PostGradDC

PostGradDC CE is uniquely recognized and approved by: - PACE for license renewal credits; - the International Academy of Neuromusculoskeletal Medicine for MOC; - the AMERICAN COLLEGE OF CHIROPRACTIC ORTHOPEDISTS, and; - NCMIC toward their malpractice discount program. We offer recorded coursework that is available 24/7, live monthly Grand Rounds presentations, and our final Live Zoom interactive lectures of the year posted below. We hope you'll join us for license renewal credits and professional development at: PostGradDC.com. We seek to elevate and protect the #Chiropractic profession for the benefit of our patients.

Register now for license renewal credit at PostGradDC.com in approved PACE states. #Chiropractic orthopedists can utilize these credits toward IANM MOC. Our coursework is approved for the NCMIC malpractice discount.

#Chiropractic physicians supervise complex neuromusculoskeletal cases. To do so requires an awareness of the risks and benefits of ancillary care modalities. Frequently, patients present for chiropractic care with conditions associated with past spinal surgical interventions. Postoperative C5 palsy following surgical spinal decompression has a recorded average incidence of 4.6-6% with some studies reporting up to 30% incidence. In their AO Spine North America funded paper, Bak et al. report, "The odds of postoperative C5 palsy are significantly higher after posterior decompression compared to anterior decompressive DCM." For advanced live and recorded chiropractic CE coursework for license renewal and professional development, go to: PostGradDC.com. Article reference: Bak et al. Spine. 2024; 49(20): 1410-1416

76-year-old male with increased neck pain of one month duration. Negative trauma or illness. Prior posterior IVD decompression >5 years ago and subsequent ACDF >1 year ago. Negative neurological deficits. Images from orthopedist. DISH visualized. No instability on F/E. No hardware failure visualized or reported by radiologist. Considering stair step mobilization and possible CT to evaluate hardware. What do you think?

Register now for our upcoming LIVE Zoom CE: https://lnkd.in/eEuKNJg9

What are the effects of degenerative spondylitic morphologic changes on the spinal cord, the dura and denticulate ligaments? There are nuggets of clarity that can be derived from older publications that are often forgotten. In 1988, John Grostic, DC advanced his, “Dentate Ligament Cord Distortion Hypothesis.” That offers a mechanism whereby the effects of misalignments of the upper cervical vertebrae, via the dentate ligaments, produce mechanical distortions of the spinal cord.” From: Chiropractic Research Journal. 1988; 1(1). In 1997, Dan Levine, MD reported, “The results strongly favour the theory that cervical spondylitic myelopathy is caused by tensile stresses transmitted to the spinal cord from the dura via the dentate ligaments.” From: J Neurol Neurosurg Psychiatry. 1997 Apr; 62(4): 334–340. For advanced CE, go to: PostGradDC.com

Instructive case. Thoughts?

📚 #Chiropractic is evidence-based. In this extraordinary paper, Dr. Robert Trager et al. report: "...there has been substantial growth in the number and rigor of standard scientific methods of chiropractic research articles over the past 50 years, resulting in multiple CPG recommendations favoring SMT. These findings reinforce the clinical utility of SMT for spine-related disorders.” At PostGradDC.com, we teach evidence-based practices that are beneficial to patients. Our founder, James Demetrious, DC, DABCO, is dedicated to presenting the best, most up to date research to help our colleagues improve outcomes, reduce patient suffering, and improve quality of life. MDPI Article Link: https://lnkd.in/eaeJEEiC

An interesting brief case presented by one of our colleagues… An elderly patient presented for #chiropractic care with a history of a high-risk motor vehicle collision one year earlier. He reported upper cervical pain with annoying clicking and popping. A positive Sharp Purser test was elicited. Negative neurologic deficits. The attending #chiropractor performed cervical spine x-rays. She suspected a Type 2 nonunion fracture of the dens, although this could be a projectional mach effect due to overlying lateral masses. Is the flexion view revealing anterior translation of the dens? Is the C2-C3 spinous process splaying meaningful on flexion? What would you recommend? CT? MRI? How would you proceed? These are the types of cases and discussions we have in our coursework through PostGradDC.com. Join us!

In the image below, an important biomarker is present that offers insight into the clinical management of IVD extrusion and sequestration: 1.) What is the name of this sign? 2.) What is the cascade of events that produced this finding? 3.) What is the predictive value of this sign? 4.) How would you write the script and order this test? 5.) Why is this sign vital to patient safety? Conspicuity is the ability to see and appreciate what others do not. What do you see? At PostGradDC.com, we read the research and offer coursework to improve patient outcomes and elevate our great profession. Join us.