Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1004
Clinical Information 251 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.

“Metastatic Degeneration of C6”

 “Today I want to say thank you to everyone who I owe a thank you to” Mark Studin 2018


I received this from Dr. Aaron Smith in Texas who is Trauma Qualified. The patient came under care complaining of severe neck and upper thoracic pain. It was a long-termed patient for several years and was diagnosed with lymphoma 4 months ago. Before beginning care, Dr. Smith mandated a written clearance from the oncologist. The oncologist reported that 4 weeks before the pain beginning, a PET scan was normal.


The day before the visit with Dr. Smith, the patient went to the emergency room, and they ordered a thoracic CAT Scan because the pain was predominantly in the Upper Thoracic spine. With that, Dr. Smith performed passive therapy (heat-electric stim) for 4 visits over 2 weeks as there were no neurological radiating symptoms. Upon a re-evaluation in 2 weeks, he referred the patient to a pain management specialist as the pain persisted and collaboratively an MRI of the Cervical Spine was ordered.


Below are the MRI results.   


Pathologic fracture due to Metastatic Disease from recently diagnosed lymphoma.  


If Dr. Smith would have adjusted the patient vs. working collaboratively with the pain specialist, there is a high possibility that he would have created spinal cord issues and paraplegia or quadriplegia could have followed.






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

Academy of Chiropractic

US Chiropractic Directory


PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments.