Chiropractic and Auto Accidents

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  • CONCERNING WHIPLASH AND INJURIES
  • It is estimated that 15-40% of those who are injured in a motor vehicle collision will suffer from ongoing chronic pain.(Journal of the American Academy of Orthopedic Surgeons, 2007)
  • Whiplash injuries not only increase the incidence of chronic neck and shoulder pain, it also significantly increases the incidence of other systemic ill health effects. In other words, whiplash injuries cause more than neck pain and headache, it hurts the health of the entire body.(Journal of Clinical Epidemiology, 2001)
  • That essentially 100% of those who are suffering from chronic pain caused by a whiplash injury will have an abnormal psychological profile with standard assessments, and the only way to resolve the abnormal psychological profile was to successfully treat the chronic spinal pain. Psychotherapy was not able to improve the abnormal psychological profile, nor was it able to improve the patient’s chronic pain complaint.(Pain, 1997)
  • In the longest study ever performed on whiplash-injured patients (a study looking at the health status 17 years after injury),55% of the patients still suffered from pain caused by the original trauma.(Accident Analysis and Prevention, 2002)
  • 90% of those who are initially given a cervical collar for their whiplash injuries will be suffering from chronic neck pain 6 months later.(Spine, 2000)
  • 2% of whiplash-injured patients will have severe pain and problems that require ongoing medical investigations and drugs 7.5 years after being injured.(Injury, 2005)
  • 1 in every 100 (1%) people on our planet suffer from chronic neck pain caused by whiplash injury.(Pain, 1994)

The Motor Vehicle Collision Injury Problem Statistically, every American can expect to be in a motor vehicle collision once every ten years.

Motor vehicle collisions have been the number one cause of death of our children for decades.

Since 911 (September 11, 2001), about 3,000 Americans have died as a consequence of terrorism; about 360,000 Americans have died in motor vehicle crashes.

Since the start of the American Revolution in 1775, about a million Americans have died in our wars. Since Henry Ford introduced the mass-produced motorcar in 1913, more than 2.5 million Americans have met their deaths on the road.

And millions of Americans who did not die from motor vehicle collisions were injured.

The Bottom Line… To understand whiplash injury and treatment, it is most important to know the answers to these three questions:

Astonishingly, the answer to all three questions is the same:

The tissues in and around the spine, including but not limited to the facet joints and the tissues of the disc joints

Consequently, it is inevitable that some whiplash-injured patients will develop chronic pain and that chiropractic is often the best management choice for these patients.

 

Whiplash – What Exercises Should I Do? (Part 1)
Courtesy of: Dr. Frank Gomez, Sayville Immediate Chiropractic care

            Whiplash, or “Whiplash Associated Disorders” (WAD), results from a sudden jarring motion, often from a car crash that occurs too fast for someone to voluntarily “brace” themselves. This is because the whole “whiplash cycle” is over within 300msec, and we cannot contract a muscle faster than 700-800 msec. Other injury factors include: the type and angle of the crash, the size of the involved vehicles, the speed, the absorption of the crash by crushing metal (or lack thereof), the size of the person (and gender), angle of the seat back and it’s “stiffness,” the position of the head rest, and the slipperiness of the road. ALL these factors (and more) help determine whether an injury occurs as well as the degree of injury!

            There is so much published about neck pain resulting from whiplash that it’s confusing (to say the least) about which exercises are best for the whiplash patient. Rather, each patient needs to be assessed and managed based on their unique situation.

            In regards to neck pain, an exercise program must have three goals: Stretching, Strengthening, and Stabilizing. All three goals work towards a common purpose: To restore function. Initially, when pain factors are high, patients perform active movement within reasonable pain boundaries to improve their cervical range of motion. Once movement is fairly well tolerated, it’s time to focus on strengthening exercises.

            There are certain muscles that can “hide” behind larger, stronger muscles and are more difficult to isolate, and therefore, very often remain weak — even sometimes in spite of strengthening exercises. One VERY important muscle group is called the deep neck flexors, which “hide behind” the stronger, more superficial neck flexing muscle called the sternocleidomastoid (SCM). To “trick” the SCM into NOT contracting (so we can engage and exercise the deep neck flexors), we drop the chin to the chest without flexing the head forwards (like the downward motion when nodding “yes”). Try it! You should feel “the pull” or a stretch in the muscles in the back of your neck. This is referred to as “craniocervical flexion” but we’ll call it a “chin tuck.”

PROCEDURE 1: Perform the above “chin tuck” by lying on your back, chin tuck, and press your neck down into the bench or floor, hold for three-to-five seconds and then release the chin tuck SLOWLY (two times slower than the initial downward movement). If you can’t get your neck to flatten out, repeat this with a small rolled up towel placed behind the neck. Start with three-to-five repetitions and gradually increase the reps and sets. To make this more “portable” so you can do this during the day, see Procedure 2.

PROCEDURE 2: In a seated or standing position, place your finger tips behind your neck and push your neck into your fingers gradually increasing the pressure as you apply the “chin tuck.” Do this slowly, applying gradual pressure INTO your finger tips and then (MOST IMPORTANTLY), release the pressure SLOWLY (again, two times slower than the initial “push”). Repeat three-to-five times for one session and do multiple sessions during the day. SET THE TIMER on your cell phone for two or three hrs to REMIND you to do these multiple times a day!

            Next month, we will address the deep neck extensors, as well as other deep muscles!

            We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for Whiplash, we would be honored to render our services.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ, CHIROPRACTIC PHYSICIAN at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Carpal Tunnel Syndrome
Let’s Get the FACTS! (Part 1)

Courtesy of: Dr. Frank Gomez, Sayville Immediate Chiropractic care

If tingling/numbness primarily affects your thumb, index, third, and ring fingers, it very well could be carpal tunnel syndrome, or CTS. Chances are you’ve probably had this condition for months or even longer but it’s been more of a nuisance than a “major problem” and therefore, you probably haven’t “bothered” having it checked out. Let’s take a look at some “facts” about CTS!

WHAT IS CTS? CTS is basically a pinched nerve (the median nerve) that occurs on the palm side of the wrist that innervates the three middle fingers and the thumb on the palm side. This nerve starts in the neck, runs through the shoulder to enter the arm, and travels down the palm side forearm through the carpal tunnel. The carpal tunnel is made up by eight small bones (called “carpal bones”) that form the roof and walls of the tunnel. The floor of the tunnel is a ligament called the transverse carpal ligament. The median nerve lies immediately on the floor, and deeper inside the tunnel are nine tendons that connect the muscles of our forearm to the fingers, which allow us to make a fist and grip. When swelling occurs inside the tunnel, the nerve is pinched against the floor (ligament) and symptoms occur.

SYMPTOMS OF CTS: Symptoms typically start gradually with tingling, numbness, burning, itching, or a “half-sleep” feeling in the palm of the hand, thumb, and middle three fingers. The fingers can feel swollen and weak, though “swelling” is usually NOT visible. CTS can occur in one or both hands, but it is usually worse in the dominant hand. Initially, you may only notice symptoms at night or in the morning. As CTS worsens, sleep interruptions, grip weakness, difficulty distinguishing hot from cold, increased pain, pain radiating up the arm, and more may occur.

CAUSES OF CTS: There are many causes of CTS that often occur in combination: 1) Heredity or genetics — being born with a smaller wrist than others; 2) Trauma — a fall on the arm/hand (sprain or fracture); 3)  Overuse of the arms/hands (like repetitive line work, serving tables, or using a computer), 4) Hormonal causes — during menstruation, with pregnancy, during menopause, diabetes, hypothyroid, overactive pituitary gland; 5) Rheumatoid arthritis; 6) Fluid retention; 7) Cysts, tumors, or spurs inside the tunnel; 8) Vibrating tools, 9) Hobbies such as knitting, sewing, crocheting; 10) sports; or 11) an “Insidious” or unknown cause!

CTS RISK FACTORS: 1) Gender: Women are three times more likely to develop CTS, possibly because they generally have a smaller carpal tunnel than men, in addition to hormonal differences; 2) Diabetes or other metabolic disorders; 3) Adults, especially >50 years old; 4) Job demands.

CTS DIAGNOSIS: Your doctor of chiropractic will review your patient history and then evaluate the neck, shoulder, arm, and hand, as ALL can be involved in producing CTS-like symptoms. He/she may also order blood tests (to check for diabetes, thyroid levels, rheumatoid arthritis, etc.) and/or an EMG/NCV (electromyogram/nerve conduction studies) to test for nerve damage.

We will FINISH THIS interesting discussion next month covering: Treatment, prevention, and research.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ, CHIROPRACTIC PHYSICIAN at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

 

Whiplash – What Can I Expect?
Courtesy of: Dr. Frank Gomez, Sayville Immediate Chiropractic care

            Whiplash, or “Whiplash Associated Disorders” or WAD, is the result of a sudden “crack the whip” of the head on the neck due to a slip and fall, sports injury, a violent act, or most commonly, a motor vehicle collision (MVC), particularly a rear-end collision. In describing “what can I expect” after a whiplash injury, one thing is for certain, there are many faces of whiplash, meaning the degree of injury can range from none to catastrophic depending on many factors, some of which are difficult or impossible to identify or calculate. Let’s take a closer look!

            Even though the good news is that most people injured in a car crash get better, 10% do not and go on to have chronic pain, of which about half have significant difficulty working and/or doing desired everyday activities. There is a “great debate” as to the way experts describe “chronic whiplash syndrome” (CWS) as well as how these cases should be managed. Some feel there is something PHYSICALLY wrong in the CWS patient, especially if severe neck or head pain persists for more than one year. There is some proof of this as Dr. Nikolai Bogduk from the University of Newcastle in Australia and colleagues have used selective nerve blocks to anesthetize specific joints in the neck to determine exactly where the pain is generated. The patient then has the option to have that nerve cauterized or burned and pain relief can be significant in many cases. Dr. Bogduk and his group admit that these CWS patients have more psychological symptoms, but they feel this is the result of pain, not the CAUSE.

            On the other hand, experts such as Dr. Henry Berry from the University of Toronto report the EXACT OPPOSITE. He argues that it’s not JUST the physical injury that has to be dealt with but also the person’s “state of mind.” Dr. Berry states that when stepping back and looking at all the complaints or symptoms from a distance, “…you see these symptoms can be caused by life stress, the illness ‘role’ as a way of adjusting to life, psychiatric disorders, or even [made up by the patient].” Berry contends that it’s important to tell the patient their pain will go away soon, advises NO MORE THAN two weeks of physical therapy, and sends people back to work ASAP.

            Oregon Health Sciences University School of Medicine’s Dr. Michael D. Freeman, whose expertise lay in epidemiology and forensic science, disagrees with Dr. Berry stating that the scientific literature clearly supports the physical injury concept and states, “…the idea that it is a psychological disturbance is a myth that has been perpetuated with absolutely no scientific basis at all.” Dr. Freeman states that 45% of people with chronic neck pain were injured in a motor vehicle crash (which includes three million of the six million of those injured in car crashes every year in the United States).

            Here’s the “take home” to consider: 1) CWS occurs in about 10% of rear-end collisions; 2) Some doctors feel the pain is physically generated from specific nerves inside the neck joints; 3) Others argue it’s a combination of psychological factors and care should focus on preventing sufferers from becoming chronic patients.

            Many studies report that chiropractic offers fast, cost-effective benefits for whiplash-injured patients with faster return to work times and higher levels of patient satisfaction.

                To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ, CHIROPRACTIC PHYSICIAN at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

 

What Exercises Can I do for CTS?
Courtesy of: Dr. Frank Gomez, Sayville Immediate Chiropractic care

            Carpal Tunnel Syndrome (CTS) is the leading cause of numbness to the middle three fingers and thumb and affects millions of Americans each year. There are MANY potential causes of CTS, and these causes can be unclear or multi-factorial. We have discussed the importance of night splints and what chiropractic can do for CTS in the recent past. This month, let’s look at what YOU can do for CTS.

            “Self-help” concepts are VERY important as they empower YOU to gain control of your condition’s signs and symptoms, thus placing less reliance on those of us who manage (in this case) CTS. There is a time for “PRICE” or, Protect, Rest, Ice,Compress, Elevate, such as when most activities make symptoms worse. This is the time for splinting, reducing activities of daily living (which sometimes includes work restrictions), and the use of ice cupping or massage. Patients should initiate movement or exercise-based approaches as soon as such activities can be tolerated. Here are four different exercises you can do:

            1. Fist / “Bear Claw” / Open Wide Hand: This is a three-step exercise, and you can start or stop on any of the three “steps.” A. FIST:  Make a fist and squeeze as tightly as tolerated; B. BEAR CLAW: Starting from the fist position (A), open only the palm of the hand (keep your thumb and fingers bent but straighten the big knuckle joints at the base of the fingers); C. OPEN WIDE: Straighten and spread ALL your finger joints by opening up your hand as much as possible and feel for a good stretch in the palm. HOLD each position for one to five seconds (vary the “speed” of moving between the three positions – fast, medium, and slow; emphasize what feels best if you have a preference). Repeat five to ten times or until your hands feel looser.

            2. “Church Steeple”: Place your hands together in front of you (“prayer position”) touching the pads of the thumbs and all four fingertips together and spread your fingers as wide as possible. Next, separate your palms as far as you can while applying pressure against your finger/thumb tips and repeat. Alter the speed and number of repetitions until your hands feel stretched out.

            3. “Shake and Flick”: Simply shake your hands as if you just washed them and you’re shaking the water off to “air dry” them. Again, alter the speed and reps until they feel loosened up.

            4. Forearm Stretches: Place one arm out in front, elbow straight, and fingers pointed straight, palm up (first set). Reach with the opposite hand and pull the fingers, hand, and wrist down and back towards you until you feel a strong “pull” in your forearm muscles. Hold until the forearm muscles feels stretched (5-10 seconds). Repeat this with the palm facing down for the second set to stretch the opposite (extensor) forearm muscles.

            Do these on each side two to three times each (even the “good” side) EVERY HOUR (or as often as possible). Think about what you do on a daily basis and if you work in a repetitive manner (on the job or a hobby at home), try to do these exercises DURING THE REPETITIVE ACTIVITY to help keep your symptoms from getting out of control. If you can alter the position or speed of a work or avocational activity, do so for long-term prevention purposes!

            If you cannot gain control of your CTS condition, you may need additional treatment options of which chiropractic offers a safe, non-surgical approach.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ, CHIROPRACTIC PHYSICIAN at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

 

Can Chiropractic Help My Concussion?
Courtesy of Dr. Frank Gomez & Sayville Immediate Chiropractic Care

Whiplash Associated Disorders (WAD) is the appropriate terminology to use when addressing the myriad of symptoms that can occur as a result of a motor vehicle collision (MVC). In a recent publication in The Physician and Sportsmedicine (Volume 43, Issue 3, 2015; 7/3/15 online:1-11), the article “The role of the cervical spine in post-concussive syndrome” takes a look at the neck when it’s injured in a car accident and how this relates to concussion.

            It’s estimated about 3.8 million concussion injuries, also referred to as “mild traumatic brain injury” (mTBI), occur each year in the United States. Ironically, it’s one of the least understood injuries in the sports medicine and neuroscience communities. The GOOD NEWS is that concussion symptoms resolve within 7-10 days in the majority of cases; unfortunately, this isn’t the case with 10-15% of patients. Symptoms can last weeks, months, or even years in this group for which the term “post-concussive syndrome” (PCS) is used (defined as three or more symptoms lasting for four weeks as defined by the ICD-10) or three months following a minor head injury (as defined by the Diagnostic and Statistical Manual of Mental Disorders).

            There have been significant advances in understanding what takes place in the acute phase of mTBI, but unfortunately, there is no clear physiological explanation for the chronic phase. Studies show the range of force to the head needed to cause concussion is between 60-160g (“g” = gravity) with 96.1g representing the highest predictive value in a football injury, whereas as little as 4.5g of neck acceleration can cause mild strain injury to the neck. In spite of this difference, the signs and symptoms reported by those injured in low-speed MVCs vs. football collisions are strikingly similar!

            Research shows if an individual sustains an injury where the head is accelerated between 60-160g, it is HIGHLY likely that the tissues of the cervical spine (neck) have also reached their injury threshold of 4.5g. In a study that looked at hockey players, those who sustained a concussion also had WAD / neck injuries indicating that these injuries occur concurrently. Injuries to the neck in WAD include the same symptoms that occur in concussion including headache, dizziness/balance loss, nausea, visual and auditory problems, and cognitive dysfunction, just to name a few.

            The paper concludes with five cases of PCS that responded well to a combination of active exercise/rehabilitation AND passive manual therapy (cervical spine manipulation). The favorable outcome supports the concept that the neck injury portion of WAD is a very important aspect to consider when treating patients with PCS!

            This “link” between neck injury and concussion explains why chiropractic care is essential in the treatment of the concussion patient! This is especially true when the symptoms of concussion persist longer than one month!

            We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for Whiplash, we would be honored to render our services.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

 

Carpal Tunnel Syndrome and Musicians
Courtesy of: Sayville Immediate Chiropractic and Dr. Frank Gomez

Carpal Tunnel Syndrome (CTS) affects MANY individuals from all walks of life and in many occupations. Today’s discussion centers around CTS in musicians, and most importantly, what can be done about it.

It’s thought that CTS affects musicians because of their rapid, repetitive finger movements. The “formula” for CTS risk includes: Repetition + Speed + Force = CTS. This means highly repetitive movements at a fast pace using forceful movements significantly increase a person’s risk for developing CTS. If we add other risk factors of CTS including, but not limited to obesity, age over 50, female, the presence of diabetes, arthritis (especially rheumatoid), thyroid disease and others, then the risk increases dramatically. We can modify certain factors by losing weight, reducing practice time, changing the speed at which we practice (mixing it up between fast vs. slow tempos), taking mini-breaks from practicing, and more. However, we may not be able to change other factors like the presence of diabetes, arthritis, thyroid disease, and other hormonal imbalances. So the question arises, what can chiropractic do for CTS?

Chiropractic management focuses on the goal of treating what causes CTS – which frees up the nerve from being compressed. It is well established that compression of the median nerve ALONG ITS ENTIRE COURSE from the neck to the hand can create CTS or CTS-like complaints. Therefore, we determine the location(s) of compression by placing pressure over the points of common nerve entrapment, which include the wrist’s carpal tunnel, the forearm near the elbow (pronator tunnel), the inner upper arm near the elbow (Struther’s ligament), the shoulder and the arm pit area (behind the pectoralis minor muscle), as well as under the collar bone, and importantly, between the anterior and medial scalene muscles in the front/side of the neck (frequently missed). Chiropractic treatments may include manual release techniques such as Active Release Technique (ART), myofascial release (MFR), trigger point therapy (TPT), joint manipulation of the wrist, forearm, elbow, shoulder, neck and/or home self-applied treatment which includes activity modifications, using a night time splint, and exercises (which we teach you how to do). Nutritional considerations are also important (see last month’s Health Update)!

Treatment may also include exercises like the Carpal Stretch and the First Rib Stretch. The Carpal Stretch (median nerve flossing) involves standing sideways to a wall with your elbow straight, fingers pointing down with palm against the wall at shoulder height. Feel for the deep stretch in the forearm palm-side muscles. Follow this by bending your head sideways away from the wall.  Using your opposite hand, gently pull your head over further sideways (no sharp pain allowed). Hold for up to 30 seconds and repeat two to three times or until you feel it loosen up. This can be repeated multiple times a day. If you don’t have a wall, do the same thing but with the arm extended forwards from the body (rather than sideways). Reach under your hand and gently pull your thumb back feeling for a similar deep stretch through the carpal tunnel (palm side wrist) and forearm. To perform the First Rib Stretch, place a towel over the shoulder close to the neck. Reach behind with the opposite hand and grasp the towel pulling downwards while the other hand grasps the front of the towel also pulling down. Drop your head sideways to the opposite side to increase the stretch. We can OFTEN help you avoid surgery so PLEASE try these exercises and our treatments BEFORE granting permission for surgery!

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

 

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

How Can I Get Hurt in a Low-Speed Crash?
Courtesy of:  Dr. Frank Gomez & Sayville Immediate Chiropractic Care

            Whiplash – or perhaps most accurately, “whiplash associated disorders” (WAD) – is a term that is applied to the MANY different types of injuries that can occur at the time of an automobile collision.

            The cervical spine includes bony structures, ligaments (that hold bones tightly together), tendons (that attach muscles to bones), nerves (that allow us to feel and provides muscle strength), disks (that serve as shock absorbers between our vertebra), and other connective tissues that can be injured depending on MANY factors! The brain can also be injured (i.e., concussion) in a crash WITHOUT the head hitting anything! Individuals in car accidents can also experience seat belt-related injuries to the shoulder, chest, abdomen, mid-back, and/or low-back, as well as the extremities.

            There are many factors that can increase your risk of injury including the size of the two vehicles (worse when a large vehicles strikes a smaller vehicle), the direction of the collision, the position of the head upon impact (worse if rotated), the size of the neck (females are at greater risk), the angle and springiness of the seat back, the position of the head rest (too low is common), and the amount of vehicular damage (or lack thereof).

            The latter is the surprising part! You may have noticed when a racecar crashes, it’s made to literally break apart until the only remaining piece is the cage that holds the driver. The reason for this is when a crash occurs, the energy of the impact (or “G-force”) is absorbed by crushing metal or breaking away parts. If the vehicle is ‘built like a tank’ and no metal crushes or parts break off, the energy is transferred to the contents inside the vehicle – namely the driver and occupants!

            Hence, the concept of “no vehicular damage means no injury” is actually quite the opposite! When low-speed collisions occur, there is no energy absorption by the crushing of metal or breaking away of parts. Hence, there’s a greater chance of injury at low speeds when little-to-no damage occurs to the target vehicle!

            We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up

Whiplash – “What Can I Do to Help Myself?”
Courtesy of: Dr. Frank Gomez & Sayville Immediate Chiropractic Care   

            Whiplash or whiplash associated disorders (WAD) is a commonly used term for an acceleration-deceleration force applied to the neck often occurring in car crashes but may arise from a slip and fall, a diving accident, or other traumatic injury. The net result is an injury to muscles, ligaments, joints, and/or nerves in the cervical spine or neck region and possibly a concussion.

            This month’s article is intended to spotlight self-help strategies that YOU can do to help manage this afflicting condition. We HIGHLY recommend downloading “Whiplash Injury Recovery: A self-management guide” as it covers very important information in the 24 page PDF: (go to: http://bit.ly/WHIPLASHGUIDE ). It is authored by Professor Gwendolen Jull, the director of The Cervical Spine and Whiplash Research Unit, Division of Physiotherapy, at The University of Queensland. In her “message from the author,” she writes the following:

“This booklet aims to assist persons who have had a whiplash injury on the road to recovery. It provides information about whiplash-associated disorders, an explanation of whiplash, and exercise program which has been proven to assist in reducing neck pain and advice on how to manage your neck to prevent unnecessary strain and to assist recovery. The booklet is a self-help resource to aid recovery and to supplement any care being provided by a health care practitioner.”

            In the table of contents, you will see whiplash defined, recovery information, and “helping yourself” topics followed by posture correction, proper sitting positions, lifting, carrying, and work instructions, as well as how to go about household activities. This 24-page guide concludes with exercise instructions followed by formal exercises, how often you should do them, and things to remember.

            Here are some highlights: 1) Most people recover from a whiplash injury at different rates; 2) Recovery ranges from days to months and occasionally one to two years – the majority recover fully; 3) Research supports trying to continue with your normal daily activities – modify as needed and gradually return to normal work, recreation, and social activities; 4) Be adaptive – make modifications to avoid flair-ups; 5) Some activities hurt, but that doesn’t automatically mean further injury. If you recover quickly, make modifications as necessary but continue the activity; 6) You are your BEST resource in the recovery process (stay motivated to fully recover); 7) Stay active. Try to do as many of your normal activities as possible and gradually increase the intensity, frequency, and duration until normal function is returned; 8) Try to keep working – work with your employer and co-workers so you can stay on the job; 9) Don’t skip simple pleasures – enjoy time with family and friends, participate in social outings, begin or rediscover a new hobby; 10) Work with healthcare providers (like your doctor of chiropractic) to gradually introduce and increase exercises to regain motion, strengthen weak muscles, and improve function; 11) Be aware of your posture; 12) Modify activities to reduce strain during work and recreation; 13) Be more active / less sedentary to PREVENT neck pain; 14) Take breaks and change body positions throughout the workday; 15) Arrange your workstation/desk (monitor position, keyboard / mouse and chair “set-up”) to be more ergonomic; 16) Think about how you are sitting; 17) Act as usual, be active, be aware (posture, taking breaks, etc.); 18) DO YOUR EXERCISES (modify according to comfort); 19) Follow the instructions during exercise training (avoid sharp/knife-like pain); and 20) Communicate with your healthcare provider when questions arise! Please take the time to download the PDF. 

            We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Whiplash – “What’s Happening in My Head?”
Courtesy of: Dr. Frank Gomez at Sayville Immediate Chiropractic Care

            Whiplash or WAD (whiplash associated disorders) are terms usually linked with car crashes and neck injuries, but what about when a head injury or traumatic brain injury (TBI) occurs alongside a WAD?

            Our brains are suspended by ligaments inside the skull from which many nerves branch off and exit the skull through small holes (“foramen”) that are located near the orbits (eyes), the ears, the base of the skull, and more. These nerves aid in important functions like the ability to make funny faces, chew, move our eyes, smell, hear, taste, see, swallow, talk/sing, stick out our tongue, shrug our shoulders, and even help regulate heart rate and digestion! In an automobile collision, because of the way the seatbelt crosses at an angle in front of the chest, experiments have found that it is VERY UNLIKELY that the body and head move in a perfect front-to-back direction. Rather, the trunk and head rotate or twist during the forwards and backwards “whiplash” process. This is further exaggerated if the head is turned at the time of impact such as looking in the mirror or at a passenger. This twisting motion distorts the brain as it crashes against the inside of the head, damaging the delicate nerve fibers that allow different parts of the brain to communicate with one another. This damage can lead to “cognitive difficulties” such as losing a thought in the middle of a sentence, difficulty “finding the right words to say” in conversation, and/or difficulty remembering numbers and completing simple math problems. Fatigue, irritability, restless sleep, headache, neck and body aches, agitation, and more are ALL related to the concussion, WAD, TBI, post-concussive syndrome, or whatever we choose to call it!

            Studies have shown that the head DOES NOT have to hit anything to result in a TBI. The whiplash mechanism alone is enough to cause a brain injury. As discussed in the past, there are many factors that determine the degree of injury incurred in a car accident, such as the size of the two vehicles, the speed of the collision and subsequent vehicular damage, the long/slender neck vs. short muscular neck (females are at greater risk), the position of the headrest, the angle and springiness of the seat back, head position upon impact, slipperiness of the road surface, and more. These factors make it very difficult, if not impossible, to accurately reconstruct a motor vehicle accident, even in a non-complicated crash.

            Getting back to the head and whiplash, there are baseline tests that can be done to determine the extent of damage in TBI, though debate exists as to which approach is the best. Treatment by a multi-disciplinary group of providers including neuropsychology, clinical psychology, nutritionists, and chiropractors, along with meditation, massage therapy, magnetic field, and acupuncture is considered as the most comprehensive and perhaps best approach. The “good news” regarding TBI is that most of these injuries recover within the first three-to-six months post-MVC but for those that do not, TBI can have life-altering residual effects. Doctors of chiropractic are trained to recognize and assess these types of injuries and provide treatment, advice, nutritional counseling, and frequently “team-up” with others in the quest to get you “back to normal” as quickly as possible!

                To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Whiplash – “Will This Ever Get Better?”

Courtesy of: Dr. Frank Gomez at Sayville Immediate Chiropractic Care         

            Whiplash (or WAD – whiplash associated disorders) can be defined by a sudden movement of the head and neck beyond its normal range of motion resulting in pain and stiffness and less often, numbness and tingling in the arms and hands. Prognosis is a term associated with a predicted outcome of a condition with the passage of time, either with or without treatment. A condition is considered “stable” when symptoms aren’t changing and are not likely to change significantly over the next several months to a year. In general, recovery may depend on the severity of the injury. Usually, minor whiplash injuries will resolve completely within approximately one to two weeks, moderate whiplash injuries within approximately four to eight weeks, and severe whiplash may or may not completely “resolve.” Rather, severe whiplash may result in a chronic condition which may lead to a permanent reduction or a complete loss of certain functions. There are “risk factors” that can result in either a prolonged recovery or just a partial recovery, regardless of the degree of injury which makes the process of prognosing whiplash cases challenging. Let’s take a closer look!

            There have been many published studies that have looked at the long-term prognosis of whiplash injuries using different approaches. For example, one study reported that reduced cervical range of motion was able to predict those less likely to fully recover after one year.

            Another study broke down acute whiplash patients into seven risk levels using one-year work disability (total number of days missed from work) as the main outcome measure. The age of injured subjects ranged from 18-70 years and injuries varied between WAD 1 to 3 (WAD 1 = Pain but no loss of motion, primarily soreness; WAD 2: Loss of motion and muscle tightness/pain; WAD 3: Same as WAD 2 but WITH neurological problems like numbness &/or weakness in the arms due to nerve injury). The study evaluated a total of 483 women and 250 men within ten days of their motor vehicle collision (MVC). At the end of one year, a total of 605 participants completed the study and were given a “RISK SCORE” which included: a) initial neck pain/headache intensity; b) the number of non-painful complaints; and c) active cervical range of motion. When researchers compared the patients’ RISK SCORE at the one-year mark to their work disability (number of sick days), they found a direct correlation between lower scores and lower work disability and higher scores and greater work disability. They concluded that this could be a valuable tool to assess a patient’s ability to return to work following WAD injuries. 

It’s worth noting that many studies have found no association between the amount of damage to the vehicle and the patient’s risk for a poor outcome.

To Receive Daily Health Updates,  go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

How to Prevent Whiplash! (Part 3)
Courtesy of Dr. Frank Gomez, Sayville Immediate Chiropractic care

            Previously, we discussed the topic of whiplash prevention which included the importance of a properly positioned head restraint, airbags, seat belts, and anti-lock braking systems. This month, we will conclude this important topic!

            Electronic Stability Control (ESC): The importance of the ESC safety feature becomes VERY APPARENT when you start to lose control on snow or ice. The ESC helps a driver retain control on slippery roads or when a driver needs to steer around an obstacle (like a fallen tree) at high speeds. As with anti-lock braking systems, ESC compares your intended steering and braking direction to the vehicle’s response related to side and turning acceleration and individual wheel speeds. The ESC can then apply the brakes to individual front or rear wheels and/or decrease engine power to help correct under- or over- steer conditions. It also controls the “all-speed traction control” by sensing drive-wheel slip during acceleration and individually applies the brake to the slipping wheel(s), and/or reduces the engine power until control is regained. Studies have shown ESC can reduce the risk of rollover, especially in sports utility vehicles (SUVs), some vans, and pickup trucks, due to their higher center of gravity. ESC is now a “standard safety feature” on most vehicles with a high roll-over risk. Though ESC cannot prevent a crash in all situations, it definitely helps avoid some! The Insurance Institute for Highway Safety reports that if ALL vehicles had ESC, about 10,000 fatal crashes could be avoided each year!

            Traction Control (TC) Systems: TC (also called ASR – Acceleration Slip Regulation) is designed to prevent loss of traction from the drive wheels when the gas pedal is applied too fast by the driver. When a wheel “slips,” TC senses this and continually adjusts the braking pressure to ensure maximum tire-to-road contact. This is especially useful on icy and/or wet roads to prevent a loss of control. The best way to understand TC is that it’s the reverse or opposite of ABS (anti-lock braking system), as TC limits over acceleration while ABS prevents too much deceleration. For example, when a light turns from red to green and the pavement is icy and the wheel(s) begin to slip, TC will instantaneously slow the wheel(s) down to eliminate the spinning.

            Daytime Running Lights (DRL): These are lights that automatically switch on when a vehicle is moving, typically emitting white, yellow, or amber light. This is a low-cost method to improve the visibility of a vehicle with the objective to reduce daytime crashes. 

            OTHERS: Blind Spot Detection Systems are usually markers on the side of the rear-view mirrors to help drivers keep track of nearby motorists in blind spots. If another car is in a blind spot and a driver activates their turn signal, the system will alert the driver with a sound or light to bring the other vehicle to their attention. This is projected to reduce approximately 450,000 crash cases per year! Another is the Back-up Warning System which sounds an alarm if an object or person is behind the vehicle. Similarly, a Forward Collision Warning with Automatic Braking detects when a driver is about to collide into a vehicle in front by sounding an alarm, flashing a light, or both. The brakes are automatically applied to warn drivers of a hazard.The Lane Departure Warning system warns you that you’re drifting out of your lane by a sound, light, and/or steering wheel vibration. Some system will even nudge you back into your lane!

            We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for Whiplash, we would be honored to render our services.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Carpal Tunnel Syndrome –
WHAT YOU NEED TO KNOW!

Courtesy of: Dr. Frank Gomez and Sayville Immediate Chiropractic Care – 631-275-3649

            Carpal Tunnel Syndrome (CTS) develops from a nerve problem in the wrist (the median nerve) and is NOT a “muscle problem” like some people believe. That is not to say the median nerve cannot be trapped and pinched by muscles. When this occurs, the condition is labeled with a different name, depending on which muscle(s) are pinching the nerve or where the entrapment is located. Here are some more FACTS about CTS that you need to know:

            SYMPTOMS: CTS complaints include numbness, pain, tingling, and/or weakness of the hand (especially fingers two, three, and four), and while this can be constant, it usually comes and goes.

            ONSET: CTS usually comes on gradually. However, the length of time over which it progresses can be HIGHLY VARIABLE. It can take weeks, months, or even years before the patient consults with their chiropractor or family doctor.

            CAUSE: There are MANY reported causes of CTS, but it is not completely known how the process starts out or how it evolves for different people. Risk factors include age greater than 50, obesity, genetics (family history of CTS), gender (as it favors females over males), work type (highly-repetitive, hand-intensive work), pregnancy, birth control pill usage, thyroid disease, diabetes, rheumatoid arthritis, and more. In general, swelling is the culprit that results in pressure on the median nerve. This most commonly occurs from overuse of the hands and fingers. Playing musical instruments, sewing, crocheting, basket weaving, assembly/line work, meat processing work, typing/computer work, and waitressing are common over-use activities.

            CLINICAL COURSE: Early into the disorder, CTS is usually easily managed and reversible. However, if the amount of pressure on the nerve is too much, the symptoms can become permanent. Think of a wire and how wearing away the plastic coating will “short” the wire. There are multiple layers to our nerves and the wearing away of the outer layers over time can become a problem resulting in permanent numbness and/or weakness.

            BIGGEST MISTAKE: Don’t wait until your symptoms are terrible! If you feel periodic numbness and tingling and you find yourself shaking your hand and “flicking” your fingers in attempt to “wake them up,” NOW IS THE TIME TO COME VISIT YOUR CHIROPRACTOR before nerve damage occurs and the risk of permanency increases.

            HOW CHIROPRACTIC HELPS: Treatment guidelines for CTS recommend a non-surgical approach, and this is where chiropractic comes in! A wrist night splint is typically recommended since sleep interruption due to numbness is VERY common as we cannot control our wrist position when we sleep. Ice (not heat) is best as it reduces swelling (see #3 above). Rubbing an ice cube (or Dixie cup of ice) over the palm-side of the wrist works well. First, you will feel COLD followed by BURNING, then ACHING, and finally NUMBNESS (“C-BAN”). At this point STOP, as the next stage of cooling is frost bite! Do this three times a day or as directed. Your doctor of chiropractic will also talk to you about taking “mini-breaks” at home and/or at work and teach you exercises or stretches that can be performed during these breaks! A work station assessment is often very helpful as sometimes a simple change in work position or method can reduce wrist strain considerably. Your doctor of chiropractic may also perform manipulation to the small joints of the hand, wrist, elbow, shoulder, and neck as indicated in each specific case. He or she may also perform soft tissue release techniques to the muscles and soft tissues of the forearm, shoulder, and neck regions as needed. Surgery should be the LAST step in the treatment process, used only if all other non-surgical options have been tried without success.

            We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for Carpal Tunnel Syndrome, we would be honored to render our services.

 To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up

How to Prevent Whiplash! (Part 2)
Courtesy of Dr. Frank Gomez, Sayville Immediate Chiropractic Care – 631-991-3492

Last month, we covered the importance of your car seat’s head restraint for preventing whiplash. This month, let’s discuss additional measures one can take…

            AIRBAGS: In addition to a correctly positioned head restraint, having a vehicle that is equipped with airbags has been described as “essential in the prevention of injuries and/or death,” especially in frontal or head-on collisions. Airbags are inflatable devices that fill up in a fraction of a second during a serious motor vehicle collision (MVC). Depending on the year, make, and model of your vehicle, airbags are located in the front of the steering column, by the glove compartment on the passenger side, and possibly in the doors and/or in the column between the doors. These offer additional protection that seatbelts alone cannot provide and can prevent the head and chest from striking the steering wheel, dashboard, or the door in the case of side-impact airbags. The front airbags typically do not deploy in rear or side impact collisions whereas the side airbags will deploy in side impacts and rollovers, thus providing protection between the occupants and doors, side windows, and roof. In order to maximize your protection from injury in a front-end collision, make sure you do the following each time you get into your vehicle: 1) always wear both your lap and shoulder seat belts as airbags are designed to work WITH the lap/shoulder belt system; 2) maintain a safe distance between you and the driver’s side airbag of at least 10 inches / 25 centimeters (if you’re too close, you risk making contact with the airbag as it inflates which can cause abrasions and bruising); 3) position the steering wheel towards your chest (not your head or neck); 4) move the passenger seat back as far as possible because of the greater distance/larger airbag that exists between the passenger and dashboard; 5) make sure passengers avoid putting their feet up on the dash or placing any objects between their body and the dashboard.

            SEAT BELTS: It has been estimated that in Canada alone, if all drivers and passengers wore their seat belts, 300 road fatalities could be avoided each year! Seat belts have always been considered the BEST way to protect against injury or death in a car crash. These typically cross the lap and chest and prevent the occupant from being ejected or thrown about inside the vehicle in an accident. Here are some important points to remember: 1) wear a lap/shoulder belt system whenever possible; 2) sit up straight, positioning the lap belt low over the pelvic bones/hips, NOT over the stomach; 3) place the shoulder harness over the shoulder, across the chest, and NEVER place the belt under the arm or behind the back; 4) all occupants must wear a seat belt regardless if the vehicle is moving or not; and 5) a pregnant occupant should place the lap belt over the pelvic bones below the baby, not over or above the stomach/baby.

            ANTI-LOCK BRAKE SYSTEMS (ABS): Here, electronic controls stop your wheels from locking up when the brake pedal is forcibly pressed to help the driver maintain control on rough, wet, and slippery surfaces. This helps prevent skidding and can result in a shorter stopping distance.  An ABS can also help drivers more safely steer around what they’re heading towards while allowing for maximum braking pressure. Tips include: 1) HOLD / DON’T PUMP the brake pedal firmly; 2) keep steering around objects while fully braking; 3) DO NOT expect the braking distance to be shorter; 4) have the ABS inspected at the recommended number of miles noted in your vehicle’s manual; and 5) MOST IMPORTANT, stay a safe distance behind the vehicle ahead of you – NO TAILGAITING!

To Receive Daily Health Updates,
go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Whiplash – Where is the Pain Coming From?
Dr. Frank Gomez, Sayville Immediate Chiropractic Care

Whiplash is a slang term for an injury to the neck that’s typically associated with a motor vehicle collision (MVC). A better term for “whiplash” is “whiplash associated disorder” (WAD) as it includes specific history and exam findings. There are usually two phases to an MVC: 1) an acceleration phase that is followed by 2) a deceleration phase. Injury can arise during either phase depending on the following: 1) The direction or angle of the collision (head-on, rear-end, T-bone, etc.); 2) The size of the bullet vs. target vehicle; 3) The speed the vehicles are traveling; 4) The size of the injured person’s neck (short/stocky vs. long/thin), 5) Head rotation at impact; 6) Position of the headrest (ideally ≤1 inch from the back of the head and raised up to bottom of the ears); 7) The angle and “springiness” of the seatback; 8) Seat belt use and position; 9) Collision anticipation, 10) Condition of the road (dry vs. wet/slippery), and more!

            Anatomically, injury can occur to muscles and/or their tendon attachments, the ligaments that firmly hold bone to bone, the fascia (or the covering of the muscles), the bones, the joints, the skin, the nerves, and/or blood vessels. It all boils down to the ten or more factors listed above, and as discussed in last month’s topic on PTSD, depending on whether concussion occurs and how well the injured person reacts or copes with the injury (the psychosocial part). Obviously, A LOT of factors drive the outcome of a whiplash injury!

            One of the more vulnerable parts of the neck that is frequently injured are the small facet joints and/or their coverings (called joint capsules). This is referred to as a WAD II injury. Picture a vertebrae as a bony tripod with one leg being big and wide representing the vertebral body and shock absorbing disk. This large leg is the main weight-bearing part of the tripod supporting up to 80% of the weight. The other two legs represent the facet joints that lie in the back of the vertebrae that open and close as we look down (opens) and look up (closes). When we turn our head, the movement primarily occurs in the first two vertebrae high up in the neck. Injury here most commonly occurs when the head twists or rotates, which can result from either the angle the chest portion of the seat belt lays against and/or if the head is rotated upon impact, such as looking in the rear view mirror.In other words, it’s probable that head rotation occurs in MOST motor vehicle collisions due to the seat belt’s angled position as it crosses the chest. When this twisting / rotation movement of the head occurs suddenly, it can result in brain injury or concussion, as studies show that delicate axons and nerve fibers can literally twist and tear due to this rotational component of the injury. Also, it’s WELL ESTABLISHED that the head DOES NOT have to hit anything to cause a concussion injury, as simply the force of the brain hitting the inside walls of the skull is enough to do this!

            Another slightly less common WAD injury involves the pinching of the nerve root as it exits the spine (referred to as a WAD III injury). Think of the nerves as wires between a switch and a light, each having a specific area that they “run” (innervate). For example, if tingling/numbness occurs in the thumb and index finger, it can mean the C6 nerve could be interfered with at some point in between the spine and the fingers. We also test specific muscles for weakness associated with each individual nerve to identify the main culprit! When a nerve gets pinched, sensory and/or motor deficits can occur, which is validated by the neurological examination. The disk is basically like a “jelly donut” where the jelly is located in the central part of the disk and held in place by a tough fibroelastic tissue (called the annulus fibrosis). When this “jelly-like” substance (called nucleus pulposis) breaks through the tough, outer “annulus” and pushes against the nerve, loss of sensation and/or specific muscle weakness can occur. As chiropractors, we will carefully examine you and render many highly effective treatment methods!

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Why Nighttime Pain with
Carpal Tunnel Syndrome?

Courtesy of : Dr. Frank Gomez, Immediate Sayville Chiropractic Care

Chiropractors are often asked, “Why does Carpal Tunnel Syndrome (CTS) bother me so much during the night?” Let’s take a look!

            The carpal tunnel is made up of eight small carpal bones that bridge the forearm to the hand. Without these eight little bones, the motion at the wrist would be very restricted and limited to bending a little bit up and a little bit down. Think of all the things you are able to do with a large range of motion at the wrist like tightening a small screw by hand, pulling on a wrench, using a hammer, working under the dash or inside the engine compartment of a car, threading a needle, sewing, knitting, crocheting, and even washing dishes. As you can see, we put our wrists in some pretty strange positions!

            Look at the palm-side of your wrist and wiggle your fingers. Do you see all that activity going on? Now, move your eyes slowly towards the elbow as you keep moving your fingers. It is pretty amazing how much movement occurs near the elbow just by moving the fingers! There are actually nine tendons that travel through the carpal tunnel, and these tendons connect your forearm muscles to the fingers. That’s why there is so much movement in the upper half of the forearm when moving your fingers, and in people with CTS, these muscles are usually overworked and super tight. This is why chiropractors work hard to loosen those muscles during treatment! These nine tendons are covered by a sheath, and friction between the tendon and the sheath is reduced by an oily substance called synovial fluid. When we repetitively and rapidly move our fingers, the friction that builds up produces heat, and if the oily synovial fluid can’t keep up, swelling occurs.

            Any situation where there is increased swelling in the body can also promote CTS. For example, during pregnancy, hormonal shifts can result in a generalized swelling similar to taking BCP’s (birth control pills). Hypothyroid results in edema or swelling referred to as “myxedema” that can cause or make CTS worse. Some of the inflammatory arthritis conditions such as rheumatoid, lupus, scleroderma, and more can also predispose one to developing CTS. Obesity by itself is a risk factor for similar reasons.

            So, why are we so susceptible to CTS symptoms at night? The main reason is that we RARELY sleep with our wrist in a straight or neutral position. We like to curl up in a fetal position and tuck our hands under our chin, bending the wrist to the full extent (90°). By doing so, the pressure inside the wrist “normally” doubles, but in the CTS patient, the pressure can increase by six times! This pinches the median nerve against the ligament that makes up the floor of the tunnel as it travels through the carpal tunnel, which then wakes us up and we find ourselves shaking and flicking our fingers to stop the numb, tingling, burning, pain that commonly occurs with CTS! This is why we prescribe a wrist brace for nighttime use and it REALLY helps! DON’T JUMP TO SURGERY FIRST – TRY CHIROPRACTIC FIRST!

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Statins – What You Need to Know!
Courtesy of: Dr. Frank Gomez of Sayville Immediate Chiropractic

Patients frequently obtain chiropractic services for aches and pains associated with their muscles and joints. In fact, some of the most common diagnoses chiropractors make are “sprains and strains” of the neck, back, and extremities. So, how does this fit in with the use of statin medications?

            Statins are a group of medications frequently prescribed to lower cholesterol, particularly LDLs (low density lipoproteins) – the “bad” cholesterol. Not long after FDA approval was granted in 1987, patients taking the new statin medications began complaining of muscle pain, sometimes so severe that the pain remained permanent after they stopped taking the medication. A recent study offers NEW EVIDENCE that statins are linked to “skeletal adverse events,” NOT just muscle aches and pains. Researchers found that statin users are up to two times more likely to receive a diagnosis of musculoskeletal disease (including degenerative joint disease or osteoarthritis) than non-statin users. This is of great concern especially in reference to the recent recommendation that statins should be prescribed to PREVENT cardiovascular disease in young healthy patients! This recommendation has the potential to significantly increase the number of people taking statin medications even though studies show NO significant benefits when statins are prescribed to members of a healthy population! With this anticipated increase in statin use, a 20-25% increase in patients presenting with musculoskeletal side effects such as muscle pain and/or bone/joint pain is likely. Since these complaints frequently drive patients to chiropractic physicians, it is VERY IMPORTANT that both patients and doctors are aware of these relatively common side effects.

            Common symptoms/conditions associated with taking statins can vary considerably, making the association between the two difficult to determine in some cases. These include (but are not limited to) myopathy (muscle pain, weakness, cramps), liver damage, autoimmune muscle disease (rhabdomyolysis), tendinous diseases (like tennis elbow, shoulder, or knee tendonitis), cataracts, kidney failure, cognitive impairment, impotence, and diabetes mellitus. Here are some interesting facts about cardiovascular disease (CVD): 1) CVD is one of the most misdiagnosed and mistreated conditions in medicine; 2) Eating cholesterol and saturated fat does NOT increase the risk of heart disease; 3) It’s NOT the amount of total cholesterol or LDL in the blood that drives heart disease risk but rather, the number of LDL particles (LDL-P); 4) It is a myth that statin drugs save lives in healthy people without heart disease and in this group, the side effects associated with statins are far more potentially dangerous and quality-of-life altering.

            There is evidence that statins benefit those with pre-existing heart disease to some extent. In a 2010 large meta-analyses regarding statin use in those with pre-existing heart disease who took statins for five years, Dr. David Newman noted the following: 1) 1.2% (1 in 83) had their life span extended (were saved from a fatal heart attack); 2) 2.6% (1 in 39) were helped by preventing a repeated heart attack; 3) 0.8% (1 in 125) were helped by preventing a stroke; but, 4) 96% saw NO benefit at all; 5) 0.6% (1 in 167) likely developed diabetes because of statin use; 6) 10% (1 in 10) experienced muscle damage related to their statin use. As noted in points one through three, there are some benefits, but at what risk? The study also reported that in men or women over age 80, regardless of their cardiovascular health, statins did not extend their life span. The objective of discussing this subject is to inform the reader that you have choices, and it’s wise to discuss both the benefits and risks with your primary care physician prior to taking a statin.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http://www.SayvilleChiropractor.com
http://www.DrFrankGomezBlog.com
http://www.Chiro-Trust.org              
http://www.SayvillePainRelief.com

The “Many Faces” of
Carpal Tunnel Syndrome

Courtesy of: Dr. Frank Gomez and Sayville Immediate Chiropractic

Carpal Tunnel Syndrome (CTS) can present with a very mild, occasional numbness or tingling in the thumb, index, middle, and ring fingers and may never progress much beyond that point. But, for other patients, CTS is a painful, rapidly progressive problem that requires immediate attention.What makes it mild for some and bad for others? Let’s take a look!

            The common denominator of CTS is median nerve compression at the wrist resulting in the tingling, burning, itching in the palm, thumb, and fingers (except the little finger). Symptoms can also include weakness in grip strength, as the median nerve innervates muscles that help you grip things with your hands. The compression may occur from the nerve becoming swollen, inflammation of the surrounding tendons, a cyst forming in the tunnel (ganglion cyst is most common), and/or a bony spur from arthritis poking into the tunnel. There are other causes or “contributors” of CTS that may make it more intense for some than others. Fluid retention or edema can increase the pressure in the carpal tunnel. This can be caused by pregnancy, taking birth control pills, or by hormone replacement therapy (estrogen for osteoporosis and/or hot flashes). Another type of edema (called myxedema) is associated with low thyroid function, and CTS can be caused or worsened in those with hypothyroidism. Obesity is another risk factor for developing CTS. The shape of the wrist may also predispose some to CTS and when combined with other contributing causes, CTS symptoms may become quite severe. Trauma or injuries to the upper limb, especially fractures at the wrist, can cause CTS almost immediately, and an improperly treated wrist fracture (such as a colles fracture) can result in long-term CTS. Arthritis is often accelerated when wrist fractures occur and this can result in a long-term problem that includes stiffness in the joint with loss of movement and pain in addition to CTS signs and symptoms.

            Another cause of CTS is diabetes. For diabetics, their blood can be thicker and have a more difficult time traveling through the small blood vessels (called capillaries) resulting in numbness and tingling of the distal extremities: the hands and feet. Over time, neuropathy creates a hypersensitivity of the nerve, and this can result in carpal tunnel syndrome and/or can make it more difficult to manage. It has also been reported that the use of insulin, metformin, as well as sulphonylureas, and thyroxine are associated with increased CTS management challenges. Over-activity of the pituitary gland (the “master gland”) as it regulates the endocrine system is another contributor to CTS. Rheumatoid arthritis is a connective tissue disorder where antibodies inappropriately attack the lining of the joints creating swelling and pain. This can result in increased pressure on the median nerve in the carpal tunnel from both the inflamed joint as well as inflammation of the surrounding soft tissue. Combinations of these may also occur, which can make it challenging to determine which one(s) is the primary issue. Side effects to certain medications such as aromatase inhibitor drugs for breast cancer are also been well-published causes of CTS symptoms

            The following activities have also been associated with an increased risk for CTS: vibrating hand tools, carrying heavy trays of food, working in a highly repetitive assembly-line type of job, milking cows, gardening, knitting, playing musical instruments, computer use, painting, meat and poultry processing, and carpentry.

            Chiropractic offers a non-drug, non-surgical approach that is highly effective and therefore should be your FIRST STEP in the management of CTS!

                To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Carpal Tunnel Syndrome:
Onset and Symptoms
Courtesy of: Sayville immediate Chiropractic & Dr. Frank Gomez

Carpal Tunnel Syndrome (CTS) is a painful, often debilitating, progressive condition that occurs when a nerve in the wrist becomes compressed. Let’s take a closer look at what CTS is and what can be done for it!

            ONSET: Often, CTS starts with an infrequent, vague sort of numbness or tingling that prompts us to periodically shake our hand and flick our fingers. Most of the time, we initially don’t give this much thought, as it isn’t too irritating. As time passes — and this can sometimes be days, weeks, or months — the intensity, frequency, and duration gradually worsen. Sooner or later, it can get to the point of prompting a visit to a Chiropractor. The rate that CTS progresses is more dependent on the amount of pressure on the median nerve more so than the length of time the pressure is applied. In other words, CTS can develop immediately if the nerve becomes acutely pinched from things like a wrist fracture or other obvious trauma. In these cases, it is VERY IMPORTANT that the nerve is decompressed promptly to avoid permanent nerve damage. However, a gradual worsening of symptoms over time is far more common, but it is still BEST to come in sooner rather than later since the greater the degree of inflammation or swelling, the longer the recovery time.

            SYMPTOMS: The symptoms of CTS are quite unique and specific. It is not unusual for patients to say, “…I think I have carpal tunnel” when any complaint of the wrist or hand arises. CTS causes numbness, tingling, and/or pain specifically into the index, middle, and the thumb-side of the ring finger, as this is what the median nerve innervates, but not usually the thumb (unless the nerve is also compressed before the wrist). Numbness on the ring finger and pinky is usually the result of an ulnar nerve pinch, which frequently occurs at the inner elbow where the “funny bone” is located and/or at the shoulder (“thoracic outlet”), and/or the neck (from a pinched lower cervical nerve root). Combinations of these can result in a “double crush” or “multiple crush” injury and treatment must then focus on ALL the places where the nerve compression occurs. This is why you should consider obtaining CTS treatment sooner rather than later, because when you wait and let it go, the tendency is to start making changes in the way you use your arms and hands. This is an unconscious compensatory response that often leads to further problems higher up in the arm and/or neck.

            According to the National Institute of Neurological Disorders and Stroke, CTS is the MOST COMMON of the “entrapment neuropathies” where the body’s peripheral nerves become compressed or pinched. It is estimated that 5% of women and 3% of men have CTS, and studies estimate 3-6% of adults (most commonly between ages 45-64 years) in the general population suffer from CTS. Chiropractic offers a non-drug, non-surgical approach that is highly effective. This should be yourFIRST STEP in treatment as surgery can often be avoided!

                To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.
To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http://www.SayvilleChiropractor.com
http://www.DrFrankGomezBlog.com
http://www.Chiro-Trust.org
http://www.SayvillePainRelief.com

How to Avoid Whiplash!
Courtesy of: Sayville Immediate Chiropractic and Dr. Frank Gomez.

Whiplash is a common problem following motor vehicle collisions and because prevention is considered the best medicine, here are some tips to AVOID car crashes altogether …

Don’t eat, take your eyes off the road while talking, fiddle with the radio or iPod, talk on your cell phone, or text while driving! The National Safety Council estimates 1.6 million crashes are caused by cell phone use, and you’re four times more likely to have a crash while talking on a cell phone. In 2011, 23% of auto collisions involved cell phone use, and of those, 21% involving people between ages 16 and 19 were fatal. A good website to check out WITH YOUR CHILDREN is www.textinganddrivingsafety.com. Texting while driving results in a minimum of five seconds of eyes off the road, which is equal to the length of a football field if you’re traveling at 55 mph (~88 km per hour). While talking on the phone increases your crash risk by 30%, texting increases your risk 2,300%! About one in seven drivers between ages 16-20 involved in car wrecks admit to texting or talking on their mobile devices at the time of the crash, and 82% of Americans age 16-17 own cell phones. A third say they text while driving, 52% say they talk on a cell phone while driving, and 77% of young adults are very or somewhat confident that they can safely text while driving. About half of young drivers have seen their parents drive and talk on a cell phone, and 15% have seen them texting while driving. One in four adults have sent or received text messages while driving and half of kids age 12-17 have been in a car while the driver was texting. One in five drivers of ALL ages confess to surfing the web or texting while driving AND they “justify it” with excuses like “reading a text is safer than composing and sending one,” “the phone is held near the windshield for better visibility,” “I increase the following distance,” and “I text only at a stop sign or red light.”

So WHAT CAN BE DONE to change this behavior? Ten states in the United States prohibit ALL drivers from using handheld cell phones while driving and 32 states prohibit novice drivers from cell phone use. Thirty-nine states prohibit ALL drivers from text messaging. Parents can “DRIVECAM” their kids’ cars – a device that monitors a driver’s activity and provides real-time feedback with video. Use the AT&T “Drive Mode” app. It’s a FREE APP for Android & Blackberry that prohibits texting while driving. Teens and parents can also take the text-free-driving pledge at textinganddrivingsafety.com. Social media sites for anti-texting & driving awareness include Facebook & Twitter: @RayLaHood, @DistrationGov, @NHTSgov, @DriveSafely. Check out blogs such as FromReidsDad.Org, RookieDriver.wordpress.com, ctdrive.blogspot.com, and EndDD.org.

One Belgium-based project tricked teen drivers into thinking that in order to pass their driving test, they had to be able to successfully text and drive on a tight course. The results on You Tube are both funny AND frightening. Student reactions included: “If this becomes law, I’ll stop driving,” “It’s impossible,” “What you’re asking is dangerous,” “People will die,” and “Honestly, I feel like an idiot who can’t drive.”

Drive safely and enjoy a long, happy life!

To Receive Daily Health Updates,  go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

http://www.SayvilleChiropractor.com
http://www.DrFrankGomezBlog.com
http://www.SayvillePainRelief.com
http://www.Chiro-Trust.org

7 Possible Causes of Carpal Tunnel Syndrome

            Courtesy of: Sayville Immediate Chiropractic and Dr. Frank Gomez

Carpal Tunnel Syndrome (CTS) is a condition caused by compression of the median nerve as it travels through the carpal tunnel at the wrist, possibly resulting in numbness, tingling, and eventually weakness in the thumb and the index, middle, and ring fingers. “True” CTS occurs when the median nerve is pinched while it travels through the carpal tunnel; however, other conditions can mimic and/or contribute to CTS. Let’s take a look at seven possible causes of CTS…

1.                  Swelling of the flexor tendons: This is probably the most common cause of carpal tunnel symptoms and is usually due to overuse of the hands associated with highly repetitive tasks like line work, computer typing, sewing, knitting, or playing a musical instrument. When fast repetitive gripping is required, especially if firm gripping is needed and/or the environment is cold, symptoms can occur more quickly. There is a sheath that wraps around the tendons traveling through the tunnel that is lubricated by synovial fluid. This normally keeps the tendon sliding freely inside the sheath. In the CTS patient, the tendon and/or the sheath tightens and creates swelling as extra synovial fluid is produced in an attempt to remedy the excess friction. This increases the pressure inside the sheath and causes more swelling and pain, and eventually conditions such as tendonitis and/or tenosynovitis. If left untreated, this can result in “trigger finger” (stenosing tenosynovitis) that can be more resistant to treatment. This enlarged, swollen tendon-sheath complex places pressure upon the median nerve and results in the classic symptoms of CTS.

2.                  Misalignment of carpal bones: If one or more of the eight carpal bones become misaligned, it can cause the transverse carpal ligament (the floor of the tunnel) to tighten, narrowing the carpal tunnel and compressing it contents — including the median nerve!

3.                  Direct compression of the tunnel: ANY occupation that requires the use of hand tools or any other objects that apply pressure directly to the carpal tunnel can cause CTS. Examples include hammers, screwdrivers, drills, pliers, jackhammers, a computer mouse, and more.

4.                  Vibration: Any job or tool that requires firm gripping and vibration such as jackhammers, chain saws, hand buffers, or grinders can irritate the contents inside the carpal tunnel.

5.                  Cold Temperatures: Cold vasoconstricts blood vessels and decreases blood flow to the area. When the cold exposure is prolonged, the lack of blood flow can keep needed oxygen from reaching the tissues that need it, possibly causing injury or contributing to an existing injury. Meatpacking or poultry plants are good examples of jobs requiring highly repetitive work in a cold environment.

6.                  Arthritis: Old injuries (such as wrist fractures) or jobs that wear down the hyaline cartilage (smooth covering on joints) over time can result in spurs that can compress the nerve. Inflammatory arthritis, like rheumatoid, can also add pressure to the tunnel resulting in CTS.

7.                  Multiple crush: More than one compression location on the median nerve can worsen CTS. This added compression can occur at the forearm, elbow, shoulder, and / or neck.

                To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

How to Avoid Whiplash!
Courtesy of: Sayville Immediate Chiropractic and Dr. Frank Gomez.

Whiplash is a common problem following motor vehicle collisions and because prevention is considered the best medicine, here are some tips to AVOID car crashes altogether …

            Don’t eat, take your eyes off the road while talking, fiddle with the radio or iPod, talk on your cell phone, or text while driving! The National Safety Council estimates 1.6 million crashes are caused by cell phone use, and you’re four times more likely to have a crash while talking on a cell phone. In 2011, 23% of auto collisions involved cell phone use, and of those, 21% involving people between ages 16 and 19 were fatal. A good website to check out WITH YOUR CHILDREN is www.textinganddrivingsafety.com. Texting while driving results in a minimum of five seconds of eyes off the road, which is equal to the length of a football field if you’re traveling at 55 mph (~88 km per hour). While talking on the phone increases your crash risk by 30%, texting increases your risk 2,300%! About one in seven drivers between ages 16-20 involved in car wrecks admit to texting or talking on their mobile devices at the time of the crash, and 82% of Americans age 16-17 own cell phones. A third say they text while driving, 52% say they talk on a cell phone while driving, and 77% of young adults are very or somewhat confident that they can safely text while driving. About half of young drivers have seen their parents drive and talk on a cell phone, and 15% have seen them texting while driving. One in four adults have sent or received text messages while driving and half of kids age 12-17 have been in a car while the driver was texting. One in five drivers of ALL ages confess to surfing the web or texting while driving AND they “justify it” with excuses like “reading a text is safer than composing and sending one,” “the phone is held near the windshield for better visibility,” “I increase the following distance,” and “I text only at a stop sign or red light.”

            So WHAT CAN BE DONE to change this behavior? Ten states in the United States prohibit ALL drivers from using handheld cell phones while driving and 32 states prohibit novice drivers from cell phone use. Thirty-nine states prohibit ALL drivers from text messaging. Parents can “DRIVECAM” their kids’ cars – a device that monitors a driver’s activity and provides real-time feedback with video. Use the AT&T “Drive Mode” app. It’s a FREE APP for Android & Blackberry that prohibits texting while driving. Teens and parents can also take the text-free-driving pledge at textinganddrivingsafety.com. Social media sites for anti-texting & driving awareness include Facebook & Twitter: @RayLaHood, @DistrationGov, @NHTSgov, @DriveSafely. Check out blogs such as FromReidsDad.Org, RookieDriver.wordpress.com, ctdrive.blogspot.com, and EndDD.org.

            One Belgium-based project tricked teen drivers into thinking that in order to pass their driving test, they had to be able to successfully text and drive on a tight course. The results on You Tube are both funny AND frightening. Student reactions included: “If this becomes law, I’ll stop driving,” “It’s impossible,” “What you’re asking is dangerous,” “People will die,” and “Honestly, I feel like an idiot who can’t drive.”

            Drive safely and enjoy a long, happy life!

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http://www.SayvilleChiropractor.com
http://www.DrFrankGomezBlog.com
http://www.SayvillePainRelief.comhttp://www.Chiro-Trust.org

Carpal Tunnel Syndrome and Musicians
Courtesy of: Sayville Immediate Chiropractic and Dr. Frank Gomez

            Carpal Tunnel Syndrome (CTS) affects MANY individuals from all walks of life and in many occupations. Today’s discussion centers around CTS in musicians, and most importantly, what can be done about it.

            It’s thought that CTS affects musicians because of their rapid, repetitive finger movements. The “formula” for CTS risk includes: Repetition + Speed + Force = CTS. This means highly repetitive movements at a fast pace using forceful movements significantly increase a person’s risk for developing CTS. If we add other risk factors of CTS including, but not limited to obesity, age over 50, female, the presence of diabetes, arthritis (especially rheumatoid), thyroid disease and others, then the risk increases dramatically. We can modify certain factors by losing weight, reducing practice time, changing the speed at which we practice (mixing it up between fast vs. slow tempos), taking mini-breaks from practicing, and more. However, we may not be able to change other factors like the presence of diabetes, arthritis, thyroid disease, and other hormonal imbalances. So the question arises, what can chiropractic do for CTS?

            Chiropractic management focuses on the goal of treating what causes CTS – which frees up the nerve from being compressed. It is well established that compression of the median nerve ALONG ITS ENTIRE COURSE from the neck to the hand can create CTS or CTS-like complaints. Therefore, we determine the location(s) of compression by placing pressure over the points of common nerve entrapment, which include the wrist’s carpal tunnel, the forearm near the elbow (pronator tunnel), the inner upper arm near the elbow (Struther’s ligament), the shoulder and the arm pit area (behind the pectoralis minor muscle), as well as under the collar bone, and importantly, between the anterior and medial scalene muscles in the front/side of the neck (frequently missed). Chiropractic treatments may include manual release techniques such as Active Release Technique (ART), myofascial release (MFR), trigger point therapy (TPT), joint manipulation of the wrist, forearm, elbow, shoulder, neck and/or home self-applied treatment which includes activity modifications, using a night time splint, and exercises (which we teach you how to do). Nutritional considerations are also important (see last month’s Health Update)!

            Treatment may also include exercises like the Carpal Stretch and the First Rib Stretch. The Carpal Stretch (median nerve flossing) involves standing sideways to a wall with your elbow straight, fingers pointing down with palm against the wall at shoulder height. Feel for the deep stretch in the forearm palm-side muscles. Follow this by bending your head sideways away from the wall.  Using your opposite hand, gently pull your head over further sideways (no sharp pain allowed). Hold for up to 30 seconds and repeat two to three times or until you feel it loosen up. This can be repeated multiple times a day. If you don’t have a wall, do the same thing but with the arm extended forwards from the body (rather than sideways). Reach under your hand and gently pull your thumb back feeling for a similar deep stretch through the carpal tunnel (palm side wrist) and forearm. To perform the First Rib Stretch, place a towel over the shoulder close to the neck. Reach behind with the opposite hand and grasp the towel pulling downwards while the other hand grasps the front of the towel also pulling down. Drop your head sideways to the opposite side to increase the stretch. We can OFTEN help you avoid surgery so PLEASE try these exercises and our treatments BEFORE granting permission for surgery!

                To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Whiplash – What is It?
Courtesy of: Sayville Immediate Chiropractic and Dr. Frank Gomez

Whiplash — or “whiplash associated disorders” (WAD) — is a relatively common injury usually linked with a motor vehicle collision (MVC) during which the head is whipped forwards and backwards (when rear-ended) or sideways (if T-boned). Let’s look at some facts: 1) WAD is often ignored or mistreated due to a lack of understanding about the condition; 2) WAD often occurs as a result of a rear-end collision while stationary, such as stopped at a red light; 3) Early mobilization, manipulation, and exercise can lead to a more rapid, complete recovery vs. prolonged rest or immobilization or the use of a cervical collar; 4) Failure to properly educate and treat the whiplash patient (especially in the first three months) can lead to chronic pain, including psychosocial problems such as depression, anxiety, and poor coping. So, what is whiplash?

The term “whiplash” encompasses the damage that occurs to the bony spine, and in particular, the soft tissues, while the term “WAD” encompasses ALL the associated injuries and symptoms including the psychosocial problems that can arise due to injured tissues and associated loss of activity tolerance. The good news is that WAD is usually NOT life-threatening, but it can alter the injured person’s quality of life and bring economic hardship due to poor work tolerance and high medical expenses while insurance companies dispute over who is at fault. The economic burden on society in the United States is estimated to be as high as $30 billion a year due to medical expenses, disability, sick leave, lost productivity, and litigation!

Some more facts: 5) While many WAD patients recover without chronic ongoing symptoms, some continue to have problems for years after the injury. 6) A low-speed collision can create significant injury due to the forces being transferred to the occupants rather than absorbed by crushing metal. 7) If the head is turned at the time of impact, the injuries can be worse. 8) Mild traumatic brain injury can occur without hitting the head on anything and create significant cognitive problems (like “mental fog”) and headaches. 9) High-speed cameras have shown that the lower half of the neck extends backwards while the upper half flexes forwards creating an S-shape, which injures the muscles, tendons, and ligaments that hold the cervical vertebrae together. 10) The ENTIRE whiplash process takes place within 500 milliseconds. We cannot voluntarily contract our muscles in less than 800 milliseconds. Therefore, even if we “prepare” for impact, it all happens too fast to prevent the “crack the whip” process to the head and neck.

Common symptoms of WAD include: neck pain/stiffness, headache, shoulder pain/stiffness, dizziness, fatigue, jaw pain, arm pain/tingling/numbness/weakness, visual disturbances, ringing in the ears (tinnitis), chest/breast injury, and mid and low back pain. When not properly managed, depression, anxiety, anger, frustration, stress, drug dependency, post-traumatic stress syndrome, sleep disturbance (insomnia), restless leg syndrome, fibromyalgia, and more can occur.

As previously stated, patient education, immediate treatment emphasizing movement (NOT immobilization), proper home/self-management (such as cervical traction), range of motion exercises, strengthening exercises (when appropriate), and positive thinking (as we covered last month) together can help to avoid long-term chronic, disabling problems. You need a “quarterback” to guide you through this process – proper chiropractic care is the answer!

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up

Carpal Tunnel Syndrome During Pregnancy
 Courtesy of Dr. Frank Gomez of Sayville Immediate Chiropractic

While Carpal Tunnel Syndrome (CTS) is usually characterized as a repetitive stress injury, it can also be caused by pregnancy. In fact, CTS is a common complaint among pregnant women due to the increase in fluid build-up in the tissues, including the forearms and wrist. Edema is the technical term for fluid build-up, and it is hard to avoid during pregnancy. This swelling results in increased pressure on the median nerve that originates in the neck, travels through the shoulder, into the arm, through the wrist and innervates the thumb, index, third and half of the fourth finger. The “usual” initial symptoms include a “half-asleep“ sensation in the fingertips prompting the sufferer to shake and “flick” the fingers in attempt to “…wake them up.” These symptoms (with or without pregnancy) commonly occur at night, as many tend to sleep with wrists in bent positions. When we bend our wrist in any direction, the pressure inside the carpal tunnel will double.

This can happen even more if there is edema or swelling present from the hormonal shift that occurs during pregnancy. This is why chiropractors will frequently fit CTS patients with a “cock up splint,” which is to be used primarily at night, as it often gets in the way during routine daytime activities. However, there may be times when the cock-up splint can be quite beneficial, such as when driving and holding onto the steering wheel. Grip strength may also be affected, making buttoning shirts and opening jars difficult. CTS may only affect your dominant hand, but it can affect both. It is less common that CTS only impacts the non-dominant hand. There is an increased likelihood of developing CTS if you had it previously and/or if other family members have had CTS. Also, if you’ve had problems with your neck, back, or shoulder, such as an old whiplash injury, slipped disk in the neck, or broken collar bone, you are also at greater risk of developing CTS. If you were obese before the pregnancy and/or put on too much weight during the pregnancy, this too will increase the risk.

Besides the splint, other forms of care during pregnancy include: 1) EAT A BALANCED DIET. Include small amounts of lean protein (meat, poultry, eggs, beans) with each meal. Reduce the amount of salt, sugar, and fat you eat and drink PLENTY OF WATER! Eat at least five portions of fruit and veggies EVERY DAY! 2) VITAMIN B6. Pyridoxine or B6 has been reported to help CTS sufferers, and it is good for the nervous system. Foods rich in B6 include sunflower and sesame seeds, dark green vegetables (like broccoli), garlic, hazelnuts, lean meat, avocados, and fish (salmon and cod especially). Consider a B6 supplement, but DON’T exceed 150mg/day. 3) MATERNITY BRA. Be sure to wear a good fitting maternity bra with straps that don’t dig into your shoulders and neck. Wear it early on, as this can reduce the weight off your neck, ribcage, and shoulders and can help avoid compression of the median nerve. 4) Herbs such as chamomile tea, ginger, turmeric, and others that fight inflammation can be effective – we will guide you on the dose! 5) Wrist exercises, wrist manipulation/mobilization, traction, and muscle release work can ALL be VERY effective which we can provide for you.

Repeat these two exercises on BOTH sides so you can feel the difference between the two, regardless if you have problems on both sides. Since the neck and shoulder can be involved, we will also show you how to stretch these areas, as keeping the whole “kinetic chain” stretched is very important for long-term benefits.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org
http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com

Whiplash – The Power of Positive Thinking!
Courtesy of: Sayville Immediate Chiropractic and Dr. Frank Gomez

            When discussing the topic of whiplash injury recovery, prompt assessment, treatment, education, reassurance, and advice can be VERY EFFECTIVE in helping the injured crash victim improve during the acute stage of the injury (first three months). But after three months, when the condition becomes more chronic, which interventions are the most beneficial? More specifically, what is the role of having a “positive outlook” on the outcome of care?

            We can “classify” injuries associated with whiplash into three primary categories: Type I WAD (Whiplash Associated Disorders) – Soft tissue injury without range of motion loss; Type II WAD – Soft tissue injury with cervical or neck motion loss; and Type III WAD – The above PLUS neurological findings (numbness, tingling, and/or muscle weakness). Statistically, patients with Type I and II WAD generally have good treatment results with plans that include exercise and group therapy. At six months, 65% are able to return to work, 92% are able to return to work on at least a part-time basis, and 81% report that no further care is needed. Coordination exercises are also reported to be helpful and are recommended to be included in treatment plans.

            In those with chronic WAD (more than three months of symptoms), patients with negative thoughts did worse than those who were not afraid to perform tasks and who were less emotional in stressful situations. Most importantly, negative thoughts and increased pain behavior can be IMPROVED using a structured treatment approach that includes education about the neurophysiology of pain and how to overcome the fear factor associated with chronic pain behavior. In fact, the MOST important predictor of persistent disability in patients with chronic WAD is how well the injured patient believes he/she CAN perform a task and their emotional reaction to stressful situations. So, how is this done?

            As stated above, an improved knowledge about pain and how the nervous system is “wired” — from the tip of the finger hitting a hot stove to the central processing center in the brain — REALLY HELPS. When this process is understood, it reduces much of the “fear of the unknown” that chronic WAD patients experience. When you think about it, pain is actually a good thing, as it warns us when to slow down or stop AND tells us when it’s OK to continue with tasks or desired activities. It helps define boundaries within which we can SAFELY FUNCTION by forewarning us to SLOW DOWN or modify. Exercise and staying active are some of the most important factors for success in  managing almost ALL musculoskeletal conditions, and knowing the difference between “safe” vs. “harm” when it comes to interpreting pain can result in a lower risk for chronic pain problems.

            Once this “knowledge” is understood and appreciated, the injured whiplash patient literally “proves” to him/herself that they are in CONTROL of their condition and can begin to return towards more normal function. The success of this approach centers on introducing the WAD patient to a step-by-step activity re-integration process through structured exercises and careful guidance. For example, muscles can become weak and shrink within 24-48 hours of being inactive. After days, weeks, months, and/or years of modified or stopped activity, this kind of weakness becomes obvious and the whiplash patient may gradually become more and more afraid of performing an activity / exercise in fear that doing so could make the problem worse. This negative thought is a HUGE HURDLE to overcome but must be dwelt with systematically to gain success in returning to life’s required and desired ADLs. As chiropractors, we will guide you in this learning process. When needed, we often work with other healthcare professionals as a team to reach this goal. Remember, THE POWER OF POSITIVE THINKING can make or break a successful outcome – let us help you in this process!

                To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com

10 Facts You Should Know About Whiplash (Part 2)
Courtesy of Dr. Frank Gomez of Sayville Immediate Chiropractic

Last month, we reviewed the #1-5 of “10 facts” that you should know about whiplash. Here are #6-10!

6. “Rest = rust” when it comes to whiplash: When we hurt, we often instinctively choose rest over activity, as we may be afraid that any activity will make the pain worse. But after just a few days of rest, both our injured AND healthy muscles become stiff and weak, which prolongs the healing process. Most studies show that returning to normal activity as soon as possible results in faster healing and resolution of pain. Also, the longer you remain inactive, the greater the chance for chronic pain to develop, which can result in permanent problems. We will guide you GRADUALLY back into normal, desired activities. DON’T LET PAIN OR THE FEAR OF PAIN keep you from getting on with life! This is both physically and mentally harmful!

7. You don’t have to be in a car to get whiplash: Even though car crashes account for the majority of whiplash injuries, a slip and fall or participating in a high-impact sport such as football, snowboarding, skiing, boxing, soccer, or gymnastics can result in head/neck trauma, which is more common than you think! With this said, other conditions, such as concussion, can occur in car crashes even if you don’t hit your head! The term, “mild traumatic brain injury” or MTBI is frequently used when it pertains to car crashes. Here, common symptoms include difficulty finding words to express yourself, losing your place when talking, and difficulty concentrating, focusing, and communicating. Many people are self-conscious about these types of problems and often do not discuss them with their doctor!

8. Aging increases the risk of whiplash injuries: The elderly are more likely to suffer from a whiplash injury compared with younger individuals. This is because as we age, we lose flexibility in the joints, muscles, and tendons in the neck. This REDUCES the ability for these tissues to stretch, making them MORE likely to be injured during the whiplash process. Also, the shock-absorbing cushions between our vertebrae (the intervertebral disks) lose their water content and literally dry up and crack as we age. This, along with the gradual onset of osteoarthritis in our joints, results in a reduced cervical range of motion.

9. Females are at greater risk of injury than males: This is because there is simply less neck muscle mass and strength among medium built females vs. males. This difference is even more dramatic in slender-necked females. Add the age component to this and the older slender female neck is particularly vulnerable to a cervical spine injury due to whiplash.

10. DO NOT ignore symptoms:  Although most neck-injured crash victims experience immediate pain, some do not. This delay in symptom onset can be hours, days, and even sometimes weeks! Although it’s “human nature” to procrastinate and NOT seek immediate chiropractic care, you should! Studies show that the longer you wait, the longer it may take to help you! Also, in most cases, neck pain should gradually improve within the first month or two, but this does not always happen. The longer pain persists, the lower the odds for resolution, especially if the pain has lasted more than six months. Persisting symptoms may include (but are not limited to) headache, fatigue, shoulder pain, blurred vision, dizziness, difficulty concentrating, communicating, sleeping and/or swallowing. BOTTOM LINE: COME IN ASAP after the crash as prompt care yields the best results!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com

10 Facts You Should Know About Whiplash (Part 1)
Courtesy of: Sayville Immediate Chiropractic Care

There have been many statements made about whiplash that are either totally or partially false. Let’s take a look at some of the “FACTS.”

1. Pain is NOT the only symptom: Although neck and/or shoulder area pain is the most common symptom associated with a whiplash injury, look for other symptoms such as (but not limited to) headache, numbness/tingling in the arms, nausea, difficulty swallowing, dizziness, poor concentration, jaw pain, blurred vision, ringing in the ears, and more. Many of these symptoms may not manifest until days, weeks, or months after your collision.

2. Cervical spine injury can occur at low speeds: It doesn’t take a lot of force to inflict injury to the neck. In fact, speeds of only 5-10 mph (~8-16 km/h) can generate significant G-forces to injure the soft tissues (muscles, tendons, ligaments, and disks) in the neck. Factors influencing injury include (but are NOT limited to) vehicles size/weight and speed differential, location of impact direction, head restraint location, seat failure, seat back angle and “spring,” seat back height, surface slipperiness, and more.

3. No vehicular damage does NOT mean no injury: As stated in #2, low speed collisions can generate enough force to cause injury to the neck. It is important to know that an 8 mph (~13 km/h) rear-end collision may result in a 2 g force acceleration of the impacted vehicle, a 5 g force acceleration acting on the occupant’s head, and all within 250-300 msec. after impact. (FYI: 1 g = an acceleration of approximately 32 ft/sec or 10 m/sec.). IF the metal of the car crushes (“plastic deformity”), energy is absorbed and LESS is transferred to the occupants and VICE VERSA! So, to avoid injury, it’s BETTER to have vehicular damage (the opposite of what you’d think)! Studies show a 10 mph (~16 km/h) impact can produce a total collapse of only 2.5 inches or 6.35 cm (mostly to the back bumper). Often, you have to crawl underneath the vehicle to see the damage.

4. An unusual S-shaped curve has been identified during the rear-end impact: There are seven cervical or neck vertebrae which form a 35-40° curve called a lordosis, which is “C-shaped.” In the initial 50-75 milliseconds after impact during a rear end collision, the head remains stationary while the seat moves the torso and rest of the body forwards and for an instance, an “S-shaped” curve is created (flexion in the upper half and extension in the lower half). This abnormal curve occurs BEFORE the head hyperextends backwards POSSIBLY hitting the headrest and then springing forwards (like “cracking a whip”).

5. X-ray CAN prove soft tissue damage: X-rays are often used to “rule-out” a fracture and as a result, they are often initially read as “normal” as radiologists (the specialists who read x-rays) don’t often report on the subtle findings found on the x-ray that may support the presence of a soft tissue injury. As chiropractors, we OFTEN take “stress views,” or flexion and extension x-rays after the initial painful symptoms improve. Stress x-rays can yield a much better image of how well the ligaments are holding the vertebra together. When ligaments are stretched or torn (just like in a sprained ankle), excessive movement and/or angles can form between the bones, which are often only be seen at the extreme end-points of movement. We can measure the angle formed between the vertebrae and the amount of translation or “slip” that occurs to determine if there is a loss of ligament control which results in excessive motion, increasing the likelihood of future problems.

            We will have to resume this interesting discussion next month in “Part 2” of this topic.

            We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com
http/:www.USchirodirectory.com

Whiplash – Why Does it Happen?

            Courtesy of: Sayville Immediate Chiropractic

Whiplash injuries are most commonly associated with motor vehicle collisions (MVC), although they can happen from anything that results in a sudden movement of the head — from slip and fall injuries, carnival rides, sports-related injuries, and more. When associated with MVCs, the terms “acceleration/deceleration injury” or “whiplash associated disorders (WAD)” are often applied, depending on the direction of the collision. When the striking vehicle rear-ends the target vehicle, the term “acceleration/deceleration injury” is used. WAD encompasses all scenarios and also includes the type and extent of injury. The degree of injury has been broken down into four main categories with the least amount of injury = WAD I, and the worst soft tissue injury category as WAD III. Fractures are covered separately in the WAD IV category. It has been found that the more severe the soft tissue injury (WAD III > WAD II > WAD I), the worse the prognosis, or the greater the likelihood of long-term injury-related residual problems.

            We are often asked why the neck is so vulnerable to injury in a MVC. The simple answer is the head, which weighs about 12-15 pounds (~5-7 kg), is supported by the neck and not all necks have the same length, strength, and mass. This is the reason women (especially those with longer, thin necks) are most vulnerable to the forces that occur in a WAD injury. Another reason whiplash injury can occur is the relatively “slow” speed at which we can voluntarily contract our muscles (>600 msec.) vs. relatively fast speed at which a typical rear-end collision takes to move the head on the neck during whiplash (~300 msec.)! Though the whiplash time duration will vary somewhat, depending on the speed of the collision, angle of the seat back, the distance between the head and the headrest, the “springiness” of the seat back, the weight of the two vehicles, the slipperiness of the road, if the brakes are locked, (…AND MORE!), here’s a typical breakdown of what takes place in a rear-end collision (within a 300 millisecond “typical” time frame):

0 ms

The rear-end is impacted and the car is propelled forwards and/or crushes while the occupant(s) remain stationary. No force is yet applied to the occupant.

100 ms

The seat back accelerates the torso forwards while the head stays stationary (due to inertia).

150 ms

The torso/trunk may “ramp up” the seat back (esp. if reclined); the lower neck is pushed forwards by the accelerating torso/seat; the upper neck/head rotates and hyper-extends backwards.

175 ms

The head is still moving backwards while the torso starts to spring and accelerate forward, as the head reaches a peak of full extension.

300 ms

As the head, neck and torso continue to accelerate, the neck/head is “whipped” forwards hyper-flexing the neck.

            The degree of injury is affected by all the items previously listed above and more. For example, if the headrest is more than two inches (~5 cm) away from the back of the head, and/or if “ramping” occurs and the head “misses” the headrest, hyper-extension can result and the soft tissues in the front of the neck can become over-stretched and/or the back of the neck can become over-compressed. Or if the rebound phase into flexion exceeds the tissue capacities, the back part of the neck can become over-stretched and the front part over-compressed.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com
http/:www.USchirodirectory.com

Whiplash Self-Care: Part 1
Courtesy of: Sayville Immediate Chiropractic

Whiplash is a condition that can occur from MANY causes – in fact, anything that results in a sudden change in the head/neck position. Usually, there is a rapid acceleration that injuries the soft tissues around the neck area by stretching them beyond their limits. Hence, the more accurate terms for whiplash are, “cervical acceleration-deceleration” or CAD as it describes the mechanism of the injury and “whiplash associated disorders” (WAD) describing the degree of injury.

            Most commonly, when we think about whiplash, we immediately envision a motor vehicle collision (MVC), but prior to the invention of the automobile, the term “railroad spine” was coined to describe injuries to the neck from crashes that occurred between trains. Since then, due to pilots landing planes on aircraft carriers, sports injuries, and the rise of the automobile, this once rare condition has affected MOST of us at some point in time!

            Today’s topic will focus on self-care. What can you and I do for ourselves WHEN we suffer a CAD injury? Since there are different levels of injury severity, keep in mind that EACH CASE IS UNIQUE and we will ONLY be discussing general options. So ALWAYS let your symptoms guide you in the process of care – that is, if you feel a sharp, piercing/stabbing, activity or movement stopping type of pain, STOP!!! Don’t further injure your tissues!!! We will discuss a common WAD II injury (soft-tissue injury limiting motion but not injuring nerves) and we’ll look the acute and sub-acute stages of the injury.

Stage 1 – ACUTE: The inflammatory phase (up to 72 hours). ICE is necessary to decrease swelling (inflammation). Limit motion but try NOT to use a collar unless you have no choice as even small movements that avoid the sharp/knife-like pain are better than no movement at all. A collar may be needed when driving (especially if the roads are bumpy)! Anti-inflammatory herbs like ginger, turmeric, boswellia, bioflavonoid, and others reduce inflammation WITHOUT irritating the stomach, liver, kidneys, and will NOT inhibit the chemicals needed for healing (like NSAIDs do!). Chiropractic care SHOULD begin ASAP after an injury. We may only use gentle manual traction and/or mobilization, also staying within reasonable pain boundaries. It’s been well proven that early movement is best!

Stage 2 – SUB-ACUTE: The repair phase (72 hours to 14 weeks). Ice can continue if it helps control pain. You can also alternate ice and heat at 10/5/10/5/10 minutes, starting and ending with ice (it “pumps” the tissues). Cervical range of motion (ROM) exercises with LIGHT resistance (use 1 or 2 fingers against the head and push in a forward, backward, sideways, and rotating directions first with “isometrics” – not moving the head, and when tolerated, “isotonic” – moving the head against the LIGHT pressure applied in BOTH directions within the range that avoids sharp/knife-like pain. Movement, strength, pain, and coordination are ALL better managed when light resistance + motion is used vs. not moving (isometrics). Self-applied methods of performing “myofascial release” (which we will teach you) include: Self-massage, the use of a tennis ball and/or foam roll, the use of a TheraCane or Intracell (Exercise Stick), and others. During this repair phase, chiropractic adjustments REALLY help!!! We will continue this discussion next month!!!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com
http/:www.USchirodirectory.com

Whiplash Self-Care: Part 2
Courtesy of: Sayville Immediate Chiropractic Care

Last month, we started the discussion of self-care options in the management of whiplash or CAD (cervical acceleration-deceleration) or WAD (whiplash associated disorders). In this series, we are describing various treatment methods that you can be taught to help facilitate in the management process during the four stages of healing (acute, subacute – discussed last month; remodeling and chronic – addressed this month).

            Like in the acute and subacute stages, many of the same self-care techniques can be applied here as well. You will NEVER “hurt” yourself with ice or ice/heat combinations (done properly), so they can be continued indefinitely. Many patients find this helpful. Using the analogy of a cut on the skin, in the acute stage, the cut is fresh and new. It is quite pain sensitive and unstable and it will continue to bleed if you don’t take it easy. After 72 hours (entering the subacute stage), the wound has an immature scab on it and it can still easily be re-injured, and if this occurs, especially by NOT self-managing properly, the recovery time can be significantly prolonged. So, “DON’T PICK AT YOUR CUT!!!” As we enter the later subacute phase (fourteenth week), the wound’s scab is quite mature, and self-care can be appropriately more aggressive. Think strengthening and activity restoration!

Stage 3 – REMODELING phase (14 weeks to 12 months or more): In this stage, we are now three months to a year out from the injury date and hence, we SHOULD now be more “aggressive” with care. During the late acute and subacute stages, you would have been performing exercises focused on movement restoration (range of motion / ROM exercises with LIGHT resistance) in addition to self-applied myofascial release techniques using foam rolls, tennis balls, TheraCane, and/or the Intracell (and possibly others). It is NECESSARY to continue the use of these methods, as they help reduce the chances for any scar tissue to become permanent. In this stage, we will guide you into more advanced exercises that include aerobics (walking, walk/run combinations, etc.) as studies show that whole body aerobic exercise helps MANY specific area injuries, including WAD/CAD injuries. Stretching short/tight muscles, working on balance-challenging exercises (rocker or wobble boards, balance beams, gym balls, eyes closed specific action movements) are VERY IMPORTANT, as they retrain your neuromotor system and reintegrate neural pathways that have been disrupted by the injured tissues and retrain faulty movement patterns you’ve developed from compensating due to pain. Strengthening exercises will include the core since the head sits on the neck, the neck on the trunk, the trunk on the legs, and ALL of this sits on the feet (so we’ll even consider stabilizing the sub-talar joint at the ankle and if pronation is excessive, foot orthotics can help whiplash patients)!

Stage 4: CHRONIC (Permanent): ALL OF THE ABOVE can be employed after the one to two year point to “maintain” your best level of function. If you still have pain, try to “ignore it” and KEEP MOVING, stay active, stay engaged in work, family activities, and DON’T let the condition “win.” AVOID CHRONIC DISABILITY by staying active and fit!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com
http/:www.USchirodirectory.com

Whiplash Anatomy
Courtesy of: Sayville Immediate Chiropractic Care

Whiplash is an injury commonly associated with motor vehicle collisions (MVC) caused by a rapid forward and backward “whipping” of the neck. What varies between each case is the degree of injury and what anatomical parts of the neck are actually injured. Let’s take a look at the spine so we can better understand where the pain actually comes from…

            The cervical spine is made up of seven moving vertebrae. The top vertebra (C1) is called the atlas and is shaped like a ring. This ring shape allows the head to rotate left and right so we can check traffic, carrying on conversation with someone sitting off to the side, and so on. It pivots around a peg called the “dens” of C2, or the axis, and the function of these first two vertebrae is very important. This is because the upper most three nerves that exit through this part of the cervical spine innervate the head and dysfunction here may be the cause of some headaches. Chiropractic adjustments concentrate a great deal on restoring function to this area. The C4-6 vertebrae make up the most mobile region of the spine in the forward and backwards directions. Generally, the greater the mobility, the lesser the stability, and because of this, injury to this area is quite common. We often see arthritis in this region first and we focus on keeping the areas that are less mobile (areas above and below C4-6) as mobile as possible. The upper back/lower neck area includes the rib / vertebrae joints, which are also commonly involved in whiplash injuries. Chiropractic adjustments applied to this region also help to restore function and mobility. The thoracic spine is made up of 12 vertebrae and includes the rib cage as well as the shoulder blades (scapulae). This area is sometimes neglected during treatment as the main focus is often placed on the more painful areas of injury like the neck. The lumbar spine consists of five vertebrae and is also frequently overlooked as an injured area due to the distance away from the neck. However, seat belts frequently injure the breast, chest, mid-back, and/or low back regions.

            There are several tissues that could be injured. The ligaments — the tough, non-elastic tissue that holds bone to bone — function to maintain stability between the vertebrae. The articular capsule is also made of ligaments and is a frequently injured area, which generates pain with movement of the head and neck. Muscles and the tendon attachments are elastic and function to move the structures. Stability is facilitated by good muscle tone and strength and is a strong focus of treatment. Injury to these structures are called, “…soft tissue injuries,” and make up the majority of whiplash associated disorders (WAD II category).

            The intervertebral disks are made up of a fibroelastic cartilage on the outside and a more liquid-like center that functions as shock absorbers between the vertebrae. Injury to the disk includes tears, cracks, and/or fissures where the liquid center part can migrate through and can rupture. Injury to the nervous tissues includes the free nerve endings when the articular capsule is “sprained.” Nerve root injuries are most commonly “pinched” or compressed by a “ruptured disk” and send pain, numbness, and/or muscle weakness to specific areas of the arm and/or hand. These injuries are classified as WAD III injuries and usually carry a worse prognosis than WAD II injuries.

            Determining which tissues are injured, managing the acute, subacute, and chronic stages of healing and facilitating self-management strategies are the primary goals of chiropractic treatment of the whiplash injured patient.

                We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com
http/:www.USchirodirectory.com

Car Accidents and Mild Traumatic Brain Injury
By Dr. Frank Gomez

www.http://sayvillechiropractor.com

When you woke up today, you thought this was like any other Friday. You’re on your way to work, and traffic is flowing smoother than normal.  Suddenly, someone crashes into the back end of your car and you feel your head extend back over the headrest and then rebound forwards, almost hitting the steering with your forehead. It all happened so fast. After a few minutes, you notice your neck and head starting to hurt in a way you’ve not previously felt.   When the police arrive and start asking questions about what had happened, you try to piece together what happened but you’re not quite sure of the sequence of events.  Your memory just isn’t that clear. Within the first few days, in addition to significant neck and headache pain, you notice your memory seems fuzzy, and you easily lose your train of thought. Everything seems like an effort and you notice you’re quite irritable. When your chiropractor asks you if you’ve felt any of these symptoms, you look at them and say, “…how did you know? I just thought I was having a bad day – I didn’t know whiplash could cause these symptoms!”

            Because these symptoms are often subtle and non-specific, it’s quite normal for patients not to complain about them. In fact, we almost always have to describe the symptoms and ask if any of these symptoms “sound familiar” to the patient.

            As pointed out above, patients with Mild Traumatic Brain Injury (MTBI) don’t mention any of the previously described symptoms and in fact, may be embarrassed to discuss these symptoms with their chiropractor or physician when they first present after a car crash.  This is because the symptoms are vague and hard to describe and, many feel the symptoms are caused by simply being tired or perhaps upset about the accident.  When directly asked if any of these symptoms exist, the patient is often surprised there is an actual reason for feeling this way.

The cause of MTBI is due to the brain actually bouncing or rebounding off the inner walls of the bony skull during the “whiplash” process, when the head is forced back and forth after the impact. During that process, the brain which is suspended inside our skull, is forced forwards and literally ricochets off the skull and damages some of the nerve cells most commonly of either the brain stem (the part connected to the spinal cord), the frontal lobe (the part behind the forehead) and/or the temporal lobe (the part of the brain located on the side of the head). Depending on the direction and degree of force generated by the collision (front end, side impact or rear end collision), the area of the brain that may be damaged varies as it could be the area closest to initial impact or, the area on the opposite side, due to the rebound effect. Depending on which part of the brain is injured, the physical findings may include problems with walking, balance, coordination, strength/endurance, as well as difficulties with communicating (“cognitive deficits”), processing information, memory, and altered psychological functions.

The good news is that most of these injuries will recover within 3-12 months but unfortunately, not all do and in these cases, the term, “post-concussive syndrome” is sometimes used.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com
http/:www.USchirodirectory.com

Carpal Tunnel Syndrome – MD vs. DC. Whom Should I See?

Courtesy of: Sayville Immediate Chiropractic Care & Dr. Frank Gomez

Carpal Tunnel Syndrome (CTS) is a very common problem affecting a large population (1 out of 20 in the general population) including typists, assembly line workers, postal employees, secretaries, servers/waiters, musicians, carpenters, and many others. CTS drives a high level of cost to the health care system between time lost from work, treatment costs, and short and long term disability payments (on average $30,000 per claim, and this is an old stat!). Continued CTS signs and symptoms can persist long after surgical treatment and the question that typically arises when this happens is “…why?” Let’s take a look at reasons for failed treatment of CTS…

The classic non-surgical medical management model for treating CTS includes non-steroidal, anti-inflammatory medication (like ibuprofen), rest, and the use of nocturnal (night time) wrist splints. This approach works in some cases, but in the majority, it is unsuccessful and leads to the next medical management step: surgery.

The classic chiropractic management model for treating CTS includes similar initial treatment approaches including anti-inflammatory measures, rest, and night wrist splints. One anti-inflammatory measure is ice massage or cupping, where the ice is rubbed directly on the skin until numbness is achieved (this usually takes about 4 minutes). Prior to numbness, there will be a burning and aching often described as intense, “…like a brain-freeze when I drink a slushy too fast.” The ice cup approach can be repeated several times a day. Other anti-inflammatory measures may include the use of herbal anti-inflammatory nutrients such as ginger, tumeric, boswellia, bioflavinoids, and/or the use of digestive enzymes taken between meals to help reduce the inflammation. The “rest” component is also shared by both models as is the use of the night wrist splint. So, what makes the chiropractic model different?

The nerve affected in CTS is called the median nerve. It arises initially from the nerves in the neck, specifically, C6-8 and T1 nerve roots which are part of the brachial plexus. These form into one nerve (the median nerve) which travels through small openings, first at the neck followed by the shoulder (called the thoracic outlet), then into the arm through a muscle at the elbow (pronator tunnel), and finally through the carpal tunnel at the wrist to innervate the hand including the palm and the 2nd, 3rd digits and thumb side of the 4th finger. The median nerve can get “crushed” in more than one tunnel and treatment must address the WHOLE nerve, not just at the carpal tunnel / wrist. This chiropractic management of CTS helps many patients because the nerve along its entire course including the neck, shoulder, and elbow is treated, not just the wrist!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

http/:www.Chiro-Trust.org

http/:www.SayvilleChiropractor.com
http/:www.DrFrankGomezBlog.com
http/:www.SayvillePainRelief.com
http/:www.USchirodirectory.com

Whiplash: Does Chiropractic Work?

Courtesy of: Sayville Immediate Chiropractic, Dr. Frank Gomez
www.SayvilleChiropractic.com

The term “Whiplash” is associated with neck injuries that frequently occur as a result of motor vehicle collisions. There is much published about how injury occurs, the most compelling of which is that we simply cannot voluntarily contract our neck muscles fast enough to avoid injury, as injury to the neck occurs within 500msec. and voluntary contraction or bracing takes 800msec or longer. The question this month is, does chiropractic work in managing patients with whiplash associated disorders (WAD)?

To answer this, a study published in the Journal of Orthopaedic Medicine reported that chiropractic was indeed superior to standard medical care. Most importantly, they studied chronic whiplash patients that (typically) are more challenging to treat compared to the acute, more recently injured whiplash patient.  Their article starts out with the statement, “…conventional treatment of patients with whiplash symptoms is disappointing.” The term “conventional treatment” means medical (non-chiropractic) treatment. One of the studies referenced by the authors reported 26 of 28 patients suffering from chronic whiplash syndrome benefited from chiropractic treatment. The term “chronic” means that those injured have had ongoing complaints for longer than 3 to 6 months, and typically are less likely to respond compared to those more recently injured (acute injuries).

The authors interviewed 100 consecutive chiropractic patients being treated for chronic whiplash of which 93 completed the entire study. Those 93 were divided into 3 symptom groups: Group 1 consisted of neck to shoulder area pain, restricted neck movement with no neurological injury; Group 2 consisted of neck pain, restricted movement, and neurological loss; Group 3 consisted of severe neck pain but had full/normal neck movement, no neurological loss, but had unusual symptoms including blackouts, visual disturbance, nausea, vomiting, chest pain, and non-anatomic neurological complaints, which means the pain or numbness does not correlate with exam findings or were inconsistent.  An average of 19.3 chiropractic adjustments over a mean 4.1 month duration were rendered after which time the patients were surveyed and the results are as follows (“asymptomatic” = no pain or symptoms):

·         Group 1: 24% Asymptomatic, 24% Improved by 2 symptom grades, 24% Improved by 1 symptom grade, 28% No improvement.

·         Group 2: 38% Asymptomatic, 43% Improved by 2 symptom grades, 13% Improved by 1 symptom grade, and 6% No improvement.

·         Group 3: 0% Asymptomatic, 9% Improved by 2 symptom grades, 18% Improved by 1 symptom grade, 64% No improvement, and 9% Got worse.

In their discussion, they reported that similar to the study where chronic symptoms improved in 26 of 28 patients (93%), here 69 of 93 patients improved (74%). They identified a “non-responders” group (Group 3), where neck movement was normal in spite of pain, bizarre symptoms, and ongoing litigation. The mean age was lower in this group vs. the other two (29.5 vs. 36.8 years old). They concluded, “The results from this study provide further evidence that chiropractic is an effective treatment for chronic whiplash symptoms. However, our identification of a group of patients who fail to respond to such treatment highlights the need for a careful history and physical examination before commencing treatment.” Bottom line, try chiropractic FIRST!!!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.Chiro-Trust.org

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash: Why is this Taking So Long?
Courtesy of: Sayville Immediate Chiropractic Care
www.http://sayvillechiropractor.com

Whiplash treatment and management is a topic of great discussion! Many different types of tissues can be injured in a whiplash injury creating a multitude of symptoms. This is why the label “Whiplash Associated Disorders” (WAD) was born! The rate of healing for each type of tissue varies, thus the length of time for resolution for some tissues can be quite long. This is a partial list of the symptoms that can occur as the result of a motor vehicle collision: 1) Neck pain; 2) Headache; 3) Radiating pain (from neck to head, to the shoulder blade, arm, hand);4) Generalized hypersensitivity; 5) Numbness or tingling; 6) Muscle weakness; 7) Jaw pain and dysfunction; 8) Visual disturbances; 9) Loss of position control of the head and neck; 10) Dizziness (vertigo); 11) Post-concussive symptoms – loss of memory, difficulty concentrating and staying on task, depression and/or anxiety; 12) Middle and/or low back pain; 13) Carpal Tunnel Syndrome and/or Double Crush Syndrome, and more! To make matters even more complicated, the onset of symptoms can range between immediately following the collision to days, weeks, or even longer!

            Back in 1983, researchers attempted to determine the length of time it would take for recovery or to determine the extent an injured person might improve based on certain findings gathered at the time of the motor vehicle collision (MVC). This original work was then taken one step further and a “point value” was assigned to each symptom and/or exam finding, thus allowing us to place the injured person into a “prognostic group” based on the number of points (the greater the points, the more severe and longer the recovery). About a decade later (1995), the next “classification” of whiplash injury simplifying the process was published by the Quebec Task Force placing the patient into one of four Whiplash Associated Disorder “grades.” This included Grade 0: No injury; Grade 1: Neck pain, stiffness/tenderness but no exam findings; Grade 2 (most common): Same as Grade 1 but WITH exam findings (motion loss, muscle spasm) but NO neurological findings (numbness, weakness); Grade 3: Same as Grade 2 but WITH neurological findings; Grade 4: Neck complaints WITH fracture or dislocation or spinal cord injury. The first three grades were later found to be reliable in terms of determining who were more likely to suffer long-term problems (WAD grade 3 being the most likely). However, based on inconsistencies with the WAD classification system, it is now reported that recovery from whiplash is determined not only by the degree of physical symptoms and signs, but also the psychological trauma that occurs as a result of a MVC. It is reported that motor dysfunction (movement loss), cervical spine mechanical problems, and psychological distress are ALL present soon after injury in many whiplash injured people, irrespective of recovery. But those who do not get better present a more complex picture that includes a more widespread sensory hypersensitivity (like that seen with fibromyalgia), which indicates “central” (brain) pain processing problems and acute post-traumatic stress reaction (these may also be present soon after injury). Hence, the discussion of mild traumatic brain injury, post-concussive syndrome, and post-traumatic stress disorder ALL may be involved and, it is these that make, “…getting over a whiplash injury” so challenging for some.

In chiropractic, we provide a comprehensive approach in assessment and management of patients who have suffered a whiplash injury.
            We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.Chiro-Trust.org

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

What Causes Whiplash?
Courtesy of: Sayville Chiropractic, Dr. Frank Gomez
www.http://sayvillechiropractor.com

The most common causes of “whiplash” are injuries that arise from automobile accidents or motor vehicle collisions (MVC’s). So, let’s chat about why and how this happens in a “typical” MVC.  You are stopped at a red light, patiently waiting for the light to turn green and suddenly, you hear the screech of tires followed by a sudden jolt as the car from behind collides into the back of your vehicle.  By reflex, you may turn your head to the right to look in the rearview mirror to see what is happening.  Even if you see the inevitable collision prior to the impact, the sudden jolt occurs so fast that you really don’t have a chance to adequately brace and you feel yourself being forced back into the seat and headrest followed by a rebound forwards.  Since you always wear your seatbelt, you feel the restraint across your chest and lap belts tighten as you’re propelled forward.  The seat belt stops you from hitting the steering wheel or worse, propelling you forward through the windshield but by now, the damage has been done!  This ALL occurs in less than 500 milliseconds – you cannot voluntarily contract your muscles this fast, which means even if you had time to prepare yourself for the impact by bracing, you can’t stop the whiplash effect!

0 milliseconds       Before impact
75 milliseconds     Ligament injury occurs
150 milliseconds   Maximum head extension
300 milliseconds   Maximum head flexion

In a recent study, it was found the muscles in the front of the neck contract first at about 100 ms, which is 25 ms too late to prevent ligament or muscle damage, and they reach their peak stretch at 150ms (see 3rd from the left picture above).  The muscles in the back of the neck start contracting soon thereafter but are injured more than the muscles in the front of the neck around the 300ms point.  The reason for this is because as the head rebounds forwards, the muscles in the back of the neck are in the process of tightening up or shortening at the same time they are being stretched – NOT a good combination! This is one reason why many people injured in MVC’s complain of neck pain greater in the back of the neck.  This also helps explain why headaches are common symptoms associated with whiplash as the upper 3 nerves that exit the top of the spine in the neck go into the head/scalp and are compressed or squeezed by the tight muscles in the back of the neck when they are injured which results in headaches.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.Chiro-Trust.org

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash – Can This Really Happen To YOU?
Courtesy of: Dr. Frank Gomez, Sayville Chiropractic
www.sayvillechirpractor.com

You’re stopped at red light awaiting a left turn into the grocery store when out of nowhere, you  hear the screeching of tires, you turn your head and look into the rear view mirror and see that you’re about to be hit from behind. Then “POW!”  The sudden force of the impact propels you back into your seat, your head hits the headrest and then bounces forwards, almost hitting the steering wheel.  You feel your body twist due to the angle of the seat belt and your sunglasses fly off and your purse sitting on the seat next to you flies into the dashboard and lands on the floor spilling its contents.  You’re not sure what just happened as it all happened so fast.  Is this a dream?

After collecting yourself and calming down, you get out of the car to inspect the damage and talk to the driver that just ran into you.  You notice that right now, you don’t really hurt that much….but you feel kind of dazed.  When you inspect your car, you surprisingly notice very little damage, but it sure felt like your car should be totaled based on the way it felt.  The other driver said he was checking the station on the radio and saw you too late.  He tried to stop and slammed on the brakes but it was too late.  He said, “…I couldn’t have been moving more than 5-10 mph when I hit you!”  You ask, “how could this possibly feel so…..hard an impact?  Was he lying to me?” There certainly wasn’t much damage to your car…maybe he was right???  When he asked you if you would, “…let it go,” and not call the police, you almost agree, but something stops you.  Even though there is little car damage and, “…he is a nice guy….,” you just don’t feel right in, “…letting it go.”

Within 15-30 minutes, you’re REALLY HAPPY you didn’t give in and take his advice as by now, your neck is really starting to hurt. You feel kind of nauseated and light headed.  Your head is beginning to pound and you feel like you better sit down.  When the police officer approaches he seems distant and you’re having difficulty hearing him.  Pretty soon, you notice others helping you onto a stretcher and attaching a neck brace prior to taking you to a local emergency room.  At the ER, you are confused about the details of the accident but piece together the best you can the events of the evening.  They take x-rays, recommend some Advil and ice, and tell you to contact your primary care physician if you have problems. They tell you that you’re going to hurt for a few days and “…that ‘s normal.”  However, over the next several days, pain intensifies to a point where neck and headache pain is constant, you can’t sleep, your memory seems blurry, you can’t seem to concentrate and loose your place during thought and conversation….something is REALLY WRONG!

This scenario is not atypical of a low speed collision related injury.  In fact, the less the car is damaged, the greater the impact is to the contents inside the car (this is called “elastic deformity”).  That’s because crushing metal absorbs the energy of the force (ie, “plastic deformity) and if the speed is “…too low” and little metal crushing/energy absorption occurs, the G-forces that occurred during the collision are transferred to the contents inside the vehicle and that force can be significantly greater than a crash that occurs at 2-4 times the 5-10 mph speed.  In general, when there is less damage to the car, be alert that the force exerted on the contents is greater than when car damage occurs.  This is why when cars crash during a car race, the race car basically falls apart, leaving the driver enclosed in a cage that prevents bodily damage, and they often walk away from the accident.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:

New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.Chiro-Trust.org

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Minimizing Your Risk for Whiplash
Courtesy of : Sayville Immediate Chiropractic Care, Dr. Frank Gomez
www.http://sayvillechiropractor.com

While it is hard prevent someone from crashing their car into your car, there are some things you can do to minimize whiplash injuries.

The first preventive measure is making sure your seat is upright and the head rest touches the top of your head. If there is a lot of distance between your head and the rest, it will do little to help in the event of a collision. Also, if the headrest is too low, in can act as fulcrum, leveraging your neck into a worse position, and increasing injury risk.

Another thing we can do minimize injury risk is being in the best possible shape prior to the trauma. Research has shown people with good aerobic fitness seem to be more resilient after whiplash accidents.

If you are aware you are about to be hit, it is probably best to remain in a neutral position with eyes facing forward. People with their head turned prior to impact seem to have worse ligament injuries.

If you can afford it, a larger car will lessen the momentum of your vehicle after a collision. There are now vehicles with whiplash-protection seats (e.g. Saab) that dampen the effects of rear end-accidents. Frontal collisions tend to be less severe to the neck if the speeds are equal because the chin can hit the chest preventing forward motion of the neck. Rear-end and side-impact collisions do not have this benefit.

Unfortunately, there are many simply unavoidable risk factors. Women and children seem to be more vulnerable, possibly because of the increased head to neck size ratio. Also if you’ve ever had a head or neck trauma before and or have a degenerated disk in the neck, these factors elevate your risk for a more pronounced injury. Other factors that can slow your recovery include wearing a neck brace/collar, taking to bed rest, or getting vertical traction treatments. Inhibiting movements can feel good initially but is not good in the long term because of decreased muscle function and strength. Getting diagnosed as soon as possible can determine the best course of action for getting you to back to a speedy recovery. Just letting things go is rarely a good solution.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.Chiro-Trust.org

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Interesting Facts About Whiplash

Courtesy of: Sayville Immediate Chiropractic Care
Dr. Frank Gomez, www.http://sayvillechiropractor.com

We all know the most common causes of “whiplash” are injuries that typically arise from automobile accidents or, motor vehicle collisions (MVC’s) although whiplash can also occur from slip and fall and virtually, any injury where your head is whipped backwards. But there are many things about whiplash you may not be aware of, which is the reason for this month’s Heath Update on whiplash.

For example, did you know the effect whiplash has on public health (in general) is tremendous? The number of cases occurring annually is frequently quoted as 1,000,000 per year, but this is based on an outdated (1971) and incomplete dataset. A more recent figure of 3 million per year is considered to be more accurate because it’s based on several governmental databases and it accounts for the expected number of unreported cases by the NHTSA (National Highway Traffic Safety Administration).  That’s a huge difference!  The updated figure accounts for whiplash victims not attended to by emergency medical services. In less catastrophic accidents, the injured party may not appear to be significantly injured at the scene of the MVC and decline emergency care and hence, the MVC will to unreported to a governmental data collection center.

Another interesting study surveyed over 3500 chiropractors who were asked if they commonly applied cervical (neck) spinal manipulation to patients who had known herniated or protruded disks (in their neck). Over 90% of the chiropractors indicated they found it safe and effective to utilize cervical adjustments (manipulation) in this patient population. It is VERY important for you to know this as frequently, you may be told by your medical doctor (or next door neighbor), “…don’t let anyone crack your neck!” Now, you can rest assured that in the experience of MANY chiropractors (not just me), significant benefits can be achieved by this treatment approach.  Moreover, the sooner neck adjustments are applied, the better the results – so don’t wait to get a chiropractic treatment after an MVC!

Another interesting study investigated the “proper” or “best” seated position in a car during a rear-end collision, based on an analysis of many previously published studies on this topic.  Because the seated position of the person involved in a MVC is related to the degree of the injury, the factors studied included the angle of the seat back, seat-bottom angle, the density of the foam in the seatback, the height above the floor [of the knees], and the presence of armrests in cars.  They found that the seat back angle of 110-130 degrees reduced disk pressure and low back muscle activity but 110 degrees – MAX. – was found to minimize the forward positioning of the head. A 5 degree downwards tilt of the seat bottom further reduced the pressure in the low back disks and muscle activity as measured by EMG (electromyography).  The use of armrests and the use of a lumbar support were also found to be important to reduce injuries associated with MVCs.  This combination was reported to be optimum for all of us to use in order to minimize the bodily injury in a rear-end MVC. Other important factors included firm dense foam in the seat back, an adjustable seat bottom (for angle, height, and front to back distance), horizontal & vertical lumbar support adjustments (…best if they pulsate to reduce the static load encountered in a crash), seat shock absorbers, and seat adjustments for front to back to adjust for different patient heights.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.Chiro-Trust.org

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash: Can It Be Prevented?
Courtesy of Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash, or cervical acceleration-deceleration disorder (CAD) often occurs in car collisions. So, the question is raised, “…can it be prevented?”  To answer this we must first consider the obvious facts about minimizing your distractions when you drive: intoxication, engaged conversation (especially if you’re trying to make eye contact), talking on your cell phone or worse, texting while driving (equal to 3 mixed drinks!!!), messing with the radio, GPS, or other “gadgets” in the car, eating while driving, putting on makeup, shaving, and yes, even reading a book while driving! If you’re getting tired pull over for a “power nap.” Even a 15-20 min. “shut eye” session can really help.  But these things are obvious (and WELL DOCUMENTED)!  What other factors, like features in cars can minimize or possibly prevent injury in the event of a crash?

The headrest is a very most important feature in the vehicle for preventing or at least reducing the degree of injury in a crash.  Unfortunately, most people do not bother setting the headrest at the correct height, as it’s usually in a position that is too low. When this occurs, the head can slide over the top of the headrest which can actually result in greater injury as it acts like a fulcrum allowing the head to hyperextend over it. It can also make the injuries associated with whiplash much worse.  The proper height of the headrest should be no lower than the top of the ear level but in a lot of cases, the top third of the head may be a better choice, especially if the headrest is small in size or, if the seat is reclined. The angle of the seatback is important with reference to headrests because when the seatback is reclined, there is a certain amount of “ramping” that occurs in rear-end collisions.  This is because when the seat is reclined back, the seatback can act literally like a ramp and your whole body can slide up the ramp/seatback and your head can end up over the top of headrest.  Therefore, keep the seatback as vertical as you can tolerate. The degree of “spring” or bounce of the seat back also affects the speed or acceleration of the rebound that occurs in a crash but unfortunately, the seat’s “springiness” can’t really be changed.

Seat belts and airbags are a great pair of safety features as they work together to reduce the chances of a serious injury, as well as whiplash. The seatbelt’s job is to stabilize the trunk and prevent the occupant from being ejected from the vehicle while the airbag protects the chest, neck and head from hitting the steering wheel or windshield. Seatbelts arrived on the scene in the 1970s, shoulder restraints shortly thereafter, and airbags in 1985. An 8 year study by the U of Pittsburgh reported on over 7000 spine injured patients, and found a significant reduction of spine related injuries when both seatbelts and airbags were utilized.  The National Highway Traffic Safety Administration advises at least a 10-inch distance between the steering wheel and the breastbone in order to avoid airbag injuries, which reportedly occur within the first 2-3 inches of the airbag. 

The “take home” message here is when you combine: 1. Staying alert by avoiding all the many distractions that can lure your eyes off the road; 2. Slowing down when you see or sense trouble, and, 3. Making sure your seatbelt is fastened (and those of your passengers, as well) and your airbag still works, you can be quite confident you are doing your part in preventing injury (including whiplash) for both yourself and potentially others!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash – 
Where Is My Neck Pain Coming From?
Courtesy of Dr. Frank Gomez
www.SayvilleChiropractor.com

Last week while driving to work, you’re stopped at a red light and glance in the rearview mirror and notice that a car is approaching from behind way too fast.  The next thing you remember is the squeal of the tires and a loud crash with an accompanied sudden jolt as your car is propelled forward by the impact. Your initial reaction is one of shock, wondering is anyone hurt? How bad is my car damaged? Will there be another hit? Should I get out of the car? I’m going to be late for work! Within a few minutes, the police arrive and after about an hour of taking statements from the two drivers and a few witnesses, you decline an ambulance offer to take you to a nearby hospital for an examination as, “…this little stiffness and ache in my neck is no big deal.”  Happy you can still drive your car, you arrive at work an hour and a half late.  After reviewing the details of the crash with co-workers several times, you begin to notice a headache, your neck stiffening up and movements becoming limited and painful.  After another couple of hours and a few Ibuprofen, the pain has increased and you now have a whopping headache. You decide, “I better go see my chiropractor to see if something is wrong.”

After the exam and x-rays, the chiropractor shows you a chart and explains the mechanism of injury that usually occurs in a low speed rear-end collision.  A couple of things that were said really hit home in helping you to understand how such a seemingly minor crash can create so much pain.  The first is that it is not possible to voluntarily contract a muscle quick enough and “brace” to prevent the acceleration of the head. Upon impact, as the car is propelled forwards, the head initially goes backwards and then when the muscles in front of the neck are stretched to their limits, the head is then “whipped” forwards in a “crack the whip” type of response and all of this takes less than 600-700 milliseconds!  Because of the far limits of neck motion being reached during this process, the ligaments that hold the vertebra together are often stretched and/or torn.  This can be appreciated on the bending neck x-rays which shows one vertebra sliding forwards on the one below and the angle created being greater when compared to the surrounding vertebra.  The second point of discussion that stands out was the fact that your head was rotated at the time of impact from looking in the rearview mirror places the neck at a greater risk of injury because of the twisting motion that occurs during the “crack the whip” process.  Another interesting point: because there wasn’t a lot of car damage, the shock and force of the impact was not absorbed by crushing metal and that energy is therefore transferred to the contents in the vehicle, including the occupants.  That is why your briefcase ended up on the floor and your glasses flew off during the crash. Another point of discussion was made concerning the difference between genders and the degree of injury, as women are more likely to be injured more severely because of the less muscular and sometimes longer female neck.  The degree of injury is also at greater risk when there is osteoarthritis in the neck that pre-exists the crash.  An analogy of how a young sapling branch can bend without breaking verses the “old oak branch” which snaps and breaks when its only bent slightly. So, if you are a middle aged, female with a long slender neck with pre-existing arthritis looking in the rearview mirror prior to impact in a rear-end collision, ligament over stretching / tearing is highly probable.

In summary, it is important to obtain prompt evaluation and treatment by your chiropractor as soon as possible as when time passes without treatment, it is more difficult to bring about a reduction of pain and increased motion and, it will generally take longer.  Taking medication for pain only postpones the needed process of restoring movement and function of the neck so that should not be the only treatment.  In general, a “wait and watch” approach is not wise in these types of injuries. If you or a loved one is suffering with whiplash, sharing this information may be one of most significant acts of kindness that you can give to those that you care about.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

What Really Causes Whiplash?
Courtesy of: Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash is a non-medical term for a condition that occurs when the neck and head move rapidly forwards and backwards or, sideways, at a speed so fast our neck muscles are unable to stop the movement from happening.  This sudden force results in the normal range of motion being exceeded and causes injury to the soft tissues (muscles, tendons and ligaments) of the neck. Classically, whiplash is associated with car accidents or, motor vehicle collisions (MVCs) but can also be caused by other injuries such as a fall on the ice and banging the head, sports injuries, as well as being assaulted, including “shaken baby syndrome.”

The History Of Whiplash.  The term “Whiplash” was first coined in 1928 when pilots were injured by landing airplanes on air craft carriers in the ocean. Their heads were snapped forwards and back as they came to a sudden stop. There are many synonyms for the term “whiplash” including, but not limited to, cervical hyperextension injury, acceleration-deceleration syndrome, cervical sprain (meaning ligament injury) and cervical strain (meaning muscle / tendon injury). In spite of this, the term “whiplash” has continued to be used usually in reference to MVCs.

Why Whiplash Occurs.  As noted previously, we cannot voluntarily stop our head from moving beyond the normal range of motion as it takes only about 500 milliseconds for whiplash to occur during a MVC, and we cannot voluntarily contract our neck muscles in less than 800-1000 msec. The confusing part about whiplash is that it can occur in low speed collisions such as 5-10 mph, sometimes more often than at speeds of 20 mph or more.  The reason for this has to do with the vehicle absorbing the energy of the collision. At lower speeds, there is less crushing of the metal (less damage to the vehicle) and therefore, less of the energy from the collision is absorbed.  The energy from the impact is then transferred to the contents inside the vehicle (that is, you)! This is technically called elastic deformity – when there is less damage to the car, more energy is transferred to the contents inside the car.  When metal crushes, energy is absorbed and less energy affects the vehicle’s contents (technically called plastic deformity).  This is exemplified by race cars.  When they crash, they are made to break apart so the contents (the driver) is less jostled by the force of the collision.  Sometimes, all that is left after the collision is the cage surrounding the driver. 

Whiplash Symptoms.  Symptoms can occur immediately or within minutes to hours after the initial injury.  Also, less injured areas may be overshadowed initially by more seriously injured areas and may only “surface” after the more serious injured areas improve. The most common symptoms include neck pain, headaches, and limited neck movement (stiffness). Neck pain may radiate into the middle back area and/or down an arm.  If arm pain is present, a pinched nerve is a distinct possibility. Also, mild brain injury can occur even when the head is not bumped or hit. These symptoms include difficulty staying on task, losing your place in the middle of thought or sentences and tireness/fatigue.  These symptoms often resolve within 6 weeks with a 40% chance of still hurting after 3 months, and 18% chance after 2 years.  There is no reliable method to predict the outcome. Studies have shown that early mobilization and manipulation results in a better outcome than waiting for weeks or months to seek chiropractic treatment. The best results are found by obtaining prompt chiropractic care.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Chiropractic –
“Only Proven Effective Treatment” for Chronic Whiplash
Courtesy of: Dr. Frank Gomez
www.http://sayvillechiropractor.com

You might have wondered, “who should I go to for treatment of my whiplash problem?”  You have many choices available in healthcare ranging from drug related approaches such as narcotic medications to natural forms of treatment such as chiropractic, exercise, and meditation with many others in between.  Trying to figure out which approach or perhaps combined approaches would best serve the needs of the presenting patient is truly challenging.  To help answer this question, one study reported the superiority of chiropractic management for patients with chronic whiplash, as well as which type of chronic whiplash patients responded best to the care.  The research paper begins with the comment from a leading orthopedic medical journal stating, “Conventional treatment of patients with whiplash symptoms is disappointing.”  In the study, there were 93 patients divided into three groups consisting of:

1) Group 1: Patients with a “coat-hanger” pain distribution (neck and upper shoulders) and loss of neck range of motion (ROM), but no neurological deficits;

2) Group 2: Patients with neurological problems (arm/hand numbness and/or weakness) plus neck pain and ROM loss; and,

3) Group 3: Patients that reported severe neck pain but had normal neck ROM and no neurological losses.

The average time from injury to first treatment was 12 months and an average of 19 treatments over a 4 month time frame was utilized.  The patients were graded on a 4-point scale that described their symptoms before and after treatment.

Grade A patients were pain free;

Grade B patients reported their pain as a “nuisance;”

Grade C patients had partial activity limitations due to pain; and

Grade D patients were disabled.

Here are the results:

Group 1: 72% reported improvement as follows: 24% were asymptomatic, 24% improved by 2 grades, 24% by 1 grade, and 28% reported no improvement.

Group 2: 94% reported improvement as follows: 38% were asymptomatic, 43% improved by 2 grades, 13% by 1 grade, and 6% had no improvement.

Group 3: 27% reported improvement as follows: 0% were asymptomatic, 9% improved by 2 grades, 18% by 1 grade, 64% showed no improvement, and 9% got worse.

This study is very important as it illustrates how effective chiropractic care is for patients that have sustained a motor vehicle crash with a resulting whiplash injury.  It’s important to note that the type of patient presentation that responded best to care were those with neurological complaints and associated abnormal neck range of motion.  This differs from other non-chiropractic studies where it is reported that patients with neurological dysfunction responded poorly when compared to a group similar to the Group A patient here (neck/shoulder pain, reduced neck ROM, and with normal neurological function).

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash: How Do X-rays Help?
Courtesy of: Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash commonly occurs as a result of a motor vehicle collision when (typically) there is a sudden stop or slow down that occurs so fast a person cannot adequately brace himself or herself, even when aware of the impending collision. This is because the “whiplash” effect is over in about 500 msec and we cannot voluntarily contract a muscle quicker than about 800 msec. The injury effect is worsened by several other factors including: 1. Small target / large “bullet” vehicle; 2. Too much seat inclination; 3. Improper headrest position; 4. A “springy” seat back; 5. A tall slender neck (females > males); and 6. Head rotation at the time of impact. Suffice it to say, in many cases, there is little one can do to avoid injury. So, how do x-rays help?

Let’s use a classic “rear-end collision” as our example. The driver (female) is seat-belted, in a small compact car, and her car is stopped in traffic. All of a sudden, the car is struck from behind by a ¾ ton pickup truck (“bullet vehicle”). Just before impact, the driver, startled by the squeal of the tires breaking suddenly, turns her head to look behind the car via the rear view mirror. Upon impact, the car is propelled forward and she feels her head accelerate back initially (50-150msec), ride over the headrest (because it was set too low) and then accelerate forwards (150-300msec), without striking the steering wheel (the air bag does not deploy).  Her head returns back to an upright position (~500msec) and the she reports being “shaken up.” She visits her chiropractor and an examination reveals neck pain at the endpoints of forward and backward bending, headaches, numbness into the left arm to the thumb side of the hand and weakness in certain arm and wrist muscles. 

The x-rays are explained to the patient as follows: “…The X-ray image shows a reversed cervical curve when bending forwards but notice how little the spine and head have moved forwards? It hurts because the ligaments that hold the bones together have either over stretched or tore, which is called a “sprain.” If the head and neck are forced far enough forwards, then something has got to give. Either bones will fracture or, ligaments will tear, or both. When ligaments tear, the bones separate or open up greater than the levels above and below. This creates a rather acute angle, like someone broke a stick. Looking closely on the x-ray, the vertebra above appears to be sliding forwards (C4 over 5), which again supports torn ligaments and loss of stability.”

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash – Biomechanics and Costs

Courtesy of: Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash or Cervical Acceleration-deceleration Disorder (CAD) is primarily associated with motor vehicle collisions (MVCs) and in particular, rear-end collisions. Last month, we discussed how CAD can be prevented and focused greatly on paying attention while driving and, the position of the headrest. Whiplash is defined as an injury to the cervical spine (neck) caused by a rapid/sudden, usually unexpected, forceful movement. (Typically, forwards and backwards, if struck from in front or behind, or, a side to side movement if struck from the side.) Even worse, when coupled with the head being rotated at the time of impact, tearing of the ligaments, muscles, and joint capsules in the neck can cause a myriad of symptoms that can remain present for years, sometimes permanently.  Some of these symptoms include:

·         Neck and shoulder pain and/or stiffness

·         Middle and low back pain

·         Dizziness

·         Vertigo (balance disturbance)

·         Fatigue

·         Numbness/Tingling

·         Face/Jaw pain

·         Cognitive dysfunction or brain injury (even without hitting the head directly)

·         Sleep disorders

A report published in January 2011 discussed recent advances and a new law that goes into effect 9-1-11 regarding the design of head restraints that is aimed at significantly reducing the injury severity and consequently the costs associated with CAD. The Code of Regulations (CFR) describes the new bill, (FMVSS 202a) as a standard, “…to reduce the frequency and severity of neck injury in rear-end and other collisions.” This new law requires testing the absorbency (springiness), the locking mechanisms, and the height by making sure the restraint is above the center of gravity of the occupant’s head to reduce the “backset” (distance between the head and the restraint). This is done by testing the seat back and head restraint as a system to ensure the head restraint remains in its proper position throughout the collision. The concept is to reduce the rearward shift of the occupant’s head relative to their torso or to avoid extreme hyperextension.  Companies have been manufacturing both dynamic, as well as static, head restraint systems in response to this new requirement that becomes fully effective on 9-1-11 for both front and rear seats. So, how does this equate to costs?

Between the years of 1988 and 1996 from 805,851 whiplash injuries, the National Accident Sampling System (NASS) reported the total annual cost of treatment, excluding damage to property, was $5.2 billion.  This amount includes costs derived from medical, legal, insurance, productivity loss and work loss.  The report estimates, by improving the seat back and head restraint position to the occupant’s head, a total reduction of 14,247 whiplash injuries is expected which will have a nearly $92 million total cost reduction through both direct injury costs and also the indirect societal costs!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash “101” (Part 2)
Courtesy of: Dr. Frank Gomez
www.http://sayvillechiropractor.com

Our current Whiplash topic continues from last month when we reviewed the “mechanism of injury,” the “type of injury,” and “prognosis.” This month, we will review the “nuts and bolts” of the whiplash injury or, whiplash associated disorders (WAD).

Whiplash diagnosis: The diagnosis of whiplash first and foremost requires a thorough history. Here, we discuss the factors leading up to the MVC (motor vehicle collision), the angle or direction of impact (front end, angular, side or T-bone, rear end), whether the head was pointed straight or rotated, whether the head hit anything inside the car, airbag deployment and any related injury, seat belt location and effectiveness, the conditions of the day (weather, road, lighting, etc.), the onset of each injured area including neck, upper/lower back, headache, memory loss, and radiating symptoms (time lapse to symptom onset), ER/ambulance involvement, the initial 24-48 hours, the point of maximum pain intensity, job and non-vocational capabilities, prior test results (x-ray, CT, MRI, lab, etc.), prior treatment effectiveness, and more! The physical examination centers on observation (posture, patient distress, mood); palpation or touching the injured areas; orthopedic tests (looking for positions that either relieve or increase symptoms); range of motion (how far forward, back, sideways, and in rotation can the head be voluntarily moved and its related level of comfort, speed/quality of motion); neurological exam (sensory, motor, cranial nerves, etc.); and special tests (x-ray, CT, MRI, lab, etc.) if not previously done.

Course of care: The type and length of treatment will vary based on the degree of injury (see last month’s “prognosis” discussion), the initial response to care (improvement vs. worsening), the compliance of the patient in modifying their activities, performing home-based care (ice, rest, exercise, etc.), and the patient’s motivation to get better. The latter may be partially dependant on factors like whether there is litigation planned or occurring, their belief that they will “get better,” and how the health care provider manages the care (the use of passive approaches where the patient must go and see the doctor vs. active approaches where the patient is taught how to self-manage through diet, exercise, activity modifications, education, etc.)

Treatment options: The patient has the choice of following a traditional medical model of initial anti-inflammatory medication, patient education, wait and watch, and/or a physical therapy referral. The chiropractic approach includes patient education, anti-inflammatory approaches (ice – NOT HEAT, anti-inflammatory herbs), exercise training and manual therapies including spinal adjustments. The latter, when applied properly, has been found to return patients to work faster than other approaches with a shorter recovery time and is less costly and more satisfying. When comparing treatment options beyond 6 or 12 months, the differences are more subtle. Other treatment options include acupuncture, massage therapy, and various forms of exercise. When necessary, injections, narcotics, and other pharmaceutical options exist but are not recommended as initial care approaches. Behavioral and cognitive therapy can help people cope with chronic, permanent pain related problems. There are many approaches to the management of whiplash and the patient needs a “quarterback” or someone to help them with these decisions. This is perhaps the most important role of the chiropractor!

We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for headaches, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash and Muscle Weakness

Courtesy of Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash, as previously discussed, occurs quicker than the speed at which we can voluntarily contract our muscles in attempt to guard ourselves against injury. Hence, it is nearly impossible to properly brace in anticipation of an impending collision. When muscles, ligament, and joint capsules become injured, there is pain, and as a result, reflex muscle spasm occurs as the body attempts to “splint” the area to protect it. This sometimes sets up a vicious cycle which can make the pain last longer, hurt more intensely and / or hurt more frequently. Because of pain, as well as direct muscle injury that sometimes occurs in whiplash associated disorders (WAD), the natural tendency is to stop doing many activities and guard against motion both because of pain and the fear of it hurting worse. In both cases, the result is the same: muscle atrophy or shrinkage and muscle weakness due to not using the muscle.

There are other reasons that muscles become weak. When an injury occurs, a herniated or “ruptured” disk can injure the spinal nerves exiting the spine. The disk is like a jelly donut where the center is liquid-like surrounded by a thick ring of fibrocartilage and functions as a “shock-absorber” as it sits between 2 vertebral bodies

Think of the spinal nerves like electrical wires that connect a fuse box to a house. The fuse box is the spinal cord and each wire represents the spinal nerves going to different parts of the house (body). In the cervical spine or neck, each wire goes to different parts like the head, shoulder, arm, and hand and innervates specific areas. Patients who have a pinched nerve from a whiplash injury describe their symptoms as numbness, tingling, pain and/or muscle weakness in a specific distribution or area.

There are 8 pairs of nerves in the neck that travel to different parts of the head (C1-3), the shoulders (C4, 5), and the arm (C6-T2). Let’s say a patient has numbness and tingling down the arm to the 4th & 5th fingers and the pinky side of the hand. That immediately tells us as chiropractors that the C8 nerve is injured (pinched) because that’s the pain pattern of the C8 nerve.  Certain muscles are controlled by C8 that we can test in our office to determine if they are weak (abnormal) or strong (normal).

We grade the weakness between 0-5 (5=normal). The chiropractic treatment is aimed at un-pinching the nerve which results in a return of normal nerve function or no numbness/tingling and a strong C8 muscle (finger flexion strength). To accomplish this, we may use a combination of treatments such as spinal adjustments, mobilization, traction, exercises, and/or modalities (electric stim, light therapy, ultrasound or others). 

We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash – Who Will Recover?

Courtesy of Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash, or Whiplash Associated Disorders (WAD), involves a cluster of symptoms and findings that include biomechanical or tissue injury findings, as well as psychological factors that accompany pain and disability. To answer the presenting question, who will recover from whiplash, a task force was set up to investigate this and research over a 10 year time frame was reviewed.  They found the initial level of pain after the injury and the associated psychological factors are the two best predictors of whiplash recovery.

WAD results from a neck injury caused by a sudden back and forth movement of the head that often occurs during a car crash. The injury occurs because of the fact that the sudden movement happens in a shorter time frame than our ability to voluntarily contract our own neck muscles. Hence, even if we brace ourselves before the impact, we cannot avoid the sudden “crack the whip” phenomenon that occurs during a crash.  It’s even worse is if the head is turned at the time of impact!  Although most WAD sufferers recover within a few months, many report ongoing pain a year or more later. With about 2 million insurance claims registered per year in the US, the focus is shifting from what causes pain to what recovery predictors exist with the focus on managing those that are manageable.

One of the two predictors reported was the level of pain reported by the patient 3 weeks after a motor vehicle collision (MVC). In a group of over 3000 patients with WAD, this was reported to be, “…the single most important predictor of who recovers in a timely manner.” On a 10-point pain scale (10 being the most intense pain), patients with a score under 5 recovered more quickly.

The second of the two strong predictors was the patient’s belief or expectation of recovery. Again, at the 3 week mark following the crash, over 1000 WAD injured patients were asked how likely they felt they would recover fully and at 6 months, the disability level was compared to those expectations gathered at the 3 week point. They found a 4x greater chance of being placed in a “more disabled” group if at the 3 week point, the patient reported a poor outcome expectation for recovery. Those who were reportedly prone to “catastrophic thinking” also fared poorly. These are the patients who can’t stop focusing on pain – they believe the crash was, “…the worse thing that has ever happened to them.”

They also found patients wearing a neck collar to protect and immobilize the neck following a MVC were no better off compared to those not wearing a collar. In fact, in one group of patients, those who wore the collar were absent longer from work and utilized more pain killing medications compared to those who did not wear it.

We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Neck Pain and the Disk
Courtesy of Dr. Frank Gomez
www.Sayvillechiropractor.com

When we say to you, “…you have a cervical disk problem,” do you know what that means?  I didn’t think so. As doctors, we talk about these things so often, we sometimes just assume you know what we’re talking about. So first, sorry about that!  Now, let’s clear up the question, what is a cervical disk problem?

            The term “cervical” means neck, just like the terms “thoracic” means mid-back and “lumbar” means low back. The term “disk” refers to the shock absorbing fibro-elastic cartilage that rests between each vertebra of the spine. Think of the disk as being similar to a jelly donut. The center of the disk is liquid-like (the nucleus), kind of like petroleum jelly, and the outer part (the annulus) is tough and strong and circles the nucleus center like the rings of an freshly cut oak tree stump. What makes the annulus/outer layer so strong is the type of tissue it’s made up of and, maybe most important, the opposing criss-cross pattern of each layer or ring of the annulus. Studies have shown that when the disk is pierced with a knife and then compressed, this criss-cross pattern of the annulus layers self-seals the cut, resulting in no leakage of the liquid center.

So, the question is, how can a disk rupture, herniate or “slip” if it’s so tough, strong, and self-sealing? The answer: as the disk ages or when it’s injured, tears or “fissures” in the disk fibers occur creating rents or channels for the liquid part to work its way out towards the edge and eventually break through the outer most layer – hence, the term “herniated disk.” It’s similar to stepping on that jelly donut until the jelly leaks out to the point where you can see it. 

            Here’s the strange part. Research tells us that about 50% of people have bulging disks (not quite herniated through) and 20% of us have herniated disks (that have popped through) but have NO PAIN AT ALL! That makes it tough since an MRI or CT scan may show a herniated or bulging disk but how do we know that’s the disk that’s clinically important – the one that’s creating the pain?  That’s why we treat patients and not their image (MRI, CT scan or x-ray).  Even though a disk may be bulging or herniated, we may not necessarily treat that particular disk if it’s not expressing itself clinically by creating a shooting pain down a specific area in a arm, usually below the elbow often into either the thumb or pinky side of the hand, with associated abnormal tests for strength and/or sensation. That’s why we check your reflexes, your strength, and sensation for each nerve. We’re checking to see if that herniated disk is “pinching” the nerve and if it is, we utilize manipulation, traction, PT modalities, and issue home traction units to try to “un-pinch” that nerve to avoid surgery. 

            We at Sayville Chiropractic Immediate Care realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck/arm pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. 

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Neck Pain – Where Does it Come From?

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Neck pain is a very common problem that can come from, well, a lot of places.  It can come from laying crooked while watching TV, it can come from sleeping in a draft, it can come as a response to a cold or flu, it can hurt because of a sinus infection (“referred pain”); it can arise from an injury like car accidents, it can come from over lifting or carrying, it can come from pinching the phone between your ear and shoulder, or it can even come from “stress.” Rare, but dangerous, causes include bleeding inside the head during a stroke or, neck pain due to a heart attack. Obviously, these must be emergently evaluated and treated. There is even a category of causation called “insidious” or “idiopathic” which means we DON’T KNOW where the neck pain is coming from! It’s important to understand that neck pain is a symptom, not a disease which means we have to identify the cause…if we can!  This is why a detailed evaluation is required. 

            These are some common causes of neck pain:

1.      Degenerative Disk Disease (DDD): Over time (years), repeated injuries to the neck can result in DDD. The small “shock absorbers” that lie between the vertebral bodies lose their water retaining capabilities, become narrow, and less flexible, which is a common source of neck pain (and stiffness).

2.      Mechanical Neck Pain: Any condition that does not involve the pinching of nerves can be placed in this category. There are 2 small joints called “facets” that lie in the back of the vertebra that are a common source of neck pain. “Sprains” or injury to ligaments that hold bones together and “strains” or, injury to muscles and/or tendons that move the bones are also grouped here.

3.      Pinched nerves: Results in pain down the arm. There are 2 primary causes:

a.       Herniated disk (HD): Think of a disk like a jelly donut. When the jelly “leaks” out and pinches a nerve (resulting in arm pain), that’s an HD.

b.      Bone spurs off the front of the facets &/or back edge of the vertebra can also pinch a nerve, resulting in the classic arm pain.

4.      Spinal stenosis: (2-types)

a.       Central: A narrow spinal canal pinches the spinal cord creating pain, numbness and/or weakness in the arms &/or legs.

b.      Lateral: Narrowing of the hole where the nerve exits creating arm pain, numbness or weakness, if the nerve is pinched (like an HD).

            Of course, there are many other causes of neck pain, but these are quite common and should be first considered when evaluating a patient with neck pain.

            We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services and truly appreciate the trust and confidence shown by choosing our services!  We look forward in serving you and your family when the need arises.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash: Body, Mind and Spirit –
What is the Connection?

  Courtesy Of: Dr. Frank Gomez 
  www.http://sayvillechiropractor.com   

The term “whiplash” refers to an injury to the neck muscles, the muscle attachments (tendons), ligaments, and sometimes the disks that lie between the vertebral bodies of the spine.  In a rear-end collision, the cause of whiplash occurs from a sudden, rapid acceleration of the body and neck as the car is pushed forwards.  In these first 50-75 milliseconds following impact, the head remains in the same place while the body is propelled forward.  This is followed by a “crack-the-whip” movement of the head and neck when the muscles in the front of the neck stretch like rubber bands and suddenly spring the head forwards, all occurring in less than 300 msec.  The force on the head and neck is further intensified if the seat back is too springy, or angled back too far.  Also, if the headrest is too low, the head may ride over the top and more injury can result.  The treatment of whiplash varies from “watchful waiting” to a multidisciplinary team approach that includes neurology, physical therapy, chiropractic, psychology, and possibly surgery (rare).  In a recent article published in the American Journal of Physical Medicine and Rehabilitation (2009, March Vol. 88, No. 3, pp 231-8), the relationship between clinical, psychological and functional health status factors was investigated in a group of patients with chronic whiplash-associated disorder (WAD).  A total of 86 patients with chronic WAD participated in the study and outcomes were tracked using questionnaires that measure pain, disability and psychological issues including depression, anxiety and catastrophizing.  Physical examination factors included measuring the cervical range of motion.  An analysis of the degree of neck disability and the relative contribution of physical vs. psychological factors revealed catastrophizing and depression played greater roles than did cervical range of motion.  This suggests psychological factors play an important role in the outcome of whiplash.

The importance of this is that more than just the physical factors like range of motion should be focused on when treating chronic whiplash patients.  Answering the patient’s questions, explaining the mechanism of injury and how that relates to their specific condition, and addressing depression, anxiety, coping, and other psychological issues is very important. Discussing treatment goals with patients is also very important.  For example, making light of the injury by stating something like, “…you’ll be fine after the treatments,” may harm the patient as anything short of “fine” may be interpreted as failed treatment by the patient.  It is also important not to paint too dismal of a picture as that can have negative psychological effects as well, as this may suggest that they will never improve.  Explaining the difference between “hurt” and “harm” is of great value to the chronic whiplash patient as they are often told, “if it hurts, don’t do it.”  This sends an unfortunate message to the patient that any activity where an increase in pain occurs is “bad” when in fact, that activity may help the patient get better in the long run.  This can make or break an acceptable outcome as many may feel like they shouldn’t do anything and this can lead to unemployment, boredom, and the many psychological issues previously described.  The best advice is to remain active and try to ignore discomfort by staying within “reasonable activity boundaries.” Reasonable activity tolerance is learned as time passes and trying different activities for different lengths of time.  This type of coaching should be at the center of chronic whiplash management rather than over focusing on physical factors such as range of motion.

If you, a loved one, or a friend is struggling with whiplash residuals from a motor vehicle collision, you can depend on receiving a multi-dimensional chiropractic assessment and therapeutic approach at this office. We sincerely appreciate your confidence in choosing our office for your health care needs!

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Chiropractic Manipulation: 
 A New Study Regarding Headaches

Courtesy of: Dr. Frank Gomez
www.http://sayvillechiropractor.com

Headaches are a common complaint in patients presenting for professional care, including chiropractic management.  Patients with headaches seek chiropractic care because they find manipulation or adjustments applied to the cervical spine and upper back region are highly effective in reducing the intensity, frequency and duration of the headache pain.  This is because the cervical spine / neck, is often the origin of the headache as the three nerves in the upper neck (C1, 2 and 3) pass through the thick, overly taught neck muscles in route to the scalp / head.  When the muscles of the neck are in spasm, the nerves get “pinched” or squeezed by the overly tight muscles resulting in headache pain.  Each nerve runs to a different part of the head and therefore, pain may be described as “…radiating over the top of head (sometimes into the forehead and eyes),” or, into the head and over the ear, sometimes reaching the temple.  Also, an area located in the back and side of the head is the area where the C1 nerve innervates, so pain may also be reported in that location.  When more than one of the C1-3 nerves is pinched, the whole side to the top of the head may be involved.

In the October 2009 issue of The Spine Journal, Western States Chiropractic College, Center for Outcomes Studies, reported benefits are obtained with the utilization of spinal manipulation in the treatment of chronic cervicogenic headaches.  The word “chronic” means at least 3 months of headache pain has been present.  This new study compared 2 different doses of therapy using several outcome measures including the pain grade, the number of headaches in the last 4 weeks and the amount of medication utilized.  Data was collected every 4 weeks for a 24 week period and patients were treated 1-2 times/week and separated into either an 8 or a 16 treatment session with half the group receiving either spinal manipulative therapy or a minimal light massage (LM) control group.

The results of the study revealed the spinal manipulation group obtained better results than the control group at all time intervals.  There was a small benefit in the group that received the greater number of treatments with the mean number of cervicogenic headaches reduced by 50% in both pain intensity and headache frequency. 

The importance of this study is significant as there are many side effects to medications frequently utilized in the treatment of headaches.  Many patients prefer not taking medications for this reason and spinal manipulation therapy (SMT) offers a perfect remedy for these patients.  Couple SMT with dietary management, lifestyle modifications, stress management, and a natural, vitamin/herbal anti-inflammatory (such as ginger, turmeric, boswellia) when needed, a natural, holistic approach to the management of chronic headaches is accomplished. 

We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and look forward in serving you and your family presently and in the future. 

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Thank you for reading my article. More on back pain can be found on my website http://www.http://sayvillechiropractor.com/. Any questions please contact us. jk631 991-3492

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

The Many “Faces” of Whiplash

Courtesy of: Dr. Frank Gomez
www.sayvillechiropactor.com

Motor vehicle collisions (MVC), usually result in injuries to the neck and upper back.  However, there are often other complaints that can occur immediately or after a delayed time frame. The mechanism of injury or, “how did the accident happen?” is very important to discuss in detail.  For example, a low speed crash such as 5-10 mph may not result in much damage to the car. However when this occurs, the contents inside the car are jostled and thrown about more than if there had been car damage. This is because the impact was too slow to dent or crush the metal and the energy of the crash was not absorbed but rather, transferred to the contents inside the car – that is, the passengers. 

Another cause might be a roll over accident. If a person is suspended upside down in the vehicle, injury can occur from the seat belt, from falling from the seat upon releasing the seat belt, cuts or scrapes from broken glass, and so on.  Many people involved in MVC’s are initially in “shock” and may not realize they are hurt until hours or days later.  Upon rising the next morning, a significant increase in pain intensity often prompts the person to seek emergency room care where medications are usually prescribed and a “wait and watch” recommendation is given.  Within the initial several days to a week, gradual increases of pain and other symptoms such as headaches, dizziness, “foggy thinking,” and loss of appetite due to the high pain intensity can occur, and the person may then visit a chiropractic clinic, as the “waiting and watching” approach just doesn’t make sense.

  The initial examination findings often reveal significant muscle spasms and pinching of the nerves in the upper part of the neck, resulting in headaches.  Patients may have difficulty describing their complaints including problems communicating with others such as, “I just can’t find the words I want to use.”  This lack of mental clarity is often caused by a concussion and can last weeks to months.  Some patients do well and may feel 50-75% better after 3-6 weeks of chiropractic treatment with respect to neck pain and headache intensity and frequency but of course, this varies from patient to patient.  During this time, exercises are usually given to help stretch the tight muscles and strengthen the weak muscles in the neck and upper back region. Temporary work restrictions may be required, especially if the patient had not been able to work prior to seeking chiropractic treatment.  A quick return to work is usual

Hence, a “wait and watch” approach usually does not work very well.  In addition, the use of medications may prohibit being able to drive a car or adequately function at work.  Certain medications can also affect a person’s ability to responsibly manage their children.  It can be very confusing for many people when trying to decide from whom they should seek treatment after a whiplash injury.  The primary goal of the chiropractic physician is to achieve a reduction in symptoms and return the patient to a productive, functional lifestyle as quickly as possible.  We sincerely appreciate the trust that our patient’s place in us when choosing our clinic to treat their problems associated with motor vehicle accidents and whiplash.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Thank you for reading my article. More on back pain can be found on my website http://www.http://sayvillechiropractor.com/. Any questions please contact us. 631 991-3492

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Some Headache Causes And Solutions

Courtesy of: Dr. Frank Gomez, Chiropractic Physician
www.http://sayvillechiropractor.com

There are many people who frequently suffer from headaches, even on a daily basis.  Many feel this is “normal.”  In fact, when they come in for treatment, they may not even bring it up and only after asking if they have headaches, do they then discuss it, acting as if everyone has headaches.  Others are completely debilitated and can’t go to work, drive a car, or even leave the house due to the intense pain and pressure, as if their head might explode.

When patients come to my office, I’ve found it is very important to take a very thorough health and family history. 

            I find patients frequently tell me important clues to the cause of their headaches.  For example, if one of my patients indicates that she has had headaches, as long as she could remember and the family history includes her mother having headaches that were debilitating and an MRI revealed that part of her brain stem extended down into the upper part of the neck, this would prompt an MRI of the patient which could reveal a similar finding.  Another example is a patient with headaches that occur only at the time of one week prior to menstruation.  This may lead to the trial of several nutritional vitamin / herbal approaches aimed at reducing fluid retention or build up that frequently occurs pre-menses.  Other causes have included traumas from car accidents, slips and falls, sports injuries, and other activity related causes.  In these cases, examination may lead to a diagnosis ofabnormal biomechanics in the cervical spine and chiropractic treatment addressing these findings may prove very satisfying.  Other causes may include stress and/or psychological conditions that required co-management with mental health practitioners and/or their primary care physicians. The combined efforts of medication and chiropractic treatments are most satisfying for these patients.

            In general, the cause of headaches are usually multi-factorial and therefore, the most effective treatment is a multi-dimensional approach in which chiropractic treatment methods are, in most cases, the most important contribution to the successful management of headaches.  Chiropractic treatment approaches include spinal manipulation, mobilization, muscle release techniques such as trigger point therapy, longitudinal and /or transverse friction massage, massage therapy, manual and/or instrumental traction both at home and office, physical therapy modalities including ice/heat, electrical stimulation (several types), ultrasound, light/low level laser therapy, infrared, diet and nutritional counseling, and stress management.  Co-management needed for some patients can be arranged through this office and may include primary care physicians, physical medicine and rehabilitation physicians, pain management, rheumatology, internal medicine, neurology, physical therapy, as well as acupuncture.

            Most important is that you feel confident that if you, your family or friends require treatment for headaches, our office will provide you with a comprehensive approach most likely to bring about a very satisfying outcome or result.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Thank you for reading my article. More on back pain can be found on my website http://www.http://sayvillechiropractor.com/. Any questions please contact us.
631 991-3492 –

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

The Whiplash Syndrome: Ringing in the Ears

Courtesy Of: Dr. Frank Gomez
www.http://sayvillechiropractor.com

The term “whiplash” usually brings to mind neck pain, headaches and/or a stiff neck. However, there are other symptoms associated with whiplash that we don’t usually think of, such as ringing in the ears or, tinnitus. In the absence of whiplash, there are many people who experience an occasional ringing or sound of some sort in their ears. The ringing may seem to keep time with the heartbeat or, in cadence with breathing and is more common over the age of 40, and more common in men. The sound can be a buzzing, ringing, roaring, hissing or high pitched noise that usually lasts only seconds or minutes at the most. So, think of those times when you’ve noticed tinnitus and ask yourself, “…how would that affect me if that noise never stopped or lasted for hours?”

Before we discuss the association of tinnitus with whiplash, let’s review some facts about tinnitus. There are two primary types of tinnitus: Pulsatile and Nonpulsatile. Pulsatile tinnitus is often caused by sounds created either by blood flow problems in the face or neck, muscle movements near the ear, or changes in the ear canal. The non-pulsatile tinnitus is usually caused by nerve problems involving hearing in one or both ears. The later is sometimes described as a sound coming from inside the head. The most common cause of tinnitus is from hearing loss that occurs from aging – technically called presbycusis. However, it can also occur from living or working in a loud environment. Tinnitus can occur with many types of hearing loss and can be a symptom of almost any ear disorder. Other common causes include earwax buildup, certain medication side effects (aspirin, antibiotics), too much caffeine or alcohol intake, ear infections – which can lead to rupture of the eardrum, dental problems, TMJ or jaw problems, following surgery or radiation therapy to the head or neck, a rapid change in environmental pressure (airplane rides, elevators, scuba diving), severe weight loss from malnutrition or dieting, bicycle riding with the neck extended for lengthy timeframes, high blood pressure, nerve conditions (MS, migraine headache), as well as other conditions such as acoustic neuroma, anemia, labyrinthitis, Meniere’s disease, otosclerosis and thyroid disease. The good news is that most of the time, tinnitus comes and goes and does not require treatment. When tinnitus is associated with other symptoms, does not get better or go away, or is in only one ear, it is wise to consult with us. Spinal manipulation and other chiropractic treatment approaches are often VERY helpful in resolving tinnitus with the benefits of avoiding the need for medications, all of which carry secondary side effects. Chiropractic approaches are also highly effective when tinnitus is accompanied by dizziness or vertigo, usually requiring treatment applied to the upper neck area.

So, how does whiplash cause tinnitus? There are primary as well as secondary causes that can give rise to tinnitus after whiplash. After looking at the long list of causes above, direct trauma to the head such as hitting the side window, the back of the seat, the steering wheel, mirror and/or windshield makes obvious sense. Secondary causes often involve the TMJ or jaw which is commonly injured in whiplash. By itself, TMJ can cause ear pain, tinnitus, vertigo (dizziness), hearing loss, and headaches. Because many nerves that innervate the neck and head arise from the neck as well as from the cranial nerves, spinal manipulation of the neck as well as certain cranial manipulations can have a dramatic benefit in treatment of whiplash induced tinnitus

We at Sayville Immediate chiropractic Care realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash – Mild Traumatic Brain Injury – What’s That?

Couresty of: Dr. Frank Gomez
www.http://sayvillechiropractor.com

When you woke up today, you thought this was like any other Tuesday.  You packed the kid’s lunches and off to school they went.  You’re on your way to work and everything is on schedule- it’s a good day!  You are stopped at a red light when out of nowhere, someone crashes into the back end of your car and you feel your head snap back over the headrest and then bounce forwards, almost hitting the steering with your forehead. Everything goes blank for a second or two. “What just happened?”  Initially, you’re in “shock,” and after checking to make sure you’re not bleeding, you notice that your neck and head are hurting in a way that’s new to you.  When the police arrive and start asking you questions about what had happened, you try to piece together the sequence of events of the collision but you’re not quite sure how it all fits together.  Your memory just isn’t real clear. Within the first few days, significant neck pain and headache overshadow everything else but you begin to notice that you’re ability to “think clearly” is just not quite right.  Your memory seems fuzzy, you lose your train of thought easily, sometimes in the middle of a discussion, and you are tired – really tired! Taking a nap several times a day is needed. The other day, you were discussing a project with a group of co-workers and you had to ask “…now where was I?” several times during the discussion as you lost your place in the middle of a thought. 

Mild traumatic brain injury or, MTBI, is exactly what is described above.  Many patients do not even mention these things to their chiropractor when they present after a car crash as it’s hard to describe these symptoms and many feel it’s just because they are tired or upset about the accident.  When directly asked if any of these symptoms exist, the patient is often surprised and say, “…how did you know?” They are even more surprised when they learn there is an actual reason and explanation for feeling this way. Most of the time, the patient has to be asked if these symptoms exist! This is actually “normal” behavior for those suffering from MTBI.

To better understand how this occurs, think of the more catastrophic situation where the person hits their head to the point of creating an internal bleed and is unconscious. In this case, it’s easier to appreciate the presence of a “brain injury.” With severe head trauma, the person usually has significant memory loss, having no memory of the accident and maybe worse, not being able to recognize family or friends.  Losing the memory of days, weeks, months or years of time is common with these severe head injuries.  However, in MTBI, there is less bruising to the brain and consequently, there are less severe symptoms.  Though the symptoms are similar, MTBI is in a way, a mild form of the above.  With MTBI, the person does NOT have to hit their head on anything to bruise the brain. This is because the speed at which the head is propelled forward and back literally slams the brain into the inside walls, creating the bruising.  Because the brain is suspended inside our skull, damage to some of the nerve cells occurs, most commonly the brain stem, the frontal lobe and/or the temporal lobe. Depending on which part of the brain is injured, the physical findings may include problems with walking, balance, coordination, strength/endurance, as well as difficulties with communicating (“cognitive deficits”), processing information, memory, and altered psychological functions. Recognizing these symptoms and managing MTBI in a coordinated approach with a neuropsychologist is sometimes needed.

We at Sayville Immediate Chiropractic Care realize that you have a choice in where you seek help for your health care needs and we truly appreciate your consideration in allowing us to help you through that potentially difficult process.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash – Cell Phones & Other Driving Distractions!

By: Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash is caused by a sudden movement of the head, usually caused by a motor vehicle collision (MVC) but it can also occur in sports and from slip and fall injuries. The combination of the weight of the head (approximately 15 pounds) and the length and strength of the neck predisposes the neck to be injured when a sudden force is applied.  This is also caused by the fact the neck muscles cannot tighten quick enough to prevent injury in these types of injuries.  People with slender necks (i.e., women > men) are more prone to injury. 

The purpose of this article is to discuss some VERY effective ways to reduce the likelihood of being in a MVC of which the obvious include don’t drink and drive, don’t use your cell phone and drive, and don’t “text” on your phone while driving.  Instead, use a hands-free phone or better yet, pull over to talk as you can’t concentrate or fumble around dialing/texting, and still pay proper attention to what you’re supposed to be doing – that is, driving!

 According to a study conducted by the University of Utah, the distraction resulting from talking on a cell phone when driving is more significant than being intoxicated (0.08% blood-alcohol).  Driving inattentively is estimated to be a factor in 20-50% of all police-reported MVC’s of which 8-13% are caused by driver distractions (cell phones is estimated to be 1.5-5% of that).  One study reported both hands-free and hand-held cell phones were similar, reducing the driver response time to about a 40th percentile compared to a “normal driver.”

 It’s believed the “cognitive workload” or, the “thinking” part during conversation causes the primary distraction, not the use of the hands.  When compared to talking with a passenger, the University of South Carolina reported planning to speak put far more demands on the brain than listening. Talking to other passengers or on a cell phone are not the only or, the most common of the driving distractions. 

The two most common causes of distraction-related accidents are “rubbernecking” (looking at outside objects/events) and adjusting the car radio/CD player.  Cell phone use was reportedly 8th on that list.  The use of a cell phone to text is limited because it is relatively new.  However, a preliminary report from the University of Utah found a 6-fold increase in distraction related accidents when texting.  The obvious concerns include the eyes off the road and in some cases, the hands off the wheel required for texting/email. Of interest, about 50% of drivers between 16 and 24 years of age compared to 22% of 35-44 year olds have admitted to texting while driving.  Some recent highly publicized MCV’s caused by texting drivers include a May 2009 Boston trolley car driver and, the 2008 Chatsworth train collision that killed 25 people.

A July of 2009 Virginia Tech report of video footage of 200 long haul truck drivers who drove over 3 million combined miles, reported 81% of safety critical events involved driving distractions.  They found texting had the greatest relative safety risk at 23 times more likely with their eyes being off the road for 4.6 out of a 6 second during a safety critical event.  Another significant cause of driver distraction is drowsiness, which increased the driver’s risk of a crash or near-crash by 4 times, reaching for a moving object increased the risk by 9 times, looking outside/rubbernecking = 3.7 times, reading = 3 times, applying makeup = 3 times, dialing a cell phone = 3 times and talking or listening on a hand-held devise = 1.3 times.  Eating while driving is also a risk.  

As a service to you, we would appreciate it if you would share this information with family and friends so we can all drive more safely and live longer, healthier lives! 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 and we would be honored to offer our services to you. 

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not Ready Yet…No Problem.

To Receive These “Weekly Health Updates” Via E mail Send An Email To:
Subscribe@WeeklyHealth Update.com And In The “Subject” line/Field, Simply Type: 1178GOME

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.TheChiropracticImpactReport.com
www.USchirodirectory.com

Whiplash and Work

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Does this sound familiar? It’s fictional but a rather typical scenario affecting thousands of American drivers:

“Last week, I was waiting at a red light and a car came up from behind and ran into the back end of my car.  It was a low speed collision without a lot of damage to either of our cars.  Surprising, I felt quite a jolt and my head even hit the headrest.  I didn’t bother getting the name or phone number from the person that hit me because I didn’t hurt at the time and besides, there was no real damage that I could see to my car or the other person’s car.

“About a half hour later, I noticed my neck felt stiff when I turned to check traffic on my right and I felt really sharp pain before I could turn the whole way.  The pain was bad enough to make me yell and when I brought my head back to the front, the pain didn’t go away – in fact it felt worse.  When I woke up the next day, I could hardly turn my head at all and, I had a terrible headache.  The pain was so bad that even 4 Advil didn’t touch it.

“I couldn’t decide what type of doctor to see for this.  I knew if I went to my family doctor, he’d put me on a bunch of pills but I have to drive forty five minutes to my job and I have two small kids that require my attention.  I had seen an ad for a chiropractor a while back and I wondered what they would do for something like this.  I knew I had to do something and fast!

“So I decided to go to a chiropractor a friend of mine recommended and I was really surprised when I got there.  The doctor was really attentive and seemed to know exactly what was going on.  It was explained to me that I may have been hurt MORE than I might have been had the speed of the other car been going even faster because crushing metal absorbs the shock where in my case, no car damage resulted in more shock to me.  This made sense because I had some books on the other seat that flew off when I was hit, which I forgot about until we were talking.  I also learned that even if I knew I was going to get hit, I wouldn’t have been able to brace myself enough to avoid injury as the speed of the force moves the head and neck quicker than what I can tighten my muscles.  The chiropractor showed me some charts that helped explain all this and why my neck hurt and where the headaches come from.  I also learned NEVER assume no car damage means no injury.

“The best part was right after the adjustment, I felt immediate improvement with better movement and less pain. I also was told to put ice on my neck, which helped a lot more than heat did. I’m now doing exercises and really feel good! I can’t tell you how happy I am that I chose a chiropractor to help me!”

Patients who have similar experiences are afraid of having a long, drawn out problem and missing work.  You have many choices when it comes to choosing a health care provider for your injury and other health care needs.  I truly appreciate your trust and confidence in our service when choosing to visit my clinic when you need help!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Please contact our office if you, your family or friends are suffering with injuries sustained in a motor vehicle collision. 

 Traction – Does It Help Neck Pain and Headaches?

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Traction is defined as, “…the act of pulling a body part.” Therefore, it is commonly used in many regions including legs, arms, low back, mid-back, and the neck. We will be limiting this discussion to cervical or neck traction, and the question of the month is, “…does it help patients with neck pain and headaches?” Though I’m assuming you already know, the answer is YES! You may want a little “proof,” so here it goes!

  1.  REDUCES DISK PROTRUSIONS: In 2002, a medically based study found traction to be very effective in the treatment of cervical radiculopathies (pinched nerves in the neck that radiate pain into the arms). A 2008 study using MRI (images) described the effect traction had on the disk protrusions in the neck reporting 25 of 35 (or 71%) were reduced while in traction with a 19% increase in the spacing (disk height) and improved neck range of motion after the traction was applied. They postulated that by pulling the vertebrae in the neck apart, there was a suction-like effect pulling the disk material back in place.
  2. RECOMMENDED BY GUIDELINES: Around the world, guidelines have been published giving doctors information that allows us to know how well certain forms of treatment work for different conditions. In a 2008 publication, it was reported that, “Clinicians should consider the use of mechanical intermittent cervical traction, combined with other interventions such as manual therapy and strengthening exercises, for reducing pain and disability in patients with neck and neck-related arm pain.”
  3.  CLINICAL PREDICTION RULES: These help us determine who is most likely to benefit from a certain type of treatment (in this case cervical traction and exercise). If 3 of 5 variables are found, the likelihood of success with traction & exercise was reported to be 79%, and if 4 of the 5 are found, 90%. The 5 variables are: 1. Radiating neck to arm pain in certain positions; 2. Positive shoulder abduction sign; 3. Age >55years old; 4. Positive limb tension test; 5. Relief of symptoms using manual distraction test (if pain is relieved while the neck is being pulled).
  4. INTERMITTENT AND CONTINUOUS TRACTION: Either way, significant improvement in neck and arm pain, neck mobility, and nerve function occurred with both approaches.
  5. TRACTION VS. SURGERY: In this study, patients with radiating arm pain and positive neurological findings on exam were offered a course of traction before surgical options. They reported 63 of 81, or 78%, of the patients experienced significant or total relief, 3 could not tolerate traction and 15 simply didn’t respond. They concluded that when neck and arm symptoms with neurological deficits were present for 6 weeks, that 75% will respond to neck traction over the next 6 weeks.

            There are MANY additional studies available that show well beyond doubt that cervical traction is a GREAT option in the management of neck and arm pain and sometimes headaches. Next month, we will discuss “HOW TO” apply cervical traction.

We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

The Neck & Shoulder Pain Relationship

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Given the close anatomical proximity between the neck and shoulder, it’s no wonder the two are intimately related. In our hectic lifestyles of driving, hunching over computers, talking on the phone, not to mention stress arising from multiple sources, the muscles in the neck, upper back and shoulders seem to tighten up and hurt at the same time. The question is, between the neck and the shoulder, which one is the “chicken” and which is the “egg?”

The neck gives rise to the nerves that innervate the head (C1-3 nerve roots), the shoulders (C4-5), and the arms (C5-T2). Hence, there are 8 sets of nerves in the neck, 12 sets in the thoracic (middle back region), and 6 sets in the lumbar or low back region and 5 sets in the sacrum, all of which travel to a specific destination allowing us to move our muscles and to feel hot, cold, sharp, dull, vibration and position sense. When these nerves get pinched or irritated, they lose their function and the ability to feel, making it challenging to button a shirt, thread a needle, or pick up small objects.  It can also make it difficult to unscrew jars, squeeze a spray bottle, or lift a milk container from the refrigerator. Hence, the nerves arising from the neck, when pinched, can have a dramatic effect on our ability to carry out our desired activities in which the shoulder, arm and hand use is required.

On the other hand, when the shoulder is injured (such as a rotator cuff tear), this can also result in neck problems. There are several ways pain from the neck affects the shoulder and vice versa. When the shoulder is injured, pain “information” is relayed to the brain starting at the nerve endings located in the area of the shoulder injury, transmitting impulses between the shoulder and the neck, and finally from the neck to the sensory cortex of the brain. That information is processed and communication to the motor cortex prompts nerve signals to be sent back to the shoulder through the neck and to the injured area (in this case, the shoulder). A reflex muscle spasm often occurs as a result, serving as kind of an “internal cast” as the muscle spasm tries to protect the injured shoulder. This can become a “vicious cycle” or never-ending “loop” until the reflex is interrupted (perhaps by a chiropractic adjustment). Another means by which both areas become injured has to do with modifications in function. We tend to change the way we go about our daily chores when an injury occurs to the shoulder, such as putting on a coat differently by leaning over to the opposite side. These functional changes can also give rise to neck pain. Because of this reflex cycle, as well as the close anatomic relationship between the neck and shoulder, not to mention the “domino effect” of soft-tissue injuries which seem to change the function at the next joint level, it’s not surprising that both the neck AND the shoulder require simultaneous treatment for optimal treatment benefit. However, the good news is, regardless which one is the “chicken or the egg,” chiropractic treatments of shoulder injuries will almost always include the neck and vice versa.

We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to

www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash “Fun Facts”

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash is a slang term for cervical acceleration, deceleration syndrome, or CAD. There are facts and myths surrounding the subject of whiplash. Let’s look at some of the facts.

1.         The origin of CAD. The history of CAD dates back to a time prior to the invention of the car. The first case of severe neck pain arose from a train collision around the time of 1919 and was originally called “railroad spine.” The number of whiplash injuries sharply rose after the invention of cars due to rear-end crashes.

2.         Whiplash synonyms. As stated previously, the term “cervical acceleration-deceleration disorder, or CAD, is a popular title as it explains the mechanism of injury, where in the classic rear-end collision, the neck is initially extended back as the car is propelled forward, leaving the head hanging in space. Once the tissues stretch enough in the front of the neck, the head and neck flex forward very rapidly, forcing the chin towards the chest. This over stretches the soft tissues in the back of the neck. Another term for whiplash is WAD or, Whiplash Associated Disorders. In 1995, the Quebec Task Force categorized injuries associated with whiplash by the type of tissues that were found to be injured. Here, WAD Type I represents patients with symptoms/pain but normal range of motion and no real objective findings like muscle spasm. Type II includes injuries to the soft tissues that limit neck motion with muscle spasm but no neurological loss (sensation or muscle strength). WAD Type III includes the Type II findings plus neurological loss, and type IV involves fractures of the cervical spine.

3.         Head rest facts: Prior to the invention of head rests, whiplash injuries were much more common and more serious because the head was propelled in a “crack-the-whip” like fashion. However, headrests are frequently not adjusted correctly; they are either too low and/or too far away from the head. If the seat back is reclined, this further separates the head from the headrest. The proper position of the head rest should be near the center of gravity of the head, or about 9 cm (3.5”) below the top of the head, or at minimum, at the top of the ears. Equally important is that it should be as close as possible to the back of the head. When the distance reaches 4” away from the head, there is an increased risk of injury, especially if it’s also set too low. When the headrest is properly positioned, the chances of head injury are decreased by up to 35% during a rear-end collision.

4.         Seat back angle. The degree of incline of the seat back can also contribute to injury of the cervical spine. As stated above, as the seat is reclined, the head to headrest distance increases, furthering the chance for injury. A second negative effect is called “ramping.” Here, the body slides up the seat back resulting in the head being positioned over the top of the head rest. Also, the degree of “spring” of the seatback contributes to the rebound of the torso during the CAD process.

5.         Concussion: The notion that the head has to hit something to develop a concussion is not true. Also, the idea that a loss of consciousness is needed to develop a concussion is also false. Simply, the rapid forward/backward movement of the head is enough force for the brain (which is suspended by ligaments) to literally slam into the inner walls of the skull and can result in concussion. The symptoms associated with concussion are referred to as post-concussive syndrome or, mild traumatic brain injury.

            We realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to

www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Neck Pain Treatment Option

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

          Neck pain is a very common problem. In fact, 2/3rds of the population will have neck pain at some point in life. It can arise from stress, lack of sleep, prolonged postures (such as reading or driving), sports injuries, whiplash injuries, arthritis, referred pain from upper back problems, or even from sinusitis! Rarely, it can be caused from dangerous problems including referred pain during a heart attack, carotid or vertebral artery injuries, or head or neck cancer, but these, as previously stated, are very uncommon. However, since you don’t know why your neck hurts, it’s very important to have your neck pain properly evaluated so the cause can be properly treated and not just covered up from the use of pain killers!

            Barring the dangerous causes of neck pain listed above, treatment methods vary depending on whom you elect to consult. Classically, if you see your primary care physician, pharmaceutical care is usually the approach. Medications can be directed at reducing pain (Tylenol, or one of many prescription “pain killers”), at reducing inflammation and pain (Aspirin, Ibuprofen, Aleve, etc.), to reduce muscle spasms (like muscle relaxers) or, medications may be directed to reduce depression, anxiety, or the like. When a sinus infection affects the 2 deep sinuses (ethmoid and sphenoid sinuses which are located deep in the head), the referred pain is directed to the back of the head and neck. Here, an antibiotic may be needed and/or something specifically directed at allergies when present. In general, in cases that do not respond to usual chiropractic care, co-management with the primary care physician is a good option.

            However, the good news is that chiropractic care usually works well, and the need for medication can be avoided since the side effects of medication can sometimes be worse than the benefits. Recently, The Bone and Joint Decade Task Force on Neck Pain published arguably the best review of research published between 2000 and 2010 regarding neck pain treatment approaches. They concluded that spinal manipulation and mobilization are highly effective for many causes of neck pain, especially when arising from the muscles and joints – the most common cause. Therefore it would seem logical to consult with a Chiropractor FIRST since manipulation and mobilization are so effective and safe. When we add neck exercises, the results are even better, according to some studies. As chiropractors, we will often use different modalities including electric stimulation, ultrasound, hot and/or cold (which are usually given as a good home-applied remedy), and others. In particular, low level laser therapy (LLLT) has been shown, “…to reduce pain immediately after treatment in acute neck pain and up to 22 weeks after completion of treatment in patients with chronic neck pain” [Lancet, 2009; 374(9705)]. LLLT is a commonly used modality by chiropractors and when combined with spinal manipulation, the results can be even faster! We will also evaluate your posture, body mechanics, and consider “ergonomic” or work station problems and offer recommendations for improving your work environment. We also frequently utilize anti-inflammatory nutrients including vitamins, minerals, herbs, and more to avoid the negative side effects to the stomach, liver, and kidney negative that can result from using non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, or Aleve. Make chiropractic your FIRST choice when neck pain strikes, NOT last resort!

            We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Chiropractic Treatment of Whiplash

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash is basically an injury to the muscles, the muscle attachments (tendons), ligaments, and sometimes the nerves that exit the cervical spine.  The degree of injury is highly variable and depends on many factors, some of which include gender/body size (slender woman are especially at risk), awareness of the impending collision, head position at time of impact, the angle of the seat back (bent back is worse that upright), the position of the headrest (too low is common), the amount of vehicle damage (less damage can be worse due to energy transferred to the contents/occupants), the speed of the collision, and many others.

Therefore, when discussing the treatment approaches used by chiropractors, it is not appropriate to generalize since each case is so unique.  With that said, when a whiplash patient visits a chiropractor, the first step is obtaining as much information as possible.  A thorough history and examination are important in determining the treatment plan and help to determine severity of the injury.  Chiropractors often offer different types of treatment that may include: manipulation, physical therapy modalities such as muscle stimulation, relaxation, ultrasound, low level laser therapy, cervical traction, and others. Spinal manipulation (often referred to as an adjustment) addresses joint dysfunction and can be performed with one of several approaches. The first and quite common approach uses a high velocity, low amplitude (quick) approach where joint cavitation (the “crack”) often occurs.  Another approach is a low velocity, low amplitude technique where mobilization is used, which is more of a stretch to the end-range of intersegmental (between the vertebrae) motion and rarely, is there joint noise/cavitation. Varying degrees of “amplitude” or, the degree of stretch can be used, depending on patient comfort.

Muscle relaxation or stimulation is performed for muscle dysfunction, which may include relaxation or stimulation techniques.  Gentle stretches to a muscle that has excessive tightness or, repeated contractions of a weak (“inhibited”) muscle is also commonly utilized and very helpful when muscle dysfunction is present.

Exercises are frequently prescribed by chiropractors.  An example includes the McKenzie exercises, while others include stabilization and sensorimotor exercises.  These are taught in a supervised manner and when it is safely performed and understood, they can be performed at home, work, outside the office setting.  It may require a few sessions to ensure accuracy of the exercise performance.  Because of muscle spasm, joint dysfunction, and pain, patients often develop faulty postures or compromised movements that become “bad habits.”  To break these “bad habit” positions/postures, stabilization and sensory-motor retraining exercises can be very helpful.  These exercise retrain the nervous system to achieve better coordination and control movements and to maintain stability of the weakened neck muscles. 

Advice on bend/lift/pull/push and/or work related activity is extremely important in order to avoid repeat exacerbations or “flare-ups” if not properly dwelt within the clinic.  Advice on recreational and home related activities is also very important for the same reasons.

The chiropractic whiplash treatment plan is unique for every individual person given the significant number of variable initially discussed.  One or more of the approaches discussed may be utilized.  If needed, chiropractors often partner with other doctors if there are medication or surgical requirements.  If you, a loved one, or a friend is struggling with whiplash residuals from a motor vehicle collision, you can depend on receiving a multi-dimensional chiropractic assessment and therapeutic approach at this office. We sincerely appreciate your confidence in choosing our office for your health care needs!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Thank you for reading my article. More on back pain can be found on my website http://www.http://sayvillechiropractor.com/. 
Any questions please contact us. 631 991-3492

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com

Whiplash – Which Treatment Method Is Best?

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash, or better termed, cervical acceleration-deceleration disorder (CAD) is primarily an injury to the soft tissues of the neck – that is, the muscles, their tendon insertions, and the ligaments that hold the joints firmly together.  Neck pain is a very common health problem that affects between 10–15% of the population and drives people to all types of health care providers. We have previously discussed the reasons why whiplash /CAD injuries occur, the examination process and the prognosis aspects but the argument continues as to what treatment methods work the best when managing patients with CAD.

            In the May 21, 2002 issue of the Annals of Internal Medicine, a group of medical doctors and PhD’s reported on neck pain treatment comparing traditional medical and physical therapy approaches verses spinal manipulation. In the study, they compared three common neck pain treatment approaches in a group of 183 patients with chronic neck pain (patients who had neck pain for more than 3 months). The 3 methods included traditional medical care which included medication utilization and rest, manual therapy (chiropractic adjustments) and physical therapy (active exercise training). After 7 weeks of treatment, the percentage of patients who felt either totally resolved (cured) or much improved were 68.3% receiving manual therapy / chiropractic care, 50.8% receiving physical therapy, and 35.9% receiving medical care. The author, Jan Lucas Hoving, PhD reports that manual therapy / chiropractic was found to be more effective than the other 2 methods “…on almost all outcome measures,” not just a few! Further, although PT scored better than traditional medical care, “…most of the differences were not statistically significant,” meaning, not that much better.  The authors appropriately reported that further study was needed to better understand the differences between methods.

            In 2008, the “Decade Task Force” reviewed 10 years of studies on the treatment of neck pain and found similar results and referenced many studies that indicated spinal manipulation for neck pain, headaches, whiplash, and other neck related conditions was one of the most effective methods and that patients with neck pain should be given the option of receiving manual therapy / chiropractic before other approaches as it was found to be less expensive, faster in obtaining satisfying results (shorter course of disability), and most effective in terms of long-term benefits.

            This comparison discussion is by no means meant to minimize the importance of medical and PT care. However, there appears to be a bias among patients with neck pain to seek medical care first when the studies clearly show chiropractic care is the preferred method. Hence, the purpose of this article is to educate the reader that their choice in treatment for neck pain should favor chiropractic care FIRST, not last. In fact, the sooner manipulation can be applied to the injured joints of the neck, typically the faster the results.  For example, long term disability and chronic neck pain can occur from prolonged use of a cervical collar as the structures tighten and stiffen up from being immobile – unable to move because of the collar.  Unless there is some unstable condition to the neck (fracture, grade 3 ligament tear, progressive neurological loss, etc.), studies support manipulation / early mobilization of the neck joints after injuries like whiplash verses wearing a cervical collar and rest. 

            We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash: Where’s the Pain Coming From?

Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash commonly occurs as a result of a motor vehicle collision when, typically, there is hyper-motion in one direction followed by motion in the opposite direction in a crack the whip like manner.

The direction of the strike typically dictates the direction of movement of the head so in a rear end collision, the strike is from behind, whipping the head forwards and then backwards. In a side-on collision, a side-to-side motion results. Pain can occur anywhere around the neck, upper back, arms, chest and/or head, depending on the tissues that are injured. Soft tissues including the muscles, their tendon insertions, ligaments that securely tie bone to bone, the shock absorbing disk in the front of the vertebral column, and/or the nerves that pass through the holes of the spine that innervate the arms and hands can be affected by these injuries.

There can be jaw pain, difficulty in swallowing, balance / dizziness problems, fatigue, as well as concussion or mild traumatic brain injury which can lead to poor concentration, sleep interference, and memory loss. Low back pain and/or trunk pain can occur from the seatbelt and/or airbag deployment.

The injuries associated with whiplash can lead to disruption of normal daily activity, depression and anxiety. There can be immediate symptoms or a delay in the onset and pain with its associated disability can last for days, weeks, months, or longer, depending on each case.

Last month, we discussed the grades 1, 2, and 3 or, mild, moderate, severe sprains (ligament injuries) and strains (muscle injuries). Previously, we discussed methods of prognosing the lasting effects of the injury in a reported classification system called whiplash associated disorders or WAD I, II, III. & IV. Here, the differentiating feature is pain with no objective exam findings (WAD I), the presence of objective loss of motion but negative neurological findings (WADII) or, the presence of measurable neurological dysfunction (WAD III). Studies have shown that the likelihood of prolonged injury increases with each WAD grade.

A side-to-side or front-to-back mechanism of injury can result in damage to the ligaments in the back of the spine called the supra- and inter- spinous ligaments, the disk and/or nerve root that exits the spine allowing the arm and hand to sense and be strong (when it’s not pinched or damaged like in a WAD III) and/or, the bone which can compress when the force is hard enough (WAD IV). A concussion can occur when the brain bounces against the inside of the skull.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:

New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash – The Cause of Pain

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Many patients ask the question: “…why do I hurt so much now, and hardly hurt at all right after the accident?”  Another common question is: “…why neck pain after a minor car collision can last so long?”

A study that investigated chronic pain and dysfunction in whiplash cases reported a soft tissue origin for injuries associated with low-speed collisions. This means the pain comes from the muscles, ligaments, joint capsules, the disk, but not from a pinched nerve that would send pain down the arm and/or create hand numbness or grip weakness.  The study also reported the point at which the neck buckles would only take one fifth to one-fourth of the weight of the person’s head (approximately 2.5 to 3 pounds) if one were to remove all of the supporting muscles, ligaments, and joint capsules.  With the muscles and soft tissues intact, there is a very complex buckling pattern that occurs in the neck during most rear-end collisions where the lower half of the neck bends opposite to that of the upper half creating an S-shaped curve (when looking at the neck from the side).  When this occurs, the vertebrae in the lower half of the cervical spine extend backwards while the upper half flex forwards, stretching the ligaments beyond the maximum elastic point and tissue tearing occurs. When ligaments stretch or strain, microscopic tearing starts at only 3-5% of tissue strain and when the strain reaches 7-8%, the ligament begins to lose its load carrying capacity and more significant tearing occurs.  Unfortunately, none of this can be seen on a standard x-ray and usually goes undiagnosed.

Many variables exist that make assessing the amount of tissue damage difficult to predict or understand.  One of these variables is the strength and amount of elasticity of a ligament prior to tearing. Also, the age, gender, and phenotype – that is, skinny, normal, or over weight – makes a difference.  Generally, due to a reduced muscle mass in a female compared to most males, women are at greater risk of injury.  The position of the person in the car, whether a seatbelt was used or not, if the head was turned before impact, if the collision was anticipated prior to impact, the speed at which one person compared to another can voluntarily contract a muscle are all additional factors affecting the degree of injury and corresponding pain.  Another factor is the size of the spinal canal (the place where the spinal cord runs from the brain to the low back) as some people are born with narrow canals, making them more susceptible to injury. Other neurological variables include the degree of the excitability of the nervous system as the more excitable, the lower the pain threshold and pain is perceived more quickly. The type of pain from the deep tissues (ligaments, joint capsules, etc) is different than pain arising from superficial tissues as the former lasts longer and doesn’t follow known neurological pathways into an arm.  Also, over time, if pain becomes chronic (pain lasting >3 months), a significantly lower pain threshold is found in these cases vs. normal control subjects.

Hence, when discussing your case with our office, it is important that you share your history of the accident, the time it took after the impact for symptoms to be initially noted, whether it is gradually worsening over time, and any other symptom that is unique to your situation that may not have been discussed here.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Thank you for reading my article. The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since back pain, neck pain and headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.
www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

WHIPLASH: Different Doctors and Different Approaches to Care

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash injuries are a significant public health problem. Not only do they cause significant pain and time off from work and leisure activities, there is also a general effect on quality of life. A study in the European Spine Journal compared female patients with whiplash of the neck to patients with low back pain and another group with rheumatoid arthritis. The researchers looked at pain levels (how high or low) and how quality of life was affected. In the whiplash group, the pain levels were the highest. Overall health status was also more affected in the whiplash group, with changes mostly in social issues, vitality, emotional, and mental wellbeing.

A study in the journal Spine looked at how medical and chiropractic doctors differed in their approach to patients with whiplash. Medical doctors were more likely to have negative feelings about treating patients who have whiplash. They were also more likely to believe that there was nothing physically wrong with many patients with chronic whiplash. In terms of treatment, most medical doctors believed that nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants were effective in acute whiplash. This is despite the significant scientific evidence of problems of safety with long -term consumption of NSAIDs (e.g. stomach bleeding). In addition to questions of safety, there is virtually no evidence that these types of medications actually improve patients pain or overall quality of life.

The chiropractic approach to whiplash is much different from that of medical doctors. First, there is a general acceptance that the injuries are real and are not made-up by the patient. Biomechanical study of auto accidents confirms the injuries are real and mostly consist of sprain and subluxation of the joints of the neck. The spinal ligaments, muscles and disks are all affected in whiplash injury. When trauma to these tissues occurs, the sensitive nerves that go between these structures are also irritated, resulting in pain and changes in balance (e.g. dizziness, and position sense). Over time, the patient may have significant effects on their quality of life.

One study of chiropractic care in the journal Injury looked at the results in patients with chronic (i.e., long-term) whiplash injuries-which occurs in about 43% of cases. Twenty-eight patients were studied and of these 93% (n=26) had improved following chiropractic treatment.

There are important differences in your treatment when you compare the chiropractic to the medical approach to whiplash.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash! Do I Need an Attorney?

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

When you hear the word, “whiplash,” it brings to mind many different thoughts – motor vehicle collision (MVC), neck pain, headaches, concussion, jaw pain, litigation, car damage estimates – possibly a new car, medical costs, doctor’s appointments, sleepless nights, and more.  Questions typically asked when a MVC occurs include the following:  1. Do I need to get an attorney? 2. What can I expect for recovery time from my neck pain? 3. Why is it taking so long to get my car fixed? 4. Should I talk to the insurance company when they call? 5. I have to give a deposition next week.  What is that? 6. My case didn’t settle and we’re going to court. How do I prepare for that? 7. The insurance company is offering $XXXX.XX for a settlement.  What do you think my problems will be down the road?

Let’s take a look at these! 

1.      Should you obtain the services of an attorney?  If you want to significantly reduce your stress when it comes time to negotiating with the insurance company, especially towards the end of the process, then YES!  Needless to say, you HAVE TO seek council if you plan to not settle and need to go to court.  However, you do not have to get an attorney immediately unless you just don’t want to deal with the insurance company at all. Typically, it’s worth having an attorney as they are experienced in “…the process.”

2.      Recovery from neck pain can vary between a simple strain at 2-6 weeks to a herniated disk that may require surgery. We recommend you ask us this question about once a month as it will help you decide about this as well as questions 1 and 7.

3.      The insurance company may delay the payment of the car repair costs for a number of reasons.  Until the insurance company inspects the car’s damages, they will not authorize the repair shop work, which can take weeks!

4.      If you have hired an attorney, he/she will communicate for you.  If not, it is appropriate for you to communicate with the insurance company.  The important thing is to NOT settle the claim until you’re sure you can do all of your pre-MVC activities without difficulty or pain, which often can take a full year or more. 

5.      These are call “discovery depositions” where you will be asked questions about the accident such as, where you hurt, what you can and can’t do since the MVC, what tests and treatment you’ve received and what the results were. Your attorney will tell you the strengths and weaknesses of your case. The deposition “process” is quite easy and there is no reason to feel intimidated.  Most attorneys are very courteous and will treat you kindly so don’t worry unnecessarily! 

6.      Preparing for court is similar except you can’t ask questions – they ask & you answer!  Your attorney will tell you to answer only the question being asked and your attorney will later be able to ask you to clarify what was “left out.” Always be kind, courteous, and NEVER let the other attorney get you angry!

7.      See #2 above.  If you have ongoing radiating pain in your arm (from your neck) or leg (from your low back), the “prognosis” for complete recovery is less favorable. Similarly, if you have ligament damage in your neck, there will probably be an accelerated pace of arthritis formation that may not bother you much for 5-10 years or longer but may later in life.  We, as your expert witness, will describe your “impairment” and bring this to the jury’s attention.

We hope this information is of help to you! We at Sayville Immediate Chiropractic Care realize that you have a choice in where you go for your health care needs.  We truly appreciate your consideration in allowing us to help you through this potentially difficult process.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Chiropractic Treatment of Whiplash

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash is basically an injury to the muscles, the muscle attachments (tendons), ligaments, and sometimes the nerves that exit the cervical spine.  The degree of injury is highly variable and depends on many factors, some of which include gender/body size (slender woman are especially at risk), awareness of the impending collision, head position at time of impact, the angle of the seat back (bent back is worse that upright), the position of the headrest (too low is common), the amount of vehicle damage (less damage can be worse due to energy transferred to the contents/occupants), the speed of the collision, and many others.

Therefore, when discussing the treatment approaches used by chiropractors, it is not appropriate to generalize since each case is so unique.  With that said, when a whiplash patient visits a chiropractor, the first step is obtaining as much information as possible.  A thorough history and examination are important in determining the treatment plan and help to determine severity of the injury.  Chiropractors often offer different types of treatment that may include: manipulation, physical therapy modalities such as muscle stimulation, relaxation, ultrasound, low level laser therapy, cervical traction, and others. Spinal manipulation (often referred to as an adjustment) addresses joint dysfunction and can be performed with one of several approaches. The first and quite common approach uses a high velocity, low amplitude (quick) approach where joint cavitation (the “crack”) often occurs.  Another approach is a low velocity, low amplitude technique where mobilization is used, which is more of a stretch to the end-range of intersegmental (between the vertebrae) motion and rarely, is there joint noise/cavitation. Varying degrees of “amplitude” or, the degree of stretch can be used, depending on patient comfort.

Muscle relaxation or stimulation is performed for muscle dysfunction, which may include relaxation or stimulation techniques.  Gentle stretches to a muscle that has excessive tightness or, repeated contractions of a weak (“inhibited”) muscle is also commonly utilized and very helpful when muscle dysfunction is present.

Exercises are frequently prescribed by chiropractors.  An example includes the McKenzie exercises, while others include stabilization and sensorimotor exercises.  These are taught in a supervised manner and when it is safely performed and understood, they can be performed at home, work, outside the office setting.  It may require a few sessions to ensure accuracy of the exercise performance.  Because of muscle spasm, joint dysfunction, and pain, patients often develop faulty postures or compromised movements that become “bad habits.”  To break these “bad habit” positions/postures, stabilization and sensory-motor retraining exercises can be very helpful.  These exercise retrain the nervous system to achieve better coordination and control movements and to maintain stability of the weakened neck muscles. 

Advice on bend/lift/pull/push and/or work related activity is extremely important in order to avoid repeat exacerbations or “flare-ups” if not properly dwelt within the clinic.  Advice on recreational and home related activities is also very important for the same reasons.

The chiropractic whiplash treatment plan is unique for every individual person given the significant number of variable initially discussed.  One or more of the approaches discussed may be utilized.  If needed, chiropractors often partner with other doctors if there are medication or surgical requirements.  If you, a loved one, or a friend is struggling with whiplash residuals from a motor vehicle collision, you can depend on receiving a multi-dimensional chiropractic assessment and therapeutic approach at this office. We sincerely appreciate your confidence in choosing our office for your health care needs!

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com
and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash Facts 3

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

“Whiplash” is considered a non-medical term that encompasses a range of injuries. These injuries typically affect the neck and are caused by a sudden movement of the neck associated with extension or forceful backward bending. The medical term “cervical acceleration-deceleration” (CAD) is considered to be a more accurate description of what happens during a car accident, and the term “whiplash associated disorders” (WAD) describes the injury’s residual signs and symptoms.

WAD or CAD is most commonly associated with motor vehicle collisions (MVCs), when a vehicle is struck from behind. Other less common causes include: dancing (especially “headbanging”), falls from stools or ladders, bicycle injuries, horse related injuries, and many others. In the UK in 2007, 430,000 people made an insurance claim for WAD, accounting for 14% of every driver’s premium. In the US, over 1 million WAD injuries occur annually due to car accidents alone with an estimated 3.8 cases per 1000 people per year. An estimated 6.2% of the US population has “late whiplash syndrome” or long-term problems associated with WAD.

Prior to the advent of the automobile, WAD was referred to as “railroad spine” (as it resulted from a train crash), first documented in 1919. WAD also occurred frequently in pilots landing on aircraft carriers due to the rapid deceleration that occurred as the planes landed and suddenly braked. When one thinks of “whiplash,” the visual of a high speed crash comes to mind. However, WAD can occur at speeds less than 15 mph due to less crash energy absorption by crushing metal. Since there is less car damage at lower speeds, that energy is transferred to the contents (the people) inside the car.

The neck consists of 7 vertebrae, the 6 disks, the 8 pairs of nerves, and the muscles, ligaments and other “soft-tissues.” There are 4 phases of injury (initial, retraction, extension and rebound), which all occur within 300 msec. Whereas, it takes about 800msec to voluntarily contract a muscle. Therefore, you can’t really “prepare” or fully brace for the impact. Most injuries occur at C5 and C6 in the lower part of the neck between 150 and 300 msec. of the cycle. Factors that influence injury include: the seat back angle, the seat back rebound, the headrest position, the direction the head is positioned at impact (worse if rotated), the occupants gender (females are at greater risk due to a more thin, less muscular neck), the size of each vehicle involved, and more. All these factors make it extremely challenging to accurately reconstruct a MVC on paper.

The most common symptoms associated with WAD include neck and upper back pain and headache, referred pain into the mid-back or down an arm and sometimes legs. The onset of symptoms can be immediate or delayed for days. Risk factors that worsen the prognosis of a case include: the presence of radiating pain from the neck to the arm and hand that follows a specific nerve, failure to respond to initial treatment, a delay in getting treated, and being placed in a cervical collar (especially if not allowing to be mobilized and exercised i.e. chiropractic care). The key to the success of WAD treatment is to get treated immediately, don’t restrict yourself to a cervical collar, unless you have an unstable fracture, and do your exercises!

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash Facts

By Dr. Frank Gomez      
www.http://sayvillechiropractor.com

Whiplash is a fairly common condition that occurs when the neck is suddenly forced forwards and backwards, usually from motor vehicle collisions. Before 1928, whiplash was sometimes called “railway spine” as it was used to describe injuries that occurred to people involved in train accidents. Since 1928, much has been studied and reported about this condition and in 1995, the term, “whiplash associated disorders” or WAD, was introduced. The WAD classification of whiplash patients includes 3 main category (WAD I, II and III) and a few years later, WAD II was broken into 2 sub-categories (WAD I, IIa, IIb, III). This occurred because some patients in WAD II took a longer time to heal than others.  Here are the basic definitions of WAD I, II, III:

1.            WAD I: Patients have complaints but no objective findings meaning we cannot reproduce your pain during our examinations

2.            WAD IIa: Patients have complaints with objective findings but a normal range of movement of the neck and no neurological findings (normal strength and sensation ability)

3.            WAD IIb: Same as WAD IIa except here, neck movements are decreased

4.            WAD III: Here, neurological abnormal findings (weakness and/or sensation) are present.

5.            WAD IV: Includes fractures and dislocations.  Because of this unique difference, this category is often left out of the research that uses this category system to determine prognosis of the WAD case.

This system is very useful as it has the ability to predict the results in a case long before the conclusion of the case.

We have discussed the cause of whiplash in previous articles and what happens when we are hit from behind unexpectedly.  In essence, we cannot guard against the abnormal forces that occur in the neck as it all happens faster than we can voluntarily contract our muscles. Also, the myth about no car damage =  no injury is just that – a myth!  In fact, in low speed impacts, less damage to the car transfers greater forces to the contents inside because the energy of the force is not absorbed by crushing metal (elastic vs. plastic deformity).

Symptoms of whiplash vary widely. Most common symptoms include neck pain and stiffness, headache, shoulder pain/stiffness, dizziness, fatigue, jaw pain, arm pain, arm weakness, visual disturbances, ringing ear noises, and sometimes back pain.  If symptoms continue and chronic WAD occurs, depression, anger, frustration, anxiety, stress, drug dependency, post-traumatic stress syndrome, sleep disturbance, and social isolation can occur.

Diagnosis is based on the history, physical exam, x-ray, MRI, and if nerve damage occurs (WAD III), an EMG. Treatment includes rest, ice and later heat, exercise, pain management and avoiding prolonged use of a collar.  Chiropractic includes all of these as well as manipulation, mobilization, muscle release methods, and patient education. Prompt return to normal activity including work is important to avoid the negative spiral into long term disability.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash Avoidance Part 2

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Last month, we discussed car safety features, proper headrest position, how to prepare for a crash, and to seek immediate treatment as ways to minimize the chances of suffering from whiplash in the event of an accident. Here are four more ways to avoid or minimize whiplash:

PAY ATTENTION WHILE YOU DRIVE.

Too often, we get distracted while driving. Any time our eyes leave the road, the potential for an accident increases significantly. This can occur when changing the radio to a different station, eating while driving, reading while driving, talking on the phone, texting (equals the effects of 2-3 alcoholic beverages), driving under the influence of certain prescription medications (pain killers for example), driving under the influence of alcohol or other chemical agents, and turning your head during conversation. We have a responsibility when we are driving to keep our eyes on the road, as many accidents occur within split seconds of time. If we are not paying attention, we will not be able to avoid a potential collision.

THE CONCEPT OF NO CRUSH, NO CRASH INJURY IS SIMPLY NOT TRUE.

In fact, just the opposite is true. That is, the greater the amount of crushing metal at the time of collision, the greater the amount of energy absorption that occurs, resulting in less force transferred to the contents inside the vehicle (namely you or me). This is why, many times, people are injured in low speed collisions because there is no energy absorbed by crushing metal as noted by the absence of or, minimal damage to the car.

FOLLOWING YOUR DOCTOR ORDERS.

It is very important that we do not inadvertently hurt or harm ourselves further by NOT following the advice of our health care practitioner. This means initially using ice to reduce inflammation and swelling, possibly wearing a soft cervical collar during the first few days after the injury to “rest” the injured structures, following proper nutritional advice for optimal healing benefits, and following exercise recommendations. This last treatment approach is vital in the prevention of long term, chronic neck complaints. Other ways you can REALLY help are to follow cervical traction orders. Cervical traction is a very effective method of reducing muscle spasm, separating the joint spaces, improving disk nutrient transfer and water content, reduce the pinching effect of the nerves, and as a result, speeding up the recovery process. Follow your treatment schedule; that is, DON’T SKIP APPOINTMENTS! During office visits, it is necessary to discuss not only what is working well, but also what may not be working so modifications to your care plan can occur on a timely basis. The primary goal of whiplash management is to prevent the condition from becoming chronic and long-term, and the first few weeks of treatment are critical!

ERGONOMIC MODIFICATIONS.

An important part of managing whiplash injuries is preventing daily irritations from tasks that we have to do. Hence, we will discuss adjusting your work station for optimum positioning and avoidance of poor posture, such as using office chairs with arm rests, sitting posture modifications, and computer monitor positioning. Proper sleep positions and pillow design are also reviewed.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash Avoidance, Part 1

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash, or more properly stated, Whiplash Associated Disorders (WAD), is usually associated with car accidents, slip and falls and sports injuries. It is a very common injury affecting millions of people around the world, and costing health care systems billions of dollars. The question of the month is, what can we do to AVOID or prevent whiplash?

STEP 1. SHOP FOR A SAFER CAR.   There are many resources that you can review such as the “Insurance Institute for Highway Safety” that have published ratings for the safest seats, head restraints, and include many makes and models of cars, SUV’s and trucks. For example, Volvo and Saab have recently designed car seats where the seat back collapses backwards upon impact so as to minimize the rebound response in a rear-end collision, thus minimizing the head and neck from whipping back and forth. Therefore, before YOU purchase your next car, compare the vehicle’s structural design, its size and weight, the restraint systems, the airbags, the head rests, as well as crash avoidance features. Remember, in general, small cars put you at greater risk simply due to the small mass equaling less protection.

STEP 2. POSITION THE HEAD RESTRAINTS PROPERLY.   This means put them in their “up” position. The most common problem with head restraints is that they are placed too low and offer little to no protection if and when you are struck from behind. In fact, 80% of cars have the head restraint in the low or “down” position, which (surprisingly) is WORSE than having no head restraint at all! This is because when the head restraint is too low, it acts like a fulcrum, hitting the middle of the neck promoting MORE hyperextension when compared to having no head restraint whatsoever. Remember, head restraints are designed to fit an “average man,” making it challenging for a tall or short person to obtain a good fit. A good position for a head restraint is within 1 inch of the back of the head and 1-2 inches above the mid-portion of the head as “ramping” often occurs especially if the seat back is reclined backwards, and the whole body slides up and over the head restraint.

STEP 3. PREPARE FOR THE CRASH.    This actually may NOT be possible since the “whipping” action happens within 500 milliseconds and voluntary muscle contraction is about twice as slow, not to mention that the crash can occur at lightning fast speeds leaving you with little time to prepare. However, if you do have time to prepare, do the following: 1. Put your head and neck all the way back into the seat back and a properly adjusted head restraint so that there is firm contact. 2. Extend the elbows and straighten the arms gripping firmly onto the steering wheel in preparation to brace yourself. 3. Place your foot on the brake as firmly as possible (assuming that you are stopped in traffic). 4. Look straight ahead avoiding neck or head rotation. 5. Tilt your head back slightly so that your eyes are pointed toward the top of the windshield. 6. Prior to impact, shrug your shoulders upwards toward the ears and brace yourself firmly.

STEP 4. SEEK IMMEDIATE TREATMENT.  It is critical to obtain treatment as quickly as possible as there is a tremendous advantage to start treatment especially with the first 2 weeks post-collision to avoid the likelihood of a chronic potentially disabling condition.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:

New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash and Your Ligaments

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Most people who get a whiplash-like injury think it is caused by a problem in their muscles. It’s easy to see this why this may be the case since muscle pain following car accidents is so common. Deep pain and even spasm can occur after severe trauma resulting in daily pain and even headaches. Since our 10-12 pound head is attached to our necks by muscles that go into the shoulder region, whiplash can feel like a muscle pull and taking muscle relaxants seems a reasonable approach.

Although tears of muscles fibers do occur in whiplash, these can heal rather quickly due to the rich blood supply. The ligaments hold the joints of the neck together keeping the nerves from being pressed upon and stretched. These are the structures that are critically injured during whiplash. The muscles that contract to protect the joints from moving too much are generally less of a problem than when the ligaments are injured. A recent study (BMC Musculoskelet Disord 2006;21:103) showed that after whiplash, the strength of the neck ligaments is further reduced. This means that you are more susceptible to getting injured if you previously suffered a trauma.

To detect ligament injuries you can look at MRIs immediately after the trauma. In many cases they can show small tears or the inflammation and swelling that goes with tears of these important structures.

You can also have stress x-rays taken in the positions of forward and backward bending. These types of x-rays can show which ligaments have been traumatized and are allowing the bones of the neck to move too much. When this increased motion is severe, this is called instability. Some newer MRI machines can scan in different positions so that the tears and their motion effects are seen with one test. Some people may find the MRI scanner to be a bit restrictive or claustrophobic. X-rays are usually the most practical and least costly choice.

We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.

If you, a friend or family member requires care for Whiplash, Headaches, Back Pain or Neck Pain we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:

New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash and Work

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Does this sound familiar? It’s fictional but a rather typical scenario affecting thousands of American drivers:

“Last week, I was waiting at a red light and a car came up from behind and ran into the back end of my car.  It was a low speed collision without a lot of damage to either of our cars.  Surprising, I felt quite a jolt and my head even hit the headrest.  I didn’t bother getting the name or phone number from the person that hit me because I didn’t hurt at the time and besides, there was no real damage that I could see to my car or the other person’s car.

“About a half hour later, I noticed my neck felt stiff when I turned to check traffic on my right and I felt really sharp pain before I could turn the whole way.  The pain was bad enough to make me yell and when I brought my head back to the front, the pain didn’t go away – in fact it felt worse.  When I woke up the next day, I could hardly turn my head at all and, I had a terrible headache.  The pain was so bad that even 4 Advil didn’t touch it.

“I couldn’t decide what type of doctor to see for this.  I knew if I went to my family doctor, he’d put me on a bunch of pills but I have to drive forty five minutes to my job and I have two small kids that require my attention.  I had seen an ad for a chiropractor a while back and I wondered what they would do for something like this.  I knew I had to do something and fast!

“So I decided to go to a chiropractor a friend of mine recommended and I was really surprised when I got there.  The doctor was really attentive and seemed to know exactly what was going on.  It was explained to me that I may have been hurt MORE than I might have been had the speed of the other car been going even faster because crushing metal absorbs the shock where in my case, no car damage resulted in more shock to me.  This made sense because I had some books on the other seat that flew off when I was hit, which I forgot about until we were talking.  I also learned that even if I knew I was going to get hit, I wouldn’t have been able to brace myself enough to avoid injury as the speed of the force moves the head and neck quicker than what I can tighten my muscles.  The chiropractor showed me some charts that helped explain all this and why my neck hurt and where the headaches come from.  I also learned NEVER assume no car damage means no injury.

“The best part was right after the adjustment, I felt immediate improvement with better movement and less pain. I also was told to put ice on my neck, which helped a lot more than heat did. I’m now doing exercises and really feel good! I can’t tell you how happy I am that I chose a chiropractor to help me!”

Patients who have similar experiences are afraid of having a long, drawn out problem and missing work.  You have many choices when it comes to choosing a health care provider for your injury and other health care needs.  I truly appreciate your trust and confidence in our service when choosing to visit my clinic when you need help!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Please contact our office if you, your family or friends are suffering with injuries sustained in a motor vehicle collision. 

  Whiplash and Side Collisions

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash is most commonly studied when it is a result of a rear collision where the occupant of the vehicle is injured from a flexion (forwards) and extension (backwards) whip-like mechanism of injury, but what happens when a T-bone type of impact occurs?

The answer to this question is quite similar to many of the factors associated with any collision: the size of the bullet vs. target vehicle, the speed at which the collision occurs, the deployment or lack thereof of the airbag(s), the position of the neck at the time of impact, the build of the patient (skinny/tall vs. muscular), the road conditions, the springiness and angle of the seat back, and so forth. Unique to side impacts is the location of the strike to the target vehicle (front, middle, rear) and perhaps more importantly, the lack of space between the occupant and the point of the strike as there is a relatively shallow crumple zone between the occupant and the side of the vehicle.

Probably one of the best examples of how side impacts from different angles can be appreciated is to think about what happens to a person when they ride the Bumper Cars at the local fair. Though many fairs have now banned that ride, you may recall participating or watching those kids who were having fun. When a bumper car is struck in a classic T-Bone manner in the front end, the target car is spun around and the occupant hangs on for dear life. Similarly, a side strike from to the rear of the bumper car spins the back end around. When the occupant is aware of the impending crash, they grip the wheel, tuck their head by shrugging their shoulders and make their body rigid and typically, do not get whipped around as much as those that don’t anticipate the impact. Because the bumper cars don’t dent or crush (that is, there is no plastic deformity where damage occurs, only elastic deformity where there is no damage or, no energy absorption by crushing of the car), ALL of the crash energy is transferred to the occupant or the contents. If a person has a purse lying on the floor of the bumper car, it can go flying out and spill all over. Similarly, the person who is unaware of the impending collision will go flying, giving great satisfaction to the driver of the bullet bumper car.

When considering factors such as plastic vs. elastic deformity, side air bags, and the shallow crumple zone on the sides of motor vehicles, some manufactures stand out in their ability to protect the occupants in side impact collisions. Generally, those vehicles with a stiff side and roof structure have been found to be the best in protecting the occupant from injury by maintaining the survival space and dissipating the energy, or force, of the impact away from the occupant. Manufactures that stand out include Volvo, Mercedes, and Subaru. They have had the best design for decades and remain at the forefront for occupant protection in side impact collisions. The combination of energy absorbing side structure design and the side airbag has proven to be one of the most important factors in improving the crashworthiness in side impact collisions. Side air bags became popular in the 1990s. In 2012, more than 95% of all passenger cars sold in the US are equipped with side impact airbags as standard equipment.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash and Chiropractic Management

By Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash injuries occur as the result of a sudden acceleration followed by deceleration, and the degree of injury is dependent on many factors. Some of these include: the size of the vehicle, the conditions of the road, the angle of the seat back, the “springiness” of the seat back, the position of the head rest, the size of the patient’s neck, the position of the patient’s head and neck at the time of impact, the awareness of the impending collision, etc. Hence, each case must be evaluated and managed using a unique, individualized approach.

The chiropractic encounter begins with the history and examination. Here we will ask many questions and perform tests that will give us clues to understand the mechanism of injury, identify the primary tissues injured, and determine the best treatment approaches to utilize.

There are many different chiropractic treatment approaches available for patients with whiplash injuries. For example, manual therapies include spinal manipulation, mobilization, manual traction, muscle relaxation and/or stimulation methods, the assessment of the patient’s physical capacities with issuing specific exercises and, considerations of modifying work station issues and/or lifestyle changes. Chiropractic manipulation is a very common approach utilized in the treatment of joint dysfunction. That is, restoring normal movement to the joints affected negatively by the whiplash injury. Terms such as, stuck, fixed, subluxation, and the like are often used to describe altered joint position or function. Typically, the manipulation (also called “adjustment”) is applied well within the normal range of motion of the joint using a “high velocity” (or fast) movement through a short distance in the direction that attempts to correct the joint dysfunction. Because the procedure is quick and of short distance, patients frequently state, “…that felt great!” In fact, if the pre-adjustment position of the patient hurts or is uncomfortable, we will instead use a slow, mobilizing movement.

Exercise strategies are important and typically employed as soon as possible. The type of exercise is (again) case specific, but in general, exercises are initially prescribed in a manner that restores movement with as little discomfort as possible. Following the goal of increasing range of motion, strengthening the injured region with stabilization exercises, and restoring sensory-motor activity to the muscles becomes the primary focus in the management of the whiplash patient. When the intervertebral disks are “deranged” or altered, directions that minimize radiating pain are emphasized in the exercises. After careful in-office training, the patient is instructed to perform exercises at home, often multiple times a day, for stability of the spine and to re-establish motor control and movement. Ergonomic and daily lifestyle modifications are frequently addressed to avoid the possibility of the condition being irritated on a regular basis, thus interfering with the healing process. If a patient is stressing the injured area at work, job modifications can make or break the success of the management program.

We at Sayville Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:

New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.
To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com



Whiplash – Cell Phones & Other Driving Distractions!

 By: Dr. Frank Gomez
www.http://sayvillechiropractor.com

Whiplash is caused by a sudden movement of the head, usually caused by a motor vehicle collision (MVC) but it can also occur in sports and from slip and fall injuries. The combination of the weight of the head (approximately 15 pounds) and the length and strength of the neck predisposes the neck to be injured when a sudden force is applied.  This is also caused by the fact the neck muscles cannot tighten quick enough to prevent injury in these types of injuries.  People with slender necks (i.e., women > men) are more prone to injury. 

The purpose of this article is to discuss some VERY effective ways to reduce the likelihood of being in a MVC of which the obvious include don’t drink and drive, don’t use your cell phone and drive, and don’t “text” on your phone while driving.  Instead, use a hands-free phone or better yet, pull over to talk as you can’t concentrate or fumble around dialing/texting, and still pay proper attention to what you’re supposed to be doing – that is, driving!

 According to a study conducted by the University of Utah, the distraction resulting from talking on a cell phone when driving is more significant than being intoxicated (0.08% blood-alcohol).  Driving inattentively is estimated to be a factor in 20-50% of all police-reported MVC’s of which 8-13% are caused by driver distractions (cell phones is estimated to be 1.5-5% of that).  One study reported both hands-free and hand-held cell phones were similar, reducing the driver response time to about a 40th percentile compared to a “normal driver.”

 It’s believed the “cognitive workload” or, the “thinking” part during conversation causes the primary distraction, not the use of the hands.  When compared to talking with a passenger, the University of South Carolina reported planning to speak put far more demands on the brain than listening. Talking to other passengers or on a cell phone are not the only or, the most common of the driving distractions. 

The two most common causes of distraction-related accidents are “rubbernecking” (looking at outside objects/events) and adjusting the car radio/CD player.  Cell phone use was reportedly 8th on that list.  The use of a cell phone to text is limited because it is relatively new.  However, a preliminary report from the University of Utah found a 6-fold increase in distraction related accidents when texting.  The obvious concerns include the eyes off the road and in some cases, the hands off the wheel required for texting/email. Of interest, about 50% of drivers between 16 and 24 years of age compared to 22% of 35-44 year olds have admitted to texting while driving.  Some recent highly publicized MCV’s caused by texting drivers include a May 2009 Boston trolley car driver and, the 2008 Chatsworth train collision that killed 25 people.

A July of 2009 Virginia Tech report of video footage of 200 long haul truck drivers who drove over 3 million combined miles, reported 81% of safety critical events involved driving distractions.  They found texting had the greatest relative safety risk at 23 times more likely with their eyes being off the road for 4.6 out of a 6 second during a safety critical event.  Another significant cause of driver distraction is drowsiness, which increased the driver’s risk of a crash or near-crash by 4 times, reaching for a moving object increased the risk by 9 times, looking outside/rubbernecking = 3.7 times, reading = 3 times, applying makeup = 3 times, dialing a cell phone = 3 times and talking or listening on a hand-held devise = 1.3 times.  Eating while driving is also a risk.  

As a service to you, we would appreciate it if you would share this information with family and friends so we can all drive more safely and live longer, healthier lives! 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 and we would be honored to offer our services to you. 

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not Ready Yet…No Problem.

To Receive These “Weekly Health Updates” Via E mail Send An Email To:
Subscribe@WeeklyHealth Update.com And In The “Subject” line/Field, Simply Type: 1178GOME

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.TheChiropracticImpactReport.com
www.USchirodirectory.com

Whiplash “Anatomy”

 By Dr. Frank Gomez
www.http://sayvillechiropractor.com

To better understand Whiplash, let’s take a look at the anatomy and what is actually injured in a whiplash injury.  Our spine is basically a long chain made up of blocks that are larger at the bottom and smaller at the top. This means the low back vertebra are huge compared to the neck vertebrae. The vertebrae fit together in a way that “locks” them together by the small joints in the back called “facets” and in the front by the disks. These joints function as shock absorbers between the blocks or “vertebral bodies.” Also in the front, there is a tough piece of tissue called the “anterior longitudinal ligament” that provides a barrier so that when the neck is bent backwards (into “extension”), it becomes tight and stops that movement so it doesn’t over-extend, which could fracture the small facet joints in the back.

            There are ligaments, or tissues that hold bone to bone, in the back of the spine that connect between the “spinous processes,” or bony “bumps” in the middle of the back. These ligaments check or stop excessive forward motion of the neck during whiplash. Joint capsules surround joints, which we all have seen when we separate a chicken leg from the thigh. Remember how smooth and shiny the end of the chicken leg is? That smooth surface at the end of long bones is call “hyaline cartilage”, and it allows for slippery gliding between the ends of our bones when we move any joint, including our fingers, wrists, shoulders, hip as well as the facet joints of the spine. Joint movement is facilitated by the presence of an oily substance called “synovial fluid” which acts like a lubricant for the joint allowing for pain-free movement.

            A “sprain” occurs when we damage a joint capsule or a ligament, or when the muscle or its attachment (tendon) is injured. These are graded as mild, moderate or severe, or grades 1, 2,or 3, with grade 3 being the worst at 75% or greater tearing, and healing takes progressively longer with each grade.

            During a whiplash injury, the classic rear-end collision results in over stretching of the ligaments in the neck, and tearing can occur (sprain, grades 1, 2 or 3). If one of the nerves gets pinched, then numbness, pain, and/or weakness can occur, radiating down the arm to a specific location. When this occurs, the long-term prognosis is worse. Concussion can also occur if the brain is slammed against the inside of the skull. Chiropractic adjustments, when administered early, yield the best results for treating whiplash, according to many studies. 

                 We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. 

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:

New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Car Accidents and Mild Traumatic Brain Injury

 By Dr. Frank Gomez
www.http://sayvillechiropractor.com

When you woke up today, you thought this was like any other Friday. You’re on your way to work, and traffic is flowing smoother than normal.  Suddenly, someone crashes into the back end of your car and you feel your head extend back over the headrest and then rebound forwards, almost hitting the steering with your forehead. It all happened so fast. After a few minutes, you notice your neck and head starting to hurt in a way you’ve not previously felt.   When the police arrive and start asking questions about what had happened, you try to piece together what happened but you’re not quite sure of the sequence of events.  Your memory just isn’t that clear. Within the first few days, in addition to significant neck and headache pain, you notice your memory seems fuzzy, and you easily lose your train of thought. Everything seems like an effort and you notice you’re quite irritable. When your chiropractor asks you if you’ve felt any of these symptoms, you look at them and say, “…how did you know? I just thought I was having a bad day – I didn’t know whiplash could cause these symptoms!”

            Because these symptoms are often subtle and non-specific, it’s quite normal for patients not to complain about them. In fact, we almost always have to describe the symptoms and ask if any of these symptoms “sound familiar” to the patient.

            As pointed out above, patients with Mild Traumatic Brain Injury (MTBI) don’t mention any of the previously described symptoms and in fact, may be embarrassed to discuss these symptoms with their chiropractor or physician when they first present after a car crash.  This is because the symptoms are vague and hard to describe and, many feel the symptoms are caused by simply being tired or perhaps upset about the accident.  When directly asked if any of these symptoms exist, the patient is often surprised there is an actual reason for feeling this way.

The cause of MTBI is due to the brain actually bouncing or rebounding off the inner walls of the bony skull during the “whiplash” process, when the head is forced back and forth after the impact. During that process, the brain which is suspended inside our skull, is forced forwards and literally ricochets off the skull and damages some of the nerve cells most commonly of either the brain stem (the part connected to the spinal cord), the frontal lobe (the part behind the forehead) and/or the temporal lobe (the part of the brain located on the side of the head). Depending on the direction and degree of force generated by the collision (front end, side impact or rear end collision), the area of the brain that may be damaged varies as it could be the area closest to initial impact or, the area on the opposite side, due to the rebound effect. Depending on which part of the brain is injured, the physical findings may include problems with walking, balance, coordination, strength/endurance, as well as difficulties with communicating (“cognitive deficits”), processing information, memory, and altered psychological functions.

The good news is that most of these injuries will recover within 3-12 months but unfortunately, not all do and in these cases, the term, “post-concussive syndrome” is sometimes used.

We at Sayville Immediate Chiropractic care realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
www.DrFrankGomezBlog.com and sign up.

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.USchirodirectory.com

Whiplash – Cell Phones & Other Driving Distractions!

  Whiplash is caused by a sudden movement of the head, usually caused by a motor vehicle collision (MVC) but it can also occur in sports and from slip and fall injuries. The combination of the weight of the head (approximately 15 pounds) and the length and strength of the neck predisposes the neck to be injured when a sudden force is applied.  This is also caused by the fact the neck muscles cannot tighten quick enough to prevent injury in these types of injuries.  People with slender necks (i.e., women > men) are more prone to injury. 

The purpose of this article is to discuss some VERY effective ways to reduce the likelihood of being in a MVC of which the obvious include don’t drink and drive, don’t use your cell phone and drive, and don’t “text” on your phone while driving.  Instead, use a hands-free phone or better yet, pull over to talk as you can’t concentrate or fumble around dialing/texting, and still pay proper attention to what you’re supposed to be doing – that is, driving!

 According to a study conducted by the University of Utah, the distraction resulting from talking on a cell phone when driving is more significant than being intoxicated (0.08% blood-alcohol).  Driving inattentively is estimated to be a factor in 20-50% of all police-reported MVC’s of which 8-13% are caused by driver distractions (cell phones is estimated to be 1.5-5% of that).  One study reported both hands-free and hand-held cell phones were similar, reducing the driver response time to about a 40th percentile compared to a “normal driver.”

 It’s believed the “cognitive workload” or, the “thinking” part during conversation causes the primary distraction, not the use of the hands.  When compared to talking with a passenger, the University of South Carolina reported planning to speak put far more demands on the brain than listening. Talking to other passengers or on a cell phone are not the only or, the most common of the driving distractions. 

The two most common causes of distraction-related accidents are “rubbernecking” (looking at outside objects/events) and adjusting the car radio/CD player.  Cell phone use was reportedly 8th on that list.  The use of a cell phone to text is limited because it is relatively new.  However, a preliminary report from the University of Utah found a 6-fold increase in distraction related accidents when texting.  The obvious concerns include the eyes off the road and in some cases, the hands off the wheel required for texting/email. Of interest, about 50% of drivers between 16 and 24 years of age compared to 22% of 35-44 year olds have admitted to texting while driving.  Some recent highly publicized MCV’s caused by texting drivers include a May 2009 Boston trolley car driver and, the 2008 Chatsworth train collision that killed 25 people.

A July of 2009 Virginia Tech report of video footage of 200 long haul truck drivers who drove over 3 million combined miles, reported 81% of safety critical events involved driving distractions.  They found texting had the greatest relative safety risk at 23 times more likely with their eyes being off the road for 4.6 out of a 6 second during a safety critical event.  Another significant cause of driver distraction is drowsiness, which increased the driver’s risk of a crash or near-crash by 4 times, reaching for a moving object increased the risk by 9 times, looking outside/rubbernecking = 3.7 times, reading = 3 times, applying makeup = 3 times, dialing a cell phone = 3 times and talking or listening on a hand-held devise = 1.3 times.  Eating while driving is also a risk.  

As a service to you, we would appreciate it if you would share this information with family and friends so we can all drive more safely and live longer, healthier lives! 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 and we would be honored to offer our services to you. 

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not Ready Yet…No Problem.

To Receive These “Weekly Health Updates” Via E mail Send An Email To:
Subscribe@WeeklyHealth Update.com And In The “Subject” line/Field, Simply Type: 1178GOME

Thank you for your time in reading my article. 
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.TheChiropracticImpactReport.com
www.USchirodirectory.com

Whiplash – The Cause of Pain

Many patients ask the question: “…why do I hurt so much now, and hardly hurt at all right after the accident?”  Another common question is: “…why neck pain after a minor car collision can last so long?”

A study that investigated chronic pain and dysfunction in whiplash cases reported a soft tissue origin for injuries associated with low-speed collisions. This means the pain comes from the muscles, ligaments, joint capsules, the disk, but not from a pinched nerve that would send pain down the arm and/or create hand numbness or grip weakness.  The study also reported the point at which the neck buckles would only take one fifth to one-fourth of the weight of the person’s head (approximately 2.5 to 3 pounds) if one were to remove all of the supporting muscles, ligaments, and joint capsules.  With the muscles and soft tissues intact, there is a very complex buckling pattern that occurs in the neck during most rear-end collisions where the lower half of the neck bends opposite to that of the upper half creating an S-shaped curve (when looking at the neck from the side).  When this occurs, the vertebrae in the lower half of the cervical spine extend backwards while the upper half flex forwards, stretching the ligaments beyond the maximum elastic point and tissue tearing occurs. When ligaments stretch or strain, microscopic tearing starts at only 3-5% of tissue strain and when the strain reaches 7-8%, the ligament begins to lose its load carrying capacity and more significant tearing occurs.  Unfortunately, none of this can be seen on a standard x-ray and usually goes undiagnosed.

Many variables exist that make assessing the amount of tissue damage difficult to predict or understand.  One of these variables is the strength and amount of elasticity of a ligament prior to tearing. Also, the age, gender, and phenotype – that is, skinny, normal, or over weight – makes a difference.  Generally, due to a reduced muscle mass in a female compared to most males, women are at greater risk of injury.  The position of the person in the car, whether a seatbelt was used or not, if the head was turned before impact, if the collision was anticipated prior to impact, the speed at which one person compared to another can voluntarily contract a muscle are all additional factors affecting the degree of injury and corresponding pain.  Another factor is the size of the spinal canal (the place where the spinal cord runs from the brain to the low back) as some people are born with narrow canals, making them more susceptible to injury. Other neurological variables include the degree of the excitability of the nervous system as the more excitable, the lower the pain threshold and pain is perceived more quickly. The type of pain from the deep tissues (ligaments, joint capsules, etc) is different than pain arising from superficial tissues as the former lasts longer and doesn’t follow known neurological pathways into an arm.  Also, over time, if pain becomes chronic (pain lasting >3 months), a significantly lower pain threshold is found in these cases vs. normal control subjects.

Hence, when discussing your case with our office, it is important that you share your history of the accident, the time it took after the impact for symptoms to be initially noted, whether it is gradually worsening over time, and any other symptom that is unique to your situation that may not have been discussed here.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Thank you for reading my article. The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since back pain, neck pain and headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Weekly Health Updates” Via E mail Send An Email To:
Subscribe@WeeklyHealth Update.com And In The “Subject” line/Field, Simply Type: 1178GOME

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.TheChiropracticImpactReport.com
www.USchirodirectory.com

                      Whiplash! Do I Need an Attorney?
When you hear the word, “whiplash,” it brings to mind many different thoughts – motor vehicle collision (MVC), neck pain, headaches, concussion, jaw pain, litigation, car damage estimates – possibly a new car, medical costs, doctor’s appointments, sleepless nights, and more.  Questions typically asked when a MVC occurs include the following:  1. Do I need to get an attorney? 2. What can I expect for recovery time from my neck pain? 3. Why is it taking so long to get my car fixed? 4. Should I talk to the insurance company when they call? 5. I have to give a deposition next week.  What is that? 6. My case didn’t settle and we’re going to court. How do I prepare for that? 7. The insurance company is offering $XXXX.XX for a settlement.  What do you think my problems will be down the road?

Let’s take a look at these!

1.      Should you obtain the services of an attorney?  If you want to significantly reduce your stress when it comes time to negotiating with the insurance company, especially towards the end of the process, then YES!  Needless to say, you HAVE TO seek council if you plan to not settle and need to go to court.  However, you do not have to get an attorney immediately unless you just don’t want to deal with the insurance company at all. Typically, it’s worth having an attorney as they are experienced in “…the process.”

2.      Recovery from neck pain can vary between a simple strain at 2-6 weeks to a herniated disk that may require surgery. We recommend you ask us this question about once a month as it will help you decide about this as well as questions 1 and 7.

3.      The insurance company may delay the payment of the car repair costs for a number of reasons.  Until the insurance company inspects the car’s damages, they will not authorize the repair shop work, which can take weeks!

4.      If you have hired an attorney, he/she will communicate for you.  If not, it is appropriate for you to communicate with the insurance company.  The important thing is to NOT settle the claim until you’re sure you can do all of your pre-MVC activities without difficulty or pain, which often can take a full year or more.

5.      These are call “discovery depositions” where you will be asked questions about the accident such as, where you hurt, what you can and can’t do since the MVC, what tests and treatment you’ve received and what the results were. Your attorney will tell you the strengths and weaknesses of your case. The deposition “process” is quite easy and there is no reason to feel intimidated.  Most attorneys are very courteous and will treat you kindly so don’t worry unnecessarily!

6.      Preparing for court is similar except you can’t ask questions – they ask & you answer!  Your attorney will tell you to answer only the question being asked and your attorney will later be able to ask you to clarify what was “left out.” Always be kind, courteous, and NEVER let the other attorney get you angry!

7.      See #2 above.  If you have ongoing radiating pain in your arm (from your neck) or leg (from your low back), the “prognosis” for complete recovery is less favorable. Similarly, if you have ligament damage in your neck, there will probably be an accelerated pace of arthritis formation that may not bother you much for 5-10 years or longer but may later in life.  We, as your expert witness, will describe your “impairment” and bring this to the jury’s attention.

We hope this information is of help to you! We at Sayville Immediate Chiropractic Care realize that you have a choice in where you go for your health care needs.  We truly appreciate your consideration in allowing us to help you through this potentially difficult process.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

Since neck pain and headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No problem.

To Receive These “Weekly Health Updates” Via E mail Send An Email To:
Subscribe@WeeklyHealth Update.com And In The “Subject” line/Field, Simply Type: 1178GOME

Thank you for your time in reading my article.
Please check out the links below for further reading on other health related material.
www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.SayvillePainRelief.com
www.TheChiropracticImpactReport.com
www.uschirodirectory.com

                                                  Whiplash – The Cause of Pain
Many patients ask the question: “…why do I hurt so much now, and hardly hurt at all right after the accident?”  Another common question is: “…why neck pain after a minor car collision can last so long?”

A study that investigated chronic pain and dysfunction in whiplash cases reported a soft tissue origin for injuries associated with low-speed collisions. This means the pain comes from the muscles, ligaments, joint capsules, the disk, but not from a pinched nerve that would send pain down the arm and/or create hand numbness or grip weakness.  The study also reported the point at which the neck buckles would only take one fifth to one-fourth of the weight of the person’s head (approximately 2.5 to 3 pounds) if one were to remove all of the supporting muscles, ligaments, and joint capsules.  With the muscles and soft tissues intact, there is a very complex buckling pattern that occurs in the neck during most rear-end collisions where the lower half of the neck bends opposite to that of the upper half creating an S-shaped curve (when looking at the neck from the side).  When this occurs, the vertebrae in the lower half of the cervical spine extend backwards while the upper half flex forwards, stretching the ligaments beyond the maximum elastic point and tissue tearing occurs. When ligaments stretch or strain, microscopic tearing starts at only 3-5% of tissue strain and when the strain reaches 7-8%, the ligament begins to lose its load carrying capacity and more significant tearing occurs.  Unfortunately, none of this can be seen on a standard x-ray and usually goes undiagnosed.

Many variables exist that make assessing the amount of tissue damage difficult to predict or understand.  One of these variables is the strength and amount of elasticity of a ligament prior to tearing. Also, the age, gender, and phenotype – that is, skinny, normal, or over weight – makes a difference.  Generally, due to a reduced muscle mass in a female compared to most males, women are at greater risk of injury.  The position of the person in the car, whether a seatbelt was used or not, if the head was turned before impact, if the collision was anticipated prior to impact, the speed at which one person compared to another can voluntarily contract a muscle are all additional factors affecting the degree of injury and corresponding pain.  Another factor is the size of the spinal canal (the place where the spinal cord runs from the brain to the low back) as some people are born with narrow canals, making them more susceptible to injury. Other neurological variables include the degree of the excitability of the nervous system as the more excitable, the lower the pain threshold and pain is perceived more quickly. The type of pain from the deep tissues (ligaments, joint capsules, etc) is different than pain arising from superficial tissues as the former lasts longer and doesn’t follow known neurological pathways into an arm.  Also, over time, if pain becomes chronic (pain lasting >3 months), a significantly lower pain threshold is found in these cases vs. normal control subjects.

Hence, when discussing your case with our office, it is important that you share your history of the accident, the time it took after the impact for symptoms to be initially noted, whether it is gradually worsening over time, and any other symptom that is unique to your situation that may not have been discussed here.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Thank you for reading my article.

Since neck pain and headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No problem.

To Receive These “Weekly Health Updates” Via E mail Send An Email To:
Subscribe@WeeklyHealth Update.com And In The “Subject” line/Field, Simply Type: 1178GOME

Thank you for your time in reading my article.
Please check out the links below for further reading.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.HelpYourDiabetes.com
www.SayvillePainRelief.com
www.TheChiropracticImpactReport.com

                                        
                     Chiropractic Treatment of Whiplash        

Whiplash is basically an injury to the muscles, the muscle attachments (tendons), ligaments, and sometimes the nerves that exit the cervical spine.  The degree of injury is highly variable and depends on many factors, some of which include gender/body size (slender woman are especially at risk), awareness of the impending collision, head position at time of impact, the angle of the seat back (bent back is worse that upright), the position of the headrest (too low is common), the amount of vehicle damage (less damage can be worse due to energy transferred to the contents/occupants), the speed of the collision, and many others.

Therefore, when discussing the treatment approaches used by chiropractors, it is not appropriate to generalize since each case is so unique.  With that said, when a whiplash patient visits a chiropractor, the first step is obtaining as much information as possible.  A thorough history and examination are important in determining the treatment plan and help to determine severity of the injury.  Chiropractors often offer different types of treatment that may include: manipulation, physical therapy modalities such as muscle stimulation, relaxation, ultrasound, low level laser therapy, cervical traction, and others. Spinal manipulation (often referred to as an adjustment) addresses joint dysfunction and can be performed with one of several approaches. The first and quite common approach uses a high velocity, low amplitude (quick) approach where joint cavitation (the “crack”) often occurs.  Another approach is a low velocity, low amplitude technique where mobilization is used, which is more of a stretch to the end-range of intersegmental (between the vertebrae) motion and rarely, is there joint noise/cavitation. Varying degrees of “amplitude” or, the degree of stretch can be used, depending on patient comfort.

Muscle relaxation or stimulation is performed for muscle dysfunction, which may include relaxation or stimulation techniques.  Gentle stretches to a muscle that has excessive tightness or, repeated contractions of a weak (“inhibited”) muscle is also commonly utilized and very helpful when muscle dysfunction is present.

Exercises are frequently prescribed by chiropractors.  An example includes the McKenzie exercises, while others include stabilization and sensorimotor exercises.  These are taught in a supervised manner and when it is safely performed and understood, they can be performed at home, work, outside the office setting.  It may require a few sessions to ensure accuracy of the exercise performance.  Because of muscle spasm, joint dysfunction, and pain, patients often develop faulty postures or compromised movements that become “bad habits.”  To break these “bad habit” positions/postures, stabilization and sensory-motor retraining exercises can be very helpful.  These exercise retrain the nervous system to achieve better coordination and control movements and to maintain stability of the weakened neck muscles.

Advice on bend/lift/pull/push and/or work related activity is extremely important in order to avoid repeat exacerbations or “flare-ups” if not properly dwelt within the clinic.  Advice on recreational and home related activities is also very important for the same reasons.

The chiropractic whiplash treatment plan is unique for every individual person given the significant number of variable initially discussed.  One or more of the approaches discussed may be utilized.  If needed, chiropractors often partner with other doctors if there are medication or surgical requirements.  If you, a loved one, or a friend is struggling with whiplash residuals from a motor vehicle collision, you can depend on receiving a multi-dimensional chiropractic assessment and therapeutic approach at this office. We sincerely appreciate your confidence in choosing our office for your health care needs!

Since neck pain and headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No problem.

To Receive These “Weekly Health Updates” Via E mail Send An Email To:
Subscribe@WeeklyHealth Update.com And In The “Subject” line/Field, Simply Type: 1178GOME

www.http://sayvillechiropractor.com
www.Spine-Health.com
www.drfrankgomezblog.com,
www.thechiropracticimpactreport.com
www.uschirodirectory.com

 Whiplash – Which Treatment Method Is Best? 

            Whiplash, or better termed, cervical acceleration-deceleration disorder (CAD) is primarily an injury to the soft tissues of the neck – that is, the muscles, their tendon insertions, and the ligaments that hold the joints firmly together.  Neck pain is a very common health problem that affects between 10–15% of the population and drives people to all types of health care providers. We have previously discussed the reasons why whiplash /CAD injuries occur, the examination process and the prognosis aspects but the argument continues as to what treatment methods work the best when managing patients with CAD.

            In the May 21, 2002 issue of the Annals of Internal Medicine, a group of medical doctors and PhD’s reported on neck pain treatment comparing traditional medical and physical therapy approaches verses spinal manipulation. In the study, they compared three common neck pain treatment approaches in a group of 183 patients with chronic neck pain (patients who had neck pain for more than 3 months). The 3 methods included traditional medical care which included medication utilization and rest, manual therapy (chiropractic adjustments) and physical therapy (active exercise training). After 7 weeks of treatment, the percentage of patients who felt either totally resolved (cured) or much improved were 68.3% receiving manual therapy / chiropractic care, 50.8% receiving physical therapy, and 35.9% receiving medical care. The author, Jan Lucas Hoving, PhD reports that manual therapy / chiropractic was found to be more effective than the other 2 methods “…on almost all outcome measures,” not just a few! Further, although PT scored better than traditional medical care, “…most of the differences were not statistically significant,” meaning, not that much better.  The authors appropriately reported that further study was needed to better understand the differences between methods.

            In 2008, the “Decade Task Force” reviewed 10 years of studies on the treatment of neck pain and found similar results and referenced many studies that indicated spinal manipulation for neck pain, headaches, whiplash, and other neck related conditions was one of the most effective methods and that patients with neck pain should be given the option of receiving manual therapy / chiropractic before other approaches as it was found to be less expensive, faster in obtaining satisfying results (shorter course of disability), and most effective in terms of long-term benefits.

            This comparison discussion is by no means meant to minimize the importance of medical and PT care. However, there appears to be a bias among patients with neck pain to seek medical care first when the studies clearly show chiropractic care is the preferred method. Hence, the purpose of this article is to educate the reader that their choice in treatment for neck pain should favor chiropractic care FIRST, not last. In fact, the sooner manipulation can be applied to the injured joints of the neck, typically the faster the results.  For example, long term disability and chronic neck pain can occur from prolonged use of a cervical collar as the structures tighten and stiffen up from being immobile – unable to move because of the collar.  Unless there is some unstable condition to the neck (fracture, grade 3 ligament tear, progressive neurological loss, etc.), studies support manipulation / early mobilization of the neck joints after injuries like whiplash verses wearing a cervical collar and rest. 

            We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Thank you for Reading,

Dr. Frank Gomez

www.http://sayvillechiropractor.com
www.drfrankgomezblog.com

4844 Sunrise Highway
Sayville, NY 11782
(631) 991-3492

Chiropractic Treatment for: Neck Pain, Back Pain, Headaches and Shoulder Pain
No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

The Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR WHIPLASH!

FOR A FREE NO-OBLIGATION CONSULTATION

CALL DR. GOMEZ AT 631-991-3492

                     How to Improve Your Odds of Crash Survival 

You might ask, what does this headline have to do with chiropractic?  It’s often said case management or patient care is much more than just what we do to our patients (such as in chiropractic, applying a spinal adjustment). The patient education portion of our care plan can frequently make or break a successful outcome in a case.  It is the goal of this Health Update to potentially save your life by empowering you with the knowledge needed when it’s time to purchase your next car.  This is about what specific automobile features contribute to crash survival – hence, saving lives!

Did you know the car you choose can improve the odds of crash survival by 400%? In the popular magazine Consumer Reports, they wrote, “Ultimately, safety is active and passive, balancing the ability to avoid an accident and to survive one.” Typically, the first thing we do as consumers when we consider safety in a particular car is to look at the crash-test results.  While this is important, we must first consider the size and weight so we compare crash-test results between cars in the same weight class since statistics show there are two times as many occupant deaths annually in small vs. large cars. Keeping size and weight in the foreground, when evaluating crash-test results, the front and rear end “crumple zone” of the car should be designed to absorb crash forces by buckling and bending in a serious collision. If you’ve ever watched race cars crash, you usually see car parts bend and break off as they bounce off the guard rail or other cars, sometimes to the point where all that is left is the cage surrounding the driver.  Amazingly, the race car driver often climbs out of the cage and walks away, seemingly unharmed.

The next important car feature to consider is a car with a structurally superior passenger compartment. Look for a high quality “restraint system” made up of 3 components: seat belts, airbags, and head restraints. These work together to keep us safe and in place during a crash while the outside of the car crumples, absorbing the energy of the crash.

So where do you look to get this information?  There are several resources available:

1.            The NHTSA (National Highway Traffic Safety Administration) tests front end impacts at 35 mph, and in 1997 added side impact tests at 38 mph.  They also test for the rollover potential for SUVs and trucks and grade the results for each category from 1 to 5 stars representing the likelihood of suffering a life-threatening injury in a crash. 

2.            Since 1995, the IIHS (Insurance Institute for Highway Safety) has used a method reviewed by Consumer Reports as being more realistic by crashing only half of the vehicle at similar speeds into fixed barriers, since most crashes are not direct, whole car strikes.

3.            Consumer Reports is a 3rd option. They integrate the data from both NHTSA and IIHS and gives us their “CR Safety Assessment,” and run 40 new cars each year through numerous individual tests. 

Other important “accident avoiding” features often overlooked include: Tires – greatly impact braking and emergency handling so REPLACE them as needed; Braking-check for the distance required to stop the car at different speeds- the shorter, the better;Emergency Handling-data about accident avoidance and choosing a vehicle with electronic stability control (ESC), especially in SUVs is wise; Acceleration-the quicker a car can get to highway speeds, the better; Driver position and visibility-a good view of the surroundings, especially the “blind spots” is important.  We realize you have a choice in where you go for your health care needs and we truly appreciate your consideration in allowing us to help you.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Thank you,
Dr. Frank Gomez

www.http://sayvillechiropractor.com
www.DrFrankGomezBlog.com

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR WHIPLASH!

FOR A FREE NO-OBLIGATION CONSULTATION

CALL DR. FRANK GOMEZ @ 631-991-3492


Whiplash and Work

Does this sound familiar? It’s fictional but a rather typical scenario affecting thousands of American drivers:

“Last week, I was waiting at a red light and a car came up from behind and ran into the back end of my car.  It was a low speed collision without a lot of damage to either of our cars.  Surprising, I felt quite a jolt and my head even hit the headrest.  I didn’t bother getting the name or phone number from the person that hit me because I didn’t hurt at the time and besides, there was no real damage that I could see to my car or the other person’s car.

“About a half hour later, I noticed my neck felt stiff when I turned to check traffic on my right and I felt really sharp pain before I could turn the whole way.  The pain was bad enough to make me yell and when I brought my head back to the front, the pain didn’t go away – in fact it felt worse.  When I woke up the next day, I could hardly turn my head at all and, I had a terrible headache.  The pain was so bad that even 4 Advil didn’t touch it.

“I couldn’t decide what type of doctor to see for this.  I knew if I went to my family doctor, he’d put me on a bunch of pills but I have to drive forty five minutes to my job and I have two small kids that require my attention.  I had seen an ad for a chiropractor a while back and I wondered what they would do for something like this.  I knew I had to do something and fast!

“So I decided to go to a chiropractor a friend of mine recommended and I was really surprised when I got there.  The doctor was really attentive and seemed to know exactly what was going on.  It was explained to me that I may have been hurt MORE than I might have been had the speed of the other car been going even faster because crushing metal absorbs the shock where in my case, no car damage resulted in more shock to me.  This made sense because I had some books on the other seat that flew off when I was hit, which I forgot about until we were talking.  I also learned that even if I knew I was going to get hit, I wouldn’t have been able to brace myself enough to avoid injury as the speed of the force moves the head and neck quicker than what I can tighten my muscles.  The chiropractor showed me some charts that helped explain all this and why my neck hurt and where the headaches come from.  I also learned NEVER assume no car damage means no injury.

“The best part was right after the adjustment, I felt immediate improvement with better movement and less pain. I also was told to put ice on my neck, which helped a lot more than heat did. I’m now doing exercises and really feel good! I can’t tell you how happy I am that I chose a chiropractor to help me!”

Patients who have similar experiences are afraid of having a long, drawn out problem and missing work.  You have many choices when it comes to choosing a health care provider for your injury and other health care needs.  I truly appreciate your trust and confidence in our service when choosing to visit my clinic when you need help!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Thank you,
Dr. Frank Gomez

www.http://sayvillechiropractor.com
www.drfrankgomezblog.com

Please contact our office if you, your family or friends are suffering with injuries sustained in a motor vehicle collision.
                               


                           The Whiplash Syndrome: Cervical Traction 

Whiplash injuries include damage to the soft tissues of the neck such as muscles, tendons, ligaments, and myofascial tissues. The degree of injury is typically graded on a 1-3 scale from least to most tissue damaged, respectively. A grade 1 sprain (ligament injury) or strain (muscle or muscle tendon injury) includes minimal tissue disruption or tearing while grade 3 sprains and strains include significant tissue tearing and subsequently longer healing times with greater chance of long-term residual problems. More severe whiplash injuries can result in fracture but those types of injuries are not indicated for traction forms of therapy until after the fracture heals and stability is restored to the neck. So, the question is, what role does cervical traction play in the management of neck pain associated with whiplash?

In whiplash injuries, when it feels good to the patient to have someone pull on their neck, that person is a candidate for cervical traction. The amount of weight or traction force and length of time are based on patient comfort and are highly variable. Therefore, it is important to start with a low enough weight so injury to the patient from the traction therapy is avoided. Typically, 5#/15 minutes is a safe starting point, gradually increasing the weight to a maximum tolerated level.

Many insurance companies, based on the published literature regarding cervical traction, regard it as a “medically necessary” form of treatment and hence, a covered service. There are many different cervical traction devices available for home use of which the over-the-door traction unit is typically the least expensive and in some cases mandated prior to insurance allowance for a more expensive pneumatic cervical traction device. Unless there are reasons that over-the-door traction is not tolerated such as jaw pain (due to the chin strap pressure), this approach is commonly utilized. This device includes a water bag that is calibrated for water weight and can be done multiple times a day, depending on each case. There is also a collar-type of traction unit which allows the patient to move around rather than sit in one place. However, the amount of weight is better regulated with the water bag/sitting type. There are laying down types of neck traction which can also be regulated accurately for weight. These tend to be more expensive and insurance companies may require use of the less expensive over the door type first, unless there is a medical reason that a chin strap is not tolerated. Below are pictures of the different types of units available.

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Thank you,

Dr. Frank Gomez

www.http://sayvillechiropractor.com

Thank you for your time in reading my article.
Please check out the links below for further reading.

www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.HelpYourDiabetes.com
www.SayvillePainRelief.com
www.TheChiropracticImpactReport.com
www.uschirodirectory.com

Whiplash: Where’s the Pain Coming From?

Whiplash commonly occurs as a result of a motor vehicle collision when, typically, there is hyper-motion in one direction followed by motion in the opposite direction in a crack the whip like manner.

The direction of the strike typically dictates the direction of movement of the head so in a rear end collision, the strike is from behind, whipping the head forwards and then backwards. In a side-on collision, a side-to-side motion results. Pain can occur anywhere around the neck, upper back, arms, chest and/or head, depending on the tissues that are injured. Soft tissues including the muscles, their tendon insertions, ligaments that securely tie bone to bone, the shock absorbing disk in the front of the vertebral column, and/or the nerves that pass through the holes of the spine that innervate the arms and hands can be affected by these injuries.

There can be jaw pain, difficulty in swallowing, balance / dizziness problems, fatigue, as well as concussion or mild traumatic brain injury which can lead to poor concentration, sleep interference, and memory loss. Low back pain and/or trunk pain can occur from the seatbelt and/or airbag deployment.

The injuries associated with whiplash can lead to disruption of normal daily activity, depression and anxiety. There can be immediate symptoms or a delay in the onset and pain with its associated disability can last for days, weeks, months, or longer, depending on each case.

Last month, we discussed the grades 1, 2, and 3 or, mild, moderate, severe sprains (ligament injuries) and strains (muscle injuries). Previously, we discussed methods of prognosing the lasting effects of the injury in a reported classification system called whiplash associated disorders or WAD I, II, III. & IV. Here, the differentiating feature is pain with no objective exam findings (WAD I), the presence of objective loss of motion but negative neurological findings (WADII) or, the presence of measurable neurological dysfunction (WAD III). Studies have shown that the likelihood of prolonged injury increases with each WAD grade.

A side-to-side or front-to-back mechanism of injury can result in damage to the ligaments in the back of the spine called the supra- and inter- spinous ligaments, the disk and/or nerve root that exits the spine allowing the arm and hand to sense and be strong (when it’s not pinched or damaged like in a WAD III) and/or, the bone which can compress when the force is hard enough (WAD IV). A concussion can occur when the brain bounces against the inside of the skull.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Thank you,

Dr. Frank Gomez

www.http://sayvillechiropractor.com
www.DrFrankGomezBlog.com

Whiplash and Your Ligaments

Most people who get a whiplash-like injury think it is caused by a problem in their muscles. It’s easy to see this why this may be the case since muscle pain following car accidents is so common. Deep pain and even spasm can occur after severe trauma resulting in daily pain and even headaches. Since our 10-12 pound head is attached to our necks by muscles that go into the shoulder region, whiplash can feel like a muscle pull and taking muscle relaxants seems a reasonable approach.

Although tears of muscles fibers do occur in whiplash, these can heal rather quickly due to the rich blood supply. The ligaments hold the joints of the neck together keeping the nerves from being pressed upon and stretched. These are the structures that are critically injured during whiplash. The muscles that contract to protect the joints from moving too much are generally less of a problem than when the ligaments are injured. A recent study (BMC Musculoskelet Disord 2006;21:103) showed that after whiplash, the strength of the neck ligaments is further reduced. This means that you are more susceptible to getting injured if you previously suffered a trauma.

To detect ligament injuries you can look at MRIs immediately after the trauma. In many cases they can show small tears or the inflammation and swelling that goes with tears of these important structures.

You can also have stress x-rays taken in the positions of forward and backward bending. These types of x-rays can show which ligaments have been traumatized and are allowing the bones of the neck to move too much. When this increased motion is severe, this is called instability. Some newer MRI machines can scan in different positions so that the tears and their motion effects are seen with one test. Some people may find the MRI scanner to be a bit restrictive or claustrophobic. X-rays are usually the most practical and least costly choice.

We at Sayville Immediate Chiropractic Care realize that you have a choice in where you choose your healthcare services.

If you, a friend or family member requires care for headaches, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Thank you For Reading,

Dr. Frank Gomez

www.http://sayvillechiropractor.com


Whiplash Facts

Whiplash is a fairly common condition that occurs when the neck is suddenly forced forwards and backwards, usually from motor vehicle collisions. Before 1928, whiplash was sometimes called “railway spine” as it was used to describe injuries that occurred to people involved in train accidents. Since 1928, much has been studied and reported about this condition and in 1995, the term, “whiplash associated disorders” or WAD, was introduced. The WAD classification of whiplash patients includes 3 main category (WAD I, II and III) and a few years later, WAD II was broken into 2 sub-categories (WAD I, IIa, IIb, III). This occurred because some patients in WAD II took a longer time to heal than others.  Here are the basic definitions of WAD I, II, III:

1.            WAD I: Patients have complaints but no objective findings meaning we cannot reproduce your pain during our examinations

2.            WAD IIa: Patients have complaints with objective findings but a normal range of movement of the neck and no neurological findings (normal strength and sensation ability)

3.            WAD IIb: Same as WAD IIa except here, neck movements are decreased

4.            WAD III: Here, neurological abnormal findings (weakness and/or sensation) are present.

5.            WAD IV: Includes fractures and dislocations.  Because of this unique difference, this category is often left out of the research that uses this category system to determine prognosis of the WAD case.

This system is very useful as it has the ability to predict the results in a case long before the conclusion of the case.

We have discussed the cause of whiplash in previous articles and what happens when we are hit from behind unexpectedly.  In essence, we cannot guard against the abnormal forces that occur in the neck as it all happens faster than we can voluntarily contract our muscles. Also, the myth about no car damage =  no injury is just that – a myth!  In fact, in low speed impacts, less damage to the car transfers greater forces to the contents inside because the energy of the force is not absorbed by crushing metal (elastic vs. plastic deformity).

Symptoms of whiplash vary widely. Most common symptoms include neck pain and stiffness, headache, shoulder pain/stiffness, dizziness, fatigue, jaw pain, arm pain, arm weakness, visual disturbances, ringing ear noises, and sometimes back pain.  If symptoms continue and chronic WAD occurs, depression, anger, frustration, anxiety, stress, drug dependency, post-traumatic stress syndrome, sleep disturbance, and social isolation can occur.

Diagnosis is based on the history, physical exam, x-ray, MRI, and if nerve damage occurs (WAD III), an EMG. Treatment includes rest, ice and later heat, exercise, pain management and avoiding prolonged use of a collar.  Chiropractic includes all of these as well as manipulation, mobilization, muscle release methods, and patient education. Prompt return to normal activity including work is important to avoid the negative spiral into long term disability.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Thank you for your time in reading my article.

Please check out the links below for further reading.
www.SayvilleChiropractor.com
www.DrFrankGomezBlog.com
www.HelpYourDiabetes.com
www.SayvillePainRelief.com
www.TheChiropracticImpactReport.com
www.uschirodirectory.com

Whiplash Avoidance

Whiplash, or more properly stated, Whiplash Associated Disorders (WAD), is usually associated with car accidents, slip and falls and sports injuries. It is a very common injury affecting millions of people around the world, and costing health care systems billions of dollars. The question of the month is, what can we do to AVOID or prevent whiplash?

STEP 1. SHOP FOR A SAFER CAR.   There are many resources that you can review such as the “Insurance Institute for Highway Safety” that have published ratings for the safest seats, head restraints, and include many makes and models of cars, SUV’s and trucks. For example, Volvo and Saab have recently designed car seats where the seat back collapses backwards upon impact so as to minimize the rebound response in a rear-end collision, thus minimizing the head and neck from whipping back and forth. Therefore, before YOU purchase your next car, compare the vehicle’s structural design, its size and weight, the restraint systems, the airbags, the head rests, as well as crash avoidance features. Remember, in general, small cars put you at greater risk simply due to the small mass equaling less protection.

STEP 2. POSITION THE HEAD RESTRAINTS PROPERLY.   This means put them in their “up” position. The most common problem with head restraints is that they are placed too low and offer little to no protection if and when you are struck from behind. In fact, 80% of cars have the head restraint in the low or “down” position, which (surprisingly) is WORSE than having no head restraint at all! This is because when the head restraint is too low, it acts like a fulcrum, hitting the middle of the neck promoting MORE hyperextension when compared to having no head restraint whatsoever. Remember, head restraints are designed to fit an “average man,” making it challenging for a tall or short person to obtain a good fit. A good position for a head restraint is within 1 inch of the back of the head and 1-2 inches above the mid-portion of the head as “ramping” often occurs especially if the seat back is reclined backwards, and the whole body slides up and over the head restraint.

STEP 3. PREPARE FOR THE CRASH.    This actually may NOT be possible since the “whipping” action happens within 500 milliseconds and voluntary muscle contraction is about twice as slow, not to mention that the crash can occur at lightning fast speeds leaving you with little time to prepare. However, if you do have time to prepare, do the following: 1. Put your head and neck all the way back into the seat back and a properly adjusted head restraint so that there is firm contact. 2. Extend the elbows and straighten the arms gripping firmly onto the steering wheel in preparation to brace yourself. 3. Place your foot on the brake as firmly as possible (assuming that you are stopped in traffic). 4. Look straight ahead avoiding neck or head rotation. 5. Tilt your head back slightly so that your eyes are pointed toward the top of the windshield. 6. Prior to impact, shrug your shoulders upwards toward the ears and brace yourself firmly.

STEP 4. SEEK IMMEDIATE TREATMENT.  It is critical to obtain treatment as quickly as possible as there is a tremendous advantage to start treatment especially with the first 2 weeks post-collision to avoid the likelihood of a chronic potentially disabling condition.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.


Whiplash and Side Collisions

Whiplash is most commonly studied when it is a result of a rear collision where the occupant of the vehicle is injured from a flexion (forwards) and extension (backwards) whip-like mechanism of injury, but what happens when a T-bone type of impact occurs?

The answer to this question is quite similar to many of the factors associated with any collision: the size of the bullet vs. target vehicle, the speed at which the collision occurs, the deployment or lack thereof of the airbag(s), the position of the neck at the time of impact, the build of the patient (skinny/tall vs. muscular), the road conditions, the springiness and angle of the seat back, and so forth. Unique to side impacts is the location of the strike to the target vehicle (front, middle, rear) and perhaps more importantly, the lack of space between the occupant and the point of the strike as there is a relatively shallow crumple zone between the occupant and the side of the vehicle.

Probably one of the best examples of how side impacts from different angles can be appreciated is to think about what happens to a person when they ride the Bumper Cars at the local fair. Though many fairs have now banned that ride, you may recall participating or watching those kids who were having fun. When a bumper car is struck in a classic T-Bone manner in the front end, the target car is spun around and the occupant hangs on for dear life. Similarly, a side strike from to the rear of the bumper car spins the back end around. When the occupant is aware of the impending crash, they grip the wheel, tuck their head by shrugging their shoulders and make their body rigid and typically, do not get whipped around as much as those that don’t anticipate the impact. Because the bumper cars don’t dent or crush (that is, there is no plastic deformity where damage occurs, only elastic deformity where there is no damage or, no energy absorption by crushing of the car), ALL of the crash energy is transferred to the occupant or the contents. If a person has a purse lying on the floor of the bumper car, it can go flying out and spill all over. Similarly, the person who is unaware of the impending collision will go flying, giving great satisfaction to the driver of the bullet bumper car.

When considering factors such as plastic vs. elastic deformity, side air bags, and the shallow crumple zone on the sides of motor vehicles, some manufactures stand out in their ability to protect the occupants in side impact collisions. Generally, those vehicles with a stiff side and roof structure have been found to be the best in protecting the occupant from injury by maintaining the survival space and dissipating the energy, or force, of the impact away from the occupant. Manufactures that stand out include Volvo, Mercedes, and Subaru. They have had the best design for decades and remain at the forefront for occupant protection in side impact collisions. The combination of energy absorbing side structure design and the side airbag has proven to be one of the most important factors in improving the crashworthiness in side impact collisions. Side air bags became popular in the 1990s. In 2012, more than 95% of all passenger cars sold in the US are equipped with side impact airbags as standard equipment.

We at Sayville Immediate Chiropractic Care realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Vehicle Damage and Whiplash Injury

It has been documented in both medical and scientific studies that the damage to the vehicle is not related to the whiplash injuries suffered by the passengers of the vehicle. Vehicle damage is not proportional to passenger injury. Vehicle damage does not predict the degree of whiplash injury, the severity of symptoms, the duration of required treatment, the probability of suffering from chronic pain, or the acceleration of arthritis to the joints of the neck.

Research has proven that vehicles that do not bend (sustain damage) in a collision will move more. The more a vehicle moves during a collision, the greater the inertial loads to the cervical spine. The larger the inertial loads to the cervical spine, the greater the soft tissue injuries to the joints of the neck.

(American Journal of Orthopedics, 1964
The Spine, 1982
Orthopedic Clinics of North America, 1988
Society of Automotive Engineers, 1990
Injury, 1993
Trial Talk, 1993
Injury, 1994
American Journal of Pain Management, 1994
Society of Automotive Engineers, 1995
Society of Automotive Engineers, 1997
Archives of Physical Medicine and Rehabilitation, 1998
Journal Of Whiplash & Related Disorders, 2002
Spine, 2004
Journal of Neurology, Neurosurgery, and Psychiatry, 2005
Spine, 2005
Whiplash Injuries, 2006)

Whiplash and Side Collisions

Whiplash is most commonly studied when it is a result of a rear collision where the occupant of the vehicle is injured from a flexion (forwards) and extension (backwards) whip-like mechanism of injury, but what happens when a T-bone type of impact occurs?

The answer to this question is quite similar to many of the factors associated with any collision: the size of the bullet vs. target vehicle, the speed at which the collision occurs, the deployment or lack thereof of the airbag(s), the position of the neck at the time of impact, the “build” of the patient (skinny/tall vs. muscular), the road conditions, the “springiness” and angle of the seat back, and so forth. Unique to side impacts is the location of the strike to the target vehicle (front, middle, rear) and perhaps more importantly, the lack of space between the occupant and the point of the strike as there is a relatively shallow “crumple zone” between the occupant and the side of the vehicle.

Probably one of the best examples of how side impacts from different angles can be appreciated is to think about what happens to a person when they ride the “Bumper Cars” at the local fair. Though many fairs have now banned that “ride,” you may recall participating or watching those kids who were “having fun.” When a bumper car is struck in a classic “T-Bone” manner in the front end, the target car is spun around and the occupant hangs on for dear life. Similarly, a side strike from to the rear of the bumper car spins the back end around. When the occupant is aware of the impending crash, they grip the wheel, tuck their head by shrugging their shoulders and make their body rigid and typically, do not get “whipped around” as much as those that don’t anticipate the impact. Because the bumper cars don’t dent or crush (that is, there is no plastic deformity where damage occurs, only elastic deformity where there is no damage or, no energy absorption by crushing of the car), ALL of the crash energy is transferred to the occupant or the contents. If a person has a purse lying on the floor of the bumper car, it can go flying out and spill all over. Similarly, the person who is unaware of the impending collision will “go flying,” giving great satisfaction to the driver of the bullet bumper car.

When considering factors such as plastic vs. elastic deformity, side air bags, and the shallow crumple zone on the sides of motor vehicles, some manufactures stand out in their ability to protect the occupants in side impact collisions. Generally, those vehicles with a stiff side and roof structure have been found to be the best in protecting the occupant from injury by maintaining the survival space and dissipating the energy, or force, of the impact away from the occupant. Manufactures that stand out include Volvo, Mercedes, and Subaru. They have had the best design for decades and remain at the forefront for occupant protection in side impact collisions. The combination of energy absorbing side structure design and the side airbag has proven to be one of the most important factors in improving the crashworthiness in side impact collisions. Side air bags became popular in the 1990s. In 2012, more than 95% of all passenger cars sold in the US are equipped with side impact airbags as standard equipment.

We realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Whiplash Syndrome: Cervical Traction

Whiplash injuries include damage to the soft tissues of the neck such as muscles, tendons, ligaments, and myofascial tissues. The degree of injury is typically graded on a 1-3 scale from least to most tissue damaged, respectively. A grade 1 sprain (ligament injury) or strain (muscle or muscle tendon injury) includes minimal tissue disruption or tearing while grade 3 sprains and strains include significant tissue tearing and subsequently longer healing times with greater chance of long-term residual problems. More severe whiplash injuries can result in fracture but those types of injuries are not indicated for traction forms of therapy until after the fracture heals and stability is restored to the neck. So, the question is, what role does cervical traction play in the management of neck pain associated with whiplash?

In whiplash injuries, when it feels good to the patient to have someone pull on their neck, that person is a candidate for cervical traction. The amount of weight or traction force and length of time are based on patient comfort and are highly variable. Therefore, it is important to start with a low enough weight so injury to the patient from the traction therapy is avoided. Typically, 5#/15 minutes is a safe starting point, gradually increasing the weight to a maximum tolerated level.

Many insurance companies, based on the published literature regarding cervical traction, regard it as a “medically necessary” form of treatment and hence, a covered service. There are many different cervical traction devices available for home use of which the over-the-door traction unit is typically the least expensive and in some cases mandated prior to insurance allowance for a more expensive pneumatic cervical traction device. Unless there are reasons that over-the-door traction is not tolerated such as jaw pain (due to the chin strap pressure), this approach is commonly utilized. This device includes a water bag that is calibrated for water weight and can be done multiple times a day, depending on each case. There is also a collar-type of traction unit which allows the patient to move around rather than sit in one place. However, the amount of weight is better regulated with the water bag/sitting type. There are laying down types of neck traction which can also be regulated accurately for weight. These tend to be more expensive and insurance companies may require use of the less expensive over the door type first, unless there is a medical reason that a chin strap is not tolerated. Below are pictures of the different types of units available.

We realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Whiplash: Where’s the Pain Coming From?Whiplash commonly occurs as a result of a motor vehicle collision when, typically, there is hyper-motion in one direction followed by motion in the opposite direction in a “crack the whip” like manner.

The direction of the strike typically dictates the direction of movement of the head so in a rear end collision, the strike is from behind, whipping the head forwards and then backwards. In a side-on collision, a side-to-side motion results. Pain can occur anywhere around the neck, upper back, arms, chest and/or head, depending on the tissues that are injured. Soft tissues including the muscles, their tendon insertions, ligaments that securely tie bone to bone, the shock absorbing disk in the front of the vertebral column, and/or the nerves that pass through the holes of the spine that innervate the arms and hands can be affected by these injuries.

There can be jaw pain, difficulty in swallowing, balance / dizziness problems, fatigue, as well as concussion or mild traumatic brain injury which can lead to poor concentration, sleep interference, and memory loss. Low back pain and/or trunk pain can occur from the seatbelt and/or airbag deployment.

The injuries associated with whiplash can lead to disruption of normal daily activity, depression and anxiety. There can be immediate symptoms or a delay in the onset and pain with its associated disability can last for days, weeks, months, or longer, depending on each case.

Last month, we discussed the grades 1, 2, and 3 or, mild, moderate, severe sprains (ligament injuries) and strains (muscle injuries). Previously, we discussed methods of prognosing the lasting effects of the injury in a reported classification system called “whiplash associated disorders” or WAD I, II, III. & IV. Here, the differentiating feature is pain with no objective exam findings (WAD I), the presence of objective loss of motion but negative neurological findings (WADII) or, the presence of measurable neurological dysfunction (WAD III). Studies have shown that the likelihood of prolonged injury increases with each WAD grade.

A side-to-side or front-to-back mechanism of injury can result in damage to the ligaments in the back of the spine called the supra- and inter- spinous ligaments, the disk and/or nerve root that exits the spine allowing the arm and hand to sense and be strong (when it’s not pinched or damaged like in a WAD III) and/or, the bone which can compress when the force is hard enough (WAD IV). A concussion can occur when the brain bounces against the inside of the skull.

We realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Whiplash and Muscle Weakness

Published on 30 June 2012 under Whiplash

Whiplash, as previously discussed, occurs quicker than the speed at which we can voluntarily contract our muscles in attempt to guard ourselves against injury. Hence, it is nearly impossible to properly brace in anticipation of an impending collision. When muscles, ligament, and joint capsules become injured, there is pain, and as a result, reflex muscle spasm occurs as the body attempts to “splint” the area to protect it. This sometimes sets up a vicious cycle which can make the pain last longer, hurt more intensely and / or hurt more frequently. Because of pain, as well as direct muscle injury that sometimes occurs in whiplash associated disorders (WAD), the natural tendency is to stop doing many activities and guard against motion both because of pain and the fear of it hurting worse. In both cases, the result is the same: muscle atrophy or shrinkage and muscle weakness due to not using the muscle.

There are other reasons that muscles become weak. When an injury occurs, a herniated or “ruptured” disk can injure the spinal nerves exiting the spine. The disk is like a jelly donut where the center is liquid-like surrounded by a thick ring of fibrocartilage and functions as a “shock-absorber” as it sits between 2 vertebral bodies

Think of the spinal nerves like electrical wires that connect a fuse box to a house. The fuse box is the spinal cord and each wire represents the spinal nerves going to different parts of the house (body). In the cervical spine or neck, each wire goes to different parts like the head, shoulder, arm, and hand and innervates specific areas. Patients who have a pinched nerve from a whiplash injury describe their symptoms as numbness, tingling, pain and/or muscle weakness in a specific distribution or area.

There are 8 pairs of nerves in the neck that travel to different parts of the head (C1-3), the shoulders (C4, 5), and the arm (C6-T2). Let’s say a patient has numbness and tingling down the arm to the 4th & 5th fingers and the pinky side of the hand. That immediately tells us as chiropractors that the C8 nerve is injured (pinched) because that’s the pain pattern of the C8 nerve. Certain muscles are controlled by C8 that we can test in our office to determine if they are weak (abnormal) or strong (normal).

We grade the weakness between 0-5 (5=normal). The chiropractic treatment is aimed at un-pinching the nerve which results in a return of normal nerve function or no numbness/tingling and a strong C8 muscle (finger flexion strength). To accomplish this, we may use a combination of treatments such as spinal adjustments, mobilization, traction, exercises, and/or modalities (electric stim, light therapy, ultrasound or others).

We realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

For more information visit: www.thechiropracticimpactreport.com for any and all questions regarding auto accident injuries.