Short North Accident Injury Care

Archive for the ‘Pain Back’ Category

Which is worse – neck pain or back pain?

I hear this question often in my chiropractic office.  Of course the answer is easy – if you have back pain, back pain is definitely worse than neck pain.  If you have neck pain, neck pain is definitely worse than back pain.

Another common question that I hear regarding low back pain is why sitting makes it hurt more than standing.

This is a good question, which can be answered through physics.  I remember seeing a diagram in one of my office ergonomic books that exposed the different stress levels on the spinal disks with various body positions.

The diagram had drawings of a person standing, lying down, sitting and then sitting while hunched forward with very poor posture.  The disk pressure differences with these different postures was given as follows:

1)    Standing upright 100%
2)    Lying down          24%
3)    Sitting upright     140%
4)    Sitting hunched   190%

The explanation of the much higher disk pressures while sitting is explained by examining the structural changes that occur when we change from a standing to a seated position.

Our spines are supposed to have curves when viewed from the side.  The neck should have a nice sweeping forward curve, the mid-back should carry a backward curve and the low back should have a sweeping forward curve.  When these curves are present, the weight of your body is carried evenly across several different structures of the spine.  These curves help provide stability for your spine.

Once we assume a seated position, the natural forward curve in our low backs reverses which increases the pressure on the disks and either increases back pain or causes back pain.  If we stay in that seated position but flex our bodies forward at the waist (think bad posture – slumping over your keyboard or desk) the pressure in the disks elevates causing more damage and more pain.

Limiting the time that you sit will help your back pain in most instances.  This is advice that I hand out to my San Diego chiropractic patients everyday of the week.  I hope that it helps you as well.

Injuries Treated, Short North Columbus, Ohio

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A Chiropractor treats injuries from a car accident.

When were you in a car accident?

Did a chiropractor assess you? If not, you should have this done. It’s always still possible to pursue this treatment.

Quite a few persons have been treated by my Columbus Chiropractic Office for back pain, headaches, and neck pain caused by car accidents. It may surprise you that we not only treat patients with recent injuries from auto accidents, but also those that had accidents that were dismissed as mild and not previously treated.

It has always seemed strange to me that people usually don’t look after themselves as well as they look after their cars. I’m not sure why so many people hold onto these types of thoughts. Slight neck pain, headaches and lower back pain are all too often minimized, overlooked, or brushed off as not something to worry about after an auto collision injury. This shouldn’t be the case. Can you imagine if other health concerns were treated so recklessly?

The injury triggers in whiplash related accidents are complicated. Discs can become herniated, fractures of the spine can occur, muscles stretch and tear and ligaments can often partially tear or even burst. There are numerous various symptoms that can cause pain in the neck or back, ranging in severity from an irritation that is small to a disability that is severe as a result of these injuries. Short-term back and neck pain is very distressing, but chronic back and neck problems are even more difficult to cope with.

While whiplash is a complex injury, the spinal injuries that result often show a common pattern. Muscles and ligaments at the injury location start feeling irritated. Inflammation results from the irritation. The inflammatory process is the cause of the majority of symptoms at the onset, and it also causes the development of scar tissue that can cause these symptoms to become permanent or chronic.

One quarter of auto accident victims develop chronic problems from their injuries. I frequently witness this statistic in reality in my Columbus, Ohio chiropractic office.

Car accidents often result in neck and back pain along with headaches, areas that chiropractors excel in caring for. To make sure that you are not part of the one-fourth of those people who do not recover completely from a car crash injury, see a chiropractor as soon as possible for examination and treatment.

Whiplash Accidents Injuries Treated, Short North Columbus, Ohio
Call 614 299 9797 to make an appointment.

Pain from Back Injuries Treated, Short North Columbus, Ohio
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614 299 9797 to make an appointment.

In my Columbus Office,I see many types of injuries as a Chiropractor in Columbus. Some of the common injuries can result in neck pain, back pain, chronic headaches, sciatica etc.

Causes of these injuries range from auto accidents and work related injuries to injuries caused by domestic chores, house work and sometimes things as simple as sleeping in an awkward position.

Of these injured patients, I would say that at least 50% of them, for the moment, while they are in pain they ask “what can I do for myself to make sure that this doesn’t happen again?” This question served as the inspiration for this article and I will address in this post.

To begin with, pain is a great motivator.

When people are in pain they take a proactive approach to their health. People often inquire about what kind of stretch or exercising that they can start right away. Unfortunately, the best thing that you can do while your injury is new is to apply ice packs to the injured area and rest.

Over my 15 plus years in practice I have seen a large percentage of enthusiastic patients ignore this advice and end up giving their conditions a major set back. The time to start exercising and stretching your back for most of us is when it is out of its acute stage of pain.

My biggest struggles in practice have been dealing with my patients exercise and diet habits. Exercise is one of the few things that a patient can do at home, outside of chiropractic care, to help prevent or diminish the chances of developing back pain.

After an injury, you should approach exercise cautiously – almost to a point where the exercise that you are performing feels like it is doing nothing. If you can get through a few low intensity exercise sessions like this without aggravating your condition, you should slowly add resistance which allows you to build confidence and strength at the same time.

Remember to follow a sensible approach to exercising after a back injury. Be sure to exercise and stretch under the advise of a health care professional. Strong and flexible muscles add strength and support to your spine and will provide much needed stability.

Whiplash Accidents Injuries Treated, Short North Columbus, Ohio

Call 614 299 9797 to make an appointment.

Posture and Back Pain and Neck Pain Injuries Treated, Short North Columbus, Ohio Call 614 299 9797 to make an appointment.

Back pain and neck pain can strike anyone at any time. In my chiropractic clinic in Columbus, Ohio, we see patients that have injured their backs or necks from lifting boxes, operating heavy machinery, sports injuries, auto accidents and falls.

Patients or new chiropractic patients would be surprised to find that the most
common type of injury that we see in our office is not from lifting 90 pound sacks of concrete but from postural stress.

Postural stress is the “silent killer” when it comes to our spinal health. Postural stress occurs during both seated and standing positions. Postural stress occurs any time that your spine looses its’ natural curves and / or moves forward beyond its neutral balance point.

An example of a posturally stressful position for your neck would be when you are sitting at the computer leaning your neck and head forward while either keyboarding or reading the screen. Assuming a posture in which your head and neck are extended out in front of your body reverses the normal curve of your neck and shifts your head forward of its balance point.

When we assume postures that cause stress on our spines, the stability that is inherent in our structure when postural boundaries are respected is lost. Postural stress exposes our alignments and muscles to prolonged periods of stretching which results in fatigue, irritation, inflammation, back pain and neck pain.

Treating postural stresses resulting neck pain and back pain requires a multifaceted approach. Chiropractic care will relieve the pain and stiffness. This may take several treatments based on the length of time that you have been in pain and the severity of your symptoms. Concurrent to chiropractic care, you must do everything possible to remove the causes of the postural stress. A thorough workstation analysis can reveal hidden sources of postural stress. Applying ice packs to the specific areas of neck pain and back pain in twenty minute sessions is also helpful.

Posture and Back Pain and Neck Pain Accidents Injuries Treated, Short North Columbus, Ohio Call

614 299 9797

Back Pain and Arthritis Treatment

Arthritis is a scary word to most people.

In my Short North Chiropractic clinic, I see people each day who suffer from the effects of arthritis.  Besides the fact the in general arthritis slows you down and limits your physical abilities, it also causes pain.  Neck pain, back pain, knee pain, shoulder pain and even headaches (secondary to the neck pain) are common complaints from people with arthritis.

Most of the patients that we provide chiropractic treatment for are suffering from a type of arthritis know as osteoarthritis.  Osteoarthritis is also known as degenerative joint disease, degenerative arthritis and wear & tear arthritis.  The term osteoarthritis does describe a type of arthritis that occurs because of a wearing down of the joint.
In some cases, osteoarthritis is the result of some injury to the joint that resulted in unnatural or awkward movements of that joint.  In the medical community we refer to these abnormal movements as “biomechanical abnormalities”  In many cases, a joint has to be exposed to biomechanical abnormalities for years before the joint becomes laden with arthritis.

In my chiropractic office, we treat many patients for automobile accidents.  I always tell these patients that while I am not trying to minimize the pain that they are currently suffering from, the most important aspect of their entire treatment program is to help restore normal biomechanics of the spine.  This is because eliminating the pain associated with car accident injuries is important but the initial pain that comes with a car accident is only a fraction of the long-term discomfort that comes with biomechanical abnormalities.

Of course I am referring to a process that involves whiplash of a joint leading to scar tissue formation causing abnormal biomechanics that results in arthritic joints.
We do provide effective treatment for the PAIN of arthritis but there is no treatment that CURES it.

The bottom line is this:  If you have neck pain or back pain now, get treatment for it becomes an incurable disorder like arthritis.

Back Pain and Arthritis Treated, Short North Columbus, Ohio Call 614 299 9797 to make an appointment.

How Does Your Posture Affect Back Pain and Neck Pain?

Chiropractor, neck pain ,posture ,chiropractic ,back pain ,ergonomic

Have you ever wondered how it can be that you can sit around all day doing nothing strenuous and develop back pain or neck pain?  When you start to examine the structure of our bodies and apply some simple rules of physics, the fact that we don’t suffer from more frequent or intense back pain and neck pain is a wonder.  In my chiropractic office in Columbus, California, I see office workers on a regular basis that have significant back and neck complaints related to simple ergonomic issues.

Back pain or neck pain can affect anyone at any time.  I see patients that have injured their backs and necks from lifting, operating machinery, sports injuries, auto accidents and falls on a daily basis.  I would classify these injuries as typical or expected types of injuries.  Many non-chiropractic patients or new chiropractic patients would be surprised to find that the most common type of injury that I see in my office is not from lifting heavy sacks of concrete but from the long term consequences of postural stress.

Postural stress is the “silent killer” when it comes to our spinal health.  Postural stress occurs during both seated and standing positions.  Postural stress occurs any time that your spine looses its’ natural curves and / or moves forward beyond its neutral balance point.

An example of a posturally stressful position for your neck would be when you are sitting at the computer leaning your neck and head forward while keyboarding, mousing or viewing the screen.  Assuming a posture in which your head and neck are extended out in front of your body reverses the normal curve of your neck and shifts your head forward of its balance point.

When we assume postures that cause stress on our spines, the stability that is inherent in our structure when postural boundaries are respected is lost.  Postural stress exposes our ligaments and muscles to prolonged periods of stretching which results in fatigue, irritation, inflammation, back pain and neck pain and eventually arthritis.

Treating neck pain and back pain that has resulted from postural stress requires a multifaceted approach.  Chiropractic care combined with stretching and nutritional support will relieve the pain and stiffness and restore normal, full joint motion.  This part of your recovery may take several treatments or a lengthy treatment program based on the length of time that you have been in pain and the severity of your symptoms.

In addition to chiropractic care, you must eliminate or modify the causes of the postural stress.  A workstation analysis can reveal ergonomic issues that are instigators of postural stress.  Ice pack applications to the specific areas of neck pain and back pain in twenty minute sessions are also helpful.

The best way to begin your care is discuss your issues with your chiropractor.  Chiropractors are well trained in dealing with postural stress issues and the neck pain and back pain that result from it.  At my Columbus based chiropractic clinic we use a complete approach that utilizes chiropractic care supported by specific stretches and exercises.  We also encourage the proper nutritional support to facilitate the healing process.  Whatever approach that you take to relieve the pain of postural stress, please be aware of the importance of eliminating the source of the postural stress in addition to seeking treatment.

Whiplash Accidents Injuries Treated, Short North Columbus, Ohio Call 614 299 9797 to make an appointment.

Why do I have back pain?

Being a chiropractor in my Short North, Columbus, I hear this question all the time. Back pain and neck pain are the two most common complaints that my patients have. The fact that my practice is in Columbus probably decreases the frequency of these complaints. People in Columbus tend to be more active which actually lowers the incidence of low back and neck pain.

Over fifteen years ago when I first started practicing chiropractic care in Columbus, most of my low back pain patients and neck pain patients for that matter were not related to office work. Most of the cases that I had when I first started practicing were do to injuries like car accidents and falls or heavy work.

In the mid to late nineteen nineties, I started to see a trend in injury mechanisms among my patients. They were starting to attribute their pain to long hours of sitting at the computer.

Sitting all day at the computer not only causes back pain but it also causes neck pain, headaches, carpal tunnel syndrome and various arm problems.

Lower back pain is primarily due to poor sitting posture. When we are standing up with good posture, our lower backs have a sweeping forward bowing curve that resembles a stretched out letter “c”. This shape distributes our bodies weight evenly throughout the spine. When we sit, this curve reverses, greatly increasing the stress on the joints and discs in the spine.

With time, this postural stress results in irritation and inflammation resulting in pain and muscle spasms.

Once the low back has reached a point of pain and spasms, chiropractic care is necessary to relieve the pain, improve the bio-mechanics of the spine and relax the muscles.

In addition to chiropractic care for back pain, the patient must seek out an ergonomic chair and have it adjusted properly for their body. In many cases, I suggest a complete workstation analysis to help prevent future problems with other computer related stresses.

Whiplash Accidents Injuries Treated, Short North Columbus, Ohio
Call 614 299 9797 to make an appointment.

Whiplash Accidents Injuries Treated, Short North. Columbus, Ohio Call 614 299 9797 to make an appointment.

In my  Short North, Columbus clinic, I provide treatment for many types of injuries. Typical injuries that result in neck pain, back pain, chronic headaches, sciatica etc., include auto accidents, work related injuries, injuries caused by domestic chores and sometimes things as simple as sleeping in an awkward position.

Of these patients suffering from neck pain, back pain and other injuries, I would say that at least 50% of them ask, “what can I do for myself to make sure that this doesn’t happen again?” This question served as the inspiration for this article and I will address in this post.

To begin with, neck pain and back pain are great motivators.

When people are in pain they take a proactive approach to their health. People often inquire about what kind of stretch or exercising that they can start right away. Unfortunately, the best thing that you can do while your injury is new is to apply ice packs to the injured area and rest.

Over my 16 plus years in practice I have seen a large percentage of enthusiastic patients ignore this advice and end up giving their conditions a major set back. The time to start exercising and stretching your back for most of us is when it is out of its acute stage of pain.

My biggest struggles in practice have been dealing with my patients exercise and diet habits. Exercise is one of the few things that a patient can do at home, outside of chiropractic care, to help prevent or diminish the chances of developing back pain.

After an injury, you should approach exercise cautiously – almost to a point where the exercise that you are performing feels like it is doing nothing. If you can get through a few low intensity exercise sessions like this without aggravating your condition, you should slowly add resistance, allowing you to build confidence and strength at the same time.

You have to remember to incorporate a sensible approach to exercising after a back injury. Be sure to exercise and stretch under the advise of a health care professional. Strong and flexible muscles add strength and support to your spine and will provide much needed stability.

I have always tried to help the patients of my Columbus Chiropractic office with their neck pain and back with stretches and exercises. The combination of chiropractic care with stretches and exercise allows for quicker, more complete healing.

Whiplash Accidents Injuries Treated, Short North, Columbus, Ohio Call

614 299 9797

to make an appointment.

Whiplash Accidents Injuries Treated, Short North Columbus, Ohio Call 614 299 9797 to make an appointment.
________________________________________
Mark van Hemert, DC, DACS

Short North, Columbus Chiropractor explains:
IME was originally an acronym for independent medical examination, but the IME doctor is now chosen by and paid by the insurance industry. The acronym now stands for insurance medical examination.

The most recent development in the insurance medical examination has been the multidisciplinary examination, where a chiropractor and a medical doctor, both with higher credentials than the average clinician, examine the patient simultaneously.

This creates an appearance of a high level of specialization and expertise. The opinion in a majority of these reviews is that care beyond two months is not needed. The rational is that the laying down of scar tissue is completed by the eighth week and therefore further treatment in not medically necessary or therapeutic.

They state that the patient is at maximum improvement and no further treatment is necessary. This rational does not consider the remodeling and strengthening of scar tissue, nor the need to restore maximum joint function.

However, without an attending physician who is knowledgeable about the guidelines and who has accumulated objective data of improvement, the professional response to this rational will be based solely on opinion and not fact.

Mercy specifically does not give a limit for reasonable care, but observations, assessments and the definitions of care based on scientific evidence.

It states that these guidelines are not designed to be a cookbook. The listed time for acute stage of care ranges from 8-16 weeks, depending on which of three cited references you go by.

In reviewing those references, I believe that the eight weeks refer to the acute healing cycle of the injury, and the 16 weeks to the acute physiology or rehabilitative healing time.

The healing and rehabilitative acute stages are followed by the subacute stage, before the unresponsive chronic phase of function and pain begin. Rebuttals of IME opinions using the Mercy guidelines increase your credibility when justifying your clinical rational to claims adjudicators.

The insurance industry recognizes the Mercy document as the authority in the chiropractic profession. The parameter of clinical practice that Mercy most fully addresses is the trauma induced patient.

Perhaps if “Acute Traumatic Cases” had been added to the title of the guidelines the criticism of the document would have been muted. Mercy creates a solid, well thought out guideline for the traumatic personal injury and workers’ compensation case.

Mercy very effectively deals with narrow minded, nonflexible professional rational and makes the third-party payers conform to a set of standards which is fair to the patient and respectful of.

Whiplash Accidents Injuries Treated, Short North Columbus, Ohio Call 614 299 9797 to make an appointment.

Chronic Pain & Injuries Treated, Short North Columbus, Ohio

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Chronic pain is defined as pain that persists longer than 90 days beyond the course of the natural expected healing time. As a chiropractor in Columbus, Ohio, I get calls from both new and established patients on a regular basis who complain of back pain, neck pain, etc.

One of the factors that comes into play when planning a chiropractic treatment program is the duration of the patients pain. In general, the longer that a patient suffers with a painful condition, the longer / more intense the treatment is needed in order to fix it. Acute or recent episodes of pain respond much quicker than do chronic conditions.

Pain is very difficult to quantify by any practitioner. Pain is subjective in nature and completely defined by the person experiencing the symptoms, the fact that chronic pain can exist without an obvious cause makes it much more difficult to treat.

I see the difficulties that my chronic pain patients have with their conditions on a daily basis. Aside from the actual pain that they experience, those who suffer with chronic pain often limit their activities for fear of exacerbating their conditions. They also have a much harder time focussing on mental tasks as the pain is a constant source of distraction. The more severe the pain, the more difficulties these people have with attention demanding tasks.

While we strive to avoid pain, pain is a wonderful tool of the nervous system. Pain lets us know of actual or potential tissue damage with an unpleasant sensation that directs our attention to the affected area so that we can either immediately take action to stop the process or focus on healing the injured body parts. Chronic pain sensations are a bit more insideous.

Chronic pain often involves a decrease in the sensativity of the nerve fibers that send messages of pain from the damaged area. With a decreased sensativity (threshold), the nerve is much more likely to transmit painful sensations to the brain then a healthy nerve / tissue combination. This activity within the nervous system is know as a wind up phenomenon and it is very difficult to stop once it has been established. In some other cases, nerve fibers that normally don’t carry painful sensations not only begin to transmit pain signals but it is thought that they may actually generate the signals themselves.

In my office, chronic pain is often the result of untreated sprain / strain type injuries of the joints. In untreated or under-treated sprain / strain injuries, the joint or the muscles that move the joint are laden with scar tisuue that acts to either limit or alter motion of that joint. With time, the awkward, unnatural biomechanics of the scar tissue laden joint results in irritation, inflammation and finally pain and spasm.

While chiropractic care is often successful at re-establishing “clean” biomechanics of a joint, it is always better to get the care in the beginning of an injury versus waiting for that injury to become chronic, with a requiring more care with a decreasing chance of complete recovery.

Because of the possibility of an acute painful condition becoming a chronic one, I always encourage my patients to take care of themselves immediately when they first start to experience pain. I have practiced chiropractic care for almost two decades now and I can say that chronic painful conditions of the spine are devastating.

Not only do they make you experience pain, but in most instances they limit your physical activities creating a situation that can easily degrade from inactivity secondary to pain, to deconditioning and eventually to obesity and ill health in general leading to a dissatisying lifestyle.

The bottom line on chronic pain is this – avoid it if you can. Don’t ignore your pain. Painful acute conditions that are left untreated can easily spiral into a chronic condition that has the potential to alter your lifestyle in a negative way.

Chronic Pain Injuries Treated, Short North Columbus, Ohio

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