Back pain is an expensive health problem for both patients and businesses. A 2012 study reported that we spend about $635 billion on pain every year, with a significant amount of that spent on back pain. Over the years, quite a few studies have shown that chiropractic care is more effective for back pain than medical care, plus chiropractic patients spend less money on their care than medical patients do.
Because back pain is such a common problem, a group of Canadian researchers recently investigated the role that the type of primary caregiver has on financial compensation.
This was a large study of 5,511 patients who experienced a work-related back injury in Ontario, Canada. The patients saw the following providers for their first visit:
- 85.3% saw a medical doctor
- 11.4% saw a chiropractor
- 3.2% saw a physical therapist
The authors set out to “compare the duration of financial compensation for back pain” among patients from each care group.
The study found that chiropractic patients had the shortest amount of time receiving compensation for their pain and also were less likely to have a recurrence.
In addition, chiropractic patients didn’t need to see other healthcare providers for their pain. 75% of chiropractic patients saw no other provider, while 58.6% of physical therapy patients also saw a medical doctor.
The authors conclude:
“The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest.”
Blanchette M, Rivard M, Dionne CE, et al. Association between the type of first healthcare provider and the duration of financial compensation for occupational back pain. Journal of Occupational Rehabilitation 2016 Sep 17.
Opioids are certainly in the news. The US Surgeon General recently issued a statement on the relationship between their widespread use for chronic pain and the subsequent epidemics of opioid addiction and accidental overdose (US Surgeon General, 2016). The US National Institute for Drug Abuse and Centers for Disease Control have also issued concerns (see here and here, respectively). Mainstream media reports on the problems of opioids appear almost daily.
After a couple of decades of strong proponents and persistent messaging on the benefits of opioids, the tide of public opinion and the opinion of health experts seems to be turning against the widespread use of opioids for chronic pain.
Among people with chronic pain who use opioids, this change in perspective on the use of opioids can be alarming. For about two decades, people with chronic pain have been encouraged to take opioid medications. Many have subsequently come to rely on them. Some may have even come to believe that it is impossible to manage chronic pain well without the use of opioid medications.
We now face a dilemma in the management of chronic pain. We have strong proponents for the use of opioids and strong proponents against the use opioids. Both sides have valid concerns that lead to their respective positions.
Often, the sides in this dilemma seem to get expressed in untenable ways. It’s as if the stakeholders in the field have to choose between two bad options: either you take opioids on a chronic basis and expose yourself to the risks of addiction and accidental overdose, which are actually occurring to people with chronic pain at epidemic proportions; or don’t take opioids, remain safe from addiction and accidental death, but expose yourself to pain, which may be intolerable. Healthcare providers seem to face a corresponding dilemma: either manage patients on chronic opioids while exposing them to addiction and accidental overdose or refrain from opioid management and expose them to what might be intolerable pain. Whether patient or provider, both options seem bad.
Is there a third option?
There is another way, of course. It’s called chronic pain rehabilitation and it effectively shows people how to successfully self-manage chronic pain without the use of opioid medications. Chronic pain rehabilitation clinics have been around for three to four decades. However, it’s hard to get people to go to them. It’s not because they are ineffective. Research over the last four decades shows clearly that they are effective (Gatchel & Okifuji, 2006; Kamper, et al., 2015).
Managing pain without opioids
People who’ve been managing their pain with opioids are often a little leery of recommendations to go to a chronic pain rehabilitation clinic. The recommendations seem to run counter to much of what’s been previously recommended throughout the long course of care for their chronic condition. After years of recommendation and encouragement to take opioids by some providers, it’s hard to understand why other providers might recommend and encourage the exact opposite. Maybe they are recommending learning to self-manage pain without the use of opioids because:
- They don’t believe my pain is as bad as it is.
- They think (wrongly) that I’m addicted to opioid medications.
- They think my pain is all in my head.
- They just want to make money off their program that they are recommending.
- They are ignorant of what’s most effective for chronic pain (i.e., they don’t know what they’re talking about).
- They are not as compassionate as the previous providers who recommended opioid management.
In all these concerns, people become leery of a recommendation to forego opioids because it’s hard to believe that the recommendation is being made in the best interest of the patient. It seems that relief of pain through the use of opioids is what’s best for the patient and anything that runs counter to that recommendation must be in the best interests of someone else.
Moreover, it’s a sensitive topic. Let’s face it, no one feels especially proud of managing their chronic pain with opioids. Rather, people with chronic pain do it because it seems a necessity – they believe that the pain will be intolerable without opioids. The recommendation and encouragement to take opioids by healthcare providers and by society, more generally, is helpful in this regard. Such encouragement supports the decision to use opioids, one in which there’s always been some ambivalence. Again, no one is exactly proud of taking opioids for chronic pain; upon reflection, there is always some degree of doubt or concern about their use that leads to a sense of vulnerability and sensitivity. It’s helpful to have others, especially healthcare providers, recommend and encourage their use.
When, however, other healthcare providers recommend against opioid use and encourage learning to self-manage pain instead, it can sting because it taps right into the inherent sense of vulnerability and sensitivity that occur when taking opioids.
It’s hard to see a healthcare provider as acting in the best interest of patients when they openly question the issue that can be so sensitive. The recommendation to learn to self-manage pain without the use of opioids shines a direct light onto the inherent sense of vulnerability or shame that so many feel when using opioids for the management of chronic pain.
The recommendation inadvertently breaks all the tacit rules that healthcare providers (and pharmaceutical companies) have heretofore been following. The rule up until now has been to reassure patients that it’s okay to take opioids for chronic pain. Over the last two decades, the field has asked patients to trust these assurances that they shouldn’t be ashamed of their need for opioid medications. Now, the field is changing and has begun to question the need for opioids. In so doing, we break the trust of patients who have been on opioids for some time: we expose them to potential pain, but also the shame that heretofore we alleviated with assurances that taking opioids is okay. It’s no wonder that patients are now upset.
In a microcosm, it’s this dynamic that occurs in the offices of chronic pain rehabilitation clinics everyday when, after the initial evaluation and recommendation to participate in the therapies of the clinic occurs, patients leave and refrain from accepting the recommendation to learn to self-manage pain. Such patients are doubtful that it will work and are afraid of the pain that would ensue if it doesn’t. Moreover, though, they tend to leave feeling somewhat ashamed that the provider so openly talked about the fact that they could learn to self-manage pain without the use of opioids. Providers are supposed to provide reassurance that it’s okay to be on opioids, not question their use.
Even when it’s well-informed and done in the best interest of the patient, the recommendation and encouragement to learn to self-manage pain without the use of opioids can be heard as a subtle yet stinging rebuke because of the inherent sensitivity that occurs when taking opioids for chronic pain.
How, then, do we bridge this divide?
The Institute for Chronic Pain has a new content page that may play a small role in such bridge building. When patients come to chronic pain rehabilitation clinics for the first time, they may have never had an experience of a provider talk to them about self-managing pain without the use of opioids. As we’ve seen, it’s a complex and sensitive interaction that occurs under the surface of the words that are spoken. It can be a lot to take in. It can feel like the rules are being broken. As we’ve seen, it can be easy to become angry and accuse the provider of incompetence, ill-will or insensitivity. Oftentimes, people need a little time to reflect on the discussion and talk it over with their loved ones. No one comes lightly to the decision to taper opioids and learn to self-manage pain instead.
The new content page provides assistance with this reflection. The hope is that patients can use the information on the page to further reflect on if and when it may be time to begin learning to self-manage chronic pain. Providers can refer their patients to the page too, ask them to read it, and come back for further discussion.
For countless people over the last four decades, chronic pain rehabilitation has provided hope and a way to take back control of a life with chronic pain. However, it must be approached with sensitivity and compassion. Initially, the idea that one can successfully self-manage chronic pain without the use of opioid medications can be threatening, especially for those who have been managing pain with opioids for some time and for those whose providers have long provided reassurance that it’s okay to take opioids. Nonetheless, if your providers have recently begun to express concerns about the long-term use of opioids or if you yourself have concerns about their long-term use, you might find it helpful to read the new ICP page on the common benefits of learning to self-manage pain without the use of opioid medications.
You can find the new page by clicking on the link here.
Gatchel, R. J., & Okifuji, A. (2006). Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic non-malignant pain. Journal of Pain, 7, 779-793.
Kamper, S. J., Apeldorn, A. T., Chiarotto, A., Smeets, R. J., Ostelo, R. W., Guzman, J., & van Tulder, M. W. (2015). Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ, 350. doi: http://dx.doi.org/10.1136/bmj.h444
Author: Murray J. McAllister, PsyD
Date of last modification: January 23, 2017
About the author: Dr. McAllister is the executive director of the Institute for Chronic Pain (ICP). The ICP is an educational and public policy think tank. Our mission is to lead the field in making pain management more empirically supported. Additionally, the ICP provides scientifically accurate information on chronic pain that is approachable to patients and their families. Dr. McAllister is also the clinical director of pain services for Courage Kenny Rehabilitation Institute (CKRI), part of Allina Health, in Minneapolis, MN. Among other services, CKRI provides chronic pain rehabilitation services on a residential and outpatient basis.
The post Is It Time to Talk About Managing Pain Without Opioids? appeared first on Institute for Chronic Pain Blog.
Countless studies have demonstrated that chiropractic care is a safe and effective way to treat musculoskeletal complaints like back pain, neck pain, or sciatica. Now a new study from Switzerland has looked at the relative benefits of chiropractic compared to medical care for the most common types of pain issues.
In this study, the authors examined data from people who reported spinal, hip, or shoulder pain. 403 patients saw a medical doctor for relief; 316 people saw a chiropractor. Four months after treatment, the patients were asked to fill out a survey reporting on their recovery.
The authors found that:
- “Patients initially consulting MDs had significantly less reduction in their numerical pain rating score…”
- Patients who saw MDs were significantly less satisfied with the care they received and the outcome of that care.
- Patients who saw a chiropractor had significantly lower healthcare costs for their treatment.
The authors conclude that patients should first be sent to a chiropractor for musculoskeletal problems, rather than a medical doctor:
“The findings of this study support first-contact care provided by DCs as an alternative to first-contact care provided by MDs for a select number of musculoskeletal conditions. Restrictive models of care in which patients are required to contact a medical provider before consulting a chiropractic provider may be counterproductive for patients experiencing the musculoskeletal conditions investigated and possibly others. In addition to potentially reducing health care costs, direct access to chiropractic care may ease the workload on MDs, particularly in areas with poor medical coverage and hence enabling them to focus on complex cases. The minority of patients with complex health problems initially consulting a chiropractic provider would be referred to, or comanaged with, a medical provider to provide optimal care.”
Houweling TAW, Braga AV, Hausheer T, et al. First-Contact Care With a Medical vs Chiropractic Provider After Consultation With a Swiss Telemedicine Provider: Comparison of Outcomes, Patient Satisfaction, and Health Care Costs in Spinal, Hip, and Shoulder Pain Patients. Journal of Manipulative and Physiological Therapeutics 2015;38(7):477-83.
In the last post, we began to introduce a broad definition of coping, as one’s subjective experience, or reaction, to a problem. In this post, let’s expand on this definition and explain how coming to cope better with a problem is a process of coming to experience the problem in a different and better way.
Coping is how we subjectively experience a problem
In our society, when having a problem, we tend to focus on the problem itself, its characteristics and how they do or don’t lend themselves to resolving the problem. In so doing, we put our focus and energy towards fixing or getting rid of the problem. This way of thinking about the problem is all well and good. It likely lends itself to our society’s successes in developing technological solutions to many of the great problems that we have faced.
As an example of this tendency to focus on problems and fixing them, we need only to look to the problem of pain and how we tend to focus on it, and how we try to get rid of it or otherwise reduce it. Knees and hips can now be replaced and we have a large assortment of different medications that can reduce pain and sometimes get rid of it entirely.
However, instead of focusing primarily on the problems itself, we might also bring our attention to the unique characteristics of each individual with the problem and how they understand it, feel about it, perceive it, and how they behave in regards to it. In effect, we might focus on the characteristics of each person and how these characteristics influence the way individuals experience the problem.
For wherever there is an objective problem in the world, there are also perceiving subjects who have the problem.
We typically call the ways that people experience problems “coping.” It’s something that usually we only direct our attention to when we can’t come up with a solution, or fix, to a problem itself. Nonetheless, it comes in handy in such situations because it offers a way to still get better even if there is no fix to the problem. Namely, we get better at coping with the problem: we can become less distraught by the problem or less impaired by the problem.
In this regard, in returning to our pain example above, we might focus not so much on how to get rid of pain, but how to get better at coping with pain. This change in the approach to getting better may come in handy when pain is truly chronic and you’ve already tried every reasonable procedure and medication without any significant benefit. In such a situation, you focus not so much on how to reduce pain, but on how to increase coping.
In doing so, you can come to learn to tolerate pain that at present is intolerable. You might even get so good at coping that you do more than simply tolerate it – you might get so good at coping that the pain goes from something that is the central focus of your life to something that occurs in the background of your life. It becomes a problem, in other words, that’s not very problematic.
Moreover, you can do such thing without ever reducing pain itself. It can all occur by changing how you experience, or cope with, pain.
It may sound too good to be true.
How coping better makes problems less problematic
It’s important to recognize that people who cope well with a problem tend to experience the problem as less significant or severe than those who don’t cope well with the problem. In other words, when we aren’t coping well, we tend to perceive or judge the problem that we face as more problematic than those who cope well with it. For example, if you had taken a speech class and had actually given many speeches before in the past, you might find the prospect of giving a speech to a packed auditorium as less problematic as someone without your level of expertise and practice. You might find it quite tolerable, in fact possibly even not problematic at all – something in the category of “Well, it was no big deal.” However, another individual, who faces the challenge of giving the exact same speech to the exact same auditorium, might find it overwhelming, paralyzing or intolerable. This individual might judge the problem as one of the hardest things he has ever done in his life.
Objectively, it’s the exact same problem, but the two people subjectively experience it in very different ways. We might say, in such cases, that the differences lie in how well the individuals cope with the problem of giving a speech to a packed auditorium.
How well we cope depends, of course, on how significant the problem is. Big or complicated problems are more difficult to deal with than small or simple problems. Most people will find talking to a group of two or thee people easier than an auditorium of two or three hundred. Nonetheless, how well we cope with problems is also dependent on other things too.
Notably, it’s dependent on certain characteristics of the person who is coping with the problem. If one knows a lot about the problem and is actually an expert on the topic, then typically that person copes better than someone who doesn’t know as much about the problem. Or, if someone has experienced the problem before or expects the problem to occur, then that person often copes better than the individual who has never encountered the problem before or someone who is taken by surprise by the problem. Confidence plays a role here too. Someone who knows a lot about the problem and is well-versed or well-practiced with dealing with the problem tends to be more confident and that confidence aids in coping better. Someone who lacks such confidence tends to be more alarmed or even distraught, which makes for more difficulty in coping. In any of these cases, the subjective experiences of the problem are different for the different people, even if the problem was objectively the same problem.
We could go on indefinitely about the subjective characteristics of the coper, which play a role in how well the individual deals with a problem. We might make a list of subjective characteristics that determine, in part, how well one copes:
- Degree of knowledge or expertise about the problem
- How one conceptualizes the problem
- Degree of accurate information that one has about the problem
- How much one has practiced overcoming the problem
- Other attitudes about the problem
- Degree of confidence in facing the challenge
- Degree of attention directed on the problem
- How one feels about the problem
- What one’s mood is at the time of encountering the problem (e.g., whether one is calm or irritable, depressed or anxious)
- How much sleep one has had in the past few days prior to encountering the problem
- How many other problems one is experiencing at the time of encountering a new problem
- What one goes on to do about the problem (behaviorally)
- Degree of loving support one has in facing the problem
There are literally countless aspects of the coper that determines, in part, how well one experiences, or copes with, a problem. Some of these characteristics lend themselves to better coping and some lend themselves to worse coping.
Getting better by getting better at coping
So, think about this simple fact: if you have a problem that can’t be entirely fixed, you could still get better by setting out in a concerted effort to get better at coping with it. You could, in effect, obtain training at having the problem and get so good at it that having the problem becomes less and less problematic. It could become, for example, something that occurs in the background of your day-to-day activities, but for the most part you’ve moved on and focus on the meaningful activities of your life. Indeed, there is simply no end to how good one can get in coping with a problem, even a problem that can’t be entirely fixed, like chronic pain.
Here is where true hope lies. Even when your pain is chronic, you can get so good at coping with it that living with chronic pain is no longer a distressing or impairing problem. Alternatively, you can get so good at coping with it that it no longer requires opioids to manage it and so you can move on with the rest of your life.
Usually, this level of advanced coping requires a concerted effort of training, done over time, and typically with a team of healthcare providers who coach you and support you throughout the process. Traditionally, patients find such support and training in chronic pain rehabilitation clinics. Such clinics are a type of pain clinic that involve an interdisciplinary team of healthcare providers (consisting of at least pain psychologists, medical providers, and physical therapists, but oftentimes other kinds of providers as well) who work with patients over an extended period of time in the pursuit of not so much reducing pain, but improving the patient’s coping. Such clinics are not new, but have been around since at least the early 1970’s and as a result they have about four decades of published research proving their effectiveness (see, for example, these meta-analytic studies and literature reviews: Chou, et al., 2007; Flor, Frydrich, & Turk,1992; Gatchel & Okifuji, 2006; Neusch, et al., 2013; Turk, 2002).
When talk of the possibility of coping better feels like a criticism
Sometimes, when healthcare providers like me talk in these ways, it feels to patients with chronic pain like a judgment. It feels like blame. It feels like you’re being told there’s something wrong with you — that you aren’t coping well enough.
Oftentimes, when patients have people in their lives who judge them or stigmatize them for how they have been coping, they can come to hear their healthcare provider talking about the benefits of learning to cope better as a similar criticism.
In such cases, patients can come to refuse the recommendation to participate in chronic pain rehabilitation. The hopeful message that there is a traditional and scientifically proven treatment that helps patients to learn to cope better with pain can be met with quick and sometimes sharp rebuttals. Common examples are the following:
- The provider must be insensitive.
- The provider must not know what he or she is talking about (i.e. the provider is incompetent).
- The provider doesn’t (or won’t) recognize that I’m coping as well as humanly possible given the amount of pain I have.
- The provider must not have chronic pain or otherwise he or she would understand.
- The provider must not believe me that I have real pain.
- The provider is just out to make money and so wants me to go to yet another treatment from which he or she will profit.
- The provider just wants me to get off opioid medications.
Obviously, talk of how to learn to cope better is a sensitive topic. It’s as if the same words can engender almost two opposite interpretations. The healthcare provider intends it to be a hopeful message – you can get better by undergoing extensive training over time and as a result come to cope better with a condition that is incurable. The patient, however, can hear it as an insensitive criticism of how the patient isn’t coping well right now.
Importance of trusting your healthcare provider
In such situations, what can make the difference is having a good, therapeutic relationship with your healthcare provider. If you know your provider and trust him or her, then you know that your provider isn’t just being mean or insensitive or ignorant of what’s it like to have pain or out to make money off you. Instead, you know that your provider has your best interest at heart.
Have you ever had a healthcare provider talk to you about chronic pain rehabilitation or learning how to cope better with pain? What were your reactions? Have you ever attended a chronic pain rehabilitation program? Why or why not?
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Chou, R., Amir, Q., Snow, V., Casey, D., Cross, T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478-491.
Flor, H. & Frydrich, T., Turk, D. C. (1992). Efficacy of multidisciplinary pain treatment centers: A meta-analytic review. Pain, 49, 221-230.
Gatchel, R., J., & Okifuji, A. (2006). Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic non-malignant pain. Journal of Pain, 7, 779-793.
Neusch, E., Hauser, W., Bernardy, K., Barth, J. & Juni, P. (2013). Comparative efficacy of pharmacological and non-pharmacological interventions in fibromyalgia syndrome: Network meta-analysis. Annals of the Rheumatic Diseases, 72, 955-962
Turk, D. C. (2002). Clinical effectiveness and cost-effectiveness of treatments for patients with chronic pain. The Clinical Journal of Pain, 18, 355-365.
Author: Murray J. McAllister, PsyD
Date of last modification: September 11, 2016
About the author: Dr. McAllister is the executive director and founder of the Institute for Chronic Pain (ICP). The ICP is an educational and public policy think tank. Our mission is to lead the field in making pain management more empirically supported. Additionally, the ICP provides scientifically accurate information on chronic pain that is approachable to patients and their families. Dr. McAllister is also the clinical director of pain services for Courage Kenny Rehabilitation Institute (CKRI), part of Allina Health, in Minneapolis, MN. Among other services, CKRI provides chronic pain rehabilitation services on a residential and outpatient basis.
The post How to Get Better When Pain is Chronic appeared first on Institute for Chronic Pain Blog.
Hey, sick chick! So glad you found this video. Now, press pause and go get your significant other, or your SO. I’ll wait.
OK, great! Hi there. I’m so excited to talk to BOTH of you. This week’s video is the last of 2016, and it’s for all those folks who love us ChronicBabes: husbands, wives, spouses, partners, girlfriends, boyfriends, lovers… this video is packed with advice for how to be a great significant other (SO) to a woman with chronic illness. I hope you find the advice helpful, and I encourage you share this video with anyone who might benefit:
*AWAP = As Well As Possible
Now it’s your turn:
How do YOU support your ChronicBabe? How does your SO support you, babelicious? I want to hear from both of you! Tell me all about it in the comments below.
Want more #AWAPwednesday? Check out our #AWAPwednesday video playlist, which has more than 130 videos packed with practical advice, lots of humor, and bloopers. Lots of bloopers.
Is there a question I can answer for YOU? Add it to the comments below, or shoot me an email.
Until we meet again: Be AWAP! Smooches!
Hi! I’m Jenni Grover Prokopy of ChronicBabe.com and today is AWAP Wednesday (that stands for As Well As Possible).
Each week, I offer you my personal favorite tips and techniques to help you craft an incredible life beyond illness. Yes! I know you can.
Subscribe to the ChronicBabe YouTube channel today to make sure you never miss another video, OK?
Everyone gets a little embarrassed about feeling sick and can feel afraid to burden friends and family with problems. That’s where you come in. Once a day, you should check in with your SO and ask how she’s doing and if there’s anything you can do to help.
Sometimes she’s really, really hoping for some help but won’t ask for it because she doesn’t want to create extra work for you. Checking in is a good way to let her know you are always willing to make the time to help her and show that you’re there for her.
Sometimes we just need a shoulder to cry on. Seriously. It’s understandable that you’ll want to problem-solve, because you hate to see your SO in pain or sad. But try not to assume that’s always the best move.
When your SO brings up a tough subject or challenge, consider asking this question: “How can I help you right now?” She might say “I just need you to listen so I can get this off my chest.” There will be time for problem-solving later.
Be a battle buddy
I recently spoke to a U.S. Army war veteran, who told me how battle buddies work when men and women are on the battlefield: They don’t leave each other’s side, they always make sure the other person is doing everything they need to be safe, and they always keep the necessary tools at hand. He explained that now that he’s back in the states and getting treatment for chronic pain and injuries, his wife is his battle buddy: she goes to all his health care appointments, she helps him remember the questions he needs to ask of his docs, and keeps him on schedule. So be your ChronicBabe’s battle buddy.
Understanding and non-judgement
ChronicBabes can experience judgement from all sides, even sometimes from close friends and family. You know her best and you know that when she’s lying in bed all day, unable to go out and get things done, it’s not because she’s lazy or selfish – it’s just an off day. You can make her feel better by being a shield from the judgement.
Make sure she knows that you know a day in bed is absolutely warranted and defend her from those who act like it’s not. The last thing she needs is another person demanding her to “pull it together” and “suck it up.” Some soup and TV in bed will go a long way.
Take care of yourself, too
This should go without saying but you can only be the best SO possible if you’re taking care of yourself as well. Always be there for her, but don’t neglect your needs in the process. She will be there for you too, as much as she can. Loving her and loving yourself go hand in hand.
The most valuable thing you can do for a ChronicBabe: Be her cheerleader. And when she can, she’ll cheer for you, too.
Thanks for watching today! What kinds of special things do YOU do for your SO that make your relationship strong? I’d love to know. Share your strategy in the comments here or head on over to the blog at ChronicBabe.com to join the conversation—I want to hear what YOU have to say.
If you liked what you saw today, subscribe to our channel—and watch another one of my favorite videos right now. I think you’re gonna like it!
Until we meet again, be AWAP! Smooches!
Sprains and strains are often considered to be “minor injuries.” They are anything but. Most sprains and strains can result in a significant amount of pain. The severity of some injuries may even require medication, physical therapy, or even medical procedures. Sprains and strains can create significant complications.
Sprains and Strains are the Most Common Work-Related Injury
Strains and sprains are quite common. In fact, according to a recent Bureau of Labor Statistics report,1 strains and sprains remain as the number one cause of all work-related incidents, accounting for nearly 31 percent of work-related injuries. For employees, strains and sprains can mean time away from work. For hourly workers, the lack of work can mean that there will be no money coming in. For small business owners, employees who suffer from strains and sprains may require time off. This can result in being understaffed or even unable to open.
Understanding one’s injury is critical to identifying potential medical and legal remedies. Both sprains and strains are considered to be “soft tissue injuries.”2 A sprain occurs whenever a ligament is either overextended or torn as a result of stress. The most common sprains are sprained wrists and sprained ankles. Although these sprains often occur during sports and exercise, they may occur at any time. Strains are similar to sprains but affect muscles or tendons.
Sprains and Strains are Capable of Causing Lifelong Medical Problems
Sprains and Strains can create lifelong complications. Doctors have concluded that these types of injuries can be considered permanent injuries. While they may become less painful with proper treatment and time, they will never completely go away. In fact, these injuries may be aggravated by minor movements. Further problems can arise whenever sprains and strains are neglected. Neglected injuries often become serious, chronic injuries.
Examples of Ways Sprains and Strains can Affect Your Life:
Recurring Pain. Many sprains and strains can be remedied with time and care. However, these injuries can cause nagging pain that doesn’t seem to go away.
Loss of Enjoyment of Life. The pain from an injury may keep you from being able to engage in some of your favorite activity. Lower body sprains may keep one from exercising, dancing, or even walking without a cane.
Ongoing Medical Care. Lingering injuries may require physical therapy, assistance such as a cane or brace, or even having to regularly take medicine to quell the pain.
If you have suffered a strain or a sprain, you may be entitled to recovering compensation by filing a workers’ compensation claim or filing a lawsuit against a third party. If your accident was the result of the negligence of someone other than your employer, you may be entitled to damages for your medical expenses, lost income, loss of quality of life, and physical and emotional pain and suffering.
Contact a St. Petersburg Personal Injury Attorney Today
If you or a loved one has suffered a sprain or strain as a result of another person’s negligence, you need an experienced, aggressive attorney. The attorneys at the Dolman Law Group have the experience and wherewithal to get you the maximum recovery. To schedule a free consultation, call us today at 727-222-6922 or contact us online.
Dolman Law Group
1663 1st Ave S.
St. Petersburg, FL 33712
The post Sprains and Strains can Affect Your Life appeared first on Dolman Law Group.
A new year is often used as an opportunity to take stock of your situation and make changes in order to live a healthier and happier life. “Exercising more” and “losing weight” come to mind when considering popular New Year’s resolutions, but why not make this year the year you reduce your risk of being needlessly hurt in a preventable accident. The information below describes some of the accidents that common cause serious injuries around Clearwater and ways in which to reduce your risk of being involved in them.
Slip and Falls
Slips, trips, and falls are consistently among the most common cause of injury in the United States. While many falls do not result in injuries, victims can sometimes sustain extremely injuries including head injuries, broken bones, traumatic brain injuries, hip fractures,1 and more. Some of the things that you can do to reduce your risk of falling include getting your eyes checked regularly, reviewing the medications you are taking, reducing fall hazards in your home, and engaging in exercise that improves your strength and balance.
Car accidents injure thousands of people each year, sometimes leaving victims with long-term medical problems and disabilities. Fortunately, many car accidents are completely avoidable. Examples of the steps that you can take to improve your safety behind the wheel include practicing regular vehicle maintenance, getting plenty of rest, making sure to wear your glasses or contact when you drive, and never driving after drinking alcohol or taking drugs that could impact your ability to drive.
Pedestrian accidents are usually extremely serious, as the human body is simply no match for the motor vehicles that traverse our roadways. The Centers for Disease Control and Prevention (CDC) offers the following advice2 to prevent injuries from pedestrian accidents:
- Carry a flashlight while walking at night and by wearing retro-reflective clothing
- Cross at an intersection or designated crosswalk whenever possible
- Walk on a sidewalk or path if one is available, otherwise, walk on the shoulder facing oncoming traffic
- Avoid distractions like electronic devices that can take your attention from the road
Many people in the Clearwater area regularly ride a bicycle as a form of exercise, to get from place to place, or simply for recreation. When bicyclists are involved in accidents, they can sustain extremely serious injuries, including spinal cord injuries, facial fractures, concussions, and nerve damage. Some of the ways in which you can reduce your risk of being involved in an accident when you ride include making sure your bike is in good condition, always following traffic laws, wearing retro-reflective clothing and using lights when you ride at night, and never riding after drinking alcohol.
Call a Clearwater, Florida Personal Injury Attorney Today to Discuss Your Case
In the unfortunate event that you are injured in an accident this year, you should call the Dolman Law Group immediately. Our skilled team of Clearwater personal injury lawyers is ready to review your case at no cost and make sure that you receive the compensation to which you are entitled. To schedule a free consultation with one of our lawyers, call our office today at 727-853-6275 or contact us online.
Dolman Law Group
5435 Main Street
New Port Richey, FL 34652
The post Avoiding Accidental Injury in 2017 appeared first on Dolman Law Group.
Control Neck and Back Pain with Medical Weight Loss
in Pinellas Park and St. Pete
A medical weight loss program, combined with nutrition and lifestyle counseling as well as chiropractic care, can be your pain management.
Dr. Kevin Lee, chiropractor and owner of Gulf Coast Rehabilitation and Wellness Center, noticed many of his patients were suffering from conditions like low back pain that could be treated or vastly reduced with exercise, diet, and weight reduction.
“So many of my patients were taking a pill for this and a pill for that, and I’m thinking they just need a prescription for weight loss,” said Dr. Lee. “A medical weight loss program combined with chiropractic care and nutrition counseling has led so many to a pain-free life off medication.”
Chiropractic care focuses on natural treatments curving away from surgery, narcotics, or other invasive treatment methods.
“Too often pain management is handled with a short-term fix like drugs or high-risk treatment like surgery instead of actually fixing the underlying problem which could be as simple as diet and exercise,” said Dr. Lee.
Dr. Lee’s statement is backed by growing evidence that more and more Americans are addicted to prescription medications year over year. Drugs are cheaper for most people and covered by nearly all health insurance plans. It is much easier to pop a pill than it is to undergo a lifestyle change, not to mention less time-consuming.
There seems to be a tangible shift in the climate of healthcare away from the easy and convenient fixes and back toward the natural, safe, and healthy.
“I hope to see more insurance companies covering natural treatments that would prevent diabetes and heart disease from forming in the first place instead of paying for the treatment patients need after the diseases develop,” he said.
Extra Weight is a Problem
Many folks struggle to maintain a healthy body weight as they age, especially as metabolisms slow down and hormones change. Carrying too much weight is a sign of inflammation and stress of your body. Treatment of the serious conditions caused by obesity like diabetes, heart disease, and cancer can get expensive. Ignoring the issues can cause them to worsen to the point of affecting your quality of life.
The majority of patients are not surprised to hear they need to lose weight. Most, however, do not realize the degree to which most of their health problems are caused by carrying the extra weight. Most do not realize how much better they will feel once they shed the weight. The following symptoms are a sure indicator you’ve reached an unhealthy weight:
• Lack of muscle tone in your limbs, abdomen, and back
• Loose or extra skin in previously tight areas of your body
• A buildup of fatty tissue around your middle section
• Less energy and vitality
• More prone to sedentary activities (sitting, watching TV)
• Your clothes feel tighter or no longer fit
Call Us to Discover More Information About Weight Loss Management
To reach the fullest of your health potential, chiropractors see the greatest success from patients who take advantage of a combination of chiropractic methods and advice, including medical weight loss in Pinellas Park and St. Pete. Every case is unique, which is why chiropractors offer a unique combination of care so there is a treatment plan available for everyone to suit individual needs.
Always choose a chiropractor whom you are comfortable with and who adequately meets your treatment and scheduling needs. At Gulf Coast Rehabilitation and Wellness Center, all consultations are risk free, and staff will thoroughly cover any of your treatment concerns. A qualified and experienced chiropractor will safely rule out any serious injury while also using a variety of modalities to help the body heal itself along with manipulation.
The medical professionals at Gulf Coast Rehabilitation and Wellness Center have over 20 years’ experience providing pain management services, including neck and back pain. Their number one goal is to return you to a pain-free and healthy life through safe, natural, and effective treatment. Call (727) 541-2520 or visit http://gulfcoastrehab.us/ to discover how chiropractic care, medical weight loss, massage therapy, nutritional counseling, or other therapies available in Pinellas Park and St. Pete can help with your neck and back pain.
Losing an hour of sleep may do more to your mind and body than you realize.
As we age, the discs in our spine start to naturally break down due to normal, everyday living . This is commonly referred to as disc degeneration and can result in pain in the neck and/or back area–pain that is felt by almost half of the population 40 years of age or older . For those over 80, this rate doubles to a whopping 80 percent, which makes understanding what factors promote this particular condition critical to raising the quality of life as we enter our later years. Fortunately, recent research provides some very important information in this area.
Disc Degeneration Risk Factors Revealed In Recent Study
On November 9, 2015, a study conducted by health experts from Mie University Graduate School of Medicine in Japan, Osaka University (also in Japan), and Rush University Medical Center in Chicago, Illinois was published in BMC Musculoskeletal Disorders. In this research, these experts followed 197 individuals living in Miyagawa, Japan who were over the age of 65 for a 10-year period, measuring their disc height at two year intervals to determine what factors, if any, contributed to their spinal discs degenerating at a faster rate.
What they discovered was that, over the time span of the study, the participants’ disc height gradually reduced an average of 5.8 percent, with roughly 55 percent experiencing degeneration in one or two of their discs. Furthermore, there were three factors that they identified that increased the likelihood of disc degeneration. They were: 1) being female, 2) having radiographic knee osteoarthritis, and 3) the presence of low back pain when the study began.
Based on these results, women should take extra care to protect the discs in their spinal column, potentially saving themselves from experiencing neck or back pain later in life. Some options for doing this include maintaining a healthy weight, avoiding repeated lifting of heavy objects, and not smoking as studies have found that smokers tend to experience disc degeneration at greater rates than non-smokers . Chiropractic can help with the other two factors.
For instance, in one study published in The Journal of the Canadian Chiropractic Association, researchers looked at 43 different individuals between the ages of 47 and 70 who were experiencing osteoarthritic knee pain. Some participants received treatment three times a week for two weeks and others served as a control. The subjects who engaged in treatment reported more positive results than those who did not, citing that, after the treatments they experienced fewer osteoarthritic symptoms, had greater knee mobility, and felt that it was easier to “perform general activities.” And this was after just two weeks of care.
Chiropractic can also help lower back pain, further reducing the likelihood that your discs will degenerate at a faster rate when you age. That makes this specific remedy beneficial both now and well into the future–ultimately raising your quality of life.
- Akeda K, Yamada T, Inoue N, et al. Risk factors for lumbar intervertebral disc height narrowing: a population-based longitudinal study in the elderly. BMC Musculoskeletal Disorders 2015;16(1):344.
- Fogelholm RR, Alho AV. Smoking and intervertebral disc degeneration. Medical Hypotheses; 56(4):537-9.
- Pollard H, Ward G, Hoskins W, Hardy K. The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. Journal of the Canadian Chiropractic Associations 2008;52(4):229-42.