#spineanatomy #spinephysiology #spinenerves https://neckandback.com/studyspine
Dr. Corenman describes the detailed nerve anatomy and physiology of the spine. If you want to do spine work, you must memorize dermatome distribution for a diagnosis. While the dermatone distribution is variable, it is reasonably close to the diagram (spot dermatome chart). Doctors must remember the muscle innervations and they have to be written just like the dermatones. 

The following topics are discussed throughout the presentation: standard spinal motor nerve anatomy, myelination, sympathetic and parasympathetic supply, nerve fiber classifications, nervi erigantes, end sensory skin nerve organelles, annular innervation, bone innervation, vascular supply of a nerve bundle, nerve root and DRG, reflex arc,  are briefly touched upon. Neurological anatomy is important for local injury such as a fracture, some kind of herniation, a collapse or if something is compressed helps understand where all these nerves originate at a T1112. 

Dr. Corenamn goes on to discuss the action potential process which begins with a synaptic depolarization causing an action potential wave traveling along the membrane of the presynaptic cell, until the wave arrives at the synapse. Through the discussion, Dr. Corenman speaks out acetylcholine receptors, neurotransmitter manufacture, neurochemical transmitters, motor endplate and Ach, motor endplate and Ach, EPSPs and IPSPs, synaptic strength and plasticity, inhibitory postsynaptic potential, ectopic foc from nerve membrane injury, nerve stretch injury, muscle weakness, functional compression of the nerve block,functional (but really organic) myelin injury nerve block, wallerian regeneration (loss of the nerve axon with an intact myelin sheath), compete nerve injury, nerves budding and sprouting, treatment of nerve injuries, timetable for nerve injury recovery, tethered cord syndrome, and finally, cauda equina syndrome nervi erigantes (S24).

Infectious diseases of the nerves include lyme disease, syphilis, HIV, Guillian Barre Syndrome, Polio and Herpes Zoster (shingles). Acquired diseases include B12 deficiency, BeriBeri, Multiple Sclerosis, Parkinson's and Peripheral Neuropathy. Inherited diseases include Charot Marie Tooth, muscular dystrophy, and myesthenia gravis. 

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With more than 30 years of experience, Donald Corenman, MD, DC, is a highlyregarded spine surgeon, considered an expert in the area of neck and back pain.  His training as a Doctor of Chiropractic early in his career did not satisfy his desire for a deep understanding of the mechanics of the spine.  This led him to medical school where he completed his Doctor of Medicine, Orthopedic Surgery Residency and Spine Surgery Fellowship.  His study of spinal disorders and deformities brought him to Vail, Colorado where he joined The Steadman Clinic in 1994.  With personalized clinical care a cornerstone of Dr. Corenman’s practice, he has been awarded the “Top 10 Doctor Award”, “Patient’s Choice Award”, “Compassionate Doctor Recognition” and is consistently recognized by Becker’s Spine Review in “Top Spine Surgeons to Know.”

Dr. Corenman has published two books: for patients, “Everything You Wanted to Know About the Back: A Consumers Guide to the Diagnosis and Treatment of Lower Back Pain” and for the medical community, “The Clinician’s Guidebook to Lumbar Spine Disorders: Diagnosis & Treatment”.  He is passionate about educating patients on spine anatomy and disorders, so they have the ability to partner with their physicians in finding the most effective treatment for their back pain and disorders.  His focus on peer education earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peerreviewed articles.