Long-Term Results for Neck Injury
Clear Lake City Chiropractor Comments: A neck injury such as a pulled muscle or a “knot” in the muscle is something we’ve all experienced. These little aches and pains usually go away on their own, or with a little massage from a loved one. But sometimes the neck injury is more substantial, such as in a whiplash or sports injury. In the case of long term effects of whiplash or other neck injuries, the ligaments such as the disk can be injured, and the nerves can be inflamed and irritated as well.
The long-term effect for neck pain is not good. Patients continue to suffer years later. One study looked at outcomes after five years and found that about 50% of patients continued to have pain and disability.
When the ligaments and muscles of the cervical spine are injured, the patient may guard their movements and not use certain muscles. This can lead to muscle weakness over time. As the neck muscles go, so goes the rest of the spine, or at least that’s what recent research shows. The investigators looked at a specific exercise that used the core trunk muscles. They followed the neck pain patients for two years and found that those with neck pain tended to get trunk muscle dysfunction, and eventually low back pain.
Following traumatic injuries to the neck, it is important to have a proper examination including x-ray. Getting an accurate diagnosis is the first step to getting you the treatment you need.
One study has shown that early intervention (within 4 days) in whiplash injury such as whiplash treatment, gave patients more relief, when compared to delayed (14 days) treatment.
As discussed above, many patients become chronic and have long-term pain after neck injuries. Others will develop secondary low back pain two years down the road. Because of these long-term effects, it is important to treat neck injuries in a serious manner. Ice will usually not be sufficient. These mechanical types of problems are also not correctable through medications and neck collars.
Specific chiropractic care following sprains to the neck may move the joints into better alignment and ease tension on the tissues. Mobility disorders such as limited range can also be improved with specific adjustments. As the joints begin to move more normally, exercises can be added to improve strength and range of motion. By treating neck problems appropriately and early on, the patient will be afforded the best chance for long-term success.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment with your best chiropractor in Houston for neck pain treatment by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Is Your Back Healing Correctly?
Clear Lake City Chiropractor Comments: It’s a good question. We want to do the things that promote and speed healing, and not do the kinds of things that cause more harm or are destructive. A lot of us know that a little rest when we injure the back is ok, but staying in bed for a week might not be a good idea. Studies have shown that bed rest for more than 2 days causes even more pain. Since our goal is to move, then lying down doesn’t seem like a worthwhile step towards that goal.
Some of us know that when the back flares up, ice is better than heat. Some of us still don’t, and instead throw gasoline on the inflammation fire by having a soak in the hot tub.
These things are obvious on the list of do’s and don’ts for the person with low back pain. But pain pills have a downside that a lot of us are not aware.
It seems like taking a pill for few days to help with pain is reasonable enough. Right? Maybe wrong.
For example, certain NSAIDs (e.g. ibuprofen) can make the scar formation in a muscle strain less effective. Instead of the scar being formed properly, it is in a more disorganized or scrambled fashion. If you have a poorer scar, the tissue will not be as strong and could lead to re-injury or a delay in your recovery. We don’t think about it but just not taking pain pills early on would help for a lifetime. Ice can be an effective pain killer and doesn’t come with medication-side effects.
Muscle relaxants are also prescribed for people with back pain. They are consumed by 49% of patients. The theory is that the muscle spasm should be relieved so that there can be less muscle pain. A study of patients who took muscle relaxants showed that these sufferers recovered more slowly. Unfortunately, the muscle spasm is there for good reason: to protect a delicate nerve.
Another thing that you have to consider besides poor scar formation and slowed healing is the actual purpose of these medications. You have to also ask yourself why your body wants you to feel this pain. The body wants you to protect the area from movement. If you block the pain with medications, you may move too much, or too soon in the healing process, delaying your recovery.
A study that compared chiropractic adjustments to muscle relaxants in patients with low back pain had interesting results. There was also a sham adjustment group and a placebo medicine group. The authors concluded that chiropractic care had superior results.
At Beecher Chiropractic Clinic, we can help guide you to when you can return to certain work or sports. By gradually integrating exercises into your daily routine as the function of the joints is improved, your injury can heal more naturally.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Low Back Pain and Your Emotions
Clear Lake City Doctor Comments: This article discusses how anger and emotional expression may affect your back pain. For years many medical doctors thought back pain was more of an issue in the brain than the spine. Research has shown this to be the case in many who are disabled from work. But mechanical sprain injuries of the spine are also critical to body function and how much pain you may experience. You just cannot separate the brain from the body and expect to tackle a difficult problem like low back pain.
Researchers at Duke University looked at this complex problem by measuring the amount of emotional expression, anger, and back pain in patients. The studies included 61 persons with chronic low back pain. The results were quite interesting. Patients who reported greater conflict with regard to expressing emotions may be experiencing higher pain and anger.
Have you ever considered that how you express your emotions could affect how much the back hurts? Do you hold on to angry thoughts and feelings? Ignoring these issues does not make the problem go away. And covering-up your emotions with a cocktail of medications doesn’t seem like a good long-term solution, especially with the unhealthy side effects that can sometimes occur.
Of course there is a difference between “blowing up” at someone and expressing emotions appropriately. Have you tried opening up to someone? A friend or counselor can help show how your emotions can be dealt with constructively. Some patients have severe emotional conflicts and may require psychological support. Others can become more “in tune” with the emotional side of life through simple awareness. Does your back flare up around emotional periods of your life? We can help with the mechanical stresses of the spine, but to maximize your potential you have to consider emotions and the brain. By integrating a mind-body approach to health, the complexity of back pain is addressed more fully. This may get you more engaged with life, more active, and with a healthy outgoing attitude.
Being in chronic pain is no fun, for us, as well as our friends and family. So if you think your emotions (or lack of emotions) may have something to do with your back pain, consult a competent health care provider who addresses the whole person. When patients can confront these issues in a calm and supportive environment, the need for medications if often reduced.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Are Physical Therapists Like Chiropractors?
Clear Lake City Chiropractor Comments: This is a fairly common question that I get asked in my office. While the simple answer is no, physical therapists do have some similarities in treatment to chiropractors. First and foremost, each individual practitioner in each profession treats in his/her own unique way so the comments below are generalities.
Doctors of Chiropractic (DC’s) diagnose, treat and prevent mechanical disorders of the musculoskeletal system which affect the nervous system and therefore one’s general health.
Chiropractors aim to maintain, restore, maximize and develop one’s functional ability through specific spinal adjustments, physical modalities and rehabilitative or therapeutic exercises. Physical therapists use rehabilitation therapy and general mobilizations, usually under the orders of a doctor, to help restore a patient to their pre-accident or illness status. Chiropractors use a holistic approach to treatment that focuses not only on the physical, but the psychological, social and emotional well being of the individual through diagnosis, treatment and intervention. The chiropractor then will typically give the patient home based exercises and stretches to prevent a reoccurrence after care is completed.
Chiropractic doctor’s practice combines aspects from both alternative and mainstream medicine. Most chiropractors work with the patients other doctors to coordinate the necessary care of the patient based on the diagnosis that we determine thru our own specific examination. Depending on the specialty of the chiropractor, he/she may have a more nutritional, neurological, sports or in my case orthopedic type of practice.
Physical therapists (PT’s) on the other hand practice in different settings such as outpatient clinics, inpatient rehabilitation facilities, extended care facilities, skilled nursing facilities, hospices, education and research centers, occupational environments and fitness centers. Care is typically directed by the diagnosis and orders of a doctor, though some PT’s are currently allowed direct access.
Chiropractic doctors and physical therapists are both currently using evidence based research to expand their knowledge and further help our patients. Hopefully in the future DC’s, PT’s and other providers of physical medicine will work together for the greater good of our patients with all providers knowing the strengths and limitations of their care.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Torticollis and Whiplash
Doctor of Chiropractic near NASA states: Torticollis is a condition where a joint or disk is injured and you can’t move your neck. Sometimes the head is bent or turned a little to one side. And sometimes you’re straight but can barely move in any direction. This type of problem is usually caused by a disk injury. Whiplash can cause this condition or it can come on by sleeping in an awkward way.
The spine is meant to move a lot, especially the neck. This is so we can quickly look around, above, and below. When the spine cannot be moved without intense pain, it’s a sign of both a joint and nerve problem. The nerve may be pinched or compressed, stretched, or irritated by chemicals from inflammation/swelling. To protect the nerve, the body puts a splint on it with muscle spasm. This keeps you from moving your head.
If the joint injury is reduced, by aligning the bones of the spine, the healing and scar tissue will stabilize the area in alignment. If the joint is left out of alignment or is hypermobile, this can lead to future degeneration. To get the joint moving and functioning normally again, you need to have motion through the joint adjustment, and exercises to keep activated. One study showed that patients, who wear foam collars after whiplash, do worse than patients who were actively mobilized without collars. It may at first seem counterintuitive to move when pain is there, but it’s all about moving within your pain tolerances. Usually small motions are still preserved. Instead many patients wear collars or do not move their neck enough. This causes the muscles to become more inflexible and contracted. Overtime it can lead to substantial weakness and even atrophy (wasting away).
So even in the early stages of a whiplash, when the neck can barely move at all, small movements that are not painful are encouraged. The specific adjustment will reduce the irritation to the nerve that is signaling the muscles to spasm. Once the nerve is freed, then the muscle will usually release. Greater ranges of movement will follow as the body allows. This should not be hurried because the nerve and disk is at risk for re-injury in the very early stages of healing.
Medications and surgery will not correct the alignment of the spine. When the joint is sprained, it needs to be re-aligned to reduce the tension on the ligaments and disk. We can guide you through this process so the range of motion returns quickly.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Whiplash – What Can Be Done To Help?
Houston Chiropractor Comments: Whiplash occurs when the neck is suddenly and forcefully jerked, and is typically associated with car crashes. The speed at which the neck is forced upon impact is faster than we can contract our muscles in attempt to stop the forceful movement. This results in muscle, tendon, and/or ligament over-stretching, even tearing. Symptoms include stiff and painful neck movements, weakness or, the head “feels heavy” making it challenging to “hold up” as well as headache, and sometimes dizziness, ear noises, TMJ or jaw pain, and “mental fog.” What should be done if a whiplash injury occurs?
The amount or degree of damage to the soft tissues – that is, the muscles, tendons, ligaments, and disks of the neck — will be the deciding factors as to how much rest vs. activity should be initially performed. If there are no fractures, dislocations or other injuries resulting in an unstable cervical spine (neck), studies have shown rest and a soft collar is actually harmful when compared to early return to activity and exercises. Chiropractic treatment, which essentially exercises the joints of the neck, has been shown to speed recovery when performed sooner rather than later after a whiplash injury. A handy way to classify the injury includes four categories: 1) Pain with no significant abnormal clinical findings; 2) Pain with mild clinical findings and range of motion loss; 3) Pain with neurological injury (resulting in radiating arm pain); and 4) Pain associated with fracture and/or dislocation. Those suffering with category 1 or 2 injuries should minimize rest, collar use, proceed with life’s activities and not be afraid to do desired activities. More aggressive exercise and, utilizing chiropractic adjustments as soon as possible are very effective in the first two categories of injury. Category 4 (fractures and dislocations) injuries require the use of a rigid collar usually for 4-6 weeks as rest/protection is imperative. Category 3 demands careful monitoring by your chiropractor as neurological problems like arm pain and numbness, muscle strength weakness, must be watched during the healing process. The use of ice is helpful with all four categories of injury and exercise training is important and can be started sooner in the first two categories of injury.
What can you do if you sustain a whiplash injury? The first order of self-help is the use of ice. This is a much better choice over the use of heat as ice reduces swelling and pain while heat can increase swelling because it brings in more blood flow into an already swollen area. The heat may feel good during its use but most patients report the pain either returns shortly thereafter or feels worse. Ice should be used for 20 minutes on followed by 40 minutes off. The old adage of “ice for 24 hours followed by heat” does NOT apply here as ice can be performed for as long as there is pain and/or inflammation. The good news is that you will never hurt yourself by using ice but, you can make it hurt worse by using heat too soon so, when in doubt, use ice! The next, very important, recommendation is to utilize exercises to stretch and strengthen the neck and upper back region. The “general rule” of exercise is slow repetitions staying within “reasonable” boundaries of pain. That is, a good, stretch type of pain is encouraged while avoiding sharp pain. We have discussed several very practical neck stretches and strengthening exercises previously and we will again address this in the future. Posture correction of chin tucks, keeping your head back over your shoulders is very helpful as well. We realize that you have a choice in where you choose for your healthcare services. If you, a friend or family member requires care for whiplash, chiropractic care is a logical first choice.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
