Vertebrae of the neck
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Listen to episode 134 of the ACA Podcast, 'Concussion and the Cervical Spine' with Dr Alex Alevras.
In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy. The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests including Spurling's test and neural tension tests to improve diagnostic accuracy. Dr. Thoomes also challenges the reliability of traditional dermatomes and myotomes, advocating for individualized assessment and treatment strategies. The conversation covers various treatment options, highlighting the ineffectiveness of cervical traction and suggesting neurodynamic mobilization, spinal manipulative therapy, and targeted exercises. Dr. Thoomes advises adapting management strategies from acute to chronic stages and stresses the role of patient education and self-management. The episode also touches on the limited role of imaging unless necessary and discusses the importance of differentiating cervical radiculopathy from other conditions. Dr. Thoomes calls for more research in areas like epidemiological data and neurodynamic mobilization and shares clinical gems for effective management. The episode concludes with an emphasis on individualized patient care and encourages questions and further discussion from listeners. Content 00:00 Intro 00:52What is Cervical Radiculopathy? 04:05 Cervical vs Lumbar Disc Herniation 05:29 Clearer Terminology needed 07:15 Prevalence and Risk Factors 08:26 Most useful Tests 10:33 Crucial History Findings 11:56 Dermatomal/myotomal examination 13:13 Treatment Options 18:27 Manipulations? Mobilizations? 21:29 Motor Control Training 24:55 Directional Preference in the Cervical Spine? 26:03 Higher Level Exercises 27:01 Self-Management 28:52 Diagnostic Mistakes to Avoid 31:30 Red Flags and Imaging 33:15 Lessons to learn from LRS 34:25 Future Research Directions 37:45 Top Tips 39:27 Outro & Contact Info Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
Full article: Machine Learning to Detect Cervical Spine Fractures Missed by Radiologists on CT: Analysis Using Seven Award-Winning Models from the RSNA 2022 Cervical Spine Fracture AI Challenge Shailin Thomas, MD, discusses the AJR article by Chen et al. exploring the use of award-winning machine-learning models to detect cervical spine fractures missed by radiologists.
Reference: Leonard JC et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. June 2024. Date: Oct 15, 2024 Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an […] The post SGEM #467: Send me on my way…without Cervical Spine Imaging first appeared on The Skeptics Guide to Emergency Medicine.
The Evidence Based Chiropractor- Chiropractic Marketing and Research
This week, we sit down with Dr. Cameron Bearden to delve into the latest innovations in cervical spine assessment. Dr. Bearden shares his firsthand experience using NeckCare in his practice, discussing its profound impact on patient care, clinical assessments, and even business operations.Episode Notes: Association Between Spinal Manipulation, Butalbital Prescription, and Medication Overuse Headache in Adults With Tension-Type HeadacheThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comTurncloud EHR- Minimalist design, without being sparse. Practical, yet elegant. Turncloud's design was to find the most efficient path in a day in the life of a chiropractic office. Connect with their team at www.turncloud.com Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
The connection between Brain Fog and the Upper Cervical Spine.
In this interview, Dr. Peter Martone, a chiropractor and owner of the Atlantis Chiropractic Wellness Centers, discusses the reasons why cervical spine deterioration occurs and practical methods to improve your spine health.
The connection between Dysautonomia and the Upper Cervical Spine
مطالعهی پیکارن برای اندیکاسیون تصویربرداری از ستون فقرات گردنی در ترومای بلانت اطفال https://pecarn.org/pecarn_news/clinical-decision-rule-cervical-spine/
In this episode, Matt and Allie introduce Dr. Jaideep Chunduri to talk more about cervical injuries and cervical spine fusion. You'll learn more about Dr Chunduri, his background, as well as some of the treatments/surgeries he typically uses for cervical pain/injuries. Dr. Chunduri is a big advocate for conservative care, exploring non- surgical routes like physical therapy, medication and/ or injections to treat pain first. When all else fails- he takes the next step in considering the options of spinal fusion or disc replacement to get his patients back to full-function. Hear the signs/symptoms patients experience, the difference in the treatments/procedures, and when the surgical route is appropriate.Learn more about Dr. Chunduri here.Did you know that you don't need a doctor's prescription to receive physical therapy? The laws of Direct Access allow you to receive physical therapy without a referral and still use your insurance benefits! Learn more on how Direct Access can help YOU! Our website: https://www.oxfordphysicaltherapy.com/
Join this fantastic conversation with Dr. Julie Leonard (Nationwide Children's) and Dr. Dan Corwin (CHOP) about the management of pediatric cervical spine injuries. This duo teaches us about the new PECARN clinical decision rule for cervical spine injuries as well as key pearls on physical exam and imaging in pediatric patients with blunt trauma.
Focus on the Cervical Spine: Evidence and the Provision of Safe and Effective Thrust Techniques
Hoang's World | Helping Occupational Therapist Become Experts
Join us in this in-depth session as we explore the complexities of diagnosing and treating SI joint pain and neck muscle tension. Learn about the critical role of synovial fluid in nerve pain, and discover effective treatments like Frequency Specific Microcurrent (FSM), glute minimus release, and skin taping. Dive into manual techniques for sacroiliac joint tears, ligament sprains, and the use of dye injections for diagnostics. Additionally, we provide insights into managing neck muscle tension, vestibular injuries, and enhancing range of motion through suboccipital coordination and cervical alignment. Witness real-time patient improvements, and gain practical exercises and applications to help alleviate pain and enhance clarity. 01:24 FSM Treatments 03:55 SI Joint Injections and Diagnostics 07:35 Manual Therapy and Muscle Treatment 23:35 Vestibular Injury Examination 36:52 Reflex Testing and Observations 52:30 Cervical Range of Motion Assessment 55:20 Thermal Burns and Malpractice 55:53 PrecisionCare Setup 58:08 Psoas Treatment 59:41 Multitasking Machines 01:05:24 Abdominal Adhesions 01:18:37 Supine Cervical Practicum 01:24:58 Cervical Spine and Vestibular Injuries 01:47:55 Final Adjustments and Observations ### Unveiling the Complexities of SI Joint and Vestibular Injuries: A Comprehensive Approach to Diagnosis and Treatment Welcome to today's blog post where we delve into a comprehensive approach to diagnosing and treating Sacroiliac (SI) joint injuries and vestibular dysfunction. This post provides a detailed walk-through of a real-life patient case, revealing the intricacies of how these conditions can interrelate and the diagnostic tools and treatments available for managing them effectively. #### The Complex Case Study: Patient's Initial Condition Our journey begins with a patient suffering from an extensive list of symptoms—repeated expressions of discomfort and frustration, phrases like "Oh my God, this is insane," and "That's ridiculous." The patient also mentioned various treatments being attempted without success, highlighting persistent pain and limitations in daily functions. #### Mapping Out the Problem A crucial first step in understanding this patient's case was a thorough examination. This started with highlighting specific symptoms: - Persistent pain described as "hilarious but ridiculous." - A complex history involving multiple treatments like injection pillow, skin taping, and various exercises. - Diagnoses from physical exams and past procedures indicating possible ligament tears and synovial joint issues. - Persistent muscular pain points, particularly in the glute minimus and other muscles compensating for dysfunction in the SI joint. #### Diagnostic Techniques: Leaving No Stone Unturned The diagnostic process was multifaceted, involving numerous techniques to get a full picture of the patient's condition: 1. **Physical Examination**: An in-depth examination of the SI joint, assessing symptoms like tenderness, muscle spasms, and joint stability. 2. **Tuning Fork Test**: Used to determine semi-circular canal dehiscence, a potential contributor to vestibular dysfunction. 3. **Gait Analysis**: Observing patient's movement, balance, and coordination to identify any abnormalities or compensatory mechanisms in ambulation. 4. **Visual Tests**: Including eye-tracking and head movement coordination, to understand the extent of vestibular injury. #### Treatment Modalities Applied Once diagnostics provided a clearer scope of the problem, tailored treatments began: - **FSM (Frequency Specific Microcurrent)**: This included treating torn ligaments and connective tissue. FSM is utilized for its ability to reduce inflammation and accelerate healing in specific areas. - **Injections**: Steroid and prolotherapy injections were used accurately within the joint to diagnose and address specific pain sources effectively. - **Skin Taping**: Applied precisely to stabilize the SI joint by reducing excessive movement, thus lowering pain and improving functional stability. - **Physical Treatments**: Manual work, including the use of pressure on specific points to reduce muscle tension and improve alignment. #### Intricacies of Manual Therapy Manual therapy for this patient involved: - Applying pressure to areas of adhesion between the psoas and bladder. - Addressing tightness in the quadratus lumborum and associated musculature to improve movement. - Focusing on softening the muscles overlying facet joints to relieve associated nerve pain. - Careful manipulation of the suboccipital muscles to alleviate tension extending from cervical misalignment impacting vestibular functions. #### Importance of Patient Communication and Sensitivity Throughout the diagnostic and treatment process, patient comfort and communication were prioritized. Consistently asking the patient about her pain levels, clarifying each step of the process, and ensuring a thorough explanation enabled a more targeted and effective treatment regimen. #### Results and Reflections After implementing these comprehensive treatment strategies, there was a notable improvement: - The patient reported a sensation of clarity, reduced muscular tension, and enhanced range of motion. - Objective measures, such as increased neck flexion, extension, and rotation, validated these subjective reports. - The plan included follow-up treatments to ensure sustained improvement and address any remaining issues. #### Conclusion This detailed case study underscores the complexity and interrelation of SI joint injuries and vestibular dysfunction. Treating such multifaceted conditions requires a deep understanding of anatomy, innovative diagnostic techniques, and a blend of manual therapies and technological interventions. Understanding the interplay between various bodily systems and having a meticulous approach to diagnostic and therapeutic processes can significantly enhance patient outcomes. If you or someone you know is suffering from similar symptoms, consider a multi-targeted approach to uncover and address the underlying issues comprehensively. Stay tuned for more in-depth case studies and insights into complex medical conditions and innovative treatment options.
The latest BOSS podcast features Dr. Talar Tejirian, a general surgeon who suffered a cervical spinal injury that led to a permanent nerve injury in her dominant arm. She shares her experience of undergoing surgery for a disc herniation, initially having a positive outcome, but then experiencing worsening symptoms due to improper rehabilitation and being dismissed by medical professionals. After a long struggle, she finally received an accurate diagnosis of a nerve injury. This episode highlights her journey of trying various physical therapies and treatments to manage her condition, and her realization that surgeons often face similar physical challenges due to the demanding nature of their work. Dr. Tajirian emphasizes the importance of surgeons adopting an athlete-like approach, incorporating physical training and recovery into their routines to maintain their health and longevity in the profession. She has become an advocate for surgeon wellness and is working to raise awareness and provide resources through initiatives like the Surgeon Wellness Center at the International Hernia Collaboration meeting. Register for the meeting here: https://www.herniagroup.com/ihc-2024-mexico-mailing-list/ Read her article here: https://www.generalsurgerynews.com/Opinion/Article/09-21/Surgery-Is-a-Contact-Sport/64653
Dr. Jordan Berry // #TechniqueThursday // www.ptonice.com In today's episode of the PT on ICE Daily Show, Spine Division lead faculty Jordan Berry discusses reimaging the objective examination for patients presenting with low irritability, especially only in specific positions or under specific loads. Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about courses designed to start your own practice, check out our Brick by Brick practice management course or our online physical therapy courses, check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION JORDAN BERRYWhat is up? PT on ICE Daily Show. This is Dr. Jordan Berry, Lead Faculty for Cervical Spine and Lumbar Spine Management. Today we're chatting about a topic called Low Irritability Equals Function First. Okay, so I hope you're having an awesome Thursday. We're about to break down just a concept that I think matters when you're thinking about the novice versus the expert clinician and how they're efficient during their initial evaluation. This key concept of when you're thinking about going into the objective exam and you know the irritability is low or at least moderately low, we're always gonna test the functional movements first. Okay, so a few concepts that we talk about during our live cervical and lumbar spine management courses, when we're thinking about the objective exam and what the expert clinician does different as opposed to the novice, one of those things is that they have a very long, detailed, subjective exam, and they have a short, clear, and crisp objective exam. and how as you gain more experience and more pattern recognition, typically that will sway even more lopsided towards being a longer subjective while having a shorter and more dialed objective exam. And then another concept we talk about is that when the patient irritability is low, you have to be really aggressive during the physical exam testing in order to recreate the symptoms, right? Because if you under test, then you might not actually recreate those familiar symptoms to know that the treatment that you're about to apply is going to work and that you're moving in the right direction. And so, one way that you can accomplish both of those things, right, with keeping a short, clear and crisp objective exam, and then making sure that you're going to be aggressive during the physical exam testing when the irritability is low, is always thinking about testing the functional movements first. Okay, so let me give you a clinical example with this, and then we'll break it down and talk about why it matters and why it's important. So, Imagine that you're in an initial evaluation and you've done your body chart and you know that the symptoms are somewhere around the area of the lumbar spine, like we'll say low lumbar into the right glute wrapping around towards the right hip, maybe even like anterior lateral right hip as well. But you know there's some vague diffuse symptoms that are somewhere in the lumbar spine and somewhere in the hip as well. And during this objective, you also gather that an aggravating factor is squatting anything over 95 pounds. And so day one, during the initial eval, you know you're gonna be trying to differentially diagnose if the symptoms are coming from the lumbar spine, or if they're coming from the hip, or maybe both. But primarily, again, the initial evaluation, day one, during the objective exam, we're trying to tease out What is the primary symptom generator? We have to nail that down day one. What a novice would do is as they're going into the objective exam, they would likely just hammer through a battery of tests for the lumbar spine and the hip. So they'd probably have that person hop up and you're going through all the basic stuff, right? You're going through active range of motion, your joint exam, your segmental exam, potentially neurodynamics, your test and hit PROM and strength testing and palpation. You're essentially just working down this battery of tests to try to see if anything recreates the familiar symptoms. And so let's say that you go through that 12, 15 minutes of objective exam testing and you figure out that hip passive range of motion, like internal rotation or fader recreates that familiar hip pain. And so now we have an asterisk sign, right? We've got our, um, let's, let's call it internal rotation is what we're going to retest and we've recreated the familiar symptoms. So you've done a good job, right? You haven't done anything wrong, but I would argue that that is not expert level because number one, it took us a fairly long time to get to that answer of what is recreating the symptoms. And honestly, the patient doesn't really care about any of the stuff that you just tested. So, an expert here is going to look at function first. So, we might do some of the same objective testing that we did just a minute ago with the novice, but the first thing that we're going to do if the irritability is low to moderate is look at function. So, if the subjective exam we found out that anything over a 95-pound squat recreates the familiar symptoms, well, I'm going to look at a 95-pound squat. So I get that person out in the gym, maybe we do a warm-up set, and then we load up to 95, and right when they drop down, right when the patient drops down into the bottom of the squat, they get that familiar hip pain. Now, right then, you have one of your asterisk signs, but we could also modify that movement or try to tease out in real time if we can change the symptoms or affect them in any way. So let's say that person drops down into the squat, bottom of the squat, they get their symptoms, and you grab a big mobility band. wrap it around the hip, and give a big lateral distraction, a lateral pull, while they go down into a second rep of the squat, and the symptoms are completely gone. So think about what you've now done. Number one, you have a better asterisk sign, I would argue, because it's something that the patient actually cares about. It's functional, it's very easy to retest, but you've also clued yourself in on your differential diagnosis. Because if I can do something to the hip, right, do a self-mob to the hip or do a lateral distraction for the hip and immediately change the symptoms that we got with squatting, then I know when I go back to the table and I do my more traditional objective exam testing, I'm going straight to the hip. So maybe on day one now, I can leave all of the lumbar spine testing and maybe hold it off until day two. because now I know that I can affect the hip. Now we go back to the table. We do some of the objective testing and I go right towards PROM and I jam that hip up into IR and fader and recreate those familiar symptoms. Boom. Now we've got our two objective asterisk signs. We've got one passive range of motion. We've got one that's functional, the squat. So now when I apply it to some sort of treatment, I've got two ways that I can retest. SUMMARY So number one, why this matters so much of testing function first when irritability is low is differential diagnosis. It's just a fast way to identify oftentimes where the symptoms are coming from or at least cluing you in as to what direction you need to go in instead of just testing all the lumbar spine stuff and all the hip stuff. Now I've clued myself in that I'm probably going to focus on hip day one. So the second thing why it's important is efficiency. We always say during objective exam testing, as little as possible, as much as necessary. So I only want to test the stuff that's absolutely necessary so I'm efficient, but also I don't risk flaring up the patient with doing a bunch of tests and measures that aren't necessary to begin with. And if I can eliminate a few things right off the bat from that functional testing, why not start there? And then lastly, it's way better buy-in. It's way better buy-in. So day one, you're always trying to have the patient walk out thinking, man, I'm finally in the right spot. This person totally gets my issue. And they're definitely going to be walking out saying that if you're first off testing the functional stuff, the stuff that they actually care about that you pick up in the subjective. No patient cares about hip IR, cares about lumbar AROM, cares about palpation. They don't care about that. They care about the thing that they want to get back to that they love. And if you're including that in the physical exam, the buy-in is going to skyrocket. So think about that over the next week or so. About maybe changing the order of your physical exam if this is not typically how you order things. When the irritability is low to moderate and you pick that up during the subjective exam, then when you go into the objective exam, you make sure that you're testing function first. It's gonna help with differential diagnosis, it's gonna help you be efficient, and you're gonna get way better buy-in. All right, so think about that this week. Next week in the clinic, I'd love to hear feedback on that as well. Just to leave you with a few upcoming courses that we have with cervical and lumbar, this coming weekend, we've got cervical management in Oviedo, Florida, few seats left for that. And then also this weekend, we've got lumbar spine management in San Luis Obispo in California. And then coming up August 3rd and 4th, we've got cervical in Cincinnati, Ohio. And then also August 3 through 4, we've got lumbar spine management in Aspinwall, Pennsylvania. All right. Thanks so much for listening. Have an awesome Thursday in the clinic. And if you're going to be a cervical or lumbar spine management course coming up soon, hopefully I will see you there. All right. Have a great day. Thank you. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.
Drs Julie and Jeffrey Leonard visit the studio as we consider kids and teens with traumatic neck injuries. Do they all need X-rays? Or could we develop criteria that determine who needs films and who doesn't? This would save some young patients from radiation exposure while ensuring bony neck injuries are not missed. We hope you can join us!
Can poor posture really lead to significant neck problems, or is it just a myth? Uncover the real impact of modern lifestyles on your cervical spine as I, Kris Harris, with 18 years of dedicated experience in personal training and Pilates, guide you through the essentials of maintaining a healthy neck. We explore the anatomy of the cervical spine, delve into the consequences of excessive screen time, and analyze common injuries like whiplash and herniated discs. Learn why keeping a neutral posture is crucial and how specific Pilates exercises can be the game-changers you need to alleviate neck pain and enhance your overall well-being.Discover the core principles of Pilates and how they can transform your neck health. In this episode, we unpack the importance of correct alignment, core engagement, and controlled movements, all fundamental for a strong, injury-free cervical spine. Exercises such as neck nods and chin retractions are highlighted to help improve your posture and strengthen your neck muscles. And it doesn't stop there—incorporating Pilates into your daily routine could be the key to achieving a balanced, aligned, and pain-free body. Stay connected with our Kore Kast community for more transformative health insights and support our mission to keep bringing you valuable tips and expert advice.Support the Show.https://www.kore-fit.comhttps://www.korecandlecompany.com
Are you aware of how closely your upper cervical spine is linked to your body's mobility? In this episode of our Upper Cervical Chiropractic Series, Dr. John Stenberg joins us to discuss this vital connection and share his insights on how upper cervical chiropractic care can transform your healthcare experience.Dr. John Stenberg is an Upper Cervical Chiropractor in private practice in Colorado Springs, CO, is the host of the Atlas of Chiropractic podcast and is currently pursing a Diplomate in Chiropractic Craniocervical Junction Procedures to advance his knowledge and clinical skills.This episode delves into the role of the proprioceptive system in regulating our posture and movement, and highlights how the upper neck muscles act as crucial sensors that affect body positioning. We'll discuss a resilience-based model of care that focuses on empowerment, self-efficacy, restoring hope, and building resilience. Tune in to learn how you can empower your body to heal itself and restore balance through thoughtful, personalized care.
The connection between Cerebral Palsy and the Upper Cervical Spine.
The Cochrane Back and Neck Group have produced approximately 100 Cochrane reviews, covering the effects of interventions and the accuracy of diagnostic tests. One of these, relevant to the detection of spinal injury in children, was updated in March 2024. We asked lead author, Emma Tavender from Murdoch Children's Research Institute in Melbourne Australia to tell us about the latest findings in this podcast.
The Cochrane Back and Neck Group have produced approximately 100 Cochrane reviews, covering the effects of interventions and the accuracy of diagnostic tests. One of these, relevant to the detection of spinal injury in children, was updated in March 2024. We asked lead author, Emma Tavender from Murdoch Children's Research Institute in Melbourne Australia to tell us about the latest findings in this podcast.
Cervical spine pain is pretty common. Most of the time, it seems like we only see these patients when their symptoms progress to the point where they are having radiculopathy and loss of strength or sensation down their arm.But what do you do with the younger person who seems to have the beginning of cervical issues? Here are our thoughts.To see full show notes and more, head to: https://mikereinold.com/strategies-for-cervical-spine-pain/Champion Sports PT MentorshipI've teamed up with Dan Pope & Dave Tilley to create a 12-week online mentorship program, and we're now opening it up to the very first cohort on June 10th. We hear from people that they wish they had more mentoring and people they can learn from to help accelerate their careers. We're here to help. Click here to learn more. Click Here to View My Online CoursesWant to learn more from me? I have a variety of online courses on my website!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the Show._____Want to learn more? Check out my blog, podcasts, and online coursesFollow me: Instagram | Twitter | Facebook | Youtube
If we consider the facts about the upper cervical spine, we can draw some conclusions as to why it has the potential to be misaligned.
In this episode we talk with Dr. Julie Leonard about the PECARN C-spine Rule that was just officially published! Dr. Leonard is the senior author of the study and walks us through the findings, why its important, and how she uses the rule in her own clinical practice. Host: Dr. Julia Magaña, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Julie Leonard, MD, MPH, Professor of Pediatrics at Nationwide Children's Hospital and the Ohio State University College of Medicine. Resources: prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. EMSC Innovation and Improvement Center PEAK toolkits *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
Cervical Spine Injuries are fortunately rare in children. this episode is all about learning when to suspect them, how to immobilize the C-spine properly, and which imaging test to choose. It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging […]
Hello actually PT nation! Welcome to another long awaited episode were we break down a tricky patient scenario we saw in the field!!!
As we crest the century club, we welcome back Dr. Bob Greenleaf, spine surgeon to discuss some recent cervical spine injuries including an uplifting story about Laiatu Latu who was just drafted #15 in the NFL draft. Dr. Greenleaf sits on the board of the Adam Taliaferro foundation and discusses some of great things this amazing organization does.
Welcome to Wednesday Q&A, where you ask questions and we answer them!In this Wednesday Q&A, we answer your questions about hip and low back pain during pregnancy, cervical spine arthritis, and misconceptions about exercise and movement practicesYour questions:* Any suggestions for hip and low back pain during pregnancy? I'm in my 4th month and the pain gets worse from sitting for too long but also from working out. I'm keeping my exercise routine light and easy but the pain flares up, specifically on one side. Yoga, stretching, and even walking doesn't feel as good as pre-pregnancy because I lost my body and movement awareness. Thanks!* A long-term yogi & friend (mid-60s) has recently been diagnosed with arthritis in her cervical spine, C2-C5. She has a fair bit of pain & is careful what she does in our LYT classes. In your opinion is there anything that I can do to help her?* What are some common misconceptions about exercise and movement practices?To learn more, and for the complete show notes, visit: lytyoga.com/blog/category/podcasts/Do you have a question?DM Lara on Instagram: @lara.heimannDM Kristin on Instagram: @kbwilliams99Email us at support@lytyoga.comSponsors:Learn more and sign up for the LYT Yoga teacher trainings here:https://www.lytyogatraining.com/Check out and sign up for LYT Daily and The LYT Studio, including our 1-week FREE trial of each here:https://lytyoga.uscreen.io/ Hosted on Acast. See acast.com/privacy for more information.
How do we intentionally create higher levels of precision? What effect does a straight neck or loss of cervical curve have o the symptomatology of the patient? Where do these two things intersect? If you would like to signup for the online business training, you can do so here. https://attractwell.com/kinnectionmastermind/store/products/kinnection-virtual-business-seminar. If you would like to sign up for the in person training, you can do so here. https://attractwell.com/kinnectionmastermind/store/products/x-ray-interpretation-seminar
The very special guest on this episode of The Mile High Podcast is Dr. Jane Brewer. There are more and more home-grown heroes in the Mile High State, and it's incredible how Colorado has become a hub for Chiropractic and chiropractors dedicated to the principles. Dr. Jane is one of those. As a mountain biker and skier, Dr. Jane first got into chiropractic to address her persistent hip and back pain. As her body began to heal from the physical injuries she began to notice that other health issues dissipated as well. She no longer suffered from chronic respiratory issues that had plagued her for her entire life. Once she understood the science and philosophy of chiropractic care, it became the obvious choice for her life's work. She returned to school, 11 years after obtaining her undergraduate degree in Art, to get her Doctor of Chiropractic degree. She graduated from Life University in Atlanta. While learning traditional chiropractic techniques in school, she gravitated toward Upper Cervical Chiropractic. Dr. Jane is among an elite group of fewer than 100 chiropractors in the world who holds this distinction of the highest level of training and specialization in Upper Cervical Chiropractic. She was the valedictorian of her graduating class. When she's not in the office and doesn't have her head in a research journal, she loves playing outside on her mountain bike, skis, or on her own two feet with her husband, Wes. They have two very dog-like cats, always drink good coffee, and enjoy sharing quality time with friends and family. You can find her podcast, Liberating the Upper Cervical Spine with Dr. Jane Brewer on You Tube at https://youtu.be/PspTFYkperU On this podcast, you'll hear Dr. Jane's views on: Cone B technology What people may not know about upper cervical care Where to start if you want to learn more about upper cervical spine Doing ONLY upper cervical The Mile High Weekend Event and the power of community And MUCH more! Enjoy this session with Dr. Jane and make your plans to join her and many more of your principled colleagues at Mile High XII in Denver, September 26th – 29th. You can reserve your seats at www.RiseUpToMileHigh.com Yours in Service, Dr. Danny P.S. If you want to market your Chiropractic-based product or service to thousands of chiropractors, check out the opportunity to become a Mile High Podcast sponsor at https://bit.ly/BeAPodcastSponsor. P.P.S. Mark yourself as going here and set a reminder on your calendar. See you there!
Ever wondered if your persistent concussion-like symptoms could be linked to cervical spine instability? What if the missing piece to your recovery puzzle lies in understanding the intricate relationship between your upper cervical spine and concussive symptoms? You may have undergone multiple therapies and treatments for your concussion symptoms, but have you explored the possibility of cervical spine instability? Many patients, even after seeking help, find themselves stuck with unexplained symptoms because the cranial cervical junction is often overlooked in traditional diagnostic imaging. With us today is Dr. Sasha Blaskovich, more affectionately known as Dr. B. Board certified and specializing in addressing upper cervical ligament damage, Dr. B has dedicated his career to unraveling the complexities of whiplash-related issues. In this episode, you'll learn:
Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Neck Pain & Cervical Spine Conditions C&P Exam.Leah is explaining the process of a C&P exam for veterans with neck pain or cervical spine conditions. She emphasizes that the process should not be a surprise as it is straightforward, though it can be confusing. Leah mentions that veterans will receive a packet with details about the exam, including the appointment time, location, and examiner information. The key component of the exam is the Disability Benefits Questionnaire (DBQ), which she displays and explains in detail. This questionnaire covers various aspects such as diagnosis, symptoms, range of motion, and impact on daily functions. She also touches on other topics like flare-ups, functional loss, radiculopathy, and assistive devices. Additionally, Leah discusses the possibility of a medical opinion being requested to determine if the condition is service-related.
Today we are talking about the Cervical Spine. Don't miss this life-changing Episode!
At its core, the neck, or cervical spine region, is an incredibly complex anatomical structure that can include numerous areas where disease and injury can occur. Drs. Melinda Story and Kyla Ortved provide an in-depth look at common disease statesrelated to the equine neck, symptomology, and treatment options.
In this podcast episode, physiotherapist Sarah Michiels discusses somatic tinnitus, a type of tinnitus that is often caused by dysfunctions in the upper cervical spine and jaw. She highlights the prevalence of somatic tinnitus and the importance of a comprehensive diagnosis to rule out other causes. The talk provides insights into her evaluation and treatment approach, emphasizes the role of physiotherapy in improving muscle function and coordination to manage this debilitating condition. Content 00:00 Intro 00:46 Definition of Somatic Tinnitus 01:35 Tinnitus and the Cervical Spine 04:47 Prevalence of Tinnitus 06:22 Epidemiology of Tinnitus 08:15 Physiotherapy Diagnosis Possible? 10:30 ENT Diagnosis of Somatosensory Tinnitus 14:27 Special Testing for Tinnitus 16:00 Cervical Spine Assessments 17:35 Tinnitus and the Jaw 18:51 Red Flags 20:53 Physiotherapy Effectiveness for Somatosensory Tinnitus 22:00 Typical Treatment Course 23:20 What causes Improvements in Symptoms? 25:18 Tinnitus Relapse 27:10 Prognostic Factors 29:30 Sarah's Treatment Approach 31:48 Why Patients get worse 34:15 How to learn more about Tinnitus 35:10 Is MT knowledge required? 36:20 Sarah's Closing Thoughts 37:30 Could Van Gogh have been saved? 38:10 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. All episodes and bonus content can be found here Follow our Podcast on: Spotify | Apple Podcasts
The connection between Insomnia and the Upper Cervical Spine
A surfer walks into your clinic with neck pain…What do you do next? And why? Dr Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma. ------------------------------ RESOURCES Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416 Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/01/C-spine-Rule-FAQs.pdf NEXUS Criteria for detecting clinically-important cervical spine injury following blunt trauma: https://www.nejm.org/doi/full/10.1056/NEJM200007133430203 For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.
How does the cervical spine region impact your horse's health, performance and, ultimately, their longevity in sport? With heightened understanding and improved diagnostic capabilities, diseases and injuries of the equine cervical spine region have come to the forefront in veterinary medicine. Hear expert equine veterinarians, Drs. Melinda Story and Will French dive into the cervical spine and why this region of the horse's anatomy is so crucial.
In this episode Susan and Erica welcome a Tough To Treat listener, Megan Barclay. Megan brings a case of a patient who continues to suffer neuralgia after a bout of shingles, along with persistent neck pain. Listen to the client's history, significant findings, and differentials as we navigate this client's journey and discuss relevant findings. There is also a rich discussion on possible interventions targeting many points of the trigeminal system and cranial region. A glance at this episode: [1:25] Neck pain and potential causes and drivers [8:39] Post-shingles symptoms and treatment [16:32] Patient's neck and shoulder pain, possible causes and treatments [24:38] Treating a patient with neck and head issues [28:55] Pain perception and treatment for cervical and lumbar issues [30:16] Improving balance and reducing trigeminal symptoms through exercises [33:31] Treating neck and back issues with physical therapy and nutrition [41:09] Treating a patient with shingles [43:28] Shingles treatment and empowerment [46:12] Exercise and posture for chronic pain management Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript Megan's Instagram Megan's Website
“The arm bone is connected to the wrist bone”….. come on now, we all know this song! Well, it's a fact, everything is connected. Derek Clewley, DPT, PhD., not only details us through examination of an injury, he clues us in on treatment of the kinetic chain. Join us as we discuss looking proximal to the cervical spine when we are treating conservative lower arm issues such as ulnar wrist pain or lateral epicondylitis. Just imagine upping your game in the clinic treating proximally, how that will impact pain levels distally with minimal hands-on. We hope you enjoy this episode as much as we did! Dr. Clewley is a graduate of Shenandoah University with his DPT and a PhD. from Rocky Mountain University of Health Professionals. His area of expertise and training is in orthopedics and manual physical therapy. He achieved board certification in orthopedics and is recognized as a fellow of the American Academy of Orthopaedic Manual Physical Therapists. His PhD is primarily in research interests including dry needling, manual physical therapy, and pain sciences. Dr. Clewley has extensive experience in the development of continuing education, residency, and fellowship post-graduate training programs. He is the associate editor of BMC Musculoskeletal Disorders and a AAOMPT Board Member. He's published in 44 articles and has received several Merritt Awards and Clinical Instructor of the year awards.
Welcome back to the continuation of the Stop Chasing Pain mini podcasts! In this episode I talk about the importance of assessing the cervical spine for a mobility (motion) and stability (control) and why the cervical spine will always play
Welcome back to the continuation of the Stop Chasing Pain mini podcasts! In this episode I talk about the importance of assessing the cervical spine for a mobility (motion) and stability (control) and why the cervical spine will always play a role in chronic pain anywhere in the body. Follow along and do the cervical range of motion assessment and learn two things you can do that may help. Links to YouTube videso for helping the neck: Mobility: Vagal Lift https://youtu.be/GTOvac2BLw4?si=00sh-7cOF67ShMkU Stability: Rolling Patterns https://youtu.be/UNQUivcLKPg?si=KIoxq78NGlu9zR8z
Date: July 21, 2023 Reference: McDonald et al. Patterns of change in prehospital spinal motion restriction: a retrospective database review. AEM July 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Case: A 42-year-old […] The post SGEM#411: Heads Won't Roll – Prehospital Cervical Spine Immobilization first appeared on The Skeptics Guide to Emergency Medicine.
Follow along with our Nailed it Board/OITE Podcast Companion book. Get your copy by clicking here >> https://a.co/d/cr4i8nD Enjoy another episode from our board review series featuring Dr. Cole and Dr. Woolwine. This episode is sponsored by the American Academy of Orthopaedic Surgeons: Filled with content that has been vetted by some of the top names in orthopaedics, the AAOS Resident Orthopaedic Core Knowledge (ROCK) program sets the standard for orthopaedic education. Whether ROCK is incorporated into your residency curriculum, or you use it independently as a study tool, the educational content on ROCK is always free to residents. You'll gain the insights and confidence needed to ensure a successful future as a board-certified surgeon who delivers the best patient care. Log on at https://rock.aaos.org/.
This episode of the MED Podcast is all about the cervical spine. We talk about training considerations, contraindications and scope of practice when it comes to the cervical spine. We cover: the basics of functional anatomy simple assessments for personal trainers how to work with individuals who have experienced neck or shoulder pain the importance of scope of practice how to create a successful approach when working with individuals experiencing neck pain If you are a personal trainer and you want to learn more about how to work with clients who have a history of cervical spine issues, don't miss this episode. Welcome to season 3 of the MED podcast with Mike Perry and co-host, Brett Jones. This season, join Brett Jones, StrongFirst Director of Education and Functional Movement Systems Advisory Board member, and Mike Perry, co-owner of Skill of Strength, Lead instructor at Functional Movement Systems and Senior SFG at Strongfirst, as they share their life experiences and insight on all things health and fitness related. Connect with Mike and Skill of Strength: Mike Perry on Instagram Mike Perry on Facebook Skill of Strength: Skill of Strength Website Skill of Strength Instagram Skill of Strength Facebook Skill of Strength YouTube Connect with Brett Jones: Brett Jones on Instagram Brett Jones on Facebook Please make sure to share the episodes that motivate you and move you in the right direction.
The Evidence Based Chiropractor- Chiropractic Marketing and Research
Is adjusting the thoracic spine effective at reducing neck pain and disability? This new meta-analysis and systematic review looks to answer the question of how impactful thoracic spine care is for cervical spine issues.Episode Notes:Effectiveness of Thoracic Spine Manipulation on the Management of Neck Pain: A Systematic Review and Meta-Analysis of Randomized Control TrialsDesigned by a Podiatrist over 30 years ago after seeing similarities in many of the custom devices he was creating, PowerStep offers an affordable, same day solution that combines support and cushioning. Want to try a pair for yourself, click here for a free sample pair. with the code EBCPatient Pilot by The Smart Chiropractor is the fastest, easiest way to grow your practice on autopilot…without spending any money on advertising. Discover more and access our 3X ROI Guarantee here! ChiroMatchMakers specializes in DC and CA hiring. We have over 100 positions available right now with salaries starting at $85K. Discover the available positions today by clicking here. With Zingit, you can expect an average of 23 google reviews in a month, and a patient show rate of at least 94%. And that only scratches the surface of the value Zingit can bring to your practice. Click here to schedule a demo today and receive a $100 DoorDash Gift Card after completing your demo!Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!