05.30.11

Timing & Back Pain

Posted in Back Facts (spine) at 8:57 AM by Dr. Greathouse

The back is more vulnerable at certain times of the day. In the first hour after awakening, or after prolonged static full flexion such as sitting or stooping, the body is at greatest risk. Bending stresses on the disc are increased by 300% and ligaments by 80% in the morning (Adams et al., 1987). McGill has reported that after just three minutes of full flexion, subjects lost half their stiffness, making them more susceptible to injury. (McGill 1999).

Be Kind To Your Spine!

05.18.11

Painful Side Effects of Antibiotics

Posted in Medication at 8:03 AM by Dr. Greathouse

Musculoskeletal Complications of Fluoroquinolones: Guidelines and Precautions for Usage in the Athletic Population

Hall MM, Finnoff JT, Smith J
PMR.2011:3:132-142

Article Summary

Adverse musculoskeletal side effects have been well documented with the use of fluoroquinolone antiobiotics. In 2008, the US Food and Drug Administration (FDA) placed a black box warning, as well as further medication recommendations, on all fluoroquinolones due to the increased risk of developing tendinitis and/or tendon rupture.[1] A review of the current literature by Dr. Hall and colleagues discusses potential mechanisms of pathology, identifies risk factors, and proposes updated guidelines in the athletic population, which include:

Avoid fluoroquinolone use unless there is no alternative.

The coaching and athletic training staff should be made aware of the use.

Corticosteroids should not be utilized in conjunction with fluoroquinolones.

Consider concomitant magnesium and/or antioxidant use.

Training routines should be reduced in intensity and volume once antibiotics are started. A graduated return to full activity should be implemented so long as the patient remains asymptomatic after the antibiotic course is finished.

All athletic activity should be stopped if any adverse reactions are experienced.

The patient should be monitored for 1 month after completion of antibiotics.

The quinolones are a family of synthetic broad-spectrum antibiotics. The term quinolone(s) refers to potent synthetic chemotherapeutic antibacterials.[1][2]

Quinolones, in comparison to other antibiotic classes, have the highest risk of causing colonization with MRSA and Clostridium difficile. For this reason, a general avoidance of fluoroquinolones is recommended based on the available evidence and clinical guidelines.[6][7][8] The majority of quinolones in clinical use belong to the subset fluoroquinolones, which have a fluorine atom attached to the central ring system, typically at the 6-position or C-7 position.

05.17.11

Chiropractic Works and So Do Patients

Posted in Chiropractic at 9:27 AM by Dr. Greathouse

Lower disability recurrence when workers comp patients received chiropractic maintenance care versus care provided by physical therapists are medical doctors.

A study published in the April 2011 issue of The Journal of Occupational and Environmental Medicine suggests that when it comes to work related low back pain, the risk of disability recurrence is lower for patients treated primarily by a doctor of chiropractic than patients treated only\mostly by a physical therapist or a physician.

We accept workers comp cases. As an injured employee you are entitled to see a chiropractor by law. We provide the physical therapy and chiropractic services to get you better and back to work.

Call (321) 725-6314

Be kind to your spine!

Dr. Greathouse / Chiropractic Physician

05.05.11

What’s the Safest Way To Lift?

Posted in Spinal Hygiene at 10:37 AM by Dr. Greathouse


Here’s a new study that supports what many chiropractors, including myself, teach individuals to avoid to prevent back pain.

The study identified specific muscle activation or lack there-of during different types of lifts. What was found was that if you stoop or bend at the waist, in combination with a twist, key muscles that stabilize the spinal joints actually turn off. It’s theorized that once those muscles are deactivated you become more prone to injuring yourself during that maneuver.

So, to avoid that predisposing scenario, it’s recommended that you keep the object that you are lifting or about to lift directly in front of you or simply don’t twist with a bend at the waist!

Take note that “about to lift” in the paragraph above is underlined. Historically, many individuals report injuring their backs by simply bending & twisting before the actual lift. Two thirds of your body weight sits above the last vertebrae, so your own body weight loads the spine as well.

Stooping or bending at the waist is biomechanically unsound and so it’s recommended you bend at the hips & knees, and only slightly flex the spine whenever possible. If actually lifting, keep the load as close to the body as possible.

Stooping

The stress associated with leaning forward (stooping), is compounded by reaching. Add a twist and the stress/load increases more. Add a lift with that, even a small object, and the load compounds even further.

Bend with Twist

Many injuries occur at busy periods and we become less aware of what we are doing.

Always be mindful of your movements and posture.

Be Kind to Your Spine

Dr. Greathouse

05.02.11

Spine Pain / When Nothing Else Will Do!

Posted in Uncategorized at 2:38 PM by Dr. Greathouse

When it comes to back or neck pain many times mechanical therapy is the only answer to the problem!

Science tells us pain basically comes from three sources: thermal tissue damage (hot or cold), chemical irritation from inflammation and mechanical load or stress on tissues.

In the spine, mechanical pain is all too common and commonly overlooked!

A high percentage of the time back pain is mechanical in nature and requires mechanical intervention to improve the problem.  A kidney stone is a good example of mechanical pain. The stone is lodged and irritating the tissue. Medication may lesson the pain but the mechanical factor must be remove to get better. many times spinal problems are the same. If the internal component of the joint is displaced it must be reduced. If the joint is painfully stiff or stuck it must be mobilized or manipulated to get better.

There are two valid & reliable classifications of mechanical spine pain; disc derangement, better known as a bulging disc, and joint dysfunction, which is a stiffening of the joint(s). Both forms are common but disc derangement can be the most problematic and disabling. Both can be corrected or improved upon but the derangement classification, although typically more painful and disabling, usually responds to appropriate care more rapidly. Sometime as quickly as one visit an individual can improve from severe pain from the back/leg, neck/arm, to complete abolishment of symptoms and improved function after reduction of the derangement.

Even chronic pain patients respond and should attempt mechanical therapies!

Treatment Choices

  1. Physical Medicine: We Offer…
  • Mechanical care such as manipulation, mobilization, and therapeutic movement.
  • We also offer inflammation & pain-modulating modalities such as electric muscle stimulation (interferential/HVG), ultrasound and cold laser.
  • Muscle massage techniques such as myofascial release, trigger point work etc…
  • Rehabilitative physical therapy.

Go to GreathouseChiropractic.com for more information on services.

For Appointment Call:

(321) 725-6314