Concussion, also known as mild traumatic brain injury (MTBI), has been a poorly understood condition known to the majority of healthcare providers as difficult to objectify and manage. Historically, there has been no testing available to conclude an accurate diagnosis. In the absence of objective imaging findings of bleeding in the brain, a diagnosis of "mild traumatic brain injury" has… Read More
Not only do tires play a vital role in the performance of your car or truck, but a lot of information can be garnered about what happened before, during, and after a crash. Tire marks will be explored by us and, generally, what those marks tell us. First let us discuss where the marks come from. Skid marks are… Read More
There are several reasons engineering and accident reconstruction reports are problematic. Let's address the biggest and first issue, cost. Many attorneys won't realize the real value of cases if they deal with doctors who do not know how to document the patient's injuries correctly, leading to issues related to poor documentation management. This is a massive benefit to the… Read More
There is an assortment of questions which centered around police reports and accident scenes. We'll address reports exist, how conclusions are made, and what exactly you should take from the role of the police officer and a report as an investigator. This topic can be broken down into lots of classes; here we will concentrate on collision analysis and general… Read More
A good read to understanding alteration of motion segment integrity (AOMSI) is the article “Biomechanical Analysis of clinical instability in the cervical spine” White, et al., Clin Ortho Relat Res, 1975;(109):85-96. AOMSI is a biomechanical analysis. It’s all about numbers that have clinical meaning and significance. Threshold values have been determined that quantify without a doubt the patient has… Read More
When the aberrant sequela to victims in car crashes has been investigated, providers often overlook and concurrently underestimate the tissue pathology and resultant biomechanical failures of spinal ligamentous damages commonly known as “strain – sprain.” In addition, the courts have been “blinded” by rhetoric in allowing this pathology to be deemed transient. There is an ever growing body of scientific… Read More
According to the American Academy of Orthopedic Surgery “The most common soft tissues injured are muscles, tendons, and ligaments. Acute injuries are caused by a sudden trauma, such as a fall, twist, or blow to the body. Examples of an acute injury include sprains, strains, and contusions.” (http://orthoinfo.aaos.org/topic.cfm?topic=A00111) We must also not forget that there are other soft tissues that… Read More
As you may have noticed settlement values have been on a steady downward trend for many years. Some of the decrease in claim value has been the result of insurers bad faith efforts to make their customers premiums an income stream for their corporate shareholders. Some of the decrease is related to the lack of documentation provided to attorneys by… Read More
According to the National Institute of Health’s, National Institute of Arthritis and Musculoskeletal and Skin Disorders: A sprain is an injury to a ligament (tissue that connects two or more bones at a joint). In a sprain, one or more ligaments is stretched or torn. A strain is an injury to a muscle or a tendon (tissue that connects… Read More
Thomas M Kosloff1*†, David Elton1†, Jiang Tao2† and Wade M Bannister2† CHIROPRACTIC & MANUAL THERAPIES Abstract Background: There is controversy surrounding the risk of manipulation, which is often used by chiropractors, with respect to its association with vertebrobasilar artery system (VBA) stroke. The objective of this study was to compare the associations between chiropractic care and VBA stroke with recent… Read More
Abstract This paper explores the relationship between traumatic ligament laxity of the spine and the resultant instability that may occur. Within, there is a discussion of the various spinal ligamentous structures that may be affected by both macro and micro traumatic events, as well as the neurologic and musculoskeletal effects of instability. There is detailed discussion of the diagnosis, quantification,… Read More
Abstract objective: To examine the diagnosis and care of a patient suffering from chronic low back pain with associated right leg pain and numbness. Diagnostic studies include standing plain film radiographs, lumbar MRI without contrast, chiropractic analysis, range of motion, orthopedic and neurological examination. Treatments include both manual and instrument assisted chiropractic adjustments, ice, heat, cold laser, Pettibon wobble chair… Read More
Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation Disclosures can be found in Additional Information at the end of the article Background Case reports and case control studies have suggested an association between chiropractic neck manipulation and cervical artery dissection (CAD), but a causal relationship has not been established. We evaluated the evidence… Read More
Results Of A Population-Based Case-Control & Case-Crossover Study J. David Cassidy, DC, PhD, DrMedSc,*†‡ Eleanor Boyle, PhD,* Pierre Coˆte ?, DC, PhD,*†‡§ Yaohua He, MD, PhD,* Sheilah Hogg-Johnson, PhD,†§ Frank L. Silver, MD, FRCPC, and Susan J. Bondy, PhD† SPINE Volume 33, Number 4S, pp S176 –S183 ©2008, Lippincott Williams & Wilkins Read More
Title: Abatement of radiculopathy clinical signs and symptoms after chiropractic treatment in an older patient with trauma induced posterolateral disc herniation, superimposed on an underlying disc bulge. Abstract: Objective: To examine the concomitant clinical diagnosis of a lumbar disc bulge and lumbar disc herniation at the same spinal level, in an older traumatically injured patient with radicular symptoms. Diagnostic studies… Read More
Personal Injury, Trauma & Spine Rehab Specialists