Case Study – 27 (Discussion)

Discussion

It can be said that no two discopathies are born equal. Despite imaging similarities, each case can be unique in both clinical, as well as neurological presentations. In fact structural pathology does not necessarily correspond to the clinical presentation in many of these cases. As such . . .

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4 پاسخ

  1. دیدگاه شما مجموعه ای از تخصص در تصویربرداری – مغز و اعصاب و کایروپراکتیک را در یک مقاله به نمایش میگذارد. شناسایی دقیق و مطالعه تصویر های پیشرفته و معاینه دقیق همراه با درنظر گرفته تاریخچه بیماری راهننمای ارزشمندی در جهت تشخیص و درمان این گونه بیماریهاست. از اموزش های مداوم شما و وقتی که مبذول میفرمایید سپاسگذاریم.

    1. Dear Dr. Poorshafei
      Hello and thank you for your comment. I have always appreciated your point of view and expert opinion, and it is heartwarming to have highly experienced clinicians like yourself as a member of this association.
      Thank You

  2. hello and good evening dear Dr. Sabbagh.
    This is an great article , you also discussed and covered most of this material in your lecture on Thursday.
    I would love to know more about the specific treatment protocol for different types of disc herniation, protrusion, stenosis ……..
    and how to change parameters on each sessions.
    thx again for all you do for us.
    k bonyadi

    1. Dear Dr. Bonyadi
      Hello and thank you for your interest.
      As you have correctly indicated the material we covered in September 02, 2021 webinar, concerned only an introduction to one type of IVD structural pathology with its related classic neurological manifestation. I believe it is important for our profession to come to an understanding that treatment of IVD structural pathology is a highly specialized procedure which requires specific approach to both diagnosis as well as treatment protocol. Performing general treatment protocols, as are often the case for uncomplicated Inter-Segmental dysfunctions, is simply not adequate nor is it clinically appropriate for treatment of IVD structural pathology. This is an important first step that we as a profession need to realize, understand, and accept in order to pave the way for the highly needed Post Doctorate programs, such as the one we are discussing.
      It is up to us to either be part of the future by upgrading our insight, academic training and adapting highly specialized clinical approach, or continue to abide by outdated concepts.
      I have always, and continue to do my part to emphasize the importance of the transition which our profession must adopt in order to become an highly competent “Chiropractic Spine Specialist”. It is important to note that this transition does require mutual understanding and cooperation from our colleagues.
      Until that time however; I do believe further presentations of such specialized treatment protocols should be reserved for those who have an understanding of its clinical and academic value, such as yourself.
      Once again thank you for your input.
      H. Sabbagh

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