Atlas of Chiropractic

Clinical Pearls from ASAP Chiari and Syringomyelia Conference 2024


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Dr. John Stenberg and Dr. Cameron Bearder sit down to recap their experience at the ASAP Conference 2024. The hosts recap their experience at the ASAP conference, which focuses on Chiari malformations and related conditions.

They discuss the unique format of the conference, where patients can learn from top experts and ask questions. They emphasize the importance of understanding the different types of Chiari malformations and the need for clear communication when discussing these conditions.

They also highlight the need for a thorough diagnosis, as Chiari malformations are a radiographic diagnosis that must be correlated with signs and symptoms. The hosts discuss the complexity of these cases, including the potential involvement of connective tissue disorders, inflammatory conditions, and genetics. They stress the importance of being aware of the interconnections between these conditions and considering co-management with other healthcare professionals. They also mention the need for further research and learning in this area.

The conversation explores the philosophy of health from a functional perspective, emphasizing the importance of understanding why the body is not functioning properly. It delves into the chronic neuroinflammatory processes and how they remodel tissues, particularly in the cervical spine and lumbosacral spine. The discussion highlights the need for a methodical approach in treating patients with acquired hypermobility and managing their symptoms.

The conversation also emphasizes the importance of imaging, particularly CBCT and MRI, in identifying structural abnormalities and CSF flow issues. It concludes with a discussion on CSF leaks and the various factors that can contribute to them. In this final part of the conversation, the speakers discuss various topics related to cranio-cervical instability, Chiari malformation, and scoliosis.

They talk about the potential causes and symptoms of CSF leaks, the radiographic signs of CSF leaks on MRIs, and the importance of considering the entire spine and all the tissues when assessing CSF flow obstructions. They also touch on the challenges of conducting research in this field and the need for multidisciplinary approaches to patient care. The speakers emphasize the importance of being knowledgeable, humble, and collaborative in order to provide the best possible care for patients.


Resources from this episode:

ASAP YouTube Channel

Comprehensive Chiari Care with Haley Fitzgerald of Global Neurosciences Institute

What Happens When Two Upper Cervical Chiropractors Attend a Neurosurgery Conference



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Atlas of ChiropracticBy Dr. John Stenberg & Dr. Cameron Bearder

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