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Showing posts with label spine doctor near me. Show all posts
Showing posts with label spine doctor near me. Show all posts

Friday, May 22, 2015

Evidence Based Medicine - Back Doctors Near Me

“To the best of our ability, Life in Motion Chiropractic and Wellness agrees to provide our patients convenient, affordable, and mainstream Chiropractic care. We will not use unnecessary long-term treatment plans and/or therapies.”

www.Chiro-Trust.org






At Life in Motion Chiropractic and Wellness we practice evidence based medicine which is:

“The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research.”

And therefore we utilize outcome measures such as:

• Oswestry Back Pain Disability Index (ODI)

• Keele STarT Back Screening Tool

• Neck Disability Index (NDI)

• Functional & Visual Analog Pain Scale(s)

• DASH Questionnaire

• Headache Disability Index

In order to show that the treatment given was reasonable and necessary as well as determine when the patient’s clinical status has reached maximum improvement.

Evidence Based Medicine


CHIRO-TRUST

ChiroTrust™ members are a group of Doctors of Chiropractic worldwide who have taken “The ChiroTrust Pledge” (See Above) and are dedicated to providing conservative, mainstream chiropractic care to patients without sales pressure, long-term recommendations, unnecessary therapies or excessive costs.


Monday, May 18, 2015

Neck Pain – Management Strategies: Vol 15 Iss 5 The In Good Hands Newsletter from Chiro-Trust.org

“To the best of our ability, Life in Motion Chiropractic and Wellness agrees to provide our patients convenient, affordable, and mainstream Chiropractic care. We will not use unnecessary long-term treatment plans and/or therapies.”

www.Chiro-Trust.org


More ABC US news | ABC World News

When you make an appointment for a chiropractic evaluation for your neck pain, your doctor of chiropractic will provide both in-office procedures as well as teach you many self-help approaches so that as a “team”, together WE can manage your neck pain or headache complaint to a satisfying end-point. So, what are some of these procedures? Let’s take a look!

In the office, you can expect to receive a thorough history, examination, x-ray (if warranted), and a discussion about what chiropractic care can be done for you and your condition. Your doctor will map out a treatment plan and discuss commonly shared goals of:
  • Pain reduction
  • Posture/alignment restoration
  • Prevention of future episodes.

Pain reduction approaches include (but are not limited to):
  - inflammation control by the use of physical therapy modalities (such as electrical stimulation), ice, and possibly anti-inflammatory vitamin / herbal therapies. 

Your chiropractor will also teach you proper body mechanics for bending, lifting, pulling, pushing and help you avoid positions or situations where you might re-injure the area. 

Posture/alignment restoration can include methods such as wall stand and/or stork exercises, respiratory "re-training", spinal stabilization exercises, and/or foot orthotic inserts. 

The third goal of future episode prevention is often a combination ongoing treatments in the office and strategies you can employ at home. This includes (but is not limited to):
  • Whether you should use ice, heat, or both at times of acute exacerbation
  • Avoiding positions or movements that create sharp/lancinating pain
  • DOING THE EXERCISES that you've been taught ON A REGULAR BASIS
  • Eating and an “anti-inflammatory” diet (lean meats & lots of fresh fruits/veggies).

Let’s talk exercise! Your doctor of chiropractic will teach you exercises that are designed to increase range of motion (ROM), re-educate a flat or reversed curve in the neck, and strengthen / stabilize the muscles in the neck. Studies show that the deep neck flexor muscles – those that are located deep, next to the spine in the front of the neck – are frequently weak in patients with neck pain. These muscles are NOT voluntary so you have to “trick” them into contracting with very specific exercises. Your doctor will also teach you exercises that you can do EVERY HOUR of your work day (for 10-15 seconds) that are designed to prevent neck pain from gradually worsening so you aren't miserable by the end of work. 

Along these lines, he/she will discuss the set-up of your work station and how you might improve it – whether it’s a chair, desk, computer position, a table/work station height issue, or a reaching problem; using proper “ergonomics” can REALLY HELP! 
Posture & Ergonomics Training

Your doctor will also advise you not to talk on the phone pinching the receiver between your head and shoulder, to face the person you are talking to (avoiding prolonged head rotation), to tuck in your chin as a posture training exercise, and more. 


Chiro-Trust.org

ChiroTrust™ members are a group of Doctors of Chiropractic worldwide who have taken “The ChiroTrust Pledge” and are dedicated to providing conservative, mainstream chiropractic care to patients without sales pressure, long-term recommendations, unnecessary therapies or excessive costs.

Thursday, October 24, 2013

Good News Regarding Back Pain


Eugene Carragee, MD (et al), Chief of the Surgical Division at Stanford Hospital and Professor of Orthopedic Surgery at Stanford University Medical Center published the findings of a five year observational study in the Nov-Dec 2006 edition of The Spine Journal. The study involved 200 subjects who had no lifetime history of Low Back Pain (LBP) but were at high risk for new LBP episodes. At the outset of the study each subject was given a physical exam and underwent both x-ray and MRI studies. Subjects were assessed every six months for five years via a detailed phone interview and those experiencing any new severe LBP underwent new MRI studies within 6-12 weeks of the onset of their symptoms. All subsequent MRIs were then compared to those taken at the outset of the study. Carragee, et al made the following conclusions:

  • Degenerative changes exhibited on MRI DOES NOT increase the risk for long term problems
  • Individuals with a “heavy job” are likely to experience persistent, minor LBP but they ARE NOT at increased risk for significant LBP or disability, especially if they do not have high fear beliefs regarding their job duties.
  • The vast majority of patients experiencing low back injury exhibit NO CHANGE on MRI

- Essential Messages
  • We want to overcome pain not “get rid of it
  • DON’T avoid activity; activity IS GOOD
  • LBP although inconvenient and at times very painful can be OVERCOME
  • Return to work IS therapy

            ~ You don’t get better in order to go back to work. You go back to work in order to get better!
            ~ Some pain upon returning to activity IS NORMAL