Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 68 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"Endplate Fractures”

Acute Schmorl's Nodes

When you educate your referral sources, you become their resource and is the foundation for unlimited referrals.

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Look  how far lateral on the axial you had to go to see the endplate fractures. I realize there is an extruded disc, but that is for another time.

Almost EVERY radiologist calls endplate fractures “congential” schmorl’s nodes and this is one area that you need to educate the radiologists (neuroradiologists included). The neurosurgeon who saw this patreint totally dismissed the finding as insignificant dispite the modic changes. Today, 3 years later the pateint has no issues from the extruded disc, but the localized spinal pain persists from the endplate fractures and is very weather sensistive (a topic for another day).

Bimonthly flier #22 explains and references these fractures and givers you the tools to teach both the medical and legal communities. In addition, Dr. Owens and I was published on this in 2008. See the reference and full text below.

Reference: Studin, M. Owens W., (2008). Schmorl's Nodes, The American Chiropractor, 30(9) 32, 50

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