Archive for Chronic Pain

“The Only Proven Effective Treatment” for Chronic Whiplash?

By Dr. Paul Kramer, DC · July 23, 2010 · Filed in Chiropractor, Chronic Pain · No Comments »

You may have wondered, “If I get hurt in a car accident, who should I go to for treatment of my whiplash problem?”  This can be quite a challenge as you have many choices available in the healthcare system ranging from drug-related approaches from anti-inflammatory over-the-counter types all the way to potentially addicting narcotic medications.  On the other side of the fence, there are nutritional based products such as vitamins and herbs as well as “alternative” or “complementary” 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 your needs 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 [meaning medical] treatment of patients with whiplash symptoms is disappointing.”  In the study, 93 patients were divided into three groups consisting of:

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;
Group 2: Patients with neurological problems (arm/hand numbness and/or weakness) plus neck pain and ROM loss); and,
Group 3: Patients who 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 who have sustained a motor vehicle crash with a resulting whiplash injury.  It’s important to note the type of patient presentation that responded best to care had 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 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 through this potentially difficult process.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR WHIPLASH! FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306 For more information log on to www.painfree-greatposture.com or www.thechiropracticimpactreport.com

Headaches: Causes and Treatment

By Dr. Paul Kramer, DC · July 21, 2010 · Filed in Chiropractor, Chronic Pain · No Comments »

Few conditions leave their victims as miserable and agitated as headaches.  There are many causes of headaches including stress, odors, bright lights, noise, fatigue, certain foods, hormonal shifts, allergies, as well as genetic predisposition.  With all the possible causes of headaches, it’s not surprising many people seek help from many different approaches such as conventional medical therapies like pharmaceuticals and injections.  Others prefer a non-drug treatment approach such as chiropractic, massage therapy, acupuncture, and nutritional counseling.

Usually, there is not one specific cause of headaches so treatment can focus on various areas.  For example, muscles that attach to the base of the skull in the neck and upper back are often very short and tight, resulting in pressure or a squeezing effect on the surrounding nerves and blood vessels — resulting in headaches.  Chiropractic treatment includes methods aimed at reducing the tightness found in the joints and muscles. One of these approaches is called spinal manipulation or “adjustments” where the joints in the neck are moved to restore motion and reduce joint fixations. By relaxing the muscles and tension between the joints, the nerves in the neck are less pressured which, in turn, can reduce headaches.  The top three nerves that exit the upper neck travel into the head and are often the culprit behind the onset of headaches.  The second nerve from the top is the one responsible for causing radiating pain over the top of the skull which communicates with other nerves sometimes causing the pain behind the eye.

Other treatment approaches that chiropractic utilizes include stress management, diet modifications (as certain foods can trigger headaches), nutritional supplementation (such as fish oil, Vit. D, feverfew and others), and sleep restoration.

If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service.  We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and we look forward in serving you and your family presently and in the future.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR HEADACHES! FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306 Or log on to www.painfree-greatposture.com

Whiplash & Chiropractic Treatment

By Dr. Paul Kramer, DC · June 14, 2010 · Filed in Chronic Pain · 2 Comments »

The term ‘whiplash’ represents a collection of symptoms that occur as a result of a soft tissue injury of the neck.  This includes over stretching and/or tearing of muscles, tendons, ligaments, disk tissue and/or nerve injuries due to the extreme movements that occur during a whiplash event (usually arising from a car accident).  We have discussed the mechanism of injury and the symptom complex that can arise in past articles.

So the question is – how many patients who sustain a whiplash injury actually improve and recover compared to those that don’t? In one study, it was stated that 43% of patients will suffer long-term symptoms after a whiplash type of injury. More specifically, if a patient is still symptomatic after 3 months following the injury, “…then there is almost a 90% chance that they will remain so.”  They go on to state that no conventional treatment has proven to be effective in helping these chronic cases.  The purpose of their study was to determine the effectiveness of chiropractic treatment in a group of chronic whiplash patients.  To do this, they studied 28 patients (20 women and 8 men, between ages 19-66, mean 39) over a 2-year time frame, injured in motor vehicle collisions. Their symptom severity was graded on an A to D scale (A=minimal symptoms vs. D=disabling symptoms, with B= nuisance and C=Intrusive or partially disabling). Those in Groups C & D either had to significantly modify their work or, they lost their jobs and relied on continual use of medications.  The chiropractic treatment included spinal manipulation (adjustments), controlled resistance of muscles to improve stability and coordination, and the use of ice.  Treatment from an emergency facility and/or their general practitioner and physical therapy had been previously utilized for on average 15.5 months, before entering this chiropractic-based study.  Initially, 27 of the 28 were classified into symptom groups C or D and symptoms included neck pain (82%), neck stiffness (36%), and other complaints of headache, shoulder, arm and back pain. Following treatment 26 of the 28 (93%) improved, 16 by one symptom group and 10 by two symptom groups and this degree of improvement was assessed and agreed upon by both an orthopedic surgeon as well as by a chiropractor.  Seventeen (61%) improved to a point of satisfaction where care was discontinued after the 1st assessment with 4 of the 17 considering return for treatment due to a return of symptoms.  Litigation was still pending in 20 of the 28 cases at the time the study concluded.

This study is very important as over 90% of chronic whiplash cases improved from chiropractic management well beyond the point of improvement obtained through standard emergency, family practice and physical therapy.  Other studies have pointed out that early intervention or treatment with chiropractic manipulation and management approaches generally results in a more favorable response compared to waiting for longer time periods. To be able to obtain this level of success after an average of 15.5 months is truly remarkable!

Chiropractic methods often utilized for patients with a “whiplash” injury include spinal manipulation (or adjustments), mobilization techniques (this includes stretching, figure 8 movements, manual traction), muscle release work (this includes trigger point therapy, myofascial release/friction massage, and others), and promoting self-help approaches (this includes exercise, home traction methods, computer station modifications and other job modifications as indicated, and others).

We realize 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.

For more information on these types of injuries, log on to www.chiropracticimpactreport.com

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE
FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306

Chronic Pain and Vitamin D

By Dr. Paul Kramer, DC · March 17, 2010 · Filed in Chronic Pain · No Comments »

Vitamin D is an important nutrient to overall health.  Low vitamin D levels have been associated with persistant, nonspecific, musculoskeletal pain.(fibromyalgia) and depression.

A recent study published in the Mayo Clinic Proceedings tested 150 patients with chronic pain.  93% or 140 of them had low vitamin D levels.  An interesting finding was that 100% of all African American, East African, Hispanic and American Indians were deficient in Vitamin D.  The study concluded that “All patients with persistant, nonspecific musculoskeletal pain are at high risk for the consequences of unrecognized and untreated severe hypovitaminosis D.”

I talk about vitamin D a lot in my practice.  Too little vitamin D is common, especially in the Wisconsin climate.  Typically the symptoms of hypovitaminosis D are treated with drugs that don’t do anything to fix the problem and in fact can deplete the body even more.

This year, I have partnered with a professional co-op so that I can order vitamin D tests at a cost of about $40.00.  Already I have found patients that have severe vitamin D issues and it has been a pleasure to help them with a simple course of supplementation.

To schedule a free consultation with me, contact Jennifer at 262-251-8306 or log on to www.stopyourfibronow.com or www.newbackpainreliefinfo.com.

Back Pain? You Need to Treat the Whole Body.

By Dr. Paul Kramer, DC · February 16, 2010 · Filed in Back Pain, Chronic Pain · No Comments »

Yesterday, I had a patient say to me “wow, its amazing that everything in the body is connected.”  She said this after I had adjusted her low back and her neck pain went away.

I get this type of comment often and its sort of strange when you think about it.  The fact that everything in your body is connected is self-evident.  One part of the body cannot be damaged without all the other parts being affected.

Think about it.  When you get a sinus infection, what happens ?  You get a fever and chills from your body temperature elevating.  You heart rate goes up.  Your respiration changes.  Your appetite goes down.  Your head aches, the neck can get stiff, and on and on.  All caused by an infection in your nose.

American medicine tends to look at the body as a collection of a bunch of parts.  If the appendix gets infected, take it out.  If the blood pressure rises, take a pill to make the heartbeat weaker.  If the low back hurts, inject the area with numbing medication.

American medicine never seems to stop and consider that maybe the appendix is infected because of an intestinal problem.  Or the blood pressure is high because of dehydration.  Or the low back is hurting because of poor posture.

Now, I’m not saying that you don’t need to treat things medically.  For example, an appendix operation could save your life.  What I am saying is, that people need to focus on the issues that caused the condition to occur in the first place.  If you don’t, you are simply masking over issues that will come back to haunt you later.

When it comes to the spine, this is especially true.  John Bland MD author of Disorders of the Cervical Spine says:

“ We tend to divide the examination of the spine into regions: cervical, thoracic, and lumbar spine clinical studies.  This is a mistake.  The three units are closely interrelated structurally and functionally-a whole person with a whole spine.  The cervical spine may be symptomatic because of a thoracic or lumbar spine abnormality and vice versa ! Sometimes treating a lumbar spine will relieve a cervical spine syndrome, or proper management of a cervical spine will relieve low backache.”

The spine needs to be treated as a whole unit.  To be even more accurate, the body needs to be treated as a whole.

To find out more about how I treat low back pain, log on to www.newbackpainreliefinfo.com.

Chronic Headaches and the Pill Industry

By Dr. Paul Kramer, DC · November 6, 2009 · Filed in Chronic Pain, Dizziness · No Comments »

The advertisements are everywhere, at the supermarket, gas station, billboards, or TV, compelling us to ingest another pill for an ill. Nowhere is this more prominent than in the pain pill industry. We are told that simple pain relievers really do the trick to make that nasty headache go away. But have you ever thought about how you the consumer are being headachesmanipulated? These over-the-counter drugs are a booming industry and make huge profits for the companies that push them.

Have you wondered why you don’t see an advertisement suggesting that you should see a doctor to get a proper diagnosis, to determine the cause of your headache? Instead, we self-diagnose and self-medicate all while finding no long-term solution for a chronic and long-term problem.

The first question a consumer needs to ask is, “why do I have a headache?”

Why is my body signaling pain? Humans and other animals have a nervous system that warns us of problems by making us experience pain. The pain is a like a fire alarm. What would life be like if the fire department responded to a house fire by cutting the fire alarm? We’d still be in a raging inferno. But when pain is temporarily silenced with medicine, the cause of the pain continues. No one could seriously think that headaches are caused by a lack of ibuprofen in the diet? That’s CRAZY! But these pain pills are consumed by so many Americans, they have almost become part of the national diet. And of course the dirty little secret is that many people double and triple the dosages recommended on the bottle.

The warnings on the bottle don’t seem to help much either. Stomach bleeding, liver and kidney problems are all serious unintended consequences of taking these pills over a long duration. The side effects are even more dangerous if we drink alcohol regularly.

So what’s a person to do? First, get examined by a doctor of chiropractic to determine if there an underlying spinal cause for your headache. The doctor can also rule out rare things that can be causing the headache, such as high blood pressure or a brain tumor (very rare causes). Next, it’s important to realize that pain is a signal and should be embraced rather than ignored or suppressed.

Through natural chiropractic care your headaches can go away without pain pills. Clinical research in the form of randomized clinical trials, have documented the effectiveness of chiropractic care in patients with headaches. The safety profile of chiropractic is far superior to pain medications, including the over-the counter variety.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!

FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306

Or Log on to: www.painfree-greatposture.com for more information.