Most Car Accident Victims Don’t Sue Despite Chronic Pain

Most Car Accident Victims Don't Sue Despite Chronic Pain

Most Car Crash Victims Don't Sue Despite Chronic Pain- Chiropractic NewsAuto injury victims have long been accused of faking their symptoms to earn a payout, but a new study shows that in most cases, that accusation is patently false. Researchers from the University of North Carolina School of Medicine found that the vast majority of patients fail to pursue litigation after an auto collision, despite suffering from chronic pain.

"In the U.S., if someone develops chronic neck pain or other pain after a car accident, and they go to their doctor or tell their friends, they are often not believed or are viewed with great suspicion, as if their symptoms are not real and they are just trying to sue someone," explained Samuel McLean, MD, MPH, lead author of the study and associate professor of anesthesiology and emergency medicine at the University of North Carolina. "Our findings indicate that persistent pain is very common among those who aren't suing, and that only a minority of those with persistent pain are engaged in litigation."

In the first large prospective study evaluating musculoskeletal pain after a car accident, researchers analyzed the medical records of 948 auto injury patients at eight different emergency departments in four states. Overall, 70% of those patients reported ongoing musculoskeletal symptoms six weeks after the auto accident. Over a third of patients felt pain in four or more body regions.
Despite this persistent pain, only 17% of patients had contacted a lawyer six weeks after their accident. Among patients not pursuing litigation, 28% had moderate to severe neck pain, 13% had widespread musculoskeletal pain, and 4% had fibromyalgia-like symptoms.
"It is hard enough to be suffering from a persistent pain condition after trauma that is moderate or severe, and/or occurring across many body regions. Unfortunately, these patients also often have to deal with the additional burden of not being believed. Hopefully the results of this study will contribute to helping doctors and the public understand that these symptoms are common, including among patients who aren't suing anyone," said Dr. McLean in a press release.

While depression and post traumatic stress do play a role in chronic pain, this study reminds us that the physical symptoms of auto injuries are indeed real. Countless studies have documented the tissue damage, inflammation, and nervous system changes that can occur after whiplash injuries.

Whether or not you plan on suing the responsible party, it is important to seek early treatment to avoid developing chronic pain after a car accident. Chiropractors can safely and effectively alleviate acute and chronic symptoms after auto injury, so you can get back to living your life free of pain.

Reference
McLean SA, et al. Incidence and predictor of neck and widespread pain after motor vehicle collision among US litigants and nonlitigants. Pain 2014. 155(2): 309-321. 

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Posted in Chiropractic, Healthy Lifestyle. Tagged as car accident, chiropractic, chiropractor charlotte 28209 southpark, neck pain, whiplash.

Neck Adjustments Effective for Cervicogenic Headache

Neck Adjustments Effective for Cervicogenic Headache

Neck Adjustments for Cervicogenic Headache-Chiropractic NewsMost people with chronic headache depend on medication to get by, but a recent study reminds us of the power of drug-free treatments.

Cervicogenic headache is estimated to affect between 20-25% of the adult population, but because the symptoms often mimic migraine and tension-type headache, the diagnosis can be easily overlooked.

This headache type is caused by musculoskeletal impairments in the cervical spine, or neck, that cause pain at the base of the skull or above the eyes. Patients also often report dizziness and lightheadedness. Both invasive and non-invasive treatments are available for CGH, but more research was needed to confirm the effectiveness of non-invasive approaches.

A recent study included a meta-analysis of six randomized, controlled trials on the effects of manual therapies for CGH. The interventions assessed included therapist-driven cervical manipulation and mobilization (neck adjustments); self-applied cervical mobilization; cervico-scapular strengthening; and therapist-driven cervical and thoracic manipulation.

Patients in all but one study reported a decrease in disability and pain after these treatments, as well as an improvement in function. The researchers found that a combined treatment of therapist-driven cervical manipulation and mobilization, along with strengthening exercises, were the most effective for minimizing pain.

These results add to previous research demonstrating the efficacy of a combined chiropractic and exercise treatment for CGH. Before you reach for medication for your headache, consider seeing a chiropractor who can help to diagnose and treat your headache once and for all.

References
Jull G, Trott P, Potter H, et al. A randomized controlled trail of exercise and manipulative therapy for cervicogenic headache. Spine 2002; 27(17):1835-1843.
Racicki S, et al. Conservative physical therapy management for the treatment of cervicogenic headache: a systemic review. Journal of Manual and Manipulative Therapy 2013; 21(2): 113-124. 

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Posted in Chiropractic, Healthy Lifestyle. Tagged as chiropractic, chiropractor charlotte 28209 southpark, headache, migraine, neck adjustment.

Back Pain Affects Entire Nervous System

Back Pain Affects Entire Nervous System

Back Pain Affects Entire Nervous System - Chiropractic NewsMore and more research is suggesting that back pain can have significant ramifications for the health of the central nervous system. A new study confirmed that patients with lower back pain show signs of reduced pain tolerance along the entire spinal cord, which may indicate a hypersensitized central nervous system.

Researchers publishing in the journal Spine tested pressure pain thresholds in 20 patients with chronic lower back pain and 20 healthy individuals. In most of the structures analyzed in the spinal cord, patients with back pain had reduced pressure pain thresholds than healthy patients. The authors suggested that this demonstrates what's known as hyperalgesia, or a hypersensitivity to pain, indicative of central sensitization.
Central sensitization occurs when the entire central nervous system, made up of the spinal cord, brain, and spinal nerves, becomes overly sensitized to pain. After an injury or triggering event, pain receptors alert the brain to the perceived threat, setting off a string of automatic protective responses. However, sometimes these pain receptors can kick into overdrive, and like an alarm system that never turns off, they continue sending pain signals to the brain even in the absence of danger. The result is a highly-sensitized nervous system that is quick to react at the slightest sign of a threat.

This disrupted pain response has been documented in patients with musculoskeletal disorders like back pain, fibromyalgia, and whiplash. Central sensitization helps to explain widespread chronic pain after an auto collision, or seemingly random flare-ups in chronic pain in patients with fibromyalgia.

Chiropractic care can help to calm these chronic pain flare-ups, and correct any spinal dysfunctions that could be contributing or causing your symptoms. A 2011 study suggested that chiropractic patients back pain had a lower risk for recurring symptoms compared to patients under standard medical care. Chiropractors specialize not just in pain relief, but in maintaining the proper health of the central nervous system for improved health.

Imamura M, et al. Changes in pressure pain threshold in patients with chronic nonspecific low back pain. Spine 2013; 38(24):2098-107. doi: 10.1097/01.brs.0000435027.50317.d7.http://www.ncbi.nlm.nih.gov/pubmed/24026153
Lasich, Christina. What is Central Sensitization-Symptoms- Chronic Pain. HealthCentral. July 12, 2010. 

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Posted in Chiropractic, Healthy Lifestyle. Tagged as back pain, charlotte chiropractor southpark 28209, chiropractic, low back pain.

The Sunshine Vitamin Soothes Fibromyalgia

The Sunshine Vitamin Soothes Fibromyalgia

Winter weather got you feeling a flare-up in chronic pain or fibromyalgia? You might try supplementation with vitamin D. A new study showed that patients with fibromyalgia who used vitamin D supplements had significant reductions in pain and fatigue compared to a placebo group.
Vitamin D Soothes Fibromyalgia
Lead author of the study, Florian Wepner, MD, said that vitamin D supplementation could be "an extremely cost-effective alternative or adjunct to expensive pharmacological treatment as well as physical, behavioral, and multimodal therapies." Wepner says that vitamin D levels should be closely monitored in fibromyalgia patients, especially during the winter.

Fibromyalgia is a complex pain syndrome with no known causes, and no single "cure." Patients typically receive multimodal treatments of physical therapy, medication, cognitive behavioral therapy, massage, and chiropractic care.

Earlier studies have demonstrated that patients with fibromyalgia are likely to be deficient in vitamin D levels, however it was unclear whether supplementation the vitamin could provide clinical benefits.

In a randomized, controlled trial published in the journal PAIN, researchers from the Orthopaedic Hospital in Vienna randomly assigned 30 women with fibromyalgia syndrome to receive either vitamin D supplementation or a placebo. They took serum samples to track changes in a pre-hormone called calcifediol which is believed to be the best indicator of vitamin D levels.

After 24 weeks, the treatment group reported a significant reduction in pain and "morning fatigue." They also showed improvements on a scale that measured physical functioning while the placebo group did not. Supplementation did not appear to affect depression and anxiety symptoms however.

This study adds to the arsenal of natural treatment options available for fibromyalgia patients.Research suggests that chiropractic care and regular exercise could also assist patients in reducing fibromyalgia symptoms.  Chiropractors trained in nutrition can talk with you about ways to use supplements to aide your body's response to chronic inflammation and pain.

Ask us about Cataplex D, our whole food based vitamin D supplement.  Mention this article for 10% off Cataplex D.

Reference
Elsevier. (2014, January 17). "Fibromyalgia pain and fatigue reduced by vitamin D supplementation." Medical News Today. Retrieved from  http://www.medicalnewstoday.com/releases/271335.
Wepner F, et al. Effects of vitamin D on patients with fibromyalgia syndrome: a randomized, placebo-controlled trial. PAIN 2014; 155 (2): 261-268.

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Posted in Chiropractic, Healthy Lifestyle, Nutritional Healing. Tagged as arthritis, charlotte chiropractor southpark 28209, Chronic pain, fibromyalgia, Nutrition, pain, vitamin D.

Tips for Staying in Shape this Winter

 Tips for Staying in Shape this Winter

 6 Tips for Staying in Shape this Winter With the excitement of the New Year fading, you may be finding it harder to stick to those resolutions to lose weight or get to the gym more. But keeping a regular exercise routine throughout the winter can minimize your risk of catching the cold and flu, as well as prevent weight gain, chronic pain flare-ups, and seasonal depression.
Don't let busy schedules and dropping temperatures get in the way of your workout. Here are some tips for staying motivated and fit throughout the winter.
  1. Try something new. Sure you may not feel like lacing up your running shoes in frigid temperatures, so why not turn to an indoor activity you've always wanted to try? Switching up your workout routine will ramp up your calorie burn and help you develop new musclesplus, it's more interesting than endless hours of the treadmill. Yoga, Pilates, Zumba, CrossFit, swimming, and weight training can all be done in any season.
  2. Tips for Staying in Shape in the WinterBring a friend. recent study shows that women who workout with a friend or in an exercise class burn up to 256 more calories per a session than women who exercise alone. Researchers found women who brought a long a friend tended to work out more often and for longer.
  3. Squeeze more activity throughout your day. Finding little ways to be more active throughout the day can add up. Pace or walk around the house while you're on the phone; take the stairs instead of the elevator; walk over to a co-worker's desk instead of just sending an email; and park further away from your destination.
  4. Turn your TV time into core workout. Yes, you can watch theBig Bang Theory while holding a 60-second plank. Talk to your chiropractor for ideas about simple, effective core workouts.
  5. Pack your own lunch. Getting take out may seem like a harmless solution for lunch, but research shows that eating out more than twice a week is tied to increased insulin resistance and weight gain.  Restaurant foods are higher in fat, calories, and portion sizes; and since you may not be as active as you normally are in the warmer months, all those extra calories can easily turn into pounds. Preparing your own lunches at home will allow you to control the portions and make healthy choices.
  6. See a chiropractor. Whether you're an athlete or an exercise newbie, your chiropractor can help you avoid muscles, strains, sprains, and tears that are all too common when you change your workout regime. Research has shown that regular chiropractic adjustments reduced the risk of lower limb injuries in Australian elite football players. Chiropractic may also help to improve athletic performance, some studies suggest.
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Posted in Chiropractic, Healthy Lifestyle, Nutritional Healing. Tagged as chiropractic, chiropractor charlotte 28209 southpark, exercise, weight loss.

Avocado: Good for Your Waistline and Your Joints

Avocado: Good for Your Waistline and Your Joints

New research suggests that not only is avocado tasty, it may help to trim your waistline and aide in arthritis management. In a new study, researchers found patients with arthritis who used supplements of avocado and soybean oil had reduced joint space narrowing. Another study found that eating an avocado at lunch may help you manage your weight.
Avocado for Arthritis and Weight Loss
Previous research has already shown that the fruit is beneficial for reducing the risk of certain cancers, weight management, and lowering BMI. In a recent study published in the Nutrition Journal, researchers asked overweight adults to add avocado to their standard lunches and track how quickly they became hungry after the meal.

Compared to standard lunch eaters, people who ate avocados with lunch reported feeling 26% more satisfied. They had a 40% decreased desire to eat within the three hours after lunch, and a 28% decreased desire to eat within five hours after lunch. Although the addition of avocado increased caloric and carbohydrate intake, the participants didn't experience an increase in blood sugar levels. The study authors suggested the fruit could help with managing both diabetes and weight loss.

More concentrated amounts of avocado, taken in a pill form combined with soybean oil, could also assist in managing hip arthritis, according to preliminary research from the Annals of Rheumatic Disease. Patients who used avocado-soybean oil supplements had a 20% reduced rate of  joint space narrowing after four years compared to a control group.

The patients who used the supplements did not experience a reduction in pain, disease severity, or use of pain medications however. Still, the differences seen in joint space narrowing were clinically significant. Researchers plan on testing these results further by analyzing the effects of the supplements on total hip replacement surgery rates.

Chiropractors can assist you in making the right dietary choices to reduce inflammation and pain.
References
 Maheu E, et al. Randomized, controlled trial of avocado-soybean unsaponifiable (Piascledine) effect on structure modification in hip osteoarthritis: The ERADIAS study. Annals of Rheumatic Disease 2014; 73: 376-384.
Walsh, Nancy. Avocado-soy pill may help in OA of hip. Medpage Today. January 7, 2014.
Wien EH, et al. A randomized 3×3 crossover study to evaluate the effect of Hass avocado intake on post-ingestive satiety, glucose and insulin levels, and subsequent energy intake in overweight adults. Nutrition Journal, 2013. doi:10.1186/1475-2891-12-155.
Whiteman, H. (2014, January 10). "Avocado with lunch may help with weight management." Medical News Today. Retrieved from http://www.medicalnewstoday.com/articles/271020.
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Posted in Healthy Lifestyle, Nutritional Healing, Whole Body Purification. Tagged as arthritis, avocado, chiropractor charlotte 28209 southpark, hip pain, joint pain, knee pain, Nutrition, weight loss.

Athletes Jumped Higher with Chiropractic

Athletes Jumped Higher with Chiropractic

Athletes with ankle problems had improved jumping performance after receiving chiropractic care in a new pilot study. Compared to patients in a sham group, those who received chiropractic adjustments were able to jump higher after just three weeks. If the results of the study are confirmed in future research, chiropractic adjustments could be recommended as a beneficial treatment for athletes with ankle dysfunction.
Ankle and foot injuries account for 16-30% off all sports injuries, resulting in significant loss of playing time and medical costs. Within the ankle are several joints collectively called the ankle complex or the talocrural joint. Chiropractors and other manual therapists frequently use traction, high-velocity, low amplitude manipulation of talocrural joint to alleviate ankle and foot injuries. Despite the popularity of such treatments, there has been little scientific research on the effects of ankle adjustments in athletes.
Photo by Mathias
Researchers publishing in the Journal of Manipulative and Physiological Therapeutics sought to fill this gap in knowledge by conducting a randomized, assessor-blinded clinical pilot trial. Nineteen female handball athletes were randomly assigned to receive either chiropractic adjustments or a sham treatment for three weeks. By the end of treatment, the chiropractic patients had significantly better improvements in vertical jumping height.

Jumping heights were measured by an optoelectronic infrared system that consisted of two parallel bars positioned opposite of each other. The athlete was instructed to jump while standing between the two bars, and the system measured the flight time with the precision of 0.001 seconds. After three jumps, the output was averaged and converted to centimeters. The chiropractic patients had a 1.07 cm improvement in jump height, compared to a 0.59 cm improvement in the control group.

The authors of the study say that large randomized clinical trials are needed to confirm the results. However the preliminary research is promising for athletes looking for non-invasive ways to cope with chronic ankle concerns.

Previous research has also suggested that chiropractic adjustments may enhance performance in judo athletesrunners, and college football players.

Reference
Hedlund, S. Effect of chiropractic manipulation on vertical jump height in young female athletes with talocrural joint dysfunction: a single-blinded randomized clinical pilot trial. Journal of Manipulative and Physiological Therapeutics 2014. doi:10.1016/j.jmpt.2013.11.004. 

Posted in Chiropractic. Tagged as athlete, charlotte chiropractor southpark 28209, chiropractic.

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Why Chiropractic is the Best Solution for Sciatica Pain


Sciatica and chiropracticSciatica and chiropractic
Sciatica pain is often so debilitating that it forces people to miss work and other normal activities.  Of all patients with low-back pain, sciatica patients have the highest level of disability (1).  In fact, patients with sciatica are disabled for an average of 72 days according to Norwegian public-health records.
Fortunately, a recent study offers hope to sciatica patients: chiropractic care can speed the recovery from sciatica flare ups and allow patients to return to work sooner (2).

The study evaluated 44 Norwegian workers after they came to the hospital with severe sciatica pain. Most of those patients had been experiencing pain for three or more weeks prior to their hospital visit.
The hospital chiropractor examined each patient to evaluate his/her posture and gait, range of motion, and palpation of the lumbar spine.

The chiropractic then performed various joint adjustments to the spine and other limbs that had been injured through patients compensating for pain. Ice treatment was also used to relieve soft tissue soreness.Patients were treated daily in the hospital and later three times a week for the first two weeks. Some patients needed additional follow-up treatment but typically did not exceed 14 treatments.

In matter of 21 days, 91% of patients returned to work full-time. Two patients returned to work part time. Researchers concluded this study demonstrates the potent benefits of collaboration between chiropractors and orthopedic surgeons. Chiropractic care can put an end to your sciatica pain so you can begin living your life fully again.

Posted in chiropracticChiropractic NewsSciaticasciatica treatmentUnderstanding Sciatica
  1. Arana E, Marti-Bonmati L, Vega M, et al. Relationship between low back pain, disability, MR imaging findings and health care provider. Skeletal Radiology 2006;35(9):641-7.
  2. Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30:135-139.