SpineUniverse Case Study: Worsening Leg Weakness and a Negative Lumbar MRI



The patient is a 52-year-old male whose health is generally very good. He has no back pain but presents with acute pain, numbness and tingling sensations in both legs; right is greater than the left. He presents in our office for a second opinion.

SpineUniverse Case : Severe Thoracic Pain


A pleasant 37-year-old female presents with severe midline thoracic pain at and just below her bra line. The pain started about 12 months ago but has significantly worsened during the past 3 months making wearing a bra painful. She has no history of shingles or trauma.

SpineUniverse Case Study: Worsening Right Greater Than Left Leg Paresthesia


A pleasant 64-year-old male presented to our office with complaints of right greater than left leg pain and numbness/tingling. He states that when he walks his symptoms are worse, but always has some degree of right buttock/ hip/ leg discomfort.

PubMed Article: Surgical Complications Associated With Cervical Spine Surgery

This article reviews basic anatomy and surgical anatomy of the cervical spine. The common surgical approaches to the cervical spine as well complications that can occur from an anterior and posterior perspective are discussed. Cervical spine surgery when used in the appropriate clinical scenarios can be very successful. It is important to remember that risk reduction begins prior to the surgery with appropriate planning, identification of any anatomical anomalies, and adequate preparation.

Journal for Nurse Practitioners: Nontraumatic Cervical Spine for Primary Care Providers


Musculoskeletal complaints continue to be one of the most common reasons patients seek treatment from primary care providers. In particular, spinal complaints are becoming more common with the aging population. In this study I review the epidemiology and anatomy of the cervical spine. The findings reinforce the need for a thorough exam and provide the reader with information on how to examine a patient with cervical spine‒related complaints. Numerous guides and pearls will be shared as well as several videos to help the nurse practitioner become more comfortable in treating cervical spine pathology.