Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 529
Clinical Information 83 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.

“Obesity and Disc Issues”

I received this not a few minutes ago… and my response is below…
Dr. White:
The insurance company does not want to pay for the herniations in the back, saying they were caused by his obesity. Can you do your nifty thing with the picture of the MRI and note the difference in a degenerative issue and an acute disc injury caused by this accident?   It will help get value on the case and compensate Justin for the injuries he sustained.
Sincerely… Mr. Lawyer
My Response for him to use:
Dear Dr. White,
Please feel free to use this note in any way you need. Obesity is not the cause of herniation. Altered biomechanics from weight will cause premature degeneration of the discs, but not create a focal tear, which by definition is a herniation. This is the current standards in the literature and what is being taught in both medical and chiropractic academia (note: I currently teach this standard in both professions). Should you have any further questions, please feel free to contact me and send my credentials as needed.


Adjunct Assistant Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences
Academy of Chiropractic
US Chiropractic Directory
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