Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 986
Clinical Information 247 CI

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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.

“ER Missed Extrusion”

 “I win because I am the best” Mark Studin 2018


I just received this from Mark Lesko in Austin TX… He is a Trauma Team Member and a Fellow Candidate.

This patient was diagnosed as having a muscle strain in the ER. When I evaluated the patient, she had dermatomal and myotomal findings consistent with C4-C5 nerve roots. She reported a prior MRI in 2004, and I was able to obtain report but the images no longer available. The report showed concentric bulge slightly effacing thecal sac. My plain films demonstrated no spondylosis/degeneration. Surgery is pending based upon the significant extrusion in conjunction with clinical deficits.


P.S. Never trust an ER read… do it your self!!!






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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