can… Read More
Dear Professionally Integrated, Here is a paper that shows differences on MRI’s in the cervical spine between crash patients and non crash patients. This is a significant finding and we should start asking our MRI radiologists if they can start mentioning this finding so we can document it and educate our patients. Plus, this study also shows that a LARGE… Read More
Hello Professionally Integrated, Here is a paper where the authors used ultrasound to compare muscle function of MVC patients and non MVC patients and their was a significant difference. Now, we need to look at why are some of these muscles active, non active, and stretched? Is it due to abnormal sagittal alignment, instability, etc?? This site has numerous papers… 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
Hello Professionally Integrated, 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… 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
Hello Professionally Integrated, Here is a paper and breakdown for your notes and education. The authors looked at multiple criteria on what is needed to properly evaluate instability in the cervical spine. The authors did not mention C1/2 translation, but I have a paper on that topic coming out soon. Be sure to do a FULL examination, and history as… Read More