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Rear-End Accidents at Moderate Speed

Injuries After a Rear-End Accident Your client was rear-ended five months ago at moderate speed.  She has been seen in the Emergency Room, by her PCP, by her chiropractor, by a physical therapist, and by a neurologist.  Plain films and a…

Using DMX to Diagnose Injuries

Digital Motion X-ray of the Spine Recently, a Defense Medical Examination was performed on a patient on whom I had done a cervical spine digital motion x-ray study.  The examiner, Zoran Maric, MD, went out of his way to trash my report, complete…

Modic Changes

What are modic changes? On rare occasions, when you receive a radiology report from one of the local diagnostic facilities, the reading radiologist may indicate that your patient has a Type I Modic change.  It’s important for you to understand…

Alar Ligament - Craniocervical Junction

A PARTIAL REVIEW OF THE LITERATURE OF THE CRANIOCERVICAL JUNCTION  The upper cervical ligaments are the most brittle ligaments in the human body, and were never meant to withstand the forces generated in a motor vehicle collision…

Radiology for Motor Vehicle Injuries

X-Rays after a Car Accident The chiropractic profession has advanced degrees available for anyone who wants to specialize.  We have neurologists, radiologists, pediatricians, internists, sports injury-ists- you name it, we have it.  All…

Pre-Existing Degenerative Conditions

Pre-Existing Degenerative Conditions We all know that it’s difficult to find a human being over the age of 40 who is in your office complaining of neck pain, who, when an x-ray is taken, won’t be found with some degree of degenerative…

Craniocervical Syndrome and MRI

Craniocervical Syndrome I have a friend who practices on the south side of Tucson who does a lot of personal injury work and takes his own x-rays at this office.  He regularly sends them out to a DACBR for a reading.  My friend has had…

Using Dislocation Codes

Dislocation Codes When it comes to the kind of devastating trauma which whiplash causes to the ligaments of the cervical spine, don’t let the insurance companies off the hook by using the equivalents of diagnoses which they have trained…

Hidden Spondylolisthesis

Hidden Spondylolisthesis After a Car Accident Over the past decade, we have seen the appearance of CT and MRI studies which are termed “dynamic” or “functional” because they have made the bold leap to taking a shot which is not in…

Delayed Cervical Spine Instability

I found an online course on MRI Spinal Interpretation to be very instructive on the topic of Delayed Cervical Spine Instability.  I highly recommend it, and I can tell you that you won’t appreciate how much it will help you as a clinician…