Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 937
Clinical Information 229 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Cord Compression OR NOT?”

Can fluid compress the cord?

 “I can’t see it, but I know it’s happening… Trust” Mark Studin 2018


Thank you, Dr. Clay Wickiser for the images.
 
Although there is apparent cerebral spinal fluid evident 100% around the cord, the question becomes what is the significance of the deformity of the cord? There are 2 potential answers for the cord deformity:

1) the thecal sac is pressing on the cord
2) the cerebral spinal fluid has less space to exist, therefore, when the same amount of fluid is in less space, it can start to act as a solid and henceforth, put pressure on the cord. 

 
With any neurological element on the body, PRESSURE is the etiology for decreased or aberrant neurological function and deformity of the cord signifies that there is pressure being exerted on the cord. Therefore, whether there is any space occupying lesion inclusive, but not limited to direct disc lesion-posterior canal compression, thecal sac compression or CSF pressure, the results are the same and the arbiter is ALWAYS a clinical examination to determine if there are motor or sensory changes. 

 
The next issue is management and potential triage to a neurosurgeon. When in doubt, ALWAYS confer with a neurosurgeon and you can also start with me to help you further understand the pathology and how to manage your patient. 



                                                                                                    

 
 
Respectfully,



Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Graduate Medical 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 

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