Understanding Spine Disability Ratings: What the Numbers Actually Mean

Today, I want to talk about something that generates enormous confusion for patients, attorneys, employers, and insurers alike: spine disability ratings. After more than 30 years of evaluating spine conditions, I have found that few medical concepts are more misunderstood or more consequential than the numbers that get attached to a person’s spinal impairment. What […]

It Runs in the Family: What Genetics Tells Us About Back Pain and Disc Herniations

If your parent or grandparent suffered from chronic back pain, you may carry more than a sympathetic understanding of their condition; you may carry a genetic predisposition to it. A growing body of scientific research is clarifying what many clinicians have long suspected: the development of lumbar disc degeneration, disc herniation, and chronic low back […]

Back to Posting!

After several years focused on developing CaseChronology.com software, I am finally back to posting information I hope will be useful to my readers. I’m testing ways to disseminate information on my different social media platforms. Sorry it’s taking this long to re-engage with everybody. Last modified: June 14, 2026

After the Crash: What You Need to Know About Spine Injuries and Auto Accidents

Motor vehicle accidents are one of the most common causes of acute spine injuries in the United States. Each year, millions of Americans experience neck or back pain following a collision. Navigating the medical, legal, and insurance landscape after an accident can be confusing and stressful. This post provides a factual overview of what typically […]

The CME Physician: A Voice for Objectivity, Resolution, and Healing

By John H. Shim, MD  |  Board-Certified Orthopaedic Spine Surgeon In personal injury litigation, few roles are more misunderstood than that of the physician who performs a Compulsory Medical Evaluation (CME). Critics have worked hard to portray these physicians as partisan advocates for the defense, paid to minimize and deny. Having performed hundreds of these […]

Summer Sports and Your Spine: What Pickleball, Golf, and Swimming Can Do to Your Back

Warm-weather sports such as pickleball, golf, and swimming can support spine health when played wisely, but each activity also carries specific back-injury risks.