Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 564
Clinical Information 98 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues I bring are 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 focus on the larger issues… a larger, more profitable practice along with 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.
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 patient totally dismissed the finding as insignificant dispite the modic changes. Today, 3 years later the patient 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 gives 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



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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