Articles
Evidence-based insights on spine care, occupational health, and medicolegal topics - bridging the gap between peer-reviewed research and clinical practice.
Cervical Myelopathy, Cord Compression and Manipulation
Cord compression on MRI is not in itself a contraindication to cervical manipulation. How to grade myelopathy severity, and what the evidence shows.
Cervical Manipulation and Vertebral Artery Dissection: What the Evidence Actually Shows
The claim that cervical manipulation causes vertebral artery dissection and stroke does not survive scrutiny. Case-control studies, biomechanical research, and a systematic review all point to reverse causation, not cause and effect.
Prolonged Time Out of Work Is Harmful to Patients
Being separated from the workplace is not just a legal issue - it's a medical one. Research shows that prolonged work absence leads to decreased health, increased risk of new conditions, and higher mortality risk within five years.