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Chiropractic Rehabilitation and 4 Stages of Soft Tissue Healing

August 20, 2010 by drburt

The healing process is divided into four broad stages which are not mutually exclusive and overlap considerably.1ST PICTURE2

1. Initial vascular reaction – Active Swelling

2. Inflammatory response – Passive Congestion

3. Proliferative phase – Repair

4. Remodeling 

Wound healing refers to the body’s replacement of destroyed tissue by living tissue (Walter & Israel 1987). It comprises of two essential components whose differentiation is based on resultant tissue: Regeneration and Repair.

TISSUE INJURY CAUSES RESTRICTION OF MOTION DUE TO: SOFT TISSUE SCAR FORMATION

  1. Inflammation & Swelling
  2. Pain
  3. Muscle Spasm 

THE MAJOR GOALS OF CHIROPRACTIC CARE:

  1. Relieve Pain
  2. Promote Full Healing
  3. Restore & Maintain Full Function
  4. Reduce the Likelihood of Re-Injury
  5. Prevent Accelerated Degeneration 

Chiropractic Care Should Continue Throughout the Repair Stage. It Take Longer For Tissues to Heal & Normal Function to be Restored Than it Takes for Pain Relief. Pain Relief is not the Only Goal.  Chiropractic Helps:

  1. Restore Normal Motion, Function & Biomechanics
  2. Improve Alignment of New Connective Tissue
  3. Prevent Shortening of Scar Tissue & Chronic Stiffness
  4. Restore & Maintain Flexibility of Ligaments & Muscles
  5.  Restore Normal Muscle Tone
  6. Promote Quicker, More Effective Healing
  7. Restore & Maintain Normal Sensation
  8. Reduce the Risk of Re-Injury and Degeneration 

STAGES OF SOFT TISSUE HEALING

 

STAGE I: ACTIVE SWELLINGMUSCLE SPASMMUSCLE SPASM.21

  1. Swelling Occurs for 12 to 72 hours
  2. Motion is lost and pain increases 

Goals of Care: Minimize pain and swelling

Care:

  1. Rest & Support of Injured Area
  2. Ice to Block Swelling, Pain, and Spasm 

STAGE II: PASSIVE CONGESTION   

Fluid trapped in tissues restricts motion, causes pain, & delays healing. Begins by second to fourth day

Goals of Care for Passive Congestion:

  1. Remove fluid
  2. Pain Relief
  3. Begin to restore range of motion 

Care:

  1. Chiropractic Adjustments Help
  • restore motion
  • block pain
  • restore normal sensation
  • relax tight muscles
  • remove swelling
  • accelerate healing
  1. Heat and Cold to Remove Fluid
  2. Controlled Motion Exercises
  3. Physical Therapy helps in Some Cases
  4. Acupuncture Can Help With Pain Control 

STAGE III: REPAIR

Beginning 5 days after injury, scar tissue is made for up to 6 weeks.  RELAXED MUSCLES OF THE SPINE

Lack of motion causes excess scar tissue in dense patterns disrupting normal function causing:

  1. Excess Scarring
  2. Chronic Stiffness
  3. Limited Range of Motion
  4. Poor Biomechanics
  5. Chronic Pain
  6. Weak Muscles & Ligaments
  7. Loss of Normal Sensation
  8. Poor Nutrition
  9. Increased risk of Re-Injury
  10. Accelerated Degeneration 

If Motion is Restored & Maintained, Tissues Heal in a Much More Functional Way.

Coals of Repair Stage:

  1. Restore Normal Range of Motion
  2. Restore Sensation
  3. Promote Full Healing
  4. Relieve Pain 

STAGE IV: REMODELING 

Connective tissue remodels for better strength & flexibility. This often takes 3 to 14 week but may take up to 1 year with severe injury.  SOFT TISSUE HEALING

Chiropractic Helps Achieve these Goals:

  1. Improve & Maintain Motion & Flexibility
  2. Restore & Maintain Function
  3. Reduce Chronic Pain
  4. Reduce Risk of Re-Injury & Degeneration

This Post was based on Dr. Malik Slosberg’s Research.

Filed Under: Auto Accidents, Carpal Tunnel Syndrome - CTS, Chiropractic, Low Back Pain, Neck Pain, Personal Injury, Shoulder, Soft Tissue Injury, Spine Tagged With: alternative medicine, biology, chiropractic, Chiropractic Care, chiropractic rehabilitation, connective tissue, healing, manipulative therapy, medicine, pain, pain relief, physiology, rehabilitation, relieve pain, scar tissue, soft tissue, spinal adjustment, stages, stages of soft tissue healing, tissues, traumatology, wound healing

What is Whiplash?

July 31, 2010 by drburt

whiplash1Personal injury is a term often used to describe an injury most commonly caused by a car accident. It may also include other types of injury such as a slip or fall. Whiplash is most commonly associated with rear-end car collisions in which the heads of those in the front car are suddenly snapped back and forth by the impact. It is more accurately called cervical acceleration/deceleration (CAD) trauma or syndrome, which describes the rapid movements that can injure the vertebrae of the neck and the muscles and ligaments that support them.

whiplash2

Who suffers from whiplash?

Anyone can be subjected to whiplash, even in a low-force car crash at speeds as low as 5mph. But injuries associated with whiplash can also result from other mishaps in which the head is pushed or jerked beyond its normal range of motion. Whiplash most commonly causes serious and lingering neck pain, but there may also be back pain, headaches and dizziness. As much as bruising of the brain can sometimes occur in auto accidents. Severe cases of whiplash, may include symptoms such as blurred vision, ringing in the ears, nausea and numbness.
[Read more…]

Filed Under: Auto Accidents, Personal Injury Tagged With: accidents, alternative medicine, car collision, cars accident, cars crash, chiropractic, commonly, injuries, manipulative therapy, medicine, neck, neck pain, pain, personal injury, rehabilitation, san leandro chiropractor, spinal adjustment, symptoms, whiplash, whiplash injury

Car Accident Injury and Chiropractic

June 2, 2010 by drburt

 Untitled 1 copy1  

People who got into a car accident and survived should consider themselves very lucky.  Some  injuries caused by a motor vehicle accident can cause lifetime damage to the body and no amount of treatment could get one back to one old self at 100% copacity. Still, by getting the right treatment, you could get back as much motion and sensitivity to the damaged body part than none.  

The severity of the car crash injury varies from the impact and the passenger’s safety while inside of the car, but the most common car accident injuries are on the face and head, brain, neck, arm and shoulders, back, foot, leg and knee as well as with the psychological injury or post traumatic stress disorders. Of course death is also a possible result of a very traumatic car accident injury. For those who had injuries that are non-life threatening, there are many treatments that will help in reducing the pain and swelling as well as for rehabilitation to gain back movements and senses. Such treatments include physical therapy as well as chiropractic treatments.  

Whiplash is a very common injury suffered during car accidents where there is a sudden neck distortion. In fact, it’s one of the most common injury when two vehicles collide. Whiplash car accident injury was not easily detected in the past because soft tissue injuries were hard to detect using x-rays or radiographs. Now with MRIs, ultrasounds and CT scans, such injuries are now detected. All of the car insurance companies cover Whiplash injury rehabilitation. However, in the past it was considered as a fraud or a lie when patient complain of pain where no bones were broken.  

Chiropractic rehabilitation is a great choice of treatment to remedy whiplash and accident related injuries. Many patients suffering from whiplash reported faster recovery and less pain with the help of chiropractic treatment.  

Whiplash  injury is evident when the patient feels pain in the neck, shoulders, lower back , jaw, headache, anxiety and fatigue. Chiropractic treatments help the patient by helping in the restoration of the movements of the spine as well as by reducing the muscle spasm, pain, iflammation and avoid fabrotic tissue foramtion. Chiropractic treatment also heals the ligaments and tendons that had been affected by a car accident injury. The chiropractic treatment don’t only relieve the patient of pain but it also helps in preventing any long term effects from the autombile collision.  

Please take a look at this High Impact Rear-End Collision – Neck Injury VIDEO:  

  

Most of the time, in order to get the best possible result, chiropractic treatment is combined with other specialists and modalities. After a course of chiropractic rehabilitation a patient can rereferred for therapy sessions of  Physical Therapy, Acuputnure and Medical Doctor.  In my office each treatment consists of chiropractic manipulation and physiotherapy modalities in the form of menual traction, moist heat, electrical muscle stimulation, ultrasound, Erchona PL5000 laser and myofascial release for the relief of muscle spasm and pain.  

Car Accident Statistics –  

Car Crash Stats: There were nearly 6,420,000 auto accidents in the United States in 2005. The financial cost of these crashes is more than 230 Billion dollars. 2.9 million people were injured and 42,636 people killed. About 115 people die every day in vehicle crashes in the United States — one death every 13 minutes.

In 2003 there were 6,328,000 car accidents in the US. There were 2.9 million injuries and 42.643 people were killed in auto accidents.

In 2002, there were an estimated 6,316,000 car accidents in the USA. There were about 2.9 million injuries and 42,815 people were killed in auto accidents in 2002.

There were an estimated 6,356,000 car accidents in the US in 2000. There were about 3.2 million injuries and 41,821 people were killed in auto accidents in 2000 based on data collected by the Federal Highway Administration.

Filed Under: Auto Accidents Tagged With: accidents, alternative medicine, car accident injuries, car accident injury, car accidents, cars, cars accident, chiropractic, chiropractic in canada, chiropractic treatment, injuries, manipulative therapy, medicine, motor vehicle, motor vehicle accidents, neck pain, rear-end collision, rehabilitation, spinal adjustment, spinal manipulation, whiplash, whiplash injury

CAR ACCIDENT – WHIPLASH INJURY – CASE #1

May 12, 2010 by drburt

hayward chiropractor car accident treatment

CAR ACCIDENT – WHIPLASH INJURY

HISTORY AFTER CAR ACCIDENT:
Injured was slowing the vehicle down due to the traffic conditions on a freeway. Suddenly the other vehicle failed to stop and rear-ended my patient’s vehicle. Patient had a severe whiplash injury. Impact happened while the other vehicle was travelling at 45 mph., according to the police report.

COMPLAINTS:
During examination patient complained of constant severe pain in a cervical spine, constant severe pain in a lumbar spine, constant severe left shoulder pain, constant severe headache, and constant moderate chest pain. Patient experienced these symptoms several hours after the whiplash. During next 72 hours her symptoms got progressively worse and she began looking for a chiropractic rehabilitation.

CARE PLAN:
Patient was scheduled for 3 times a week for 4 weeks with follow up re exam at the end of the fourth week. Two times a week for four weeks and one time a week for four weeks. Following modalities were utilized during rehabilitation process: specific chiropractic adjustments of the cervical, thoracic and lumbar spine, and left shoulder. Fifteen minutes of electric muscle stimulation (set for pain control) and fifteen minutes of the moist heat electric pad with timer and temperature control (set at 126F). Deep tissue massage by CMT for 15 minutes for each session patient showed up in the office. Ultrasound, Erchonia – Cold Laser, Mechanical and Manual traction, and Exercise rehabilitation program.
Electric stimulation, heat, chiropractic adjustment, and deep tissue massage were used every session in the order as they are listed. Ultrasound, Cold Laser, Mechanical and Manual traction were add on modalities and were used according to the symptoms of the patient on that particular day. Rehabilitation exercises were added after 4 weeks of care

DIAGNOSTIC STUDIES:

MRI IMPRESSION AFTER CAR ACCIDENT:

Lumbar annular bulges 1-3mm without focal protrusions seen. Mild facet arthrosis.

RESULTS:

Patient has reached plateau with chiropractic rehabilitation after 12 weeks of care. Multiple modalities, chiropractic manipulation, massage by CMT were used in order to achieve a pre injury status. During final re-examination patient complained of slight intermittent pain in the lumbar spine. All other symptoms have resolved. Patient was discharged with home exercise and stretch program and was recommended to comeback for a once a month maintainance care. Overall, patient was very happy with an outcome and I was very satisfied with the results.

Filed Under: Auto Accidents

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15200 Hesperian Blvd #104

San Leandro, CA. 94578

(510) 481-2225

drburt@burtchiropractic.com

 

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