Keeping Pain Diary Makes Whiplash Worse

Keeping Pain Diary Makes Whiplash Worse

Whiplash Diary Many patients are told to keep a pain diary to monitor their symptoms, but a new study suggests that may do more harm than good. The findings show that keeping a pain journal may actually hinder patients' recovery from whiplash-associated disorder.

The study from the University of Alberta included 60 patients with acute whiplash injuries. The patients were randomly assigned to either a symptom diary group or a control group. Both groups had similar scores on the Whiplash Disability Questionnaire, showing no meaningful differences in the baseline symptoms between the groups. The diary patients were asked to keep a journal rating their overall pain levels for each day. Every participant also received physiotherapy. After three months of treatment, participants were evaluated for recovery. Although patients who used a diary did show improvements after three months, they were less likely to report being fully recovered.  Overall 59% of the diary group reported recovery, compared to 86% of the control group.

Study authors Robert Ferrari and Louw concluded that pain diary use is "likely not only not helpful, but harmful." Ferrari suggested that keeping a pain diary makes patients more aware of their symptoms, resulting in poorer perceptions of prognosis. Negative attitudes have been tied to chronic pain in patients with whiplash injuries and lower back pain.

"While diaries may serve a useful purpose to facilitate practitioner-patient communication about symptoms and to track the course of symptoms, the benefits have not been demonstrated," Ferrari and Louw wrote.

Reference
 Ferrari R and Louw D. Effect of a pain diary use on recovery from acute whiplash injury: a cohort study. Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology) 2013. 14(11):1049-1053

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Posted in Chiropractic, Healthy Lifestyle. Tagged as auto injury, car accident, charlotte chiropractor southpark 28209, low back pain, neck pain, whiplash.

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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.