While it may seem intuitively obvious that addressing weak neck muscles are important to a full recovery, few patients will do them unless prompted and explained by their doctor. Specific muscles need to be strengthened in a way that does not cause further damage to the ligaments. If the muscles are tight in certain areas, then stretching or deep tissue massage, or trigger point therapy, can help to loosen areas and decrease pain.

But the most important thing you can do on a daily basis is to keep exercising. Studies have shown this to be effective in whiplash treatment when there is a mechanical neck disorder. A specific exercise program can be prescribed by a doctor of chiropractic. Special attention should be made to your posture and x-rays, and how specifically you were injured. Only in this way, will the treatment be effective and not risk further trauma.

Exercises such as rolling the head around the shoulders should be avoided since the neck is not a ball and socket joint like the shoulder. In some directions, the joints will have excessive laxity and the muscle exercises should be done in the neutral position versus at the end range or limit.

Because the ligaments are so badly damaged in whiplash, it’s important to maintain the supporting muscles (both strong and flexible), to keep the spine stable and pain free.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

The 2005 legislature made significant changes in the Texas workers’ compensation system with HB7. The TDI Division of Workers’ Compensation has new Rules that require the Designated Doctor to have completed new training in order to be and stay on the Designated Doctor lists. In addition, the Designated Doctor role was expanded in HB7 to include determining and resolving issues regarding MMI, the impairment rating, return to work, causality, and treatment.

While there is a substantial amount of material to cover over a 2 day period, the course went very well. Being able to be well versed in the AMA’s Guides to the Evaluation of Permanent Impairment, Fourth Edition takes time and a concerted effort. As always, the seminar was well received with many interesting questions and discussions. To all doctors who wish to be on the approved doctors list with TDI-DWC, study the AMA Guides and take the course and you will have a good understanding of how to help the injured workers in Texas.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Doctors of Chiropractic (DC’s) diagnose, treat and prevent mechanical disorders of the musculoskeletal system which affect the nervous system and therefore one’s general health.

Chiropractors aim to maintain, restore, maximize and develop one’s functional ability through specific spinal adjustments, physical modalities and rehabilitative or therapeutic exercises. Physical therapists use rehabilitation therapy and general mobilizations, usually under the orders of a doctor, to help restore a patient to their pre-accident or illness status. Chiropractors use a holistic approach to treatment that focuses not only on the physical, but the psychological, social and emotional well being of the individual through diagnosis, treatment and intervention. The chiropractor then will typically give the patient home based exercises and stretches to prevent a reoccurrence after care is completed.

Chiropractic doctor’s practice combines aspects from both alternative and mainstream medicine. Most chiropractors work with the patients other doctors to coordinate the necessary care of the patient based on the diagnosis that we determine thru our own specific examination. Depending on the specialty of the chiropractor, he/she may have a more nutritional, neurological, sports or in my case orthopedic type of practice.

Physical therapists (PT’s) on the other hand practice in different settings such as outpatient clinics, inpatient rehabilitation facilities, extended care facilities, skilled nursing facilities, hospices, education and research centers, occupational environments and fitness centers. Care is typically directed by the diagnosis and orders of a doctor, though some PT’s are currently allowed direct access.

Chiropractic doctors and physical therapists are both currently using evidence based research to expand their knowledge and further help our patients. Hopefully in the future DC’s, PT’s and other providers of physical medicine will work together for the greater good of our patients with all providers knowing the strengths and limitations of their care.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

When dealing with a mechanical spinal problem, the doctor needs to consider the condition of the disks and ligaments, scar tissue, muscle strength, posture, movement, and alignment. A simple prescription, while effective at reducing pain, is not a good solution in the long run. For example, the scar in muscles that is formed after injury when NSAIDs (ibuprofen) are used is much weaker. The patient needs to also consider the side effects of stomach or gastrointestinal bleeding that can come with long-term use. Leaving joints problems to sit for years while masking the pain, will just make future rehabilitation more difficult and less effective.

Pain is a signal for your body to avoid certain movements and can be very protective. While muscle pain is expected during rehabilitation, if there is ligament or joint pain, then you’re pushing it too hard.

Exercise and stretching without attention to joint injuries, will also not work over time. It’s hard to maintain exercise when there is joint pain. Chiropractic care can keep the spine and other joints flexible while you also approach the other aspects of spine function with specific exercises and stretching.

Maintaining a healthy body weight is also part of any holistic approach. If you’re overweight, this adds tremendous stress to your spine. In some cases it may be important to first get your weight down, before commencing an exercise program, or weight training.

In addition to proper weight control you have to also consider sound nutrition in terms of vitamin and mineral consumption. Most patients need to do better at eating green leafy vegetables, fresh fruits and other nutritious foods. One has to avoid harmful fats, and chemicals/preservatives that are often present in highly processed foods. Supplements such as manganese and glucosamine chondroitin may help joint health. Although there are few studies on how effective these supplements help, the downside or side effects are quite minimal.

As a doctor of chiropractic, I can advise you on integrating a holistic approach with spinal joint care, strength training, flexibility, and sound nutrition.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Clear Lake City Chiropractor Comments: “I was digging a hole in my garden and hit a rock with the shovel.  After clearing the dirt from around the rock, I bent over and reached into the hole.  I couldn’t get a good grip on the rock and had to twist my body to get my arm under it.  As I started to move the rock, I felt something ‘give out’ in my low back and felt immediate low back pain, but it wasn’t terrible.  Like a fool, I gave it another try but this time, the pain in my back was really sharp when I twisted to reach under it.  Then, it felt like a knife stabbing me when I tried to stand up.  Since then, I can’t stand up straight and pain is shooting down my left leg.”

The intervertebral disc is like a shock-absorber located between each vertebra in our spine extending from the tail one to the upper neck.  When healthy, your discs truly do function as shock absorbers.  There are two parts to the disc – the inner part (called the nucleus) which is the liquid-like center and the outer part (the annulus), which is tough, laminated and rubber-like whose job is to hold the nucleus in the center of the disk. The annulus has concentric rings which look similar to the rings of an oak tree trunk and the strength of these laminated rings is due to the fibers crisscrossing, creating a self-sealing, secure border for the nucleus center.  In spite of this great anatomical structure, our discs degenerate and can crack or tear allowing the more liquid-like nucleus to leak out of the annulus creating the classic “slipped disc” (technically referred to as a herniated or ruptured disc).  When the herniated disc presses into the nerve that goes down the leg, pain is felt along its course and can radiate all the way to the foot.  There are five vertebrae and disks with a pair of nerves that go into each leg and depending which disc ruptures, pain will follow a different course down the leg, which is why we ask you if you feel the pain more in the back or in the front of the leg. When the disc tears prior to both disc herniation and leg pain, low back pain occurs because the nerve fibers that are normally only located in the outer third of the disc grow into the central portion of the disc, making it generate more pain.

So now for the important question, “…what can I do for it?”  When you visit our office, we will ask you about how you injured your back.  Often, the cause of a herniated disc can be the accumulation of multiple events over time. It certainly can happen after one major event, like our example of lifting a rock out of a hole, but that is usually the “straw that breaks the camel’s back” and not the sole cause.  Many researchers have reported it is rare for a healthy disc to herniate.  Rather, disk degeneration with tears already present sets up the situation where a bend plus a twist, “…finishes the job.”  The orthopedic and neurological examination will usually clearly identify the level of herniation.  Chiropractic treatment often includes traction types of techniques, some form of spinal manipulation or mobilization, extension exercises, physical therapy modalities like electric stimulation, low level laser, or ultrasound, and ice therapy.  Core / trunk strengthening and posture management are also commonly applied and, proper bending/lifting/pulling/pushing techniques are taught.  As long as you have not lost bowel or bladder control, you are better off seeing if conservative care can relieve your pain before looking at surgical options.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

While it’s true that pain medications can bring relief for a pounding headache, they rarely get at the actual cause of the problem. You have to also consider the long-term problems that can occur when you take these types of pills for years or even decades. Some long-term complications include stomach bleeding, liver and kidney problems. Plus there is the problem of not actually correcting anything and instead masking the symptoms. Pain pills are not one of the five food groups.

For many patients, the problem is not one in the head, but may have a spinal cause. Let me explain how this works…. Normally, the neck is balanced over the shoulders in an upright manner. Some people, however, they develop forward head posture where the head protrudes out away from the shoulder girdle-it looks like the bad posture your mother told to avoid. It is the slouching or turtle problem- your neck should now come out of the front of your chest. This type of posture is often seen in computer operators and others who bend over to do their work. Whiplash injuries can also create this forward head posture by disrupting the natural curve of the neck.

Over time the muscles at the back of the neck become tight and start to tug and pull at the base of the skull. This can cause head pain. Sometimes it’s a dull ache with a burning type of pain full of tension. In other patients, the headache may be more throbbing and to one side. The important thing is to address the actual cause of the problem. This is where chiropractic care is key. By correcting the forward head posture, the head is more balanced over the shoulders. Many patients will report less tension in their shoulder and upper back muscles which were really working over time.

At Beecher Chiropractic Clinic, I try to get at the cause of headaches. Usually it’s not a lack of pills in the diet, and in most patients simply correcting their posture can bring relief. Only a comprehensive examination of the full spine will determine if the cause of your headaches is spinal, and whether chiropractic will be the best option for you to regain your health.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Another cause of neck pain is trauma. This could be from a car accident, a slip-and-fall injury, sports injury, and more.  These injuries are highly variable as no two injuries or accidents are the same and, there are a wide variety of neck sizes in both length and girth and hence, the same trauma may hardly result in an injury in one person and greatly injure a smaller, more petite person.  Your doctor of chiropractic will ask you about the “mechanism of injury” as that can give us clues about which tissues are injured.  For example, in a motor vehicle collision, if the impact occurs from the side verses the rear end of the car, the tissues in the neck are stretched differently and the management/treatment may vary accordingly.

Other causes of neck pain include a “slipped” or herniated disk.  A herniated disk is like a jelly donut where the jelly leaks out and presses against a nerve that travels down the arm. Symptoms often include pain, numb, tingling, burning, weakness, or combinations of these sensations down the course of the nerve. When this occurs, the person is usually quite specific about where the pain is traveling such as, “…it goes down my arm to my ring and little finger.”

Another cause can be related to natural aging process involving the “wearing out” process of the disk, joints, and muscle/ligament attachments.  The term, “osteoarthritis” is commonly associated with these findings and is often blamed for neck pain, but this is controversial.  First, osteoarthritis (OA) takes years to develop and many people have a significant amount of OA but literally no pain or symptoms while others with only a little x-ray evidence of OA present with an abundance of pain.

So, how do chiropractors manage all of these causes of neck pain? A thorough history, examination, and locating the positions of pain production verses pain relief are “key” to the successful management of patients with neck pain.  For one patient, traction/stretching types of manual adjustment techniques work best while for the next, this may not be tolerated at all, which is why we “pre-position” the patient prior to administering an adjustment.

Other treatment considerations may include exercise instruction, physical therapy modalities (electric stimulation, ultrasound, etc.), the use of ice/heat or changes to your work station. If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service.

We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and we look forward in serving you and your family presently and in the future.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Exercise

Exercise is vital to recovery and to maintaining a healthy spine. Consider it part of long-term health management and risk reduction. Regular exercise is the most basic way to combat back and neck problems. However, if you already have an injury or damage to your spine, talk to your doctor of chiropractic before you start an exercise routine, to make sure the exercises you choose are effective and safe for your particular case.

Why exercise? Scientific studies show that people who exercise regularly have far fewer problems with their spine. Exercise helps strengthen the muscles in your back that connect to your spine. Exercise can reduce your risk of falls and injuries. It can also strengthen your abdomen (your belly), arms, and legs, which reduces back strain. Stretching reduces risk of muscle spasms. In addition, weight bearing exercises help prevent loss of bone mass caused by osteoporosis, reducing your risk of fractures. Aerobic exercise, the type that gets your heart pumping and pulse rate up, has been shown to be a good pain reliever as well. The natural chemicals of the body that combat pain — called endorphins — are released during exercise and actually reduce your pain.

Exercises will help maximize your physical abilities including:

• Flexibility — exercises that increase flexibility help to reduce pain and make it easier to keep your spine in a healthy position. Flexibility exercises are helpful for establishing safe movement. Tight muscles cause imbalance in spinal movements, which can make it easier to injure your spine. Gentle stretching increases flexibility, eases pain, and reduces the chance of re-injury.
• Stabilization — “core” muscles are the muscles located closer to the center of your body and act as stabilizers. These key muscles are trained to help you position your spine safely and to hold your spine steady as you perform routine activities. These muscles form a stable platform, which allows you to move your arms and legs with precision. If the stabilizers are not doing their job, your spine may be overstressed by daily activities.
• Coordination — strong muscles need to be coordinated. As the strength of the spinal muscles increases, it becomes important to train these muscles to work together. Learning any physical activity takes practice. Muscles must be trained so that the physical activity is under control. Spine muscles that are trained to control safe movement help reduce the chance of re-injury.
• Conditioning — improving your overall fitness level will help you recover from spine problems. Fitness conditioning involves safe forms of aerobic exercise. The term aerobic means “with oxygen.” When using oxygen as they work, muscles are better able to move continuously, rather than in spurts. Examples of aerobic exercise include:
  • Swimming laps
  • Walking on a treadmill
  • Using a cross country ski machine
  • Using a stair stepper

If you decide you want some extra conditioning, always check with your doctor of chiropractic before beginning a program on your own. It is important that you choose an aerobic activity you enjoy. This will help you stick with it, so you reap the long-term benefits that come with a well-rounded exercise program.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Functional training

DC’s use functional training when you need help doing specific activities with greater ease and safety. Examples of functional training include:

• Posture — healthy posture keeps your spine in safe alignment, reducing strain on the joints and soft tissues around your spine. The time and effort you take to use good posture are vital to spine care, and will help to prevent future spine problems. As you regain strength and control, proper posture and body alignment will be easier to remember and apply with all your activities.
• Body Mechanics — think of body mechanics as putting safe posture into action. It is one thing to sit or stand with good posture, but another to keep safe posture as you actually move with activity. You want to keep your body in its safest alignment as you go about your daily tasks, such as getting out of a chair, taking out the trash, getting clothes out of the dryer, brushing your teeth, and lifting. Safe body movement is especially important during lifting. To avoid extra spine strain when lifting, use these safety tips:
• Plan and prepare for the lift
• Make sure you have good footing
• Straddle your feet with a wide base of support
• Keep the load close to your body
• Keep your spine stable and aligned
• Do not twist or pivot with your feet
• Ergonomics — Ergonomics looks at the way people do an activity. It is possible that even minor changes in the way you do your work or hobby activities could keep your pain and symptoms in check, while protecting your spine from further injury. Ergonomics doesn’t usually involve expensive changes. Even minor adjustments in the way you do your activities can make a huge difference in easing your pain and preventing further problems.

Once your pain is controlled, your range of motion has improved, and your strength is returning, you will be able to continue your therapy on your own at home. Your DC will review some of the ideas listed above to help take care of any soreness at home. You will be given instructions to help you keep working on your range of motion and strength. Before you are done with therapy, more measurements may be taken to see how well you are doing now compared to when you first started therapy.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Pain Control

To control pain and symptoms, your DC may recommend the following physical activities/modalities:

• Rest — resting painful joints and muscles helps calm soreness, giving your spine time to heal. If you are having pain with an activity or movement, it should be a signal that there is still irritation going on. You should try to avoid all movements and activities that increase the pain. In the early stages of your therapy, your chiropractic doctor may have you wear a brace to limit movement.
• Specific Rest — specific rest allows safe movement of the joints and muscles on either side of a painful area while protecting the sore spot. If a lumbar brace was prescribed, you may be instructed to take it off a few times each day so you can do some gentle and controlled exercises.
• Positioning — your DC will help you find positions for your spine that are most comfortable while sleeping or resting. He or she may also suggest positions to reduce stress on your spine while you are at work.
• Ice — ice makes blood vessels constrict or get smaller, which decreases the blood flow. This helps control inflammation, muscle spasm, and pain.
• Heat — heat makes blood vessels dilate or get larger, which increases the blood flow. This helps flush away chemicals that cause pain, and also helps bring in healing nutrients and oxygen.
• Ultrasound — ultrasound uses high-frequency sound waves to reach sore muscles and other tissues that are over two inches below the surface of your skin. As the sound waves pass through your body they vibrate molecules, causing friction and warmth. This heating effect helps flush the sore area and brings in a new supply of blood that is rich in nutrients and oxygen.
• Electrical Stimulation — electrical stimulation gently stimulates nerves as the current passes through pads applied on the skin. Some people say it feels like a massage on their skin. Electrical stimulation can ease pain by sending impulses to your brain that are felt instead of pain. Once the pain eases, muscles begin to relax, letting you move and exercise with less discomfort.
• Soft Tissue Massage — DC’s frequently refer patients for different forms of soft tissue massage. Massage has been shown to reduce pain and spasm by helping muscles relax, by bringing in a fresh supply of oxygen and nutrient-rich blood, and by flushing the area of chemical irritants that come from inflammation. Soft tissue massage can help tight muscles relax, getting them back to a normal length. This will help you begin to move with less pain and greater ease.
• Spinal manipulation — your DC will apply specific pressures and movements to your joints to help lubricate joint surfaces and prevent adhesions. This will ease stiffness and help you begin moving with less pain. As your pain decreases, different manipulations may be used to lengthen tissues around the joint in order to restore better movement in your spine.
• Traction — sore joints and muscles often feel better when traction (pull) is used. DC’s apply traction with their hands or with a traction machine. There are also traction devices that you can use at home. The amount of pull that is needed will depend on your condition. A gentle on/off pressure may be better early on to help control arthritis pain. More vigorous traction can help take away pain if a spinal joint is mildly sore or tight.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001Pineloch,Ste700 Houston, TX 77062. You can schedule an appointment at www.BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

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