Table of Contents
Contents
Table of Contents…………………………………………………………………………………………………………………………. 2
Introduction ……………………………………………………………………………………………………………………………….. 6
About the Author/Acknowledgments ……………………………………………………………………………………………… 8
Numbering of Chapters/Articles……………………………………………………………………………………………………… 9
Whiplash Injury PROVEN at 4km/hr…………………………………………………………………………………………………. 10
Nerve Injury and Minor Traffic Accidents………………………………………………………………………………………… 11
BODILY INJURY AND ANATOMICAL VARIENTS………………………………………………………………………………….. 12
Nerve Injuries Cause Persistent Functional Loss……………………………………………………………………………….. 13
Spinal Stenosis INCREASES Bodily Injury…………………………………………………………………………………………..14
Is Compensation BAD for HEALTH?…………………………………………………………………………………………………..15
Topics Previously Covered & Available…………………………………………………………………………………………….16
Cervical Radicular Pain – UPDATE…………………………………………………………………………………………………. 17
Traffic Injuries – More Than Neck Pain……………………………………………………………………………………………. 18
Whiplash Injury Proven……………………………………………………………………………………………………………….. 19
Whiplash Risk Factors Identified……………………………………………………………………………………………………. 20
40% of Whiplash Pain Persists for 1 Year………………………………………………………………………………………… 21
REVIEW – Disc Herniations in Asymptomatic Population – 1974 through 2004………………………………………. 22
Combined Injuries……………………………………………………………………………………………………………………….. 23
Disc Herniation Causes Headaches…………………………………………………………………………………………………. 24
Topics Previously Covered & Available…………………………………………………………………………………………….. 25
Airbag Deployment Causes Injury………………………………………………………………………………………………….. 26
Occupant Factors Influence Injury……………………………………………………………………………………………………27
Females Injured More Than Males…………………………………………………………………………………………………..28
Blunt Abdominal Trauma Results in Organ Injury……………………………………………………………………………….29
Returning to Work After a Car Accident……………………………………………………………………………………………30
Bracing for Impact Influences Body Movements………………………………………………………………………………..31
Ligament Strength Lowered by Whiplash……………………………………………………………………………………………32
High Intensity Zone Identified on MRI……………………………………………………………………………………………..33
Head Position Influences Chronic Symptoms…………………………………………………………………………………… 34
Occupant Posture Influences Injury…………………………………………………………………………………………………35
Delayed Treatment of Shoulder Pain Affects Outcome……………………………………………………………………… 36
Topics Previously Covered & Available…………………………………………………………………………………………… 37

Disability Following Causally Related Lumbar Disc Surgery…………………………………………………………………. 38

Diagnosing ACUTE Disc Herniation on MRI………………………………………………………………………………………. 39

Concussion Found in Whiplash……………………………………………………………………………………………………… 40

Whiplash and Permanency – The Evidence……………………………………………………………………………………… 41

Post-Surgical Lumbar Spine Pain…………………………………………………………………………………………………… 42

Speed Bumps Cause Spinal Fractures………………………………………………………………………………………………. 43

MRI Evidence of Permanency in Traumatic Brain Injury……………………………………………………………………. 44

Upper Cervical Injuries During Whiplash………………………………………………………………………………………… 45

Clinician VS Radiologist Reads in Lumbar Disc Herniation…………………………………………………………………. 46

Whiplash Results in Ligament Damage in the Cervical Spine……………………………………………………………… 47

Strain-Sprain Update/Ligaments Do NOT Heal………………………………………………………………………………… 48

Disc Degeneration vs. Herniation………………………………………………………………………………………………….. 49

The Thecal Sac is a Pain Generating Structure…………………………………………………………………………………. 50

Pain Beginning After 24 Hours Lasts Twice as Long……………………………………………………………………………51

Risk Factors for Cervical Spine Injuries…………………………………………………………………………………………….52

UPDATE – Disc Injury Nomenclature – Version 2.0 – 2014………………………………………………………………….. 53

Thoracic Disc Herniation after Motor Vehicle Collision……………………………………………………………………… 54

Ordering MRIs Within 72 Hours………………………………………………………………………………………………………55

Out of Position Head Increased Tissue Damage

in Rear Impacts………………………………………………………. ………………………………………………..,,,,,,,,,,,,……..56

Innervation of Degenerative Disc – UPDATE 2016……………………………………………………………………………. 57

Connective Tissue Injury……………………………………………………………………………………………………………… 58

Diagnosing Radiculopathy – RESEARCH UPDATE – 2016

Causation Analysis of Low Speed Collision, Spine Fracture…………………………………………………………………. 59

Increased Nerves in Pre-existing Intervertebral Disc Disease……………………………………………………………… 60

Persistent Pain After Motor Vehicle Crashes & Fibromyalgia……………………………………………………………… 61

TRAUMA and MISSED SPINAL INSTABILITY……………………………………………………………………………………… 62

Spinal Injuries – MRI Is not enough……………………………………………………………………………………………….. 63

CHANGE……………………………………………………………………………………………………………………………………. 64

Chronic Widespread Pain After Motor Vehicle Collisions…………………………………………………………………… 65

Chronic Widespread Pain After Motor Vehicle Collisions…………………………………………………………………… 66

Heredity Causation to Disc Herniation and Degenerative Disc Disease………………………………………………… 67

Low Speed-Rear End Injuries………………………………………………………………………………………………………… 68

ACUTE Schmorl’s Node – UPDATE…………………………………………………………………………………………………. 69

Demonstrating Neck Muscle Injury using MRI…………………………………………………………………………………. 70

Nerve Root Injury without Disc Herniation……………………………………………………………………………………… 71

Sensory Nerves in Herniated Discs……………………………………………………………………………………………….. 72

LONG TERM IMPACT OF TRAFFIC CRASHES…………………………………………………………………………………….. 73

WHIPLASH INJURY RESULTS IN SUSTAINED IMPAIRMENTS……………………………………………………………..74

MRI vs. CT Scan………………………………………………………………………………………………………………………….. 75

Minor Trauma and Spinal Cord Injury……………………………………………………………………………………………. 76

Near vs. Far Side Crashes…………………………………………………………………………………………………………….. 77

Age Dating Disc Series # 1…………………………………………………………………………………………………………… 78

Age Dating Series # 2…………………………………………………………………………………………………………………… 79

Age Dating Series # 3…………………………………………………………………………………………………………………… 80

Age Dating Series # 4…………………………………………….. …………………………………………………………………… 81

Age Dating Series # 5……………………………………………………………………………………………………………………. 82

Age Dating Series # 6……………………………………………………………………………………………………………………..83

Age Dating Series # 7…………………………………………………………………………………………………………………… 84

Age Dating Series # 8…………………………………………………………………………………………………………………… 85

Age Dating Series # 9…………………………………………………………………………………………………………………….86

Age Dating Series # 10……………………………………………………………………………………………………………………..87

Age Dating Series # 11…………………………………………………………………………………………………………………. 88

Age Dating Series # 12…………………………………………………………………………………………………………………. 89

Age Dating Series # 13…………………………………………………………………………………………………………………. 90

Crash and Injury Statistic Reporting is Flawed……………………………………………………………………………………. 91

Common Pain Generators 1 – Thecal Sac ………………………………………………………………………………………….92

Common Pain Generators 2 – Spinal Cord …………………………………………………………………………………………93

Common Pain Generators 3 – Facet Joint ………………………………………………………………………………………… 94

Common Pain Generators 4 – Spinal Ligaments………………………………………………………………………………….95

Common Pain Generators 5 – Spinal Disc ………………………………………………………………………………………… 96

Common Pain Generators 6 – Vertebra (Bone)…………………………………………………………………………………..97

Common Pain Generators 7 – Spinal Nerve Root Compression………………………………………………………………98

Common Pain Generators 8 – Chemical Radiculitis…………………………………………………………………………………99

Modic Bone Marrow Changes Modic Type 1 = Bone Marrow Edema

Inflammation……………………………………………………………………………………………………………………………….100

Modic Bone Marrow Changes Modic Type 2 = Chronic Degenerative Marrow

Change………………………………………………………………………………………………………………………………………..101

Modic Bone Marrow Changes Modic type 3 = Very Chronic Degenerative Sclerotic Marrow

Changes……………………………………………………………………………………………………………………………………….102

Ligament Injuries/Sprain 3 Grades of Sprain………………………………………………………………………………………103

Ligament Injuries/Sprain Demonstrable Injury to Supra & Interspinous ligaments………………………………104

Ligament Injuries/Sprain Demonstrable Injury to Anterior Longitudinal and Facet Capsule…………………..105

Acute Schmorl’s Node AKA: Acute Traumatic Endplate Fracture………………………………………………………..106

Not Traffic Accidents Motor Vehicle Crashes………………………………………………………………………………….107

Low-Speed Injury Incidence…………………………………………………………………………………………………………108