Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1148
Clinical Information 274 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic

Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time. -Mark Studin 2006

"When Can I adjust a patient with disc herniations"

 

Dr Studin: What's your question?

Guest Doctor: So my question is in regards to an MRI that clearly states, that there is some type of a disc herniation or even a disc bulge. I never learned in school when specifically, not to adjust.

Dr Studin: So there's a couple of issues and one you're just getting relatively new with the program you haven't taken into the academics, which will be clearly explained to you. But the first thing you have to understand is according to the literature, 43.6% of MRIs are interpreted incorrectly, but the reality is almost 80% of MRI's are interpreted incorrectly. So when you get an MRI to get started with, until you know how to interpret yourself, ask the patients get a copy of the desk and then from there what you're going to do is you're going to put it in your computer. Do You have access to the APASK program with the MRI company?

Guest Doctor: No, I do not.

Dr Studin: That is an MRI viewing program. You're going to download it and install it. It's free. You've got to put the disc in from any image that you have, Then you're going to call me when that's the disc is in your computer and loaded up and ready and I'm going to dial on to your computer, look at your computer with you and I'm going to read it with you because I don't trust the MRI companies. So that's why there's not going to be errors. If there's a herniation and there's no space between the disc and the and the neurological element, the quarter of the root on the one side because the CSF space is taken up, then that means that you might not have enough room to adjust the more real estate. Now if there's a compression, there's no CSF on both sides, what can be two views, then you definitely shouldn't adjust them because when you were just somebody, the interest's equal pressure gets increased when you were just them. And the space occupying lesion that just expands briefly, but even if it's a millimeter, but as expands, it can expand onto the core to the root. And that could create damage or more problems. So you might want to wait, a week or two or three for the disc to desiccate or shrink if all, so that you have enough room then. So the first step is there court abutment or compression fact?

Guest Dr: if it says mass effect on the fecal sac and the basement of the left S1 nerve root sleeve.

Dr Studin: mass effect of a sequel sac is not oppressive, fecal sac is like a sock on the foot, the covering of the quarter roots, And it says a facelift to the site of The root. That just means it's touching it on one side. Now it does not say compression, but we really need to see it. And that's the question.

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