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.

Check out our new Clinical Pearl related to IVD resorption. If you're unfamiliar with the bullseye sign, it is a must-read. https://lnkd.in/e5vzVDbt

James Demetrious, DC, DABCO is looking forward to teaching this weekend on behalf of the Indiana State Chiropractic Association, on October 5. NCMIC has generously sponsored Dr. Demetrious' 8-hour lecture, entitled, "Chiropractic Case Reports: Indications and Contraindications of Care." To register, go to: https://lnkd.in/e-fKDbys It will be a great weekend at the Indiana State Chiropractic Association fall conference!

How does #chiropractic alleviate cervicogenic CNS symptoms? When we consider the interrelationship of normal pressure hydrocephalus, spinal stenosis, and cervical spondylotic myelopathy, the effect and influence of chiropractic spinal adjustments on CSF flow dynamics bears consideration. The paper Tatsumura et al. provides insight into the effect of extradural spinal cord compression and the impedance of CSF flow. While RA instability of the atlantoaxial joint complex is an absolute contraindication to chiropractic care, this case offers evidence regarding the effect of extrinsic obstruction of craniospinal CSF flow and related neurologic deficits. For related PostGradDC Chiropractic CE, go to: -- Subluxation, Intracranial Hypertension, and Neurodegeneration – https://lnkd.in/dK4XFcPY

Grand Rounds TONIGHT! We will be discussing, "The Post-Surgical IVD," from 8–9 PM EST. We look forward to seeing you: https://lnkd.in/eGdtpx9U Coursework is eligible for license renewal in approved PACE states, by the ACCO, IANM (for MOC), and for the NCMIC Malpractice Discount program.

For professional development and license renewal in approved PACE states, we invite you to our final Grand Rounds of the year. We will be discussing the post-surgical IVD. Sign up here: https://lnkd.in/eGdtpx9U

Chiropractic doctors are experts in spinal biomechanics. Many thanks to Cameron Bearder, DC for sharing his amazing Cone Beam CT images with us. In these upright, lateral flexion 3D CBCT images we can observe beautiful evidence of a patient with normal cervical coupling versus another patient with #chiropractic subluxation/fixation/dysfunction/paradoxical movement (insert your term here). First, consider the cause of that stuck and fixated C2 segment on the right. Is it the result of traumatic disruption of zygapophyseal joints, capsular damage, articular cartilage damage, hemarthrosis, synovitis, synovial hypertrophy, capsular adhesions, loss of segmental motion, DJD, and segmental muscle atrophy? Second, consider the ramifications of that lost intersegmental mobility. Altered proprioception, dysafferentation pain, cord and CNS sequelae? Progressive DJD? Can this produce denticulate ligament tension, epidural membrane pathology, and neurologic compromise? Finally, barring any contraindications, how would you adjust this patient? These are the issues we address in our PostGradDC.com course offerings. Join us.

Our final Grand Rounds presentation for 2024 will be held next Tuesday, October 1st from 8 PM – 9 PM EST. The topic is, "The Post-Surgical IVD." Please join us: https://lnkd.in/eGdtpx9U Our PostGradDC coursework is eligible for license renewal through approved PACE states, for IANM MOC requirements, by the ACCO and NCMIC toward their malpractice discount.

Chiropractic is a primary means to alleviate the opioid crisis. Current medical practice guidelines recommend the optimization of initial utilization of spinal manipulation rather than opioids as first-line therapy for acute or chronic non-cancer, musculoskeletal pain. #Chiropractic care has been associated with lower chances of receiving prescription opioids and a reduction of #opioid dosages amongst those already prescribed. In this new protocol paper by Emary et al., the authors report supportive data from many researchers that confirm the benefit of chiropractic spinal adjustments: -- 12% lower odds of incident opioid use. -- 44% lower odds of long-term opioid use. -- 34% lower rate of prescription opioids filled over 12-month follow-up. -- 73% lower opioid refills. -- 78–86% less likely to be prescribed higher opioid doses. The authors report, "These findings, combined with those of other reports suggest that access to chiropractic services may reduce reliance on opioids for acute or chronic musculoskeletal pain." Ancillary medical providers, hospital systems, health care providers, corporations, the Medicare and Medicaid system, and responsible legislators need to prioritize chiropractic as a priority initial point of care for non-cancer neuromusculoskeletal care. From: Emary et al. Systematic Reviews (2024) 13:232 https://lnkd.in/eYEkNtQk For continuing education that supports the chiropractic profession, go to: PostGradDC.com.

#Chiropractic doctors are masters of segmental motion. Consider degenerative osseous, ligamentous, and IVD intrusions into the spinal canal and neural foramen. Consider the dynamic nature of segmental motion with fluctuating infolding and intrusion that are movement-dependent. Think about the effect of compression on the flimsy walls of the radiculomedullary veins/plexi, and how compression can produce venous insufficiency, stasis, and increased parenchymal pressure. Then consider the benefit of Chiropractic care on those structures. For related license renewal CE, register for our classes: PostGradDC.com.