Short North Accident Injury Care

Archive for the ‘Work Related Injuries’ Category

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.

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.
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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.