Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 1014
“Strain/Sprain + Enthesopathy”
“I win, but WE prevail” Mark Studin 2018
I just received this from Dr. Richard Hathcock in TN, A Trauma Team member and Fellow Candidate… Although this is far better than Strain/Sprain, I would use both as it is accurate and makes Colossus a little happier!!
Cervical Spinal Enthesopathy - M46.02
Lumbar Spinal Enthesopathy - M46.06
A disorder involving the attachment of a tendon or ligament to a bone. The site of the attachment is known as the Enthesis. If the condition is known to be inflammatory, it can be more precisely called an enthesitis.
I consider this a far superior diagnosis to the traditional Sprain/Strain as it relates a more thorough clinical picture of what is going on with the patient and what the long-term consequences will be.
It is a direct pathology to tendon/Ligament, Capsular tissue and the mechanoreceptors therein.
Consider the whiplash patient and the cervical spine connective tissues undergoing tremendous forces that affect the Sharpey's fibrous attachments of tendon to bone. In 6 months there will likely be radiographic evidence as the body tries to repair the hyper mobility.
Yes this also occurs in patients with the auto-immune disorders (psoriatic arthritis, AS) however in our world, and that of examining individual spinal motion segments, it certainly tells a more thorough picture than Sprain/Strain.
Yours in Health,
Richard N. Hathcock, D.C.
Primary Medical Partners
Brookhaven Chiropractic Center
721 W. Brookhaven Circle
Memphis, TN 38117
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
Academy of Chiropractic
US Chiropractic Directory