Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 217

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.

“Disc Bulge Narrative Language”


I would like to thank Dr. David DePaolis from Newarkm NJ and Dr. Bill Owens from Buffalo, NY for helping to craft the following language.


MRI DISCUSSION
Ms. Patient’s lumbar MRI dated ___________, revealed that she has a disc bulge (degeneration) at the XX-XX level.  This disc bulge predates her injury since bulging is a degenerative process that occurs over time. The network of sensory nerve fibers in her XX-XX disc is more extensive and deeper than would be found in a healthy intervertebral disc as a result of the degeneration (bulge).  As discs degenerate, pain sensing nerves grow and spread into the inner annulus and  nucleus of the disc resulting in more pain sensing nerves covering a much greater area of the disc. The trauma that Ms. Patient received on ______ has resulted in an active inflammatory process and irritation to the deeper nerves in the XX-XX intervertebral disc which has activated this network of sensory nerve fibers. 

Now you can add bulges in the conclusion as additional bodily injury as a direct result of the accident.
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