In order to diagnose "instability" in your patient, you need to objectify it with measurements, and we need to know what references we relied upon. In order to say that a spine is "unstable" we must be able to explain what "stable is. This is an important finding. Car crashes have been shown to cause instability (check this site for references). Instability has a great chance of becoming chronic and will most likely need on going care. This is important to explain to your patient and the insurance company. This diagnosis is NOT a self resolving injury that should get . . .
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