10.01.12

Find out which foods are making you sick!

Posted in Alternative Care, Headaches, Nutrition, Pain Management, Wellness at 12:31 PM by Dr. Greathouse

One man’s meat is another man’s poison…

The above idiom can be quite literal, as what you consume can and does adversely affect how you feel, and your health. The problem is we don’t realize it or simply ignore it!

The negative response to the food we eat can range from anaphylactic shock to fatigue and pain that seemingly comes from nowhere. Many food sensitivities symptoms are latent, and do not present until hours or evens days later, thus difficult to associate with what you’ve consumed.

There remains a significant population of individuals with chronic or recurrent symptoms that remain in a nonspecific pain or syndrome category, without a specific diagnosis. These individuals experience multiple signs & symptoms, such as, weight gain, fatigue, signs of ADD/ADHD, skin disorders, migraines, digestive problems and so on

The cause of these symptoms many times is manifested by what we consume. For some reason, our body’s immune system adversely reacts to certain foods we eat or drink. This is sometimes called Food Intolerance. Some experts call the reaction leukocytosis, which is an abnormally high level of white blood cell production. Chronic leukocytosis is very detrimental to ones health and now thought to be a leading cause of degenerative illnesses like cardiovascular disease, arthritis, dementia etc…

What slips through the cracks in healthcare are the people who just feel sick and tired but have no specific diagnosis. They get treated for their symptoms but the root cause of their symptoms goes undetected and many times are given a “surrogate” diagnosis.  I call this group, Prodromal People. People with generalized nonspecific signs & symptoms that may lead to a disease or illness.

This is commonly seen in practice, many times with a mechanical back or neck problem but also with the other signs and symptoms that fit no pattern. A great deal of the time it’s the foods and beverages that these patients are consuming that are causing their nonspecific illness symptoms.

The foods and processing/preservative chemicals causing this disturbance can be identified with lab testing in many instances. Once identified and managed, these signs and symptoms resolve.

Blood testing for food and chemical sensitivity is called the ALCAT Test

Go to ALCAT.COM.

Ask me about the ALCAT Tests.

Dr. James E Greathouse Jr., Chiropractic Physician

321 725-6314

08.06.12

Headache Testimonial

Posted in Headaches, Uncategorized at 10:50 AM by Dr. Greathouse

“I had headaches for the better part of forty (40) years. At one point my internal medicine doctor told me they were caused by three thing; stress, hormonal imbalance and heredity. His answer was pain pills! Over the years I have tried acupuncture, herbal remedies, massage and various other things. Until Dr. Greathouse discovered the use of laser treatment, I’ve lived my life around terrible headaches. Now I have a life and am so excited about this treatment. I highly recommend it for anyone suffering from headaches!”

Thanks for the testimonial Anne!

Health neuroscience is still in its infancy with regard to headaches. Some drugs are very effective and some are not. Some drugs come with unwanted side effects as well as long-term use ill effects. So, it’s nice to find an alternative form of care that has no side effects. Even better, it’s nice to find how to prevent or self treat your headaches!

There are natural alternatives out there!

Anne was a patient, who used to treat with me for headache relief by means of manual therapy, and this helped, but we found she obtained longer lasting relief with the combination of manual therapy and the application of cold laser.

Another much younger patient with chronic recurrent headaches recently benefited with a simple neck exercise that commonly relieves headaches. His initial care began with passive movement provided by means of manual therapy and quickly evolved to active care (self treatment). Nothing beats the liberating experience of not having to use a medication or see a healthcare provider.

Some of the alternative treatments for headache care that we utilize include:

  • Manual therapy (mobilization & massage)
  • Cold laser
  • Electric stimulation
  • Ultrasound (therapeutic)
  • McKenzie MDT (very effective & geared toward self care)
  • Diet assessment
  • Supplements, herbal, homeopathic

We can ascertain if you will be responsive to care in relatively short order.  There’s never a charge for an initial consult. If you are suffering from headaches and are looking for a viable alternative to medication, please give us a call.

321 725-6314

07.19.12

Does Early Management of Whiplash-Associated Disorders Assist or Impede Recovery?

Posted in Guidelines for Treatment, Injury, Truths About Back & Neck Pain at 2:23 PM by Dr. Greathouse

Commentary

What this abstract is telling us is that it’s probably best to wait a period of time before letting a physical therapist or a chiropractor  begin exercise or manual therapy on one’s neck after a motor vehicle accident! Too much too soon is bad. Additionally, if you’re not getting better after at least four weeks of care, something needs to change. That means different care or another opinion. I’ve done enough independent medical exams over the years to tell you that both disciplines (chiros and PT’s) can get a bit too over zealous in their attempts to make you better with too much too soon.

This review indicates not only does care too early delay your recovery it can lead to the development of chronic  pain and iatrogenic disability!  Iatrogenic means caused by the healthcare provider.

Typically  injuries are most painful for 3 to 10 days and will progressively lessen as inflammation reduces and repair begins. The PRICE Rule should be in effect at this time (Protect, Rest, Ice, Compress and elevate an extremity joint). Inflammatory cells and by-products, which are the source of chemically mediated pain, decrease significantly in numbers until the third week (Enwemeka 1989). Gradually, at the end of the acute inflammatory phase, functional range movements can begin.

Treating too long typically isn’t helpful either!

Treating over 8 to 12 weeks will not likely provide further remedial therapeutic benefit (won’t make you better). It may be palliative in nature (makes you feel good short term) but experts feel it leads to dependency on care. Kind of like the classical conditioning of  Pavlov’s dog, I hurt a little, therefore I need care. The goals of care should be to abolish/reduce pain, improve physical and functional capacity (as clinically indicated) and wean from care. Most long term therapeutic needs can be achieved with well prescribed exercises you can do at home. If you have exacerbations, then you return to care, but not on a regular basis after the natural history of healing.

For more info on soft tissue healing and management go to http://www.greathousechiropractic.com/physical_therapy__rehabilitation

Feel free to call me with questions: 725-6314

Does Early Management of Whiplash-Associated Disorders Assist or Impede Recovery?

Pierre Côté , DC, PhD , * and Sophie Soklaridis , PhD †

Study Design. Narrative review of the literature and commentary.

Objective. To discuss from an epidemiological and sociological

perspective whether the early clinical management of whiplashassociated

disorders can lead to iatrogenic disability.

Summary of Background Data. There is a lack of evidence

supporting the effectiveness of early rehabilitation care for whiplashassociated

disorders.

Methods. We describe the epidemiological evidence on the

effectiveness of early rehabilitation on health outcomes for patients

with whiplash-associated disorders and analyze from a sociological

perspective how the medicalization of this condition may have

contributed to increasing its burden on disability.

Results. The evidence from randomized clinical trials suggests

that education, exercise, and mobilization are effective modalities

to treat whiplash-associated disorders. However, the evidence from

large population-based cohort studies and a pragmatic randomized

trial suggests that too much health care and rehabilitation too early

after the injury can be associated with delayed recovery and the

development of chronic pain and disability. These fi ndings suggest

that clinicians may be inadvertently contributing to the development

of iatrogenic disability. The epidemiological evidence is supported

by the sociological concepts of medicalization, iatrogenesis, and

moral hazard.

Conclusion. The current evidence suggests that too much health

care too early after the injury is associated with delayed recovery.

Clinicians need to be educated about the risk of iatrogenic disability.

Key words: whiplash-associated disorders , rehabilitation , prognosis ,

iatrogenesis , chronic pain , disability . Spine 2011 ; 36 : S275 – S279

07.13.12

The Crow Flies At Midnight: The Dope On Hospitals

Posted in The Crow Flies At Midnight at 9:01 AM by Dr. Greathouse

Local rumor has it that some local docs are discouraging their patients from having surgery at hospitals, unless absolutely necessary, because of infection issues. With that info, a recent medical article just became available and worth a read. Make sure your hospital is taking the necessary steps to keep you healthy in your time of need.

The ID List 10 Things Hospitalists Should Know About Infectious Diseases

Thomas R. Collins; John Bartlett, MD; Robert Orenstein Do

Posted: 04/23/2012; The Hospitalist. 2012;16(4):1, 34-36. © 2012 John Wiley & Sons, Inc.

Abstract and Introduction

Abstract

The Hospitalist surveyed half a dozen infectious disease (ID) experts—some of whom also have experience as hospitalists—what they would tell a roomful of hospitalists who were curious about ID. Based on those discussions, we offer 10 tips that should help hospitalists treat their patients more effectively.

Introduction

Hospitalists routinely care for patients with infections, or symptoms of infections, or suspected infections that might not even be infections at all. Many times, hospitalists have more than one treatment option. So which is the best to use? Is there a better option than the therapy that first comes to mind? What about that new antibiotic out there—is it really worth it?

All the while, hospitalists who want to practice conscientious medicine have to be careful they don’t overuse broad-spectrum antibiotics so that bugs’ resistance to the drugs is not speeded up unnecessarily.

In short, infectious diseases can be dicey terrain.

1 Prepare for the reality that the availability of new drugs is shrinking because of antibiotic resistance.

That grim fact might be cause for hospitalists to seek help from ID specialists at their hospitals, says John Bartlett, MD, professor of epidemiology at the Johns Hopkins Bloomberg School of Public Health in Baltimore and founding director of the Center for Civilian Biodefense Strategies. The FDA has approved just two new drugs for major infections in the last five years, he says.

“The FDA faucet is really dry,” says Dr. Bartlett, a world-renowned speaker on ID topics and a frequent speaker at SHM annual meetings. “There are no new antibiotics to speak of, no new antibiotics for resistant bacteria. And there’s not likely to be any for several years. So [hospitalists] are going to find themselves painted in a corner, and they’ll probably have to ask for help.”

Leland Allen, MD, an infectious-disease specialist at Shelby Baptist Medical Center near Birmingham, Ala., who worked as a hospitalist for nine years, says hospitalists should not hesitate to seek assistance. “It’s never a burden to do a consult,” he says. “The reality is that it’s a lot less work if you consult early rather than waiting until the patient is sick.”

Dr. Bartlett says hospitalists should brush up on the use of colistin, a drug developed in 1959 that has been little used and requires careful dosing to avoid toxicity. “We’re finding more and more patients that that’s the only thing we’ve got for them,” he says.

2 Familiarize yourself with new technology for identifying bugs.

“Mass spectrometers have been used for identifying microorganisms through a computerized database, and these units are just starting to become available to large health centers,” says Robert Orenstein, DO, associate professor of medicine in infectious diseases at the Mayo Clinic in Phoenix. “This allows you potentially to identify some of these microorganisms almost immediately— if they’re in the database, which is the key.”

Dr. Bartlett says it’s important for hospitalists to pay attention to the “dramatic changes” in the technology, including the emergence of the ppolymerase chain reaction (PCR) test.

“They have to be aware that there are methods that are very sophisticated and very sensitive and specific,” he says, adding that hospitalists have to keep up with what the methods can measure and what their limitations are.

“If you’re going to practice 2012 medicine and infectious disease, you’ve got to know about the rapid movement in microbiology,” he says. “It’s very fast.”

3 Beware the nuances of Staphylococcus aureus treatment.

James Pile, MD, FACP, SFHM, an ID specialist and interim director of hospital medicine at Case Western Reserve University/MetroHealth Medical Center in Cleveland, says an important tidbit regarding S. aureus is that when it’s isolated from blood culture, it should never be considered a contaminant; it’s the real thing.

“Any of us that have practiced for any length of time can certainly recite tales of bad outcomes when even transient S. aureus bacteremia was ignored or considered a contaminant, and then patients many times were subsequently readmitted with serious complications,” he says.

He also notes that beta-lactam antibiotics continue to be the clear choice for serious methicillin-sensitive S. aureus(MSSA) infections. He says doctors should not give in to the temptation to treat these patients with vancomycin, as studies have shown better outcomes and lower mortality with beta-lactams.[1,2,3]

As for methicillin-resistant S. aureus (MRSA), vancomycin—long the “workhorse” in the fight against MRSA—might remain the best choice despite a series of newer, and more costly, drugs. The reason: a lack of persuasive data that show the new therapies are better, he notes.

Dr. Bartlett cautions that because of the growing resistance of MRSA, the rules for vancomycin use for MRSA are “totally new.”

“They have to know the rules,” he adds.

4 It’s important to continue to keep Clostridium difficile on your radar— it’s still a top threat.

Neil Gupta, MD, a former hospitalist who works as an epidemic intelligence service officer with Atlanta-based Centers for Disease Control and Prevention (CDC), emphasizes glove use and, if possible, immediately curtailing the use of other antibiotics for patients with suspected C. diff.

“Glove use has been proven to be one of the most effective measures at reducing transmission of C. diff,” he says, “and treatment for C. diff is less effective if a patient is on other antimicrobials.”

Dr. Orenstein says hospitalists should be familiar with the evidence-based guidelines for C. diff treatment—the use of metronidazole for mild to moderate cases, or vancomycin for severe cases.

“The practice that we see is all over the board,” Dr. Orenstein notes.

Dr. Pile offered another C. diff tip: If patients who are hospitalized or were recently hospitalized display an unexplained, marked elevation of their white blood cell count, it’s important to think about the possibility of a C. diff infection due to the organism’s predilection for causing striking leukocytosis. On occasion, this might precede, or occur in the absence of, diarrhea.

5 Take out unnecessary IV lines.

David Chansolme, MD, medical director of infection control for Integra Southwest Medical Center in Oklahoma City and a member of the Clinical Affairs Committee with the Infectious Diseases Society of America, explains that all too often the lines will be kept in during the transport of a patient to a skilled-nursing facility. It’s a practice that, he says, comes with a big risk.

“Leaving a line in just for blood draws is probably not OK,” Dr. Chansolme says. “Nowadays, you’re just seeing way too many of those infections.”

Patients headed for a skilled-nursing facility are at an especially high risk because there is such a high rate of multidrug-resistant organisms, he says.

6 Be aware of urinary catheters, and use appropriate therapy for catheter-associated urinary tract infections (CAUTIs).

Physicians often are unaware when patients have urinary catheters, Dr. Gupta says, in part because they are frequently placed in the ED and documentation can be missing.

“It’s important to keep this on [hospitalists'] radar whenever they see a patient, so they can remember to remove these as soon as they can, when they’re no longer needed,” Dr. Gupta says, adding that timely removal can prevent an unnecessary risk of CAUTIs.

He also cautions that a third of antimicrobials used to treat CAUTIs are inappropriately aimed at treating asymptomatic bacteriuria, and hospitalists have to be sure that there truly is an infection.

7 A urine culture without a simultaneous urine analysis is practically worthless.

Once a catheter has been in for three or four days, most patients will have “all kinds of bacteria and fungus growing in their urine,” Dr. Allen says.

“A urinalysis lets you assess for the presence of pyuria or other signs of urinary tract inflammation,” he says. “That’s how you determine whether a germ growing in the urine is a colonizer or a true pathogen.”

8 Bactrim does not treat strep.

“If you have somebody that maybe has been in the hospital on vancomycin because they have cellulitis and are getting better and ready to go home, if you don’t know if that cellulitis is staph or strep, be careful about the agent that you choose to send them home on,” Dr. Chansolme says. “Make sure it has activity against Streptococcus.”

He frequently sees patients de-escalated to the wrong drug—trimethoprim/sulfamethoxazole (Bactrim).

“They’ll go home, and a couple days later they’ll be back because it was in fact a strep infection, not a staph infection,” he says. “If you’re not sure, it’s probably better to use something like doxycycline or clindamycin, or something along those lines, that will treat both.”

9 Be sure to take proper precautions when it comes to norovirus.

Winter is the time of year to be most concerned about norovirus outbreaks. It’s also important to realize it affects people of all ages, is especially common to closed or semi-closed communities (i.e. hospitals, long-term care facilities, cruise ships), and spreads very rapidly either by person-to-person transmission or contaminated food.

“It’s really important to understand that if a patient is suspected of having norovirus, that patient should be placed in contact precautions immediately, and preferably, when possible, in a single-occupancy room,” Dr. Gupta says. “If a healthcare provider becomes ill with sudden nausea, vomiting, or diarrhea, that’s consistent with possible norovirus. They should stay home for a minimum of 48 hours after symptom resolution before coming back to work.”

And because norovirus is so contagious, quick action has to be taken if such an outbreak is suspected.

“If there’s any concern at all in your facility,” he says, “get in touch with an infection prevention committee to make sue all appropriate measures are taken.”

10 Never swab a decubitus ulcer unless that ulcer is clearly infected.

Dr. Allen says it’s important to know that it doesn’t make sense to culture an ulcer that doesn’t have any signs of infection, such as pus or redness—although he sees it happen routinely.

“Just because a patient has a bedsore doesn’t mean it’s infected,” Dr. Allen says. “Usually, they’re not infected. But they’re going to have a dozen different germs growing in them.”

Culturing and treatment without signs of infection, he says, often leads to “inappropriate antibiotic use and probably increased length of stay.”

References

  1. Kim SH, Kim KH, Kim HB, et al. Outcome of vancomycin treatment in patients with methicillin-susceptibleStaphylococcus aureus bacteremia. Antimicrob Agents Chemother. 2008;52(1):192–197.
  2. González C, Rubio M, Romero-Vivas J, González M, Picazo JJ.. Bacteremic pneumonia due to Staphylococcus aureus: A comparison of disease caused by methicillin-resistant and methicillin-susceptible organisms. Clin Infect Dis. 1999;29(5):1171–1177.
  3. Stryjewski ME, Szczech LA, Benjamin DK Jr., et al. Use of vancomycin or first-generation cephalosporins for the treatment of hemodialysis-dependent patients with methicillin-susceptible Staphylococcus aureus bacteremia. Clin Infect Dis. 2007;44(2):190–196.

07.11.12

FYI on Pain Med Methadone aka Dolophine Hydrochloride

Posted in Medication at 11:58 AM by Dr. Greathouse

Evidence Mounts: Methadone Risky in Chronic Pain

The opioid-treatment drug methadone is culprit in almost one in three prescription painkiller overdose deaths, even though it only accounts for a fraction of scripts for pain, CDC researchers said.
About 5,000 patients died from methadone overdose in 2009, about six times more than 10 years earlier, Thomas Frieden, MD, PhD, director of the CDC, and colleagues said in a Vital Signs report.
“Methadone is riskier than other prescription painkillers … and we don’t think it has a role in the treatment of acute pain,” Frieden said during a call with reporters.
He emphasized that most of these accidental deaths are tied to the drug’s use in chronic pain — a condition for which there is little evidence of its benefit, he noted — and are not associated with its indication for the treatment of substance abuse.

The opioid-treatment drug methadone is culprit in almost one in three prescription painkiller overdose deaths, even though it only accounts for a fraction of scripts for pain, CDC researchers said.
About 5,000 patients died from methadone overdose in 2009, about six times more than 10 years earlier, Thomas Frieden, MD, PhD, director of the CDC, and colleagues said in a Vital Signs report.
“Methadone is riskier than other prescription painkillers … and we don’t think it has a role in the treatment of acute pain,” Frieden said during a call with reporters.
He emphasized that most of these accidental deaths are tied to the drug’s use in chronic pain — a condition for which there is little evidence of its benefit, he noted — and are not associated with its indication for the treatment of substance abuse.

07.09.12

Vitamin D With Calcium Decreases Mortality Risk in Older People

Posted in Alternative Care, Nutrition, Wellness at 6:31 PM by Dr. Greathouse

From Medscape Education Clinical Briefs

According to the current study by Rejnmark and colleagues, maintenance of adequate vitamin D status may be necessary for many physiologic functions, beyond that of the classic actions of vitamin D on bone and mineral metabolism. Cross-sectional and longitudinal studies have linked reduced vitamin D status with a number of cancers, adverse cardiovascular and immunologic outcomes, and increased all-cause mortality rates

This systematic review identifies individual patient data and trial-level meta-analyses to assess mortality risk among participants randomly assigned to either supplementation with vitamin D alone or vitamin D with calcium.

Check with your attending physician.

06.27.12

Subluxation: Dogma or Science?

Posted in Chiropractic, Truths About Back & Neck Pain at 11:27 AM by Dr. Greathouse

,

Link below:

http://chiromt.com/content/13/1/17

A little known fact about the chiropractic profession is the inner turmoil regarding the term “subluxation”. A subluxation is a slight malposition of the bones of a joint. Chiropractic coined the term, in it’s inception, to mean a spinal joint is out of alignment. With the subluxation came the premise that when the vertebra is subluxated it would naturally impinge on the nerve or nerves associated with that particular segment of the spine. Not only could this subluxation cause pain because of the malposition but because of the spinal nerve impingement it could also affect the health of the tissues and organs that the nerves go to. Pretty simple premise really, easy to understand and it makes some sense, after all the central nervous system is involved in bodily function. However, there’s a little glitch that science just won’t turn a blind eye to, and that is we simply cannot demonstrate that the darn thing exists. Yeah, the chiropractor feels around and finds a tender spot and cracks the spine and it sounds and feels like the darn thing was reset and it feels better too! But when we try to reproduce this assessment and treatment process, chiropractors are not in agreement as to what segment is out of alignment, what direction it’s out and when we actually manipulate we are never consistent with what we are trying to move, in other words we “adjust” different segments in error more consistently than the segment we are trying to adjust. Bear in mind that the outcomes remain about the same but we can’t prove it’s because the vertebra is out and we reset it or correct it. So, what’s a mother to do? We love our child the subluxation so we must continue to embrace it? At least 45% of chiropractors do embrace the premise fervently and others as well, to some degree, and then again a few reject it all together.

As for me, I think , perhaps, it’s ok to inform people that anecdotally we see some patients with problems other than back an neck pain or headaches improve with spinal manipulation but that the science to support it just isn’t there yet. This allows one (consumer/patient) to make an informed choice about what they are about to pay for.

Meanwhile, back on the farm as the debate continues, the rest of the healthcare world scratches and shakes it’s head… and moves on; without chiropractic I might add.


06.13.12

Medical Radiation Exposure Quadrupled

Posted in Uncategorized at 12:38 PM by Dr. Greathouse

*Imaging Boom Raised Radiation Exposures*
By Crystal Phend, Senior Staff Writer, MedPage Today
Published: June 12, 2012

Advanced diagnostic imaging has increased substantially over the past 15
years, bringing an increase in radiation exposure, researchers found.

CT imaging roughly tripled and MRI use nearly quadrupled from 1996 to
2010 across  the six large integrated health systems studied by Rebecca
Smith-Bindman, MD, of the University of California San Francisco, and colleagues.

How Dangerous Are CT Scans?

Some physicians are raising concerns about the safety of such procedures — most notably, an increase in cancer risk. A CT scan packs a mega-dose of radiation — as much as 500 times that of a conventional X-ray. If your doctor orders a CT scan for you or your child, should you think twice? Absolutely, say researchers behind two recent studies that sound the alarm about the increased cancer risk associated with multiple CT scans.

“Our focus is to bring awareness to the fact that people are getting large doses of radiation and it’s not innocuous,” says Timothy Bullard, the study’s lead author and chief medical officer at Orlando Regional Medical Center. “We want people to use the technology appropriately.”

“Appropriate” is the key word — especially since a review study published last November in the New England Journal of Medicine determined that as many as one-third of all CT scans performed in the United States are unnecessary.

06.12.12

Low Back Pain – Manual Therapy Cost Effective

Posted in Chiropractic, Manual Therapy Works, Truths About Back & Neck Pain at 8:40 AM by Dr. Greathouse

“Evidence to date indicates that guideline-endorsed treatments such as interdisciplinary rehabilitation, exercise, acupuncture, spinal manipulation and cognitive-behavioural therapy for sub-acute or chronic LBP are cost-effective.”  Therapeutic exercise in conjunction with manual therapy or more specific “directional preference exercise”, as with McKenzie, has proven very effective for good outcomes and and cost effectiveness (when managed ethically).

For the entire article see this link: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176706/?tool=pmcentrez

05.31.12

What Helps Chronic Joint Pain?

Posted in Cold Laser, Pain Management at 1:51 PM by Dr. Greathouse

Chronic Joint Pain

Chronic joint pain can be complicated. Sometimes there are complex neurological as well as psychological reasons why joint pain remains recurrent. But, these are actually low on the totem pole for causes. More commonly the problem is the misconception of two little suffixes, itis vs. osis.  Itis means inflammation and osis means abnormal tissue. Joints that repeatedly cause pain every time you use them develop abnormal tissue. For example, an inflamed tendon is called tendonitis. Once healed and repeatedly worn, the tissue develops abnormally and the condition becomes pain even with normal use.  In other words, tendonitis has become a condition called tendonosis. Many doctors fail to recognize this and continue to treat for inflammation. Given that there’s really no inflammation, anti-inflammatories usually don’t have much effect.

Aside from the fact that there’s little to no inflammation with a bout of tendonosis, the main consideration is that these conditions are simply no longer repairing or healing, as if in a dormant state, so it persists and wreaks havoc on the sufferer.

Another issue is reduced blood flow. Inflamed areas are rich in blood flow, which is necessary for healing; chronic problems typically have poor blood flow to the region. This has been demonstrated with very sensitive diagnostic ultrasound studies, more sensitive than MRI.

Common name problems associated with chronic pain include rotator cuff (shoulder) pain, patellar tendonosis (runners knee pain), Achilles heal (tendonosis), medial epicondyle elbow pain (golfers elbow) and of course tennis elbow as well on the lateral aspect, commonly called lateral epicondylitis and should be called epiconylosis. Any joint problem that has become chronic may fall into this category of pain production. In the spine it’s called spondylosis.

Because it’s a problem that commonly results from repeated wear, over time, it’s more commonly an adult problem.

Innovative treatment techniques have arisen over the years to help with osis’s but many times can only be found at specialized orthopedic or sports centers.

Treatment is typically designed to jump start healing and blood flow to the area. Techniques such as shockwave therapy and prolotherapy needling, act as wakeup calls to the painful region. Other techniques include nitroglycerin patches and platelet injection.

Physical therapy techniques that break down scar tissue in the involved regions basically do the same thing on a simpler scale. This might include different forms of joint and soft tissue mobilization and manipulation. Repetitive end range or mid-range therapeutic movement exercises literally remodel dysfunctional tissue, improving the tissue qualities over time. Cold laser has a jump start effect too, as it promotes increased circulation to the region and wakes up dormant cells, activating the natural repair process. It also has a natural analgesic (pain reducing) effect as well.

We provide the physical therapy techniques in combination with cold laser, both of which we’ve had good success with. So, if you have chronic joint pain, give it go. If that fails, then you can opt for the more expensive and invasive techniques out there.

Give us a call at 321 725-6314

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