New research- why you should call a Denver chiropractor first…

A recent study confirms the idea that for certain painful problems – back, neck, hip or shoulder problems – your first call should be to a chiropractic office like ours (303.300.0424 if you need us).

Swiss researchers contacted 719 patients who initially visited either a doctor of chiropractic (DC) or medical doctor (MD) for either spinal, hip, or shoulder pain. The patients who sought care from a DC first reported higher scores for both satisfaction with the care they received as well as the outcome of care. The researchers add that the total costs associated with patients who sought chiropractic care were four-times lower than those who sought medical care first.

While we can’t fix 100% of the problems that people bring to us, we certainly will try our hardest to fix 100%. With Active Release Techniques, our success rate is pretty high. And if we can’t help you (or your friends or family) we will refer you out to someone else. Your trust in times of need is greatly appreciated. (Study published in the Journal of Manipulative and Physiological Therapeutics, August 2015)

Here’s the rest of 1-Page Health News:

 

Health Alert: Bigger Families Mean More Sickness.
Being part of a big family boosts the risk of passing on viral infections that cause colds, flu, and other respiratory infections. In a recent study, researchers found viral infections were present in childless households an average of three to four weeks a year. In homes with one child, viral infections were present for 18 weeks a year and the number jumped to 45 weeks a year in homes with six children. Study co-author Dr. Carrie Byington writes, “A lot families go through wave after wave of illness. In fact, some of the kids we monitored had symptoms for 20 to 25 weeks in a row… This study helps us to understand what is normal in young children, and can help us determine when illness should be a cause for concern.”
Clinical Infectious Diseases, August 2015

Diet: Meat Intake May Influence a Man’s Fertility.
A new study concerning couples undergoing vitro fertilization treatment has found that males who consume a lot of processed meats have lower fertilization rates than men whose diet contains few, if any, processed meats. Researcher Dr. Natan Bar-Chama writes, “Decreasing processed-meat consumption can now be added to the list of recommendations — such as to stop smoking, decrease alcohol consumption and lose weight — that we can offer to men prior to fertility treatments to optimize outcomes.”
Fertility & Sterility, August 2015

Exercise: Even a Little Moderate-to-Vigorous Physical Activity Benefits Those Over 60.
An analysis of published research suggests that just a little moderate-to-vigorous physical activity every week can curb the risk of early death among those over the age of 60. Though current recommendations call for 150 minutes of moderate exercise per week, the data suggests that performing as little as half of the recommended amount can provide health benefits for older adults. The authors conclude, “Based on these results, we believe that the target for physical activity in the current recommendations might be too high for older adults and may discourage some of them… The fact that any effort will be worthwhile may help convince those 60% of participants over 60 years of age, who do not practice any regular physical activity, to become active.”
British Journal of Sports Medicine. August 2015

Wellness/Prevention: Signs of Heat Stroke.
Heat stroke occurs when the body’s heat-regulating system fails to work properly due to high temperature. Potential heat stroke symptoms include having a body temperature of 104 degrees Fahrenheit (40 degrees Celsius) or higher, confusion, irritability, becoming red or flushed, nausea, vomiting, rapid breathing, headache, rapid heart rate, seizures, and becoming comatose.
Mayo Clinic, August 2015

Chiropractor for Headaches: Can Migraines Be Caused By a Neck Problem?

For some patients with migraine headaches, treatments aimed at alleviating nerve compression in the neck may lead to reduced headache severity and frequency, or even lasting relief. This adds to a growing body of research that some patients with migraine headaches may benefit from treatments intended to improve cervical function, such as chiropractic care.
Eplasty, June 2015

We start with a thorough exam, including X-Rays to help determine the alignment of your neck and how this may be related to your headaches. Then, if we believe that chiropractic care is appropriate for your case, we will use a combination of chiropractic adjustments and Active Release Soft Tissue Techniques to realign the spine a release tightness in the muscles.

If you have headaches, call us today at 303.300.0424

Dr. Glenn Hyman’s Denver Chiropractic Center- This week’s 1-page health news

Our very popular rehab expert, clinical assistant and X-Ray tech, Kacee, told us last week that she and her son are moving back to North Dakota to be closer to family. Her last day will be June 18. So there’s still time to come on in and say goodbye to Kacee. She’ll be tough to replace.

Here’s this week’s 1-Page Health News:

Leafy Greens May Protect Aging Brains.
An evaluation of the eating habits and mental abilities of over 950 older adults revealed that eating a single serving of leafy green vegetables per day may reduce an individual’s risk for dementia. The study found that those who consumed one or two servings of spinach, kale, mustard greens, collards, or similar vegetables on a daily basis experienced slower mental deterioration than those who ate no leafy greens at all. Dr. Yvette Sheline, a professor of psychiatry and neurology at the University of Pennsylvania Perelman School of Medicine writes, “It makes sense that leafy green vegetables would have an effect on mental health… We know generally that what you eat, or don’t eat, can affect your risk for high blood pressure and vascular disease, which can both then worsen the course of dementia.”
American Society for Nutrition Annual Meeting, March 2015

New Broccoli Reduces Cholesterol.
Eating ten or more weekly servings of a new variety of broccoli has been demonstrated to reduce Low-density lipoprotein (bad cholesterol) levels by about 6%. This new broccoli variety known as Beneforte was bred to contain two to three times more glucoraphanin, a compound that is converted to sulphoraphane inside the body. Previous research has observed that sulphoraphane activates genes that keep the body from converting excess dietary fat and sugar into bad cholesterol.
Molecular Nutrition & Food Research, April 2015

Exercise: Exercise Helps Fibromyalgia Patients.
An 18-week functional training program for women with fibromyalgia (FM) resulted in reductions in both pain and tender points along with a positive impact on their overall quality of life. If further studies verify these findings, such training (which consisted of two sessions of in-water exercise and one session of on-land exercise each week) could play an important role in helping FM patients maintain an independent lifestyle.
Modern Rheumatology, April 2015

Chiropractic: Could Migraines and Carpal Tunnel Syndrome Be Linked?
Researchers from the University of Texas Southwestern Medical Center suggest that carpal tunnel syndrome can increase an individual’s risk for migraine headaches, and migraines may increase the likelihood of one developing carpal tunnel syndrome. Researchers analyzed data from nearly 26,000 Americans and found that the risk of migraine was 2.6 times higher in people with carpal tunnel syndrome. Similarly, the risk of carpal tunnel syndrome was 2.7 times higher among migraine sufferers.
Plastic and Reconstructive Surgery, March 2015

What Part of the Day Do Teens Become Less Active?
While adolescents have been observed to be less physically active and spend more time performing sedentary activities as they grow older, no previous studies have analyzed how these changes occur during the course of a teen’s average week. In this study, 363 teens wore accelerometers at both age 12 and age 15, and researchers recorded how much time was spent each day being inactive or performing either light physical activity or moderate-to-vigorous physical activity. They found that by age 15, participants were sedentary 7-8% more often during school hours and both after school and on weekends. Across the board, students spent about 7% less time performing light physical activities while moderate-to-vigorous activity levels remained largely unchanged. Due to the increase in sedentary time across all aspects of an adolescent’s week, the investigators recommend that future interventions intended to help teens become more active need to focus on both their in-school and after-school/weekend activities.
International Journal of Behavioral Nutrition and Physical Activity, April 2015

Denver Chiropractor Dr. Glenn Hyman’s Denver Chiropractic Center and this week’s 1-Page Health News

We are in the very final stages of our office remodel, and I’m happy to say that all of our treatment rooms are open again. During the construction, there were a few weeks where we had just one treatment room, and that’s why it was tough for some of you to get in to see us. We are truly sorry about the inconvenience, but we are fully operational once again! So if you need us, call us 303.300.0424 (or reply to this email to get straight to Natalie at front desk.)

Here’s this week’s 1-Page Health News:

Mental Attitude: Your Speaking Skills May Be the Key to Making Things Happen.
Investigators at the University of Chicago report that your voice may be instrumental in advancing your career. In the study, researchers found that evaluators were more moved to action by well-spoken pitches than well-written submissions.
Journal of Psychological Science, February 2015

Health Alert: New Data on E-Cigarette Use Among College Students.
Surveys completed by nearly 1,400 college students show that 30% have at least tried e-cigarettes. Among current e-cigarette users, 87% previously used another nicotine product and nearly 35% used other non-cigarette tobacco products during the previous month. The data also show that students who use e-cigarettes tend to have average or below-average grades.
Drug and Alcohol Dependence, April 2015

Diet: Salt Intake May Affect More Than Your Blood Pressure.
A new study warns that eating too much salt may damage your blood vessels, heart, kidneys, and brain, even if you don’t develop high blood pressure. Researchers say that even if people do not develop high blood pressure, excessive salt consumption can lead to reduced function of the inner lining of blood vessels, enlargement of the left ventricle of the heart, kidney function issues, and damage to the sympathetic nervous system.
Journal of the American College of Cardiology, March 2015

Exercise: Can Exercise Improve Your Child’s Math Grades?
After performing physical fitness tests on 273 elementary school students, Indian researchers found that those with the greatest levels of aerobic fitness scored 8-11% higher on math tests than their least fit peers, even after adjusting for gender, socioeconomic status, and weight status. Because physical fitness could elevate a student’s grade from a C to a B or a B to an A, the researchers recommend educators and policymakers look for opportunities to promote physical activity during the school day.
PLOS ONE, March 2015

Chiropractic: Sitting Increases Back Pain Risk?
While most people think of back pain as resulting from strenuous physical activity, a new study finds that the more time an individual spends sitting each day at both home and work, the greater their risk for a back injury. In the study, researchers found that among a group of 201 blue-collar workers, those who spent the most time sitting on their average day were three times more likely to experience back pain when compared with those who sit the fewest hours on a given day.
PLOS ONE, March 2015

Wellness/Prevention: Insufficient Sleep Linked to Overnight Increases in Blood Pressure.
Mayo Clinic researchers have found that individuals who don’t sleep enough hours experience a rise in blood pressure and an elevated heart rate when they do sleep, the opposite of what occurs in those who get sufficient quality sleep. Researcher Dr. Naima Covassin explains, “We know high blood pressure, particularly during the night, is one of the major risk factors for heart disease, and Americans typically do not get enough sleep. For the first time, we demonstrated that insufficient sleep causes increases in nighttime blood pressure and dampens nocturnal blood pressure dipping by using a controlled study that mimics the sleep loss experienced by many people.”
Mayo Clinic, March 2015

Dr. Glenn Hyman’s Denver Chiropractic Center

Dr. Glenn Hyman’s Denver Chiropractic Center: This Week’s 1-Page Health News

There may be some truth behind the old wives’ tale that people should keep warm to avoid catching colds. A new study finds the immune system is less effective when it is colder, allowing a common cold virus to enter the nose and replicate more easily. The finding suggests that varying the temperature influences host immunity, rather than the virus, leading the researchers to conclude “cooler temperatures can enable replication of the common cold virus, at least in part, by diminishing antiviral immune responses.”
PNAS, January 2015

 

Mental Attitude: A Happy Childhood is Good for Heart Health Later in Life.
The findings of a new study reveal that adults who had a stable and healthy childhood are more likely to have better cardiovascular health than their peers who had less-stable childhoods. The research team found that adults with the most psychosocial advantages in childhood were 14% more likely to have a normal weight, 12% more likely to be a nonsmoker, and 11% more likely to have healthy blood sugar levels – all of which are connected to better heart health. Examples of psychosocial advantages include being in a family with good health habits, being in a financially secure family, and being taught proper social skills during childhood. Senior study author Dr. Laura Pulkki-Raback adds, “The choices parents make have a long-lasting effect on their children’s future health, and improvement in any one thing can have measurable benefits.”
Circulation, January 2015

Diet: Study Identifies Common Food Allergen Levels that Cause Allergic Reactions.
Individuals with common food allergies are often confused and uncertain if they should eat a food product with vague food labeling such as “may contain nuts.” In the United States, approximately 15 million people have food allergies, with children accounting for about six million of these cases. In a new study, investigators found that participants who were the most sensitive to food allergens needed to consume between 1.6-10.1 mg of hazelnut, peanut, or celery protein, 27.3 mg of fish, or 2.5 grams of shrimp protein to stimulate an allergic response. The research team hopes their findings will better inform food allergy sufferers of the allergen doses that may trigger a reaction and contribute to improved food product labeling in the future.
Journal of Allergy and Clinical Immunology, January 2015

Exercise: Does Exercise Slow the Aging Process?
Older amateur cyclists who have participated in their sport for decades demonstrated muscle strength, lung power, and exercise capacity similar to non-cyclists about 25 years their junior. This finding underscores the importance of staying physically active well into retirement age.
The Journal of Physiology, January 2015

Chiropractic: Your Eye Doctor Gets Back Pain Too!
There’s a growing body of research that back and neck pain can affect individuals in all job types, even ophthalmologists. A survey completed by 518 ophthalmologists in the United Kingdom found that 50.6% suffered from back pain and 31.8% suffered from neck pain during the previous twelve months, with a total of 62.4% having experienced either one or both. The researchers suspect that awkward and prolonged working postures may be at least partially to blame, and modifications to the work environment may decrease the risk of musculoskeletal injuries among members of this professional group.
International Ophthalmology, January 2015 (If you have back pain, call us! Even if you’re not an eye doctor 🙂

Wellness/Prevention: Vitamin D May Play Role in Colon Cancer Survival.
Advanced colon cancer patients with higher vitamin D levels respond better to chemotherapy and targeted anti-cancer drug treatment than patients with lower vitamin D levels, according to a study that included over 1,000 patients. Dr. Len Lichtenfeld, the deputy chief medical officer for the American Cancer Society writes, “These findings are interesting, and show that vitamin D may have a role in improving outcomes in cancer care.”
Gastrointestinal Cancers Symposium in San Francisco, January 2015

If you see this dog, please don’t approach her. & This Week’s 1-Page Health News

This is Liberty. Liberty is a puppy who is training to be a guide dog for the blind. One of our awesome patients, Karen B., is training and socializing Liberty for a year. If you’re coming to our office in the afternoon, you may encounter this super-cute dog. Since she’s working, it’s best for Liberty if you admire her from afar please refrain from approaching her. By doing so, you’ll be contributing a little tiny bit to Liberty’s training.
IMG_0047
This Week’s 1-Page Health News:

Mental Attitude: Misfiring in Brain Linked to OCD.
Researchers at the University of Cambridge have found that obsessive-compulsive disorder (OCD) may be caused by a misfiring of the brain’s control system. Individuals with OCD have frequent upsetting thoughts that they try to control by repeating certain rituals or behaviors. The study involved scanning the brains of 37 individuals with OCD and the brains of 33 individuals who did not have the disorder as they all performed a specific activity to avoid a mild electric shock. The researchers found that OCD participants were unable to stop the specific activity, which revealed overactive brain activity in the caudate (an area of the brain that controls habits) and suggests OCD compulsions may be caused by the habit system in the brain.
American Journal of Psychiatry, December 2014

Diet: Cherry Juice Accelerates Recovery After Cycling.
Montmorency cherry juice appears to help cyclists recover after a hard cycling workout. Researchers found that Montmorency tart cherry juice helped to speed up recovery, maintain muscle function, and reduce markers of inflammation in cyclists who participated in a simulated race.
Cherry Marketing Institute, December 2014

Exercise: Ability to Balance May Reflect Brain Health.
According to new research, the inability to balance on one leg for 20 seconds or longer may signal brain damage in otherwise healthy individuals. In a recent study, participants were asked to balance on one leg up to 60 seconds, received an MRI of the brain, and completed a test to measure cognitive impairment. Those who were unable to balance on one leg for more than 20 seconds showed evidence of cerebral small vessel disease as well as lower cognitive function scores. The researchers add that long-term studies are needed to verify these findings and fully assess the significance of postural instability.
Stroke, December 2014

Chiropractic: Neck, Shoulder, and Back Pain Among High School Students.
Chinese researchers evaluated questionnaires completed by 3,600 high school students and found that 41.1% had experienced neck/shoulder pain and 32.8% had experienced back pain during the previous year. The researchers identified physical inactivity (increased sedentary behavior / low levels of physical exercise), heavy backpacks, mental stress, and insufficient sleep as risk factors for neck, shoulder, and back pain in the high school student population.
Journal of the Chinese Medical Association, October 2014

Wellness/Prevention: Young Children Need Eye Screening.
Experts from the United States National Center for Children’s Vision Health say that all children should have their eyesight evaluated yearly between the ages of three and six. Children in this age group require screening to detect vision issues such as amblyopia (“lazy eye”) and strabismus (a disorder of eye alignment), which can require glasses. Dr. Anthony Adams, the editor-in-chief of the journal Optometry and Vision Science, adds, “Unfortunately, many children receive neither appropriate screening to help identify those who need immediate eye attention, nor a comprehensive examination by an eye care professional, prior to beginning school.” The goal of the new guidelines is to ensure that pre-school children with vision problems are identified and receive appropriate eye examinations and follow-up care to help ensure their development and readiness for elementary school.
Optometry and Vision Science, December 2014

Dr. Glenn Hyman’s Denver Chiropractic Center- Weekly Health News for You

Mental Attitude: A Purpose in Life is Important for Longevity.
Having a sense of meaning and purpose in your life may do more than just give you focus, it may help you live longer. Researchers interviewed more than 9,000 older adults and found that those who professed having a sense of purpose in life were less likely to die during the eight-year study. Research leader Dr. Andrew Steptoe adds, “[There] are several biological mechanisms that may link well-being to improved health, for example through hormonal changes or reduced blood pressure. Further research is now needed to see if such changes might contribute to the links between well-being and life expectancy in older people.”
Proceedings of the National Academy of Sciences, November 2014

Health Alert: Cigars Contain Harmful Toxins.
Many cigar smokers believe that cigars pose fewer health risks than cigarettes; however, a new report reveals that cigar smokers are exposed to high levels of cancer-causing agents, as well as other toxic substances. Investigators found that cigar smokers had higher levels of cotinine, NNAL, cadmium, and lead in their bodies than people who did not use tobacco. Lead author Dr. Jiping Chen writes, “Cigar smoking exposes users to similar types of harmful and cancer-causing agents as cigarette smoking.” This is alarming as the Centers for Disease Control and Prevention reports that cigar use doubled between 2000 and 2011.
Cancer Epidemiology, Biomarkers & Prevention, November 2014

Diet: Micronutrient Levels in Female College Students.
Blood samples from 308 female college students showed that nearly 44% had below-normal iron levels, 11.3% had low vitamin B12 levels, and nearly 100% had excess folate (vitamin B9) levels. It’s hoped that future research will investigate the food choices and dietary behaviors that may be most responsible for these results.
Nutrients, November 2014

Exercise: Tips to Avoid Over-Training.
Over-training or over-exercising can be counterproductive to achieving your fitness goals. Over-training usually occurs when you do not allow your body to adapt, adjust, and recuperate in response to an exercise training regimen. Signs that you are over-training include decreased performance, increased resting heart rate and blood pressure, increased muscle fatigue, poor sleep, gastro-intestinal disturbances, depression, irritability, apathy, and even low self-esteem. Dr. Adrian Shepard from Butler University suggests the following to avoid over-training: gradually work your way into exercise, ask the staff at your fitness center about how to correctly use the equipment, and ask for a fitness assessment to determine current physical health status and fitness level so appropriate exercises can be recommended and goals can be set.
Butler University, January 2010

Chiropractic: Providers Should Consider Vitamin D for Chronic Musculoskeletal Pain.
Because vitamin D deficiency is very common and has been associated with a myriad of health problems, many Chiropractors recommend vitamin D supplements to their patients as part of a healthy lifestyle. For patients with chronic non-specific musculoskeletal pain, vitamin D supplementation is known to help reduce symptoms and has little-to-no documented side effects.
The Lead South Australia, November 2014

Wellness/Prevention: Epinephrine Injections Save Lives in Schools.
Epinephrine injections are given when an individual is experiencing a life-threatening allergic reaction to an insect sting or food. In the United States, about 15% of school-aged children with food allergies have had an allergic reaction at school, and about one-fourth of epinephrine injections given at schools involved children who didn’t know they had an allergy. Dr. Bryan Martin, vice president of the American College of Allergy, Asthma and Immunology, adds, “Stocking emergency epinephrine is a medical necessity for schools in every state.”
American College of Allergy, Asthma and Immunology, November 2014

Chiropractic: Preteens Have Headaches More Than We Think.

A Swedish study involving 131 students ages 10 to 13 and their parents revealed that nearly 30% of preteens report having neck pain and/or headaches. However, only 6% of parents thought their kids had such symptoms. These symptoms were often related to trauma to the head and neck that parents were not aware of. Investigators also noted that headaches were often made worse by long periods of reading or using a computer. Chiropractors are in a position to educate parents about the high levels of neck pain and headaches among preteens, encourage parents to share their symptoms and causes, teach techniques to prevent headaches when reading and using a computer, and provide effective treatment to address these types of symptoms.
Journal of Manipulative and Physiological Therapeutics, October 2009

Dr. Glenn Hyman’s Denver Chiropractic Center: Posture and Headaches

 

 Headaches (HA) play a significant role in a person’s quality of life and are one of the most common complaints that chiropractors see. This comes as no surprise, as one survey reported 16.6% of adults (18 years and older) suffered from migraines or other severe headaches during the last three months of 2011. Another study reported that head pain was the fifth LEADING CAUSE of emergency department (ED) visits in the United States and accounted for 1.2% of all outpatient visits. These statistics are even worse for females (18-44 years old), where the three month occurrence rate was 26.1% and the third leading cause for ED visits! Because of the significant potential side effects of medications, many headache sufferers turn to non-medication treatment approaches, of which chiropractic is one of the most commonly utilized forms of “complementary and alternative approaches” in the management of tension-type headaches. So, why are headaches so common? Let’s talk about posture!

 

Posture plays a KEY ROLE in the onset and persistence of cervicogenic headaches. If there is such a thing as “perfect posture,” it might “look” something like this: viewing a person from the front (starting at the feet), the feet would flair slightly outwards symmetrically, the medial longitudinal (inside) arch of the feet would allow enough space for an index finger to creep under to the first joint (and NOT flat like so many), the ankles would line up with the shin bones (and NOT roll inwards), the knees would slightly “knock” inwards and hips would line up squarely with the pelvis. The shoulders would be level, the arms would hang freely and not be pronated (rolled) inwards, and head would be level (not tilted). From the side view, the knees would not be hyperextended nor flexed, the shoulders would not be forward (protracted) and MOST IMPORTANT (at least for headaches), the head would NOT be forward and be able to have a perpendicular line drawn from the floor through the shoulder, as this line should pass through the outer opening of the ear. As the head “translates” or shifts forwards, for every inch of “anterior head translation” (AHT), it essentially gains 10 pounds in weight, which the upper back and neck muscles have to counter balance!

 

A leading University of California medical author, Dr. Rene Calliet, MD, wrote that this altered posture can add up to 30 pounds of abnormal weight to the neck and can “…pull the entire spine out of alignment.” It can also reduce the lung’s vital capacity by 30%, which can contribute to all sorts of breathing-impaired health problems! Think of carrying a 30-pound watermelon around your neck all day – the muscle pain from fatigue would be tremendous! If this is left uncorrected, chronic neck pain and headaches from pinching off the top three nerves in the neck is likely. The combination of AHT and shoulder protraction may also lead to the development of an upper thoracic “hump” and potentially into a “Dowager Hump” if the Midback vertebrae become compressed (wedged). An increased rate of mortality of 1.44 is reportedly associated with this faulty posture!

 

Between chiropractic adjustments, Active Release Techniques Soft Tissue Treatments, posture retraining exercises, other postural corrective care, and strength exercise training, we WILL help you correct your faulty posture so that neck pain and headaches STOP and don’t progress into a chronic, permanent condition.

 

If you, a friend, or family member requires care for headaches, we would be honored to help. Simply call us at 303.300.0424, or use the Appointment Request function on our website at denverback.com

Dr. Glenn Hyman’s Denver Chiropractic Center: Car Accident Injuries (Whiplash) Self-Care: Part 2

 

Last month, we started the discussion of self-care options in the management of car accident injuries: 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 realize you have a choice in whom you consider for your health care. If you or someone you know needs help recovering from car accident injuries, call us at 303.300.0424, or use the “Make an Appointment” function on our website www.denverback.com.