Duration of Care
The scientific literature indicates the vast majority of healing will take place during the first three weeks following the traumatic event. In addition, the majority of the injuries seen are limited to muscular injuries and treatment of patients over 90 days, in our experience, often hinders the solving of the legal matters. This is not to say that all soft tissue injuries need 90 days of care. Care, like the patient's injuries, are individual. But, if treatment is longer than 90 days, it should be stressed that the clinical necessity for care should be justified even more. It is the doctors responsibility to prove the care is needed, not the insurance company's responsibility to prove it's not needed. In our experience and opinion, documenting only the patient's subjective complaints, is insufficient criteria for the continuation of care. To support the need for continued care, the documentation within the file should show timely re-examinations which demonstrate objective physical examination findings. In addition, these objective signs would need to be reasonably "weighed" against the clinical potential for further healing.
Orthopedic Supports
The use of orthopedic supports, such as a cervical collar, during the acute states of the injury, is a common clinical practice in both the medical and chiropractic communities. It is, however, a double-edged sword. The most reasonable approach would entail use of these supports during the functional instability phase of injury, followed by removal as prolonged use can lead to dependency. Typically, the support is most beneficial during the ten days following the trauma. Prolonged use would support the need for additional investigation, which must include consideration of a psychological component.
X-rays
The initial use of x-rays in the well managed soft tissue injury is well supported in the scientific literature. The use of "follow-up" series of x-rays is, however, debated. We have found the use of serial x-ray studies is usually unwarranted, absent the clinical management of clear osseous injuries or delayed instability. The prudent use of x-rays should always consider the potential harm from radiation exposure. This is especially true in patients of child bearing years. The use of repeat plain film radiographs will often bring the case under immediate scrutiny, thus, complicating the settlement process.
Writers Bio
Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.
Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.
Call Steve Jones at
(619) 280 0554
San Diego Chiropractic
Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.
Better Health Steve Jones
Saturday, February 27, 2010
Friday, February 19, 2010
Whiplash Injury Care San Diego
Whiplash Season Is Here
During this time of year, we start getting calls from both established and new patients regarding aches and pains related to auto accidents. During a rainy commute, the number of auto accidents can be 4 to 5 times the number that occurs on dry roads. My Chiropractic office in San Diego has seen hundreds of auto accident / personal injury victims over the last 15 years.
The most common injury resulting from auto accidents is the classic neck injury termed whiplash.
Whiplash is a traumatic neck injury that results from a sudden, forceful backward / forward snapping movement of the head. The head is heavy compared to the size of the muscles that help turn and tilt your head. Because of the violent acceleration and deceleration of the head, the soft tissues of the neck are overwhelmed with the stresses of the gravitational forces. Ligament damage, pinched nerves, muscle tearing, spasm and spinal misalignment are typical results of whiplash.
Whiplash can become a nagging, intolerable condition if left untreated. Many people make the mistake of judging the amount of injury to their body’s based on the force of impact or the amount of damage to the car. This is poor judgment. There are many factors that determine how a person is rear-ended by a second vehicle traveling 60 mph walks away unhurt while an apparently light tap on the bumper in a parking lot can cause enough pain to ruin your summer. Factors including the angle of the impact, speed of the impact, occupant awareness of the impending impact, head tilt or rotation, use of seatbelts and area of impact all play a role in why some people are injured in accidents and some are not.
Many people do believe that only high speed impacts can cause injury, however even a low-speed impact in an auto accident can cause serious whiplash injuries. Whiplash symptoms can occur instantly but typically take days, weeks, or even months to develop.
Neck pain is by far the most common whiplash symptom, along with headaches, muscle spasms, shoulder pain, dizziness, ringing in the ears (tinnitus), arm pain and tingling, and insomnia. The constant presence of symptoms can make whiplash a debilitating problem, even resulting in clinical depression.
A common problem associated with whiplash is the misalignment of the vertebrae in the neck. If left untreated, these vertebrae will remain misaligned, causing chronic neck problems in the future, including loss of range of motion, chronic headaches and arthritis.
A 1998 Canadian study on whiplash examined more than 10,000 cases of neck injuries and concluded that chiropractic adjustments are one of the only proven treatments for whiplash injuries. This study also concluded that “accepted’ treatments such as neck collars, muscle relaxers, immobilization, and rest were not helpful for whiplash victims.
More Soon
Doc
Writers Bio
Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.
Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.
Call Steve Jones at
(619) 280 0554
San Diego Chiropractic
Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.
Better Health Steve Jones
During this time of year, we start getting calls from both established and new patients regarding aches and pains related to auto accidents. During a rainy commute, the number of auto accidents can be 4 to 5 times the number that occurs on dry roads. My Chiropractic office in San Diego has seen hundreds of auto accident / personal injury victims over the last 15 years.
The most common injury resulting from auto accidents is the classic neck injury termed whiplash.
Whiplash is a traumatic neck injury that results from a sudden, forceful backward / forward snapping movement of the head. The head is heavy compared to the size of the muscles that help turn and tilt your head. Because of the violent acceleration and deceleration of the head, the soft tissues of the neck are overwhelmed with the stresses of the gravitational forces. Ligament damage, pinched nerves, muscle tearing, spasm and spinal misalignment are typical results of whiplash.
Whiplash can become a nagging, intolerable condition if left untreated. Many people make the mistake of judging the amount of injury to their body’s based on the force of impact or the amount of damage to the car. This is poor judgment. There are many factors that determine how a person is rear-ended by a second vehicle traveling 60 mph walks away unhurt while an apparently light tap on the bumper in a parking lot can cause enough pain to ruin your summer. Factors including the angle of the impact, speed of the impact, occupant awareness of the impending impact, head tilt or rotation, use of seatbelts and area of impact all play a role in why some people are injured in accidents and some are not.
Many people do believe that only high speed impacts can cause injury, however even a low-speed impact in an auto accident can cause serious whiplash injuries. Whiplash symptoms can occur instantly but typically take days, weeks, or even months to develop.
Neck pain is by far the most common whiplash symptom, along with headaches, muscle spasms, shoulder pain, dizziness, ringing in the ears (tinnitus), arm pain and tingling, and insomnia. The constant presence of symptoms can make whiplash a debilitating problem, even resulting in clinical depression.
A common problem associated with whiplash is the misalignment of the vertebrae in the neck. If left untreated, these vertebrae will remain misaligned, causing chronic neck problems in the future, including loss of range of motion, chronic headaches and arthritis.
A 1998 Canadian study on whiplash examined more than 10,000 cases of neck injuries and concluded that chiropractic adjustments are one of the only proven treatments for whiplash injuries. This study also concluded that “accepted’ treatments such as neck collars, muscle relaxers, immobilization, and rest were not helpful for whiplash victims.
More Soon
Doc
Writers Bio
Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.
Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.
Call Steve Jones at
(619) 280 0554
San Diego Chiropractic
Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.
Better Health Steve Jones
Tuesday, February 9, 2010
The Causes of Back and Neck Pain and Chiropractic Treatment
The Causes of Back and Neck Pain and Chiropractic Treatment
My Chiropractic Office in San Diego California is like many across the United tates. While chiropractic care helps many different conditions, it is often viewed as treatment for back pain and neck pain. Determining the specific causes of neck pain and back pain for each chiropractic patient is vital prior to the onset of any treatment.
When dealing with back and neck pain, it is important to have your pain valuated by a professional. Simply dismissing back or neck pain as typical and unimportant can be a very bad mistake.
Many conditions can cause back and neck pain, ranging from injury to infection to simply twisting the wrong way. Traumatic injuries such as those sustained in an automobile or other type of accident can damage muscles, joints, ligaments, and vertebrae.
Overuse or under use of the back muscles is by far the most common cause of back pain that manifests as tightening or spasm of the muscles that connect to the spine. Inflammation and swelling often occur in the joints and ligaments, especially in the cervical and lumbar regions, as people age.
A herniated disc occurs when the nuclear pulposus, the inner material of the disc, pushes through a tear in the annulus fibrosis, the outer material of the disc causing nerve root compression. The cervical and lumbar regions of the spine have the most mobility and the discs there are more likely to wear down or be injured. Ninety percent of disc herniations occur in the lower two lumbar vertebrae.
Spinal stenosis, the narrowing of the spinal canal, can cause spinal cord irritation and injury. Conditions that cause spinal stenosis include infection, tumors, trauma, herniated disc, arthritis, thickening of ligaments, growth of bone spurs, and disc degeneration. Spinal stenosis most commonly occurs in older individuals as a result of vertebral degeneration.
A pinched nerve, or radiculopathy, occurs when something rubs or presses against a nerve, creating irritation or inflammation. Radiculopathy can result from a herniated disc, bone spur, tumor growing into the nerves, and vertebral fracture, and many other conditions.
Sciatica is a certain type of radiculopathy that involves inflammation of the sciatic nerve. Pain is experienced along the large sciatic nerve, from the lower back down through the buttocks and along the back of the leg.
A spinal tumor that originates in the spine (primary tumor) or spreads to the spine from another part of the body (metastatic tumor) can compress the spine or nerve roots and cause significant pain.
Infections of the vertebrae (e.g., vertebral osteomyelitis), the discs, the meninges (e.g., spinal meningitis), or the cerebrospinal fluid can compress the spinal cord and result in serious eurological deterioration, if it is not diagnosed and treated immediately.
Facet joints allow movement of the spine. The facet joints are formed by two adjacent vertebra and direct or guide movement of the spine. As facet joints degenerate, they may not align correctly, and the cartilage and fluid that lubricates the joints may deteriorate. Bone then rubs against bone, which can be very painful.
These are just a few of the conditions that can cause back pain and neck pain.
Thankfully, most cases of back pain and neck pains are related to mechanical causes and can be readily addressed by a trained chiropractor. The point is, however, pain is a warning signal that should not be ignored. The best place to have your back and neck pain evaluated is with a chiropractor.
Writers Bio
Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.
Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.
Call Steve Jones at
(619) 280 0554
San Diego Chiropractic
Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.
Better Health Steve Jones
Chiropractic, neck pain, San Diego, back pain, chiropractor, treatment
My Chiropractic Office in San Diego California is like many across the United tates. While chiropractic care helps many different conditions, it is often viewed as treatment for back pain and neck pain. Determining the specific causes of neck pain and back pain for each chiropractic patient is vital prior to the onset of any treatment.
When dealing with back and neck pain, it is important to have your pain valuated by a professional. Simply dismissing back or neck pain as typical and unimportant can be a very bad mistake.
Many conditions can cause back and neck pain, ranging from injury to infection to simply twisting the wrong way. Traumatic injuries such as those sustained in an automobile or other type of accident can damage muscles, joints, ligaments, and vertebrae.
Overuse or under use of the back muscles is by far the most common cause of back pain that manifests as tightening or spasm of the muscles that connect to the spine. Inflammation and swelling often occur in the joints and ligaments, especially in the cervical and lumbar regions, as people age.
A herniated disc occurs when the nuclear pulposus, the inner material of the disc, pushes through a tear in the annulus fibrosis, the outer material of the disc causing nerve root compression. The cervical and lumbar regions of the spine have the most mobility and the discs there are more likely to wear down or be injured. Ninety percent of disc herniations occur in the lower two lumbar vertebrae.
Spinal stenosis, the narrowing of the spinal canal, can cause spinal cord irritation and injury. Conditions that cause spinal stenosis include infection, tumors, trauma, herniated disc, arthritis, thickening of ligaments, growth of bone spurs, and disc degeneration. Spinal stenosis most commonly occurs in older individuals as a result of vertebral degeneration.
A pinched nerve, or radiculopathy, occurs when something rubs or presses against a nerve, creating irritation or inflammation. Radiculopathy can result from a herniated disc, bone spur, tumor growing into the nerves, and vertebral fracture, and many other conditions.
Sciatica is a certain type of radiculopathy that involves inflammation of the sciatic nerve. Pain is experienced along the large sciatic nerve, from the lower back down through the buttocks and along the back of the leg.
A spinal tumor that originates in the spine (primary tumor) or spreads to the spine from another part of the body (metastatic tumor) can compress the spine or nerve roots and cause significant pain.
Infections of the vertebrae (e.g., vertebral osteomyelitis), the discs, the meninges (e.g., spinal meningitis), or the cerebrospinal fluid can compress the spinal cord and result in serious eurological deterioration, if it is not diagnosed and treated immediately.
Facet joints allow movement of the spine. The facet joints are formed by two adjacent vertebra and direct or guide movement of the spine. As facet joints degenerate, they may not align correctly, and the cartilage and fluid that lubricates the joints may deteriorate. Bone then rubs against bone, which can be very painful.
These are just a few of the conditions that can cause back pain and neck pain.
Thankfully, most cases of back pain and neck pains are related to mechanical causes and can be readily addressed by a trained chiropractor. The point is, however, pain is a warning signal that should not be ignored. The best place to have your back and neck pain evaluated is with a chiropractor.
Writers Bio
Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.
Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.
Call Steve Jones at
(619) 280 0554
San Diego Chiropractic
Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.
Better Health Steve Jones
Chiropractic, neck pain, San Diego, back pain, chiropractor, treatment
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