Hello Professionally Integrated Care!
Just take a look at the title of this paper. Here are surgeons explaining how an abnormally shaped neck leads to bad health!! Why does some of our profession ignore a fully subluxated neck? Why do we listen to insurance companies dictate how much care we should provide if most of the research completely disagrees with what the insurance companies suggest? Lets put our patients and our profession first!
I feel if we keep ignoring the evidence, our profession will be left behind. These surgeons are understanding how a loss of curve is bad for patients, yet they are fixing it with screws and bolts. WE can do this for a fraction of the cost and way less risks, both in the short and long term. Lets take a look at what the authors mention. BE SURE TO EDUCATE AND SHOW YOUR PATIENTS, PRINT IT OUT AND PUT IT AT YOUR FRONT DESK!
Eur Spine J
Cervical sagittal balance: a biomechanical perspective can help
Avinash G. Patwardhan1,2,5 · Saeed Khayatzadeh1 · Robert M. Havey1,2 ·
Leonard I. Voronov1,2 · Zachary A. Smith3 · Olivia Kalmanson2 ·
Alexander J. Ghanayem1,2 · William Sears4
Received: 29 June 2017 / Accepted: 24 October 2017
“Increasing FHP (i.e., increased C2–C7 SVA) was associated with shortening of the cervical flexors and occipital extensors and lengthening of the cervical extensors and occipital flexors, which corresponds to C2–C7 flexion and C0–C2 extension. The greatest shortening occurred in the suboccipital muscles, suggesting considerable load bearing of these muscles during chronic FHP.” Chin tucks only shorten the flexors further. I feel we need to “fix” why they are short in the first place, the CURVE!
“Finally, cervical sagittal imbalance may play a role in exacerbating adjacent segment pathomechanics after multilevel cervical fusion and should be considered during surgical planning” (Doctor, surgeons are looking at the shape for surgical planning. WE NEED TO CONSIDER IT FOR CHIROPRACTIC PLANNING)
“Cervical sagittal balance (CSB) describes how the cervical spine is postured in the sagittal plane. Research surrounding this area is vital to understanding how cervical spine malalignment in the sagittal plane is associated with headache, neck pain, and poor health-related quality of life” ( AS A EMBER YOU HAVE ACCESS TO THE RESEARCH THAT SUPPORTS THIS CLAIM. IF WE IDENTIFY A LOSS OF THE CERVICAL CURVE, THIS LEADS TO DECREASED QUALITY OF LIFE. WE CAN HELP THEM!!!)
“The overall results for each functional group were as expected, matching the current literature about how a muscle should qualitatively change in FHP: the cervical flexors shortened, the cervical extensors lengthened, the occipital flexors lengthened, and the occipital extensors shortened. The quantitative results can be found in Table 1 and a pictorial representation in Fig. 8.”
“In persistent occipital extension, such as in chronic FHP, prolonged tension on the myodural bridges may stress the pain-sensitive dura mater, resulting in neck pain or cervicogenic headache” Doctor, should we leave a subluxated neck that causes neuro interference??
“Conclusions The results of our biomechanical studies have improved our understanding of the impact of cervical sagittal malalignment on pathomechanics of the cervical spine. We believe this improved understanding will assist in clinical decision-making. Increasing FHP was associated with shortening of the cervical flexors and occipital extensors and lengthening of the cervical extensors and occipital flexors, which corresponds to C2–C7 flexion and C0–C2 extension .”
WE NEED TO HELP THESE PATIENTS BEFORE SURGEONS FIX THE CURVE WITH BOLTS AND SCREWS. USE THIS INFO TO VALIDATE YOUR CARE!!! JOIN AS A PREMIUM MEMBER FOR WAY MORE. YOUR PATIENTS AND YOUR PRACTICE WILL NOT REGRET IT!!