Fort Myers Chiropractor.com

Information circulating before Super Bowl XLIV was that Indiana Colts Dwight Freeney was using chiropractic care to recover from his ankle injury. He had been seen recently in an ankle boot then soon thereafter walking bare foot on the beach.  The scoop is that he was actually treating with a Chiropractic Physician, Dr. Leon Mellman who was treating his ankle for proper bone alignment and assessing his spine for unwanted side effects from limping on the bad ankle.

Keeping good motion in the ankle joint is a great approach to insure proper healing and function. Keep in mind that the sooner you seek chiropractic care for a sprained ankle or spine… the sooner you will heal and restore proper function. Many problems occur when scar tissue or adhesions develop in the injured tissues that restrict proper function. Use ice, not heat, to reduce swelling and inflammation in the affected area. Apply it multiple times per day for 20 minutes at a time.

A chiropractic physician is the right choice for musculoskeletal injuries like back pain, accident injuries and sports injuries, due to the fact that their medical education exceeds that of other physicians in the area of anatomy and physiology. A chiropractor can diagnose, take x-rays or order MRI studies to successfully treat your injury.

Dr Rob Watkins

Fort Myers/Estero 590-9555

LaBelle 675-8900

Exciting news about chiropractic that has been known for years but has not always been heard by medical ears…

Esteemed authors Niteesh Choudhry, MD, PhD, Harvard Medical School and Arnold Milstein, MD, Mercer Health and Benefits, San Francisco, CA, developed this authoritative report which reviews the existing peer reviewed literature and arrives at the following conclusions:

* Chiropractic care is widely used with almost half of all patients with persistent back pain seeking out this form of treatment.
* “Chiropractic care for the treatment for low back and neck pain is highly cost effective, represents a good value in comparison to medical physician care and to widely accepted cost effectiveness thresholds.”
* “The addition of chiropractic coverage for the treatment of low back and neck pain…will likely increase value-for-dollar by improving clinical outcomes…”
* “We project that insurance coverage for chiropractic physician care…is likely to drive improved cost effectiveness of US care.”
* “Our findings support the value of health insurance coverage of chiropractic care for low back and neck pain at average fees currently payable by US commercial insurers.”

About the Authors:

Niteesh Choudhry, MD, PhD: Assistant Professor at Harvard Medical School and Associate Physician in the Division of Pharmacoepidemiology and Pharmacoeconomics and the Hospitalist Program at Brigham and Women?s Hospital.

Arnold Milstein, M.D, MPH: Medical Director of the Pacific Business Group on Health(PBGH),the largest employer health care purchasing coalition in the US.. He is also Chief Physician at Mercer Health and Benefits, San Francisco, California.

Dr. Rob

Fort Myers 590-9555

LaBelle 675-8900

Back pain is a common ailment, suffered by up to 80% of the population at some point in their lives. Unfortunately, because the back is such a complex structure, many people are unsure what has caused their pain and what to do about it. Adding to the confusion is often conflicting reports in the media about what preventative and at-home treatments work. So how does one know what to do? It is first important to understand the spine, the most common injuries, and where to turn for help.

About The Back

The spine is a column of 24 bones (vertebrae), cushion by spinal discs, and moved and supported by muscles, tendons, ligaments, and cartilage. Built into these bones are openings top to bottom and through each side. Through these openings pass most of the body’s nerves — from the brain to all of the body’s tissues and organs. The spine itself is divided into four main sections — cervical, thoracic, lumbar, and sacrum/coccyx (tailbone). The lower back, or lumbar region, is where most back pain is felt.

Common causes of back pain are:

Muscle fatigue can be caused by many factors — either as an accumulation of factors over a period of time or as a result of a single activity for which your body was not prepared. The more common factors include:
Improper posture.
Incorrect lifting techniques.
Repetitive twisting, bending, or reaching.

Sprains and strains from injuries and/or trauma. Symptoms of back sprain or strain generally include:
Muscle spasms, cramps, and stiffness. Pain aggravated by weight bearing or specific movements, which is relieved by rest.

Disc problems and arthritis from repetitive trauma of bending, lifting, old injuries, and heredity. Symptoms can include:
Progressive or persistent back and/or leg pain.
Extremity numbness or tingling.
Increased pain or coughing, sneezing, or laughing.

Sciatica is caused when the sciatic nerve, which runs down the length of both legs, is compressed or inflamed. The nerve can be irritated by things such as an injury to the low back or by sitting too long on a lumpy object (such as a wallet). Symptoms of sciatica include:
Pain that runs from the low back to the back of the leg toward the toes.
Pain worsened by activities that add pressure to the spine — such as laughing, coughing, sneezing.

Beating Back Pain:

There is no way to predict accidents but there are things that you can do to strengthen your back and reduce the risk of muscle fatigue, sprain, strain, disc problems or sciatica.
Where non-slip shoes.
Avoid long hours in one posture (whether sitting, standing, or sleeping).
Drive defensively.
Use ladders when reaching high places (rather than chairs, boxes, or other objects not intended for standing).
Exercise. Active, aerobically fit individuals have fewer back injuries, miss fewer workdays, and report fewer back pain symptoms.
Quit smoking. Some evidence suggests that smokers are more likely than nonsmokers to have lower back pain.
Proper bending and lifting techniques.

Chiropractic and Back Pain

Chiropractic examination is thorough and may include:
A complete medical history, including previous treatments and other factors that may play a role in the current case.
X-rays or other imaging tests (if clinically necessary).
Tests of range of motion, strength, coordination, posture, and others.
Physical examination, including (but not limited to) orthopedic and neurologic testing, laboratory work-ups, etc.
Palpation (examination by touch).

Chiropractic treatment will be based on the results of all tests performed. Because each case is different, each person’s treatment is different. All chiropractic modalities are non-invasive (do not pierce the skin), drugless, and promote overall health. Treatments commonly used in the chiropractic office included (but are not limited to):
The treatment most unique to chiropractic is spinal adjustment or manipulation. The Doctor of Chiropractic often, but not always, performs this method of care manually. Each adjustment is chosen following careful examination and should never be performed by someone who has not been thoroughly educated, trained and licensed in this procedure. The purpose of the adjustment/manipulation is to improve alignment of spinal structures as they relate to the nervous system, which will result in a relief of pain, improved function, and a reduction of inflammation. For back pain, adjustments may be applied to the spine, but if pain radiates to or affects other locations, those sites may be adjusted as well.
Therapies such as electrical muscle stimulation, massage, application of heat or ice, ultrasound, or others may be used.
The Doctor of Chiropractic will incorporate advice on appropriate exercise, posture, diet and nutrition, and other lifestyle factors that can play a role in health and healing.

To hasten your recovery from back pain — and to prevent re-injury — follow all of your chiropractors recommendations, including follow-up visits and prescribed rest and exercise. And when you have questions, ASK! Your active participation in your care is an essential component to your chiropractic treatment.

www.DrRobWatkins.com

• Purchase equipment that fits. Don’t try to adapt your swing to the wrong clubs: A six-footer playing with irons designed for someone five inches shorter is begging for back trouble.
• For the women in golf: If you have “inherited” your husband’s or significant other’s golf clubs, they might be difficult for you to use. Not only are the clubs often too long, but the shaft is often not flexible enough for a woman’s grip. Women typically play better with clubs that are composed of lighter, more flexible material, such as graphite.
• For the men in golf: It is a good idea to spend some extra time performing quality stretches-before and after your game-to increase your trunk flexibility. While men are traditionally stronger than women, they usually aren’t as flexible. Men need to improve their flexibility to maintain a more even and consistent swing plane and thus improve the likelihood of more consistent performance.
• For senior golfers: If you show some signs of arthritis in the hands, consider a larger, more specialized grip for added safety and performance.
• For all golfers: For some, scores may not be as important as enjoying the social benefits of the game. Having clubs that are comfortable will increase the chances of playing for a long time without significant physical limitations.
• Take lessons. Learning proper swing technique is critical. At the end of the swing, you want to be standing up straight; the back should not be twisted.
• Wear orthotics. These custom-made shoe inserts support the arch, absorb shock, and increase coordination. “Studies show custom-made, flexible orthotics can improve the entire body’s balance, stability and coordination, which translates into a smoother swing and reduced fatigue,” Dr. Stude says. While the upper part of a shoe may score style points, what the foot rests on affects your game.
• Avoid metal spikes. They tear up greens and can increase stress on your ankles, knees and back.

I hope that these tips can help. Feel free to contact me for consultation about your back and your game.

www.DrRobWatkins.com

Fort Myers – 590-9555

LaBelle – 675-8900

Our cars are like our favorite shoes. We use them often to get us from place to place. But many forget that cars can be dangerous if not respected for their potential danger. I’m not talking about drinking and driving or road rage, but the dangers inherent in our cars that we may not even be aware of. I am talking about airbags.

Some picture an airbag as a soft pillow that is quickly placed in front of you moments before an auto accident. Although airbags save many lives, they can be very dangerous. Airbags deploy in 1/20 of a second which is about 160 mph, faster than you can blink your eyes. A controlled explosive device is necessary to inflate the bag at this speed creating quite a hard surface to strike.

Though airbags save many lives, they often cause a variety of injuries. Most injuries are friction burns from the bag itself scrubbing the arms of the driver when it deploys, but fractures of wrists and arms occur as well.

In the video above I talk about the potential for serious injury due to the improper position of the front seat passenger. Propping your feet up on the dash could pretty much guarantee you severe lower extremity or leg fractures with any airbag deployment. Even if an emergency stop was made while a passenger was in this position and the airbag did not go off, the angle and the direction of the passenger’s weight would cause them to slide underneath the lap belt into the floor in front of them. This would likely cause neck and face injury after sliding or catching under the lap belt. NOT FUN!

Oh, and by the way, if you use the excuse of having an airbag to rationalize why you don’t wear your seat belt… Consider this: some airbags will not deploy unless the seat belt is on.

It didn’t take long to learn that the force of an airbag can hurt those who are too close to it. Researchers have determined that the risk zone for driver airbags is the first 2 to 3 inches (5 to 8 cm) of inflation. So, placing yourself 10 inches (25 cm) from your driver airbag gives you a clear margin of safety. Measure this distance from the center of the steering wheel to your breastbone. If you currently sit less than 10 inches away, you can adjust your driving position in the following ways:

• Move your seat to the rear as far as possible while still reaching the pedals comfortably.
• Slightly recline the back of your seat. Although car designs vary, most drivers can achieve the 10-inch distance even with the driver seat all the way forward by slightly reclining the back of the seat. If reclining the seat makes it hard to see the road, you can raise yourself up by using your car’s seat-raising system (not all cars have this!) or a firm, non-slippery cushion to achieve the same effect.
• Point the airbag toward your chest, instead of your head and neck, by tilting your steering wheel downward (this only works if your steering wheel is adjustable).

The rules are different for children. An airbag can seriously injure or even kill an unbuckled child who is sitting too close to it or is thrown toward the dash during emergency braking. Experts agree that the following safety points are important:

• Children 12 and under should ride buckled up in a properly installed, age-appropriate car seat in the rear seat.
• Infants in rear-facing child seats (under one year old and weighing less than 20 pounds / 10 kg) should never ride in the front seat of a car that has a passenger-side airbag.
• If a child over one year old must ride in the front seat with a passenger-side airbag, he or she should be in a front-facing child safety seat, a booster seat or a properly fitting lap/shoulder belt, and the seat should be moved as far back as possible.

If you have been in an accident, please call for a consultation about your injuries. Prompt treatment is important.

www.DrRobWatkins.com

Fort Myers – 590-9555

LaBelle – 675-8900

An injury caused by a rapid forward movement and subsequent backward movement of the cervical spine (neck) is commonly known as “whiplash.” A severe fall or auto accident are typical examples of conditions under which whiplash occurs. In an auto accident, an impact from behind snaps the head backwards and then trusts the head forward by the cars deceleration.

Common reactions to such an injury are stiffness, headaches, shoulder, neck or arm pain, dizziness, visual problems, nausea, vomiting, chest pain or blood pressure irregularities, to name a few. But many of these symptoms may be delayed.

The symptoms of a whiplash injury may not be felt for several hours and in some cases years after the accident. Typically, however, the detection of irregularities is recognized 12 to 24 hours after the accident.

Further compounding the problem of whiplash detection is that the symptoms can show up in many different parts of the body. To the unaware victim they can appear unrelated to the neck.

*Journal of Orthopaedic Medicine (1999): Study concluded that Chiropractic treatment is the only proven effective treatment for chronic whiplash

The science of chiropractic is specifically directed towards the structural balance of the spine and a nervous system. Since our expertise is in this area, a chiropractic examination should be sought following any injury that involves a cervical spine. Chiropractors properly aligned and improve the mobility of the spine and are trained to take direct action in cases of trauma injuries such as whiplash.

Immediate attention can deter the development of many problems later on. When the muscles and ligaments that hold the neck vertebrae in place are strained or torn, spinal derangement usually occurs. When left untreated, the eventual result is serious degeneration.

If you are involved in an accident or a fall in which you suspect that your spine (especially your neck) may have been strained, call a chiropractor immediately.

The Benefit of X-rays in the Diagnosis of Whiplash Symptoms

X-rays of the spine serve a dual purpose: to analyze the position of the vertebra in order to locate misalignments that cause pressure or irritation to the nerves within the spine, and to make certain that no complications exist, such as fractures, dislocations or malformations that could further delay the patients recovery. For this reason, when visiting a chiropractic clinic for injuries such as whiplash, x-rays will most likely be given as a routine part of the examination and diagnostic process.

Because whiplash symptoms are often delayed a minimal of 12 to 24 hours, patients having visited the hospital or MD may not have been properly treated.

Even if whiplash symptoms were detected, a chiropractic examination would still be in order because of our specialized training in recognizing and treating spinal irregularities.

In either case, x-rays may have been taken at the hospital. These x-rays are often released when requested. However, new x-rays may be ordered. The hospital technician may not be aware of the precise area a chiropractor must view or how important it is to have the spine in the correct position to notice some of the more subtle irregularities.

X-rays taken in a chiropractor’s office are administered by or directly supervised by a doctor who will make sure that the patient’s neck and back are in the proper position for optimal x-rays.

Because the x-ray is one of the doctors most important diagnostic tools in detecting the symptoms of whiplash, it is imperative that they are taken properly. In any trauma injury such as whiplash, expect a thorough chiropractic examination that includes x-rays.

Whiplash a Case History:

There are hundreds of case histories that demonstrate how effective chiropractors are at treating whiplash victims.

One such case involved a young housewife whose car was struck from behind while waiting at the traffic light. There was very minor damage and no one seemed hurt. Later that day, she had a noticeable headache.

The next morning she felt even worse. She contacted her insurance company and was sent to a doctor for an examination. She was told the stiffness and headache was temporary and would go away in a couple of days. It was implied that she was looking for sympathy or a settlement.

After several days the pain did not go away. Her father suggested that she see a chiropractor. She and her husband agreed.

A preliminary c

In the United States, about 20 million people have been diagnosed with asthma; nearly 9 million of them are children. The most common treatment for Asthma has been the use of corticosteriod inhalers.

A new study found that breathing techniques can cut the use of asthma reliever inhalers by more than 80% and halve the dose of preventer inhaler required in mild asthma, research finds. The new study, published in the journal Thorax, compared the impact of two breathing techniques on symptoms, lung function, use of medication and quality of life among 57 adults with mild asthma.

One technique focused on shallow, nasal breathing with slow exhalations, and the second technique used general upper body exercises, accompanied by relaxation.

The participants, who used a preventer inhaler and required reliever inhaler at least four times a week, were randomly assigned to one or other breathing technique. Participants practiced their breathing exercises twice a day for around 25 minutes over a period of 30 weeks. They were also encouraged to use a shorter version of their exercises in place of reliever inhaler, and to use reliever if the exercises did not work.

Researcher Professor Christine Jenkins, of the the Woolcock Institute of Medical Research, Sydney, New South Wales, Australia, found that the use of reliever medication fell by 86% in both exercise groups, a process which began within weeks of starting the exercises, and was maintained over eight months. She writes: “Breathing techniques may be useful in the management of patients with mild asthma symptoms who use a reliever frequently.”

By the end of the study, the participants dropped from using around three puffs of their reliever inhaler each day to approximately one puff every third day. Preventer dose requirements were also cut in half.

In addition to breathing exercises, other things that you can do to reduce asthma symptoms are:

• Use air filters to help clean air in your home.
• Cover mattresses and pillows with dust covers and use hypoallergenic bed clothing to reduce exposure to dust mites.
• Choose a more vegetarian-type diet. Animal proteins found in meat include arachidonic acid—a precursor for inflammation.
• Include foods with omega-3 fatty acids in the diet—such as fish or fish oil.
• Supplement with vitamin C, which helps reduce allergic reactions and wheezing symptoms.
• To reduce stress in your children, spend quality time with them and limit their exposure to TV programs that include violence.
• Get regular chiropractic wellness checkups.

Your’s in Health

Dr. Rob Watkins