DOCTORES DESIGNADOS PARA EL SISTEMA DE COMPENSACION LABORAL EN TEXAS

Workers Compensation
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Quiropractico en Clear Lake City comenta: Recientemente recibi una invitacion como co-presidente en una conferencia en Dallas,Texas en la que enseñe a todos tipos de doctores (medicos,osteopaticos,y quiropracticos) en como empezar a trabajar de doctores designados en el  Departamento de seguros de Texas en la Division de Compensacion para Empleados. La leccion estaba patrocinada por la Academia Americana de Medicos evaluadores de discapacidades (AADEP por sus siglas en ingles) http://www.aadep.org/  y el Consejo de Quiropracticos Ortopedas de Texas (TCCO por sus siglas en ingles) http://www.texascouncilofchiropracticorthopedist.org .

El seminario de entrenamiento para medicos designados fue elaborado con el proposito de proveer a los doctores y otros proveedores del cuidado de la salud con metodos para determinar la maxima mejora medica,(MMI por sus siglas en ingles) y calcular el nivel de discapacidad utilizando las guias creadas por la AMA Cuarta edicion, y para seguir el curriculum central aprobado por el Departamento de Seguros de Texas,division de compensacion laboral que les permite a los doctores buscar autorizacion completa para llevar a cabo nuevas funciones como DD bajo la HB7 y para proveeddores del cuidado de la salud que estan usando ROM, examenes sensoriales y motores para esos doctores que desean comseguir el MMIy los requirimientos de discapacidades basadps en las nuevas reglas de la division qye introduce el uso de ODG y MDA y tambien para introducir asuntos envueltos para determinar casualidades.

La legislature del 2005 hizo cambios significantes en el systema de compensacion para trabajadores en Texas con la HB7. La TDI Division de Compensacion Laboral tiene nuevas reglas que requieren que los doctores designados hayan completado un nuevo entrenamiento para conserver su titulo y quedarse en la lista de doctores designados. Adicionalmente ,el rol de los doctores designados fue expandido en el HB7 en el que se  require que el doctor deremine y resuelva asuntos en relacion a la maxima mejoria medica (MMI),la clasificacion de discapacidades,regreso al trabajo y tratamiento.

A pesar de que habia una cantidad substancial de material para cubrir en dos dias,la leccion fue muy buena. El poder estar empapado de la informacion dada en la Guia de la AMA para Evaluacion de las Discapacidades Permanentes 4ta edicion, toma tiempo y esfuerzo. Como siempre el seminario fue muy bien recibido con preguntas y discusiones muy interesantes. A todos los doctores que desean estar en la lista con TDI-DWC,estudien la guia de la AMA e inscribanse en el curso y asi tendran un buen entendimiento de como ayudar a los empleados lastimados en Texas.

Dr. Ward Beecher ejerce en Beecher Chiropractic Clinic localizada en 1001 Pineloch, Ste 700 Houston, TX 77062. Haga su cita ya con el mejor quiropractico en Houston llamando al (281) 286-1300. Si tiene alguna pregunta escribala en el area  de comentarios.

Common Dance Injuries

Common Dance Injuries
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Houston Chiropractor Comments: Being in the Clear Lake area of Houston, TX, we are blessed to have several excellent dance studios for our children to learn a variety of dance forms. Over the last 30 years I have treated several hundred kids and young adults with a variety of injuries from different sports. The most common dance injuries that I have seen and had excellent results with are as a result of overuse and over training.

The most common injury that we treat is hip pain. The pain typically comes from hip flexor tendonitis or iliotibial band syndrome (ITB). This responds very well to soft tissue therapy and educating the dancers and their parents on how to proactively treat the problem.

The second most common injury that we see is injuries to the lumbar spine and sacroiliac joint. These are treated with spinal manipulation and physical modalities (electrical stimulation, traction, ultrasound, and ice/heat). Afterwards the patient is given stabilization exercises to help prevent a reoccurrence of the problem.

The third most common complaint that we work on is injuries to the knee and ankle. The knee is typically a patellofemoral (around the kneecap) pain due to a muscle imbalance or a tendonitis. This responds well by making sure that all of the muscles on the front of the thigh (quadriceps) are equally stretched out. Typically one of the muscles will become dominant and tend to get tighter. This can lead also to patella (knee cap) tracking issues. The ankle is typically due to a joint dysfunction. This can cause muscles to be used incorrectly. This responds very well to joint mobilization and physical modalities to the related tendons.

Now that you know the common injuries and how they can be treated, we will discuss how to hopefully prevent the injury to begin with. First of all you need to warm-up before training and practice. Second you need to make sure that you get enough rest and don’t over train. Third you need to wear the proper shoes. Fourth you need to eat well and stay hydrated and finally you need to do cross training exercises to build up the endurance and strength in all parts of your body.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Is Yoga Always Safe?

Woman Exercising On A Yoga Mat
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Houston Chiropractor Comments: After patients become pain free, they usually ask “What can I do to stay well?” Just like the dentist will tell you to “brush and floss” to prevent dental problems, doctors of chiropractic will tell you to “stretch and exercise”. While there are several different ways to do this, yoga is a very popular method.

There are 11 main types of yoga. Some are very strenuous, some relaxing and some are more meditative. The most common form is hatha yoga. This is a good place for beginners.

As you go thru the different physical postures of yoga, you need to be aware of any physical limitations that you have. Different yoga postures put strains on different areas. Even gentle, low-impact yoga carries risks, as with any exercise routine. The most common injuries are overuse complaints such as tendonitis or sprain / strain injuries. As with any type of exercise, people should gradually increase the amount and duration that they do. People with a history of carpal tunnel complaints should be careful with upward and downward dog poses to minimize the wrist strain. Patients with osteoarthritis should watch how much pressure they put on specific arthritic joints. People with a history of osteoporosis should watch their bending and twisting.

Some people are too flexible or hypermobile. These patients need to concentrate on strengthening the muscles around the joint instead of increasing the flexibility. They should concentrate on holding the postures longer or doing a form of power yoga.

The key to doing yoga safely is to concentrate on how you feel more than how your pose looks. If your downward dog is hurting your shoulders and not stretching out your hamstrings and calves, you need to change your posture. A good yoga instructor will help you to make modifications that don’t cause pain. If your instructor will not help you to make modifications to be pain free then you should find a different instructor.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!