Facing the complexities of spinal injuries, particularly those invisible to conventional diagnostics, I’ve dedicated my career to understanding and treating the nuances of neuromyofascial pain. The phenomenon of spinal marbling, or the accumulation of fat within the spinal muscles following injury, stands as a testament to the intricate relationship between physical trauma and chronic pain. Through this introduction, I invite you to delve into the realm of spinal health, exploring the transformative potential of innovative treatment methodologies that I have developed. These strategies not only challenge our current understanding of spinal injuries but also offer hope for those deemed beyond conventional recovery.

I will further explain why spinal marbling is critical in injury assessment.

What I have learned, from 3 decades of spinal research, is that the whiplash event causes profound injury of the intrinsic muscles of the spine, which triggers a persistent spastic event of these muscles.

The spasm then causes persistent compression of some spinal elements which alters the very innervation of these intrinsic muscles, which then causes further compression of the spine and nerve root with partial paresis of these spinal muscles on an ongoing circuit.

Over time, let’s say 3 months, the spastic, dystonic spinal muscle develops massive levels of high-density scarring which immobilizes the spinal segment or segments, and causes overloading and compression of disks, entrapping nerves, or parts of a nerve, and altering the normal spinal anatomy, possibly affecting the passage of even the spinal cord centrally along the vertebrae.

This persistent spasm with post injury scarring also immobilizes the deep spinal muscle allowing for wasting or fat to form. Further a branch of the dorsal nerve supplying the intrinsic muscle is often affected contributing to what I call a dystonic-like spasm creating a vicious circle of injury followed by spasm followed by scarring followed by more nerve impairment followed by more spasm, and the circuit continues.

It’s a dogs breakfast.

It was for this reason, over 20 years ago, I developed and patented spinal botulinum toxin and prp injection methods with the intention of assisting in the remodelling of the spinal elements and soft tissue to reverse this process.

I have treated many patients over 30 years with good and great success in what would be labelled catastrophic pain syndromes affecting the spine.

Reflecting on the journey through the intricacies of spinal injuries and the pioneering treatments I’ve developed, it’s clear that the path to healing is both complex and deeply rewarding. The concept of spinal marbling serves as a crucial indicator of the underlying damage that can elude traditional medical scrutiny. My commitment to advancing the field of neuromyofascial science has been fueled by the challenges and successes encountered along the way. As we look to the future, it’s evident that the continued exploration and innovation in treatment approaches will play a pivotal role in transforming the lives of those affected by chronic pain, offering new horizons for recovery and well-being.

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