F4CP Special Alert
This is our first Special Edition and here's why: Chiropractic care is gaining tremendous prominence and recognition in the health and performance of both professional and amateur athletes.
Read on to learn just how important the care provided by a doctor of chiropractic is becoming!
F4CP Issues Special Super Bowl 50 Press Release
Recently, the F4CP was given the opportunity to speak with the team chiropractors for the Carolina Panthers and Denver Broncos – the Super Bowl 50 competing teams.
Joshua Kollmann, DC – Carolina Panthers
Brad Wiest, DC – Carolina Panthers
Shawn Caldwell, DC –Denver Broncos
All three DCs emphasized the fact that they are in the training room at least twice a week, sometimes more if necessary, addressing specific sports injuries or providing preventive maintenance care that the athletes want in order to achieve optimal performance.
Additionally, the F4CP was able to connect with Kyle Prusso, DC, team chiropractor for the Oakland Raiders since 2005 and president of Pro Football Chiropractic Society, an organization of chiropractors who provide the highest quality chiropractic health care to the elite athletes of professional Football.
Dr. Prusso mentioned: "It's great to see chiropractic care integrated in all facets of health care, especially in professional and amateur sports. One of the reasons is that athletes are asking for us, with increased player requests driving utilization of chiropractic across all sports. Athletes are very in tune with their bodies and recognize that chiropractic care can boost optimal performance levels."
All 32 NFL teams include the professional services of a doctor of chiropractic (DC) as part of their integrated health care team approach to help players achieve optimal performance.
To hear what the Super Bowl 50 team chiropractors had to say, read the F4CP national press release, which was distributed to more than 10,000 national news sources, here.
ESPN to feature Scott Rosa, DC
As the 2015-2016 football season comes to a close, ESPN will air a "30 for 30" documentary featuring the 1985 Super Bowl Champion Chicago Bears and the miraculous recovery of former team member Jim McMahon on February 4, 2016, at 8 p.m. EST.
When he began exhibiting abnormal symptoms a few years back, McMahon believed he was in the early stages of dementia, but it turned out to be the side effects of a simple misalignment in his spinal cord.
McMahon scheduled an appointment with Scott Rosa, DC, who was able to diagnose a misalignment at the base of McMahon's skull that resulted in an obstruction to the flow of his cerebrospinal fluid.
Dr. Rosa performed his patented Image Guided Atlas Treatment (I.G.A.T.) on McMahon, which allowed his cerebrospinal fluid to flow normally and remove the neurotoxins and wastes that are a product of brain function.
As a result of Dr. Rosa's care, McMahon's dementia symptoms subsided, as well his brain fog, migraines and slurred speech.
The F4CP had the privilege of conducting an exclusive interview with Dr. Rosa and is pleased to share it with you below.
F4CP Exclusive Interview: Scott Rosa, DC
About Dr. Rosa
Please Note: Dr. Rosa's research colleague, Julie Mayer Hunt, DC, DICCP, details their recent board certification program during the interview, as well.
Foundation for Chiropractic Progress (F4CP): Can you give the readers some background on your professional experience?
Scott Rosa (SR): I have been a practicing chiropractor in upstate New York since 1988, and throughout my professional career, I have been providing corrections to the upper cervical spine. As a result I have always held a keen interest in the craniocervical junction.
For the past 14 years, I have been developing advanced imaging methods in order to assess head and neck trauma-related problems. This work has resulted in the observations we have been reporting in the literature. These observations have been made in the course of developing Advanced Upright MRI imaging methods focused on the craniocervical junction. The development of these advanced imaging methods has resulted in discoveries that have become the basis of our ongoing research.
F4CP: Tell us about your patented technique, IGAT™, and what it stands for?
SR: IGAT™ stands for "Image Guided Atlas Treatment", which is a patented algorithm that is applied to complex cases by using specialized Upright MRI sequences and analysis methods I have developed. These methods are proprietary and are physician directed by me on each individual complex case. I go to the imaging center and personally direct all aspects of the procedure. I position the patient, utilize specific sequences designed to demonstrate the anatomy and abnormal physiology in order to clearly visualize any misalignments at the craniocervical junction and calculate how to best correct them.
The reason I patented the algorithm is so that I can ensure the work that I am doing is developed with integrity. Traditionally, most atlas procedures utilize specific cervical x-ray series, and have worked extremely well for many years. Over time, I found that some complex cases did not respond as well as I had hoped. It was through application of the advanced imaging methods that I was able to observe findings on the Upright MRI that I was not able to see on plain film x-ray. At that point I started to use the Upright MRI images to derive my correction vectors. The observations made from the Upright MRI images enabled us to improve outcomes on many difficult cases. The Upright MRI enables us to use thin slices through the craniocervical junction, which led to observations of many C2 malformations. The malformations could have led to an improper correction vector given the inability to see the aberrancy on plain film x-ray. In the course of performing thousands of Upright MRI studies my methodology developed into what I now call "IGAT™".
F4CP: When did you begin using MRI imaging?
SR: Initially, I used DMX (motion x-ray studies) which would reveal complex motion patterns due to ligament disruption and the resulting instability which helped explain why many of these patients were having trouble and not holding their corrections. It was obvious that the excessive motion that was occurring was due to the failure of the ligaments to constrain motion within structurally stable limits. The aberrant segmental motion patterns demonstrated on DMX could be blamed upon specific ligaments but the findings were made by "inference" because ligaments are not visible on x-ray. It meant that I needed to inform these findings with imaging and I realized that Upright MRI technology was best suited for visualization of the soft tissues.
During 2004-2005, I was introduced to Dr. Raymond Damadian. He is the inventor of the MRI. After I explained to him that I wanted to develop more sensitive means of imaging structures that were extremely small and difficult to see with conventional MRI imaging, he graciously asked how he could be of help. It was an absolute blessing that Dr. Damadian offered to help me figure out ways of improving imaging technology in order to see structures that are often difficult to see. We have collaborated for years, refining methods and sequences to help bring us to where we are today. Through our relationship we have advanced imaging of the Craniocervical Junction with CSF flow studies as well as cine MRI studies (motion MRI's). Without Dr Damadian’s support I could have never achieved the ability to clearly see CCJ pathology to the degree we can. This imaging is the foundation of our ongoing research.
F4CP: Share with us some of your experiences with Dr. Damadian.
SR: As a chiropractor focusing in on the craniocervical junction, my interest has always been to improve my understanding of the CCJ and naturally I was hoping to visualize this area with MRI. While other authors were reporting observation of this area of anatomy, it was uncharted territory in the world of upright MRI. I recall bringing down my first patient for scanning and was asked what I wanted to visualize, I stated the "alar ligaments", at that point both the MRI tech and Dr. Damadian asked "what are they and where are they?" At that point I realized I had to build the "arc" from scratch so to speak and I spent a lot of time in the cadaver labs to help me figure out how to approach what needed to be seen with the MRI. I had to learn more about certain anatomical structures, such as ligaments and membranous structures that could be injured, as well as how to visualize and image them. With the full support of FONAR, we have been able to develop specialized MRI sequences and positioning methods. From this pioneering, the IGAT™ algorithm was born.
I have also had the honor of co-presenting with Dr Damadian at numerous scientific, medical and Chiropractic conferences and I continue to be amazed by his understanding of the CCJ and the ill effects of C0-C1, C1-2 misalignments. We created a reference text book called "The Craniocervical Syndrome and MRI". I was honored to contribute a chapter on the work we are doing from a craniocervical junction perspective utilizing the IGAT™ procedures.
F4CP: Why did you patent the procedure?
SR: After years of exhausting work, we chose to patent this procedure because we wanted to ensure that the care we are providing to our patients will follow this exact process. We are not claiming to be doing anything better than anybody else, we are just expressing that the IGAT™ can be utilized on complex cases.
IGAT™ requires a physician-directed scan, which is only performed by me at the present time. Through this imaging process we are able to identify structural characteristics which affect measurements and lead to corrections, which are confirmed on post-correction Upright MRI imaging. We can observe normalization of the physiology in vivo. The resulting clinical certainty is the greatest benefit of IGAT™. Our approach utilizes outcome measures which includes post correction Upright MRI CSF flow studies to confirm that we have achieved our best correction possible. Therefore in order to prevent confusion we patented the procedure to ensure that IGAT™ uses Upright MRI for deriving vectors by visualizing structures in a manner which can't be achieved with x-rays. We also protect the integrity of the procedure by preventing others in our profession from inferring that what they see with plain film x-ray, is what we can see with the Upright MRI imaging. Some doctors are actually suggesting to the unsuspecting public that they do what we do which is misleading and untrue.
F4CP: How does this technique apply to concussions, sports injuries and your treatment of Jim McMahon?
SR: My interest in the craniocervical junction led me to brain imaging and observations of changes in structures and the effects of those changes on physiology. One such observation was the displacement of the cerebellar tonsils into the foramen magnum which results in obstruction of CSF flow. This can manifest as pooling of CSF in some parts of the brain. When we started seeing improvement in post correction CSF flow studies, it was a natural progression to look for these clinical features in all our scans since we knew things could be improved with upper cervical correction. Many patients with history of concussion had these features on their MRI. Jim McMahon's scan showed significant pooling of CSF in his frontal lobe of his brain, and after his first C1 correction he described it as feeling like a toilet flush. He immediately felt the significant pressure in his head decrease. His subsequent post correction brain scan showed that the CSF flow pooling had completely abated.
It has become apparent that many neurological problems are the result of abnormal brain physiology caused by structural changes brought about by trauma. The initial intent of IGAT™ was to improve our understanding of the nature and extent of injuries in patients who had experienced whiplash. After we saw many of these cases, we embarked on a research project which appears to have profound implications. The observations from that study will be published shortly.
We did a study cohort of patients with whiplash initially and found that they all had similar findings. Within this group of patients we also found that there were some patients that had neuro-degenerative brain issues, such as MS or Parkinson's and so the logical question at the time was whether these were a rare finding or a trend. We have since found that it’s plausible that there is a neurodegenerative cascade after trauma, and our observations have been confirmed recently in the discovery of the "Glymphatic System". It has been discovered that the Glymphatic system aids in the removal of neurotoxins in the brain. The effectiveness of the Glymphatic system is dependent upon CSF flow. Our pre and post imaging studies have demonstrated that after IGAT™ corrections, we are seeing an increase in CSF flow with many patients reporting improvement as was the case with Jim McMahon.
F4CP: Tell us more about concussions.
SR: Concussion is a term used to describe the effect of the brain accelerating then colliding with the inside of the skull. The result is direct physical trauma to the brain which can manifest in a constellation of problems and symptoms often labelled post-concussion syndrome. Virtually every whiplash injury which results in disruption of neck ligaments is also acting upon the more delicate brain. Often the forces are greater on the brain due to the greater moment of rotation of the head in relation to the neck. In many cases with head and neck trauma, we find very significant misalignment at the craniocervical junction (i.e., the base of the skull) and that in turn affects CSF flow as well as blood flow to and from the brain.
When medical professionals focus on concussions, they tend to focus completely on the brain injury. No one was really considering the detrimental effects that might occur in the neck and or the craniocervical junction.
One day, Dr. Damadian called my office and said that he had an NFL superstar coming to get scanned and wanted to know what kind of sequences he should use and what he should look for. He then sent me the imaging. When I reviewed Jim's scan, I found similar neuroradiographic findings to those I had found with people who have MS, Parkinson's, whiplash, and Alzheimer's. I also found a severe misalignment of C1 and C2, as well as significant obstruction of spinal fluid flow, amongst other things. I then learned about Jim McMahon’s history. He was on the front cover of Sports Illustrated about four years ago suffering from early onset of dementia. Dr. Damadian then asked if I thought I could help Jim. Recognizing Jim's C2 was rotated about 26 degrees, I thought an atlas correction could help restore a better relationship of C0-C1, C1-2 and that might help improve Jim’s CSF flow. After IGAT™ correction, it not only corrected Jim's spinal misalignment, it also restored normal CSF flow which ultimately was at the root of Jim's improvement as we see today
F4CP: Did you actually treat Jim McMahon?
SR: Jim came into the office after careful review of his Upright MRI, I performed an x-ray on him, evaluated him, derived his vectors from the Upright MRI provided to me and rendered our first instrument correction to his atlas.
After his first atlas correction the obstructed spinal fluid immediately started to move out of his head, and the headaches he had been experiencing, along with nausea and brain fog, all started to abate. After being kept in correction, Jim continued to improve little by little.
I can honestly say that after scanning many concussion cases – we have observed many have very similar findings. They will usually, if not always, have aberrant findings at the craniocervical junction (atlas misalignment), and in most cases, low lying cerebellar tonsils which will and can obstruct the flow of spinal fluid.
F4CP: How did ESPN learn about you?
SR: My treatment of Jim started roughly four years ago and there has been a lot of media coverage surrounding his miraculous improvement. Now, ESPN is presenting a 30 year anniversary documentary for the Chicago Bears.
Jim was the star quarterback for the team, and upon putting this documentary together, ESPN heard about his treatment and positive results with us. This led to ESPN contacting me to request an interview, as well as a video segment of me treating a patient.
ESPN had lucky timing because they called the day after Jim's girlfriend, Laurie, called and said Jim wasn’t feeling well and wanted to schedule an appointment. I let ESPN know that I was going to be treating Jim the following week and they were welcome to tape the Upright MRI scanning and treatment I was going to render to Jim.
Not only were the videographers able to capture the IGAT™ procedure in action, but they were also given the opportunity to see live movies of Jim's spinal fluid flow. Thankfully, after C1 correction, Jim's neck pain improved, his headache started to abate and he felt much better.
F4CP: Do you treat any other athletes?
SR: Yes I do. I have treated a number of professional athletes, including football, soccer, rugby and hockey players, as well as athletes of all ages including many in their adolescent years that have suffered concussion as well as head and neck trauma.
I actually have an interesting case that's going to be published shortly about a rugby player who sustained a concussion. The player lives in Canada and was suffering with MS. The player had been diagnosed in January and when he came to see us in June we were able to take some very compelling pre-and post-imaging studies following the IGAT™ treatment. The images showed where he had significant MS lesions, and within 4 weeks, those lesions abated. His case also demonstrated the benefits of early intervention. He had been diagnosed in January and got to us in June, which we believe contributed to his good outcome.
This was a very profound study, and based on what we have seen, we believe we have found a common link between neuro-degenerative brain diseases – which seem to be rooted in head and neck trauma. We are continuing our investigations and will be reporting our observations as things develop.
F4CP: Great. What is your advice to chiropractors regarding all of this?
SR: I believe our profession has a great opportunity to make a difference in the lives of people suffering from these injuries. It is a topic that is appearing in the mainstream media. I would encourage all doctors of chiropractic to be very clear about how we do what we do. I am sad to say that I have seen a trend where many chiropractors have opted out of utilizing x-rays. I think that is taking us in the wrong direction.
When I attended Palmer College of Chiropractic, we were always told to take a picture of the area of complaint to first and foremost rule out a pathology that would make it unsafe to treat the patient. After we can rule out any possible risks, we can utilize the image to better care for the patient.
We need to help as many patients as possible. Doctors of chiropractic need to use radiography and other imaging, and strive to reach clinical certainty in our treatment of complex cases. I believe that in the future the Chiropractic profession should embrace MRI imaging in order to inform us of the nature and extent of trauma to the head and neck. We should all use those images to help develop our patient care plans in order to provide better and safer outcomes.
F4CP: Can you detail the screening process?
SR: I believe that screening thru Upright MRI imaging can be used for athletes involved in contact sports. Screening has been used for years for the diagnosis of ailments ranging from scoliosis to breast cancer. It can also be used to assess risk of future injury to athletes involved in contact sports. There is no reason not to screen young athletes, or any athlete for that matter, to see if their necks are in a configuration (proper lordosis) that can tolerate the types of loads and forces that can result from the different sports that they play. A simple Sagittal MRI can be used as a baseline. My colleagues and I are working on a diagnostic algorithm to help educate doctors of all different disciplines on red flag signs to look for that might constitute an increased risk of injury in an athlete.
My vision for the future would be a screening protocol for anyone who wants to participate in a contact sport. The screening would ensure that the athlete's neck shows good alignment and would identify risk factors such as pre-existing problems that could make an athlete more susceptible to injury. For those who do pursue sports, there is also an opportunity to provide counsel on techniques that can help them improve.
Ideally, by screening an athlete off-season and taking a sagital Upright MRI view of the neck, we can identify any weaknesses or potential weaknesses, and at that point, the decision to treat and rehab off-season, or not, is up to the athlete. Ultimately, the athlete would then assume the risk and possible problems that can result if they choose not to treat.
The producer of ESPN asked me, "What do you see for the future of contact sports?" I responded, "The games won't go away, the only thing that I can see to make the games safer is to do off-season screening."
Julie Mayer Hunt (JH): I wanted to quickly add that we have just completed a board certification program with our first round of diplomates from the ICA "Craniocervical Junction Procedures." Dr. Scott Rosa was one of our lead instructors teaching the imaging portion of the program.
We believe the future of the diplomate program could be the perfect venue for Dr. Rosa to teach the screening algorithm methods he discusses in the core of this article.
Athletic TIPS™ Update
Athletic TIPS™ is now attracting a great deal of attention. Sports injuries are making headlines, and interviews with professional athletes are appearing in print and on television.
With the publication of so many articles regarding concussion, and the release and broadcast of movies and documentaries, it is only natural that more chiropractors and potential sponsors are thinking about and requesting information on TIPS™.
Add to this the fact that we are now in the two-week whirlwind of Super Bowl preparations and you have a great deal of scrutiny being placed on players' injuries.
With the TIPS™ focus on addressing and preventing injuries among amateur athletes, we are proud to point to DCs in the NFL who can help us to deliver the message to local communities – coaches, parents, educators and others who impact youth sports.
Our Super Bowl DCs -- Carolina Panthers team chiropractors, Joshua Kollmann, DC, and Brad Wiest, DC and Denver Broncos team chiropractor, Shawn Caldwell, DC – lead the way. They will be important members of our TIPS™ advisory team going forward, and we wish them well as they help players to achieve optimal performance.
We also want to recognize Kyle Prusso, DC, team chiropractor for the Oakland Raiders since 2005 and president of Pro Football Chiropractic Society, an organization of chiropractors who provide the highest quality chiropractic health care to the elite athletes of professional football.
Kyle is also helping us with his connectivity in the sports health community. As an organization, the PFCS has a mission is to educate and communicate with athletes, medical and health care professionals as well as other chiropractors.
For additional information about Athletic TIPS™, please visit www.tips4sports.org. For information on how to become Athletic TIPS™ certified, please email support@tips4sports.org or call (201) 641-1911 x14.
  Facebook   Twitter   LinkedIn   Pintrest   Youtube