Clinical Pearls

The Bullseye Sign and Intervertebral Disc Resorption

The Bullseye Sign and Intervertebral Disc Resorption Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist IVD Protrusions and Extrusions The successful chiropractic management of large intervertebral disc herniations requires careful consideration. The complex multifactorial factors associated with the genesis, prevalence, clinical presentation, progression, […]

The Prevalence of Disc Herniation

The Prevalence of Disc Herniation Written by: James Demetrious, DC, DABCO Diplomate, American Board of Chiropractic Orthopedists Commonality In their paper published in the American Journal of Neuroradiology, Brinjikji et al. provide insight into the commonality of lumbar intervertebral disc herniation in asymptomatic individuals stratified […]

Modic Type 1 vs. Spondylodiscitis

Modic Type 1 vs. Spondylodiscitis Written by: James Demetrious, DC, DABCO Diplomate, American Board of Chiropractic Orthopedists A Degenerative Pain Source MRI provides unique visualization of physiologic responses associated with spinal degeneration. Modic Type 1 changes represent inflammatory reactions of the vertebral bodies that have […]

Cervical Artery Dissection, Thromboembolism and Stroke: A Lack of Chiropractic Causality

Cervical Artery Dissection, Thromboembolism and Stroke: A Lack of Chiropractic Causality Written by: James Demetrious, DC, DABCO Diplomate, American Board of Chiropractic Orthopedists No Causality Current highly-powered research indicates no causal relationship between chiropractic care and Cervical Artery Dissection (CeAD). Does Chiropractic Cause Thromboembolic Events […]

Chiropractors Can Save the World!

Chiropractors Can Save the World! Written by: James Demetrious, DC, DABCO Diplomate, American Board of Chiropractic Orthopedists Medical Shortages The Association of American Medical Colleges has estimated that the U.S. may experience a deficit of 54,100 to 139,000 physicians by 2033. That shortage is expected […]