Posts Tagged ‘arthritis’

Common Whiplash Myths – Part 2

Monday, January 21st, 2013

Last month, we began discussing common myths about whiplash injuries, and this month, we will continue on that course. Remember, the amount of injury that occurs in an acceleration/deceleration injury is dependent on many factors, some of which include gender (females>males), body type (tall slender = worse), the amount of vehicular damage (less is sometimes worse as the energy of the strike was not absorbed by crushing metal), head position at the time of impact (rotation is worse than looking straight ahead), and more. Therefore, each case MUST be looked at on its own merits, not just analyzed based on a formula or accident reconstruction.

MYTH #5: THERE MUST BE DIRECT CONTACT WITH THE NECK FOR INJURY TO OCCUR.Injury to the neck most commonly occurs due to the rapid, uncontrolled whipping action of the head, forcing the neck to move well beyond its normal range of motion in a forwards/backwards direction (if it’s a front or rear-end collision) or, at an angle if the head is rotated or when the strike occurs at an angle. When this occurs, the strong ligaments that hold the bones together stretch and tear in a mild, moderate, or severe degree, depending on the amount of force. Once stretched, increased motion between the affected vertebra results as ligaments, when stretched, don’t repair back to their original length and, just like a severe ankle sprain, future problems can result. This excess motion between vertebra can result in an accelerated type of arthritis and is often seen within five years following a cervical sprain or whiplash injury.

MYTH #6:  SEAT BELTS PREVENT WHIPLASH INJURIES. It’s safe to say that wearing seat belts saves lives and, it’s the law! So, WEAR YOUR SEAT BELTS! They protect us from hitting the windshield or worse, being ejected from the vehicle. But, as far as preventing whiplash, in some cases (low speed impacts where most of the force is transferred to the car’s occupants), the opposite may actually be true. (This is not an excuse to not wear a seatbelt!) The reason seat belts can add to the injury mechanism is because when the chest or trunk is held tightly against the car seat, the head moves through a greater arc of motion than it would if the trunk were not pinned against the seat, forcing the chin further to the chest and/or the back of the head further back. The best way to minimize the whiplash injury is to have a well-designed seat belt system where the height of the chest harness can be adjusted to the height of the driver so that the chest restraint doesn’t come across the upper chest or neck. Move the side adjustment so the chest belt crosses between the breasts (this also reduces injury risk to the breasts) and attaches at or near the height of the shoulder (not too high). Another preventer of whiplash is positioning the head restraint high enough (above the ears typically) and close to the head (no more than ½ to 1 inch) so the head rest stops the backwards whipping action. Also, keep the seat back more vertical than reclined so the body doesn’t “ramp” up the seat back forcing the head over the top of the head restraint.

We realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Benefits Of Chiropractic On Arthritis

Sunday, January 9th, 2011

“Can chiropractic help arthritis?” Although most medical doctors will say arthritis can not be reverse, studies have shown that it can. There are two different conditions known as “arthritis”. By definition, “arthritis” is inflammation of the joints. First, there’s osteoarthritis, sometimes referred to as “wear and tear” arthritis. This includes DJD or Degenerative Disc Disease. Then, there’s several variations of rheumatoid arthritis.

Osteoarthritis or “wear and tear arthritis” is just that, a sort of wearing away of the joint. It usually shows up as we age or after years of excessive use or wear on a joint. DJD or osteoarthritis in the spine, is usually caused by several bones in the spine that are out of alignment. When your car is out of alignment, these parts will wear out quicker than the rest of the car. Your spine is no different. If you have misalignments in your spine, the discs and bones surrounding that joint will develop arthritis faster than other areas of your body. On x-ray, this reaction looks like little bone spurs. The body reacts this way in an attempt to stabilize your spine. Over time, this process will cause fusion. Usually, the problem is not noticed until the disc is about gone and the spurs (or osteophytes) start to press on nerves, causing pain.

The typical medical approach to dealing with this type of arthritis is self-medication with over-the-counter painkillers or non-steroidal anti-inflammatory drugs like Tylenol, Advil, etc. If not resolved, you can end up on steroids or prescription painkillers that can lead to addiction. The eventual medical solution is surgery, sometimes very risky surgery with long-term consequences.

The other kind of arthritis, called rheumatoid arthritis, is an inflammatory autoimmune condition that causes pain, swelling and disfiguration, usually seen in the hands. As with most autoimmune conditions, the cause is unknown. Yet, treatments start with over-the-counter painkillers and anti-inflammatory drugs, then prescription painkillers, then immunosuppressant drugs. That just means that the drug you’re taking actually retards your immune system. The mandatory warnings on these drugs warn you of infection, disease and even death. Since we don’t know the cause, should we be treating the effect with potentially lethal drugs?

Chiropractic can help patients with arthritis in two ways:  biomechanically and neurologically. If you do, indeed, have spinal misalignments (subluxations) that can cause the discs to wear down more quickly, we help correct those misalignments with gentle, specific adjustments. As your body stays in its proper alignment, pressure is taken off the nerves and your nervous system. When that happens, your symptoms tend to clear up. If you maintain that proper alignment of the spine, there will be less nerve pressure therefore less likely for your symptoms to come back.  Biomechanically, chiropractic can increase your mobility and flexibility because of a proper aligned spine.  Neurologically , chiropractic help take stress off your nervous system, therefore allowing your body to rest, relax, and heal naturally.

Osteoarthritis Knee Surgery of the Knee May Be Of No Value!

Tuesday, May 18th, 2010

Cited in the past New York Times July 11, 2002, Arthroscopic surgery on the knee for the symptoms due to osteoarthritis is performed on over 200,000 middle-aged and older Americans each year at a cost of more than a billion dollars to Medicare, the Department of Veterans Affairs and private insurers. When medical conservative treatment does not help osteoarthritic knee pain, procedures such as arthroscopic lavage or debridement are often used. Over 650,000 such procedures are performed every year at a cost of about $5,000 each. As more and more people search for alternative therapies such as physical therapy and chiropractic care, this research has much importance. Some of the latest treatment options can be found at www.BackCareTreatment.com.

Research in the New England Journal of Medicine reported on the results of a randomized, placebo-controlled trial to evaluate the effectiveness of arthroscopy for osteoarthritis of the knee. 180 patients with osteoarthritis of the knee were randomly assigned to receive arthroscopic debridement, arthroscopic lavage or placebo surgery. The placebo group received a short-acting intravenous tranquilizer while the surgical group received the standard general anesthesia. The patients that received the placebo were kept in the operating room for the same amount of time as the surgical patients, and spent the night after the procedure in the hospital being cared for by nurses who “were unaware of the treatment-group assignment.” The placebo group received only skin incisions and underwent a simulated arthroscopic surgery but the arthroscope was never inserted. The patients in the study were informed that they might not receive actual surgery.

All the patients received the same medical walking aids, graduated exercise and analgesics. For the placebo patients, during the “operation” the doctor asked for all instruments and manipulated the knee as if arthroscopy were being performed. To simulate the treatment, saline was splashed to simulate the sounds of lavage in case the patient was partly conscious during the operation. The surgical patients were lavaged with at least ten liters of fluid to flush and cleanse the knee of painful debris and inflammatory enzymes. Torn portions of meniscus were removed, and the remaining meniscus was smoothed to a firm, stable rim. Rough articular cartilage was shaved, loose debris was removed, and any bone spurs on the tibial spine that blocked full extension were also shaved smooth.

Only one doctor was used for the surgery, who did not know the procedure until he opened an envelope at the time of the operation. The surgeon was board-certified and trained in arthroscopy and sports medicine in practice for 10 years in an academic medical center. He was a well trained physician for the men’s and women’s U.S. Olympic basketball teams in 1996.

The patients were assessed regularly during and after the procedure. The authors of the study even determined whether there may have been some clinically important benefits they may have missed in the surgical group due to their small sample size. For the comparisons they questioned, the 95 percent confidence intervals did not contain any important differences, indicating that there was not a clinically important improvement the study had simply failed to detect. The final conclusion of the study was “the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”

A growing number of people are looking for alternative therapies for their knee problems and back pain. New Century Spine Centers in San Diego 92108 regularly treats sports injuries and back problems. Some common injuries are meniscal injuries, sports injuries, muscle spasms, sciatica, and more. Some of the newest treatments options include active release therapy, cold laser therapy, activator methods, palmer technique, spinal decompression and chiropractic care by chiropractors.

Arthritis and Chiropractic

Thursday, February 25th, 2010

You Can Prevent Spinal Arthritis!

 If joint immobility is not corrected within two weeks, osteoarthritis becomes permanent
 Permanent changes cannot be reversed
 Restoring mobility to the joint will prevent it from progressing

Source: Clinical Biomechanics reported as far back as 1987
(issue 2:223-229)

 63% of the arthritis patients reported using Wellness Disciplines
at least once
 90% reported using them on a regular basis
 73% of the patients who began chiropractic care found it useful.

Source: September 21, 1999 issue of The Annals of Internal Medicine

 81% of those who had received chiropractic care did not need a nursing home;
 There was 15% less nursing home usage by the chiropractic patients

Source: RAND, 1991