Seeing a chiropractor

Seeing a Chiropractor After a Car Accident

Seeing a Chiropractor After a Car Accident

Drivers and passengers should see a chiropractor after a car accident. Thousands of Kiwis experience a car accident every year, often at low speed. Most of the time, they do not complain of several disorders at the time, more worried about their vehicle’s condition.

However, others can feel severe pain and need to go to E.R. for painful back or neck pain, not thinking about visiting a chiropractor.

Most common symptoms are neck stiffness with pain or whiplash, with restricted range-of-movement, blurred vision, dizziness, headaches, shoulder pain and low back pain.

The first symptoms may not appear in the first hour but a bit later when the micro-tears in the fibres of the muscles or ligaments are swelling.

It is admitted that 70% of the people going to an emergency room will report some symptoms six weeks afterwards, and a quarter within the half-year.

43% of patients will suffer long-term symptoms following whiplash injury.

According to Dr Mason Hohl from UCLA Medical Center “, Follow-up x-rays are taken seven years after injury showed that 40% developed degenerative disc disease, while the expected incidence should be 6% over this time.”

Everyone experiencing a car crash should consult and see a chiropractor rather than just taking some pain relief medication called analgesics.

Chiropractors are highly educated and trained to treat neck and back disorders such as whiplash and headaches, or spine strain/sprain, reducing the use of medicine.

1- Pain Relief

The treatment provided by a chiropractor is broadly recognised as an effective treatment to reduce pain from the musculoskeletal apparel, using neurological stimulation to reduce the level of complaint and so, decreasing the use of medication.

2- Mobility Restoration

After an accident, the movement of the cervical spine would likely be restricted. Chiropractic adjustments focus on restoring the normal range of motion of the spinal part involved, improving the comfort of the neck and so, getting a better quality of sleep.

3- Improving the Process of Healing

During the accident, the neck's soft tissues receive a substantial load when the head is projected forward and then backwards in reaction. It creates micro-tears in the muscles and ligaments and then some inflammation. Chiropractors provide spinal adjustment so that the tissues are positioned correctly, reducing the tensions. The recovery is faster, and the tissue heals properly, avoiding scar tissue and provoking long term discomfort or pain.

More importantly, you will prevent further injury rendering the normal function of the spine.

The chiropractic treatment is unique to each whiplash injury and addresses the first segmental dysfunctions found during the physical examination.
Chiropractor’s treatment usually employs spine adjustments, muscle relaxation and/or stimulation, various exercises, ergonomic and lifestyle changes.

Drivers and passengers should see a chiropractor after a car accident. If needed, he will assess your spine and correct the hidden dysfunctions and disorders.


How to Fix My Achilles Tendinitis

How to Fix My Achilles Tendinitis

One of the most common sports injuries for runners or jumpers is an Achilles tendinosis or, to be more precise, tendinopathy, while it is the largest tendon. Nonetheless, it is poorly understood and one of the most challenging sports injuries to treat appropriately. Usually, it is due to a sudden load increase in intensity or length of time without proper training. It may take up to a whole year before recovering, and even more if a new injury occurs during healing.

From my experience as a physiotherapist and then a chiropractor, I can tell that I have felt very uncomfortable treating these kinds of injuries. Some professionals recommended stretching on the stairs for 3 minutes, others wearing walking boots to relieve the load on the tendon, and other modalities such as wearing orthotics, icing, massage or ultrasounds.

However, a breakthrough in the protocols to treat Achilles tendonitis has brought some solutions in exercising therapy.

Before entering into the details, we need to consider the two types of tendinopathy: midportion and insertional. For the latter, the discomfort or pain is triggered at the tendon's insertion onto the calcaneus or heel bone. If the symptoms are similar, the treatment is quite different, and we will focus on the most common, the midportion tendinosis.

FIGURE 1. Localization of Achilles tendinopathy: (A) midportion and (B) insertional.

Treatment for Achilles Tendinopathy

The management is moderated according to the symptoms, age and sex, disability and sports needs.
Eccentric exercise has been the reference in all the studies and should be done for 3 months before considering more invasive options. 3 sets of 15 repetitions are recommended with the knee straight or mildly bent.

The Eccentric Exercise


Heel drop: knee straight (FIGURE 2)
Stand on the edge of a step on the involved side. Start with standing on the toes, then lower the heel as far down as possible. Rise back on the toes with the assistance of the other foot: 3 sets of 15 repetitions, 2 times per day, 7 days a week for 12 weeks. The exercise can be painful to a certain extent. When you feel no pain anymore, you can hold some weight.

Repeat the exercise by bending the knee moderately.

FIGURE 2. The heel drop: knee straight and heel drop: knee bent exercises.

Regarding the insertional tendinopathy, the deep fibres of the tendon are squeezed against the tubercle of the calcaneus, or sometimes the bursa. This is a compressive traumatism due to repetitive dorsiflexion, so exercising should be avoided.

In this view, a heel lift is recommended first during daily life activities. The calf should avoid the heel lower than the floor level. It is so better to avoid exercising on the stairs. The range of movement will increase with a reduction of the symptoms. Walking and running on flat ground will be reintroduced progressively. Running in the hills is the last stage when the pain is minimal.

Foot Manipulations

A combination of eccentric exercise and manipulations of the joints of the foot, such as subtalar articulation or midfoot mobilisation, have shown better outcomes during the studies. At Orewa Chiropractic, we have a large experience in treating sport injuries.



Why Seeing a Chiropractor

Seven Reasons to See a Chiropractor

We can't wait to show you how naturally incredible you can feel with chiropractic care. Curious? Give us a call.

1. Chiropractic focuses on your health. Your nervous system controls every part of your body, from the cell to the organ and the whole system. The original purpose of chiropractic is to restore the integrity of the general nervous system. When the nervous system functions correctly, your body works better.

2. Chiropractic does not use medication. Chiropractic is holistic care focusing on natural resources to assist the body to function and heal better without adding chemical substances. Chiropractic care uses hands-on therapies and exercises and ergonomic and diet recommendations.

3. Chiropractic is internationally recognized as a safe therapy. Chiropractors adjust babies, seniors or moms throughout the world every day. The treatment is tailored to any person's age, condition and needs.

4. Chiropractic adjustments lead to minimal discomfort. If the muscles ache after the first session, the benefits are instantly felt, such as improved balance, better sleep, increased energy and vitality, and other endurance and coordination.

5. Chiropractic, since its discovery in 1885, has spread throughout the world and is now professionally accredited in most countries despite criticism from people who would not accept the evidence of chiropractic's benefits, mainly due to ignorance. Chiropractic has become more and more popular because of the high level of satisfaction and the spread of the word.

6. Chiropractic is logic. Pain is your friend, telling you that you have to do something to help and rather than wanting to kill, it makes sense to correct the underlying cause to prevent its recurrence. Evidence has shown that intense and flexible spines are less exposed to accidents and injuries.

Do not hesitate to share the knowledge of chiropractic's benefits as chiropractors can help your family and friends.


How To Choose A Mattress?

How to choose your mattress?

We spend two hundred thousand hours in our bed, roughly one-third of our life and the quality of our sleep is essential for our mood, well-being and health.

We turn something like 40 times each night, so we don't sleep in the same single position. Some prefer to sleep on their back and others on their side. As you probably know, it is not recommended to sleep on your stomach as it creates a large amount of strain on your cervical spine.

You may think your bed is too old and time to change it. Bed stores are quite well minded, and they will be happy if you try these tips:

  • Lie on your back and pass your hand under your lower back arch. If there is no problem, the mattress could be too firm. It should provide good firm support but with enough softness so that your musculature can release.
  • Turn on your side and push down the mattress with your elbow. If it's too deep, it may be too soft. You may think it's comfortable, but your back won't like it, especially if you have been suffered from it.
  • Lie in your favourite position and try to feel your muscles between your shoulder blades and pelvis are released.

We should change our bed every ten years, whatever is its purchase cost. It is important to be aware that mattresses made with springs will lose some of their properties sooner than latex ones.

Don't hesitate to ask for more information from your chiropractor. Chiropractors are experts in spine health and will advise the sort of mattress that you need according to your spine needs when they are assessed. It is simple to choose a bed when you have the correct information.

chiropractic adjustment

Is Chiropractic Safe?

Is Chiropractic Treatment Safe?

Chiropractic Care and VBA Stroke – Major New Study Reports No Association

Kosloff T, Elton D et al. (2015) Chiropractic Care and the Risk of Vertebrobasilar Stroke: Results of a Case-Control Study in U.S. Commercial and Medicare Advantage Populations. Chiropractic and Manual Therapies; 23:19. (Appendix A)

1. Well, here we go. A new large independent study using a database of approximately 39 million members in the US reports no causal relationship between chiropractic cervical manipulation and vertebrobasilar artery ( VBA) stroke. Importantly, it provides the first independent support for the Cassidy, Boyle et al. study and concludes that neck manipulation may be associated in time with stroke but does not cause it.

The study is from Kosloff, Elton et al., researchers from the managed care organization United Health Group in Minnesota and is just published and available free online in Chiropractic and Manual Therapies. Points are:

Data came from commercially insured (35,726,224 members) and Medicare (3,188,825) cases from January 2011 to December 2013. Using the case-control method, the 1,829 VBA stroke patients (1,159 from the commercially insured sample, 670 from the Medicare) were compared with 7,319 similar but non-stroke control patients (4 controls for each stroke patient).

Exposure periods were the 0-30 days prior to the date of hospital admission for VBA stroke, and there was analysis at 1, 3,7,14 and 30 days prior to:

  • Chiropractic visits.
  • Primary care physician (or GP) visits.

Results included:

Kosloff, Elton et al. conclude that “there was no association between chiropractic visits and VBA stroke found for the overall sample or samples stratified by age” (4/1/bottom). In contrast, “there is an association existing between GP visits and VBA stroke incidents regardless of the length of hazard period (4/2/2).

The likelihood or odds ratio of there being an association between a stroke and a GP visit “increase dramatically from 1-30 days to 1-1 day”, which is consistent with “the hypothesis that patients are more likely to see a GP for symptoms related to vertebral artery dissection closer to the index date of their actual stroke.” (6/1/3)

“Overall, our results increase confidence in the findings of (the Cassidy, Boyle et al. study) which concluded there was no excess risk of VBA stroke associated with chiropractic care compared to primary care” (6/2/2).


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