Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1014
Narratives 73N

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.

“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

Definition: Enthesopathy

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


901.767.8861 fax

View My Full CV Here





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

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