Showing posts with label Over-the-counter drug. Show all posts
Showing posts with label Over-the-counter drug. Show all posts

Thursday, January 23, 2014

Above the Curve – How the US spends its healthcare dollars on spinal treatment


By Dr. Steven Warfield

English: Labelled by Vsion, using another Publ...
While it’s common knowledge that healthcare costs in the US have skyrocketed during the past few years, most people have no idea how these costs break down for care associated with back and neck conditions.  While from 1999 to 2008, the costs of healthcare rose an astounding 95%, annual expenses for chiropractic care when adjusted for inflation were relatively stable.  This is a good thing, since more than 50% of adults will experience a back or neck injury during their lifetime.  In fact back pain is the second most common reason that adults in the US seek medical care.  (Upper respiratory infections top the list.)

While it’s hard to put an exact dollar figure on the costs associated with spinal issues, it is widely accepted that somewhere in the neighborhood of $90 billion will be spent this year alone on the diagnosis and treatment of back and neck pain.  Everything from x-rays and MRIs, from surgery to physical therapy are attributable to back and neck injuries.  Not to mention prescription and over-the-counter pain killers.  (Don’t even get me started there.) However, these costs do not include the $10-$20 billion in earnings that will also be lost due to missed days at work while convalescing.  When you add everything up, this brings the total cost for spinal treatment at well over the $100 billion mark.

While these numbers seem alarming, so is the incidence of spinal injury.  While slip and fall or automobile accidents are responsible for a significant amount of back and neck problems, these are by no means the only culprits.  Everything from overdoing it at the gym, to playing golf, tennis or some other sports-related activity can result in spinal pain.  So too can activities around the home or work.  In fact, one of the most common ways to throw your back out is to simply lift something the wrong way.  Puttering around in the garden is also another way in which to injure your back.

Kid’s Stuff

If you are a parent, caring for young children can present something of a minefield.  Whether it’s tripping over toys, or simply the strain of picking up your child, when it comes to back and neck strain, childcare is not kid’s stuff.  Even during play time, many times adults will overdo it in their zeal to compete with or corral a tot.  Not to mention the fact that toting baby paraphernalia slung over one shoulder is sufficient to cause spinal wear and tear that can ultimately result in a trip to the chiropractor.



Other than covering yourself in bubble wrap and refusing to get off the sofa, what can the average person do to enjoy an active lifestyle while avoiding back and neck strain.  (Let me count the ways.)

1.      Make sure your bedding provides sufficient support for your back and your neck.  This means checking everything from your mattress to your pillows. 
2.      Chair Check – Does your office chair have an adjustable lumbar support and more importantly is it properly adjusted?  If you routinely find yourself slouched behind your desk then it is time to either adjust or replace your chair. 
3.      Your computer is not your friend. Especially if you spend all day sitting in front of one.  Most desktop computers and all laptops and tablets force the user to lean forward to type while viewing the screen.  My advice is to get an external monitor for your laptop and to raise the level of the monitor at least a foot above the desktop.  This will allow you to sit upright and avoid the condition called shoulders forward that is primarily caused by the modern workplace.
4.      Lift with the legs as opposed to the back.  If you must lift something off the ground, the correct way to do so without straining your back is to squat down, grasp the item and then stand straight up. Do NOT lean forward, grasp the item and then straighten your back.  This is the surest way I know to strain your back.
5.      Hire a Coach – If you haven’t been to the gym in ages, or played a round of golf or game of tennis in more than a year, the last thing you want to do is go at it full bore.  Especially if you are over forty.  At least not without supervision.  Today there are scads of professional trainers who make their living by evaluating and supervising sports-minded people.  (Another person to consult regarding exercise would be your chiropractor, since he or she has been trained in everything from stretching routines to nutrition.) 
6.      Don’t let your green thumb turn you into a dead duck.  Aside from the fact that many garden implements can be considered lethal weapons, just the act of digging, pruning and/or planting is a hotbed for back and neck strain.  (So is shoveling snow, although we don’t have that problem here in sunny Florida.)  The secret to getting the most out of your gardening is to take it a little at a time, make sure you stay hydrated and be extra cautious around tasks that involve climbing trees and operating power tools.

While health costs in the US are predicted to do little but rise, that doesn’t mean that with a little common sense you can’t enjoy good health and save yourself an unnecessary trip to the doctor.  That in itself is priceless. (Or failing that I can probably get you a good price on bubble wrap.)

Dr.’s Steven Warfield and Dave Edenfield offer the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies.  For more information visit http://endyourpain.org 







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Thursday, October 10, 2013

In Search of the Quick Fix

By Dr. Steven Warfield

It is said that “Time is Money.”  In our fast paced modern society getting things done in a hurry is practically written into our DNA.  So when something comes along that threatens to derail our faced paced lives, be it a strain, sprain, backache or headache, we are in a hurry to find a quick fix.  For many of us this translates to reaching for the nearest bottle of pain pills in the medicine cabinet.  While many analgesics make the pain go away temporarily, what most people don’t realize is that by masking the pain, this can cause the injury to take much longer to correct.  In fact, covering up the pain and going about your normal routine may even create additional injury, the kind that can cost you lost days at work.



Another fact that most people fail to take into consideration is that overmedication, be it a prescription pain killer or plain aspirin is responsible for more harm than good.  According to the American Association of Poison Control Centers, “In 1998 statistics showed that there were 14,253 toxic cases involving aspirin without being combined with other drugs.  Of those, 5,363 occurred in children between the ages of 6 and 19. Included in the total were 33 deaths related to aspirin toxicity.” http://blog.drugrehab101.com/2009/08/aspirin-effects.html
When toxicity occurs from aspirin, the following aspirin side effects may occur:
  • Chronic ingestion may create anxiety.
  • Various respiratory effects, from hyperventilation to respiratory arrest.
  • Ear problems can also occur.
  • Seizures are possible.
  • Many gastrointestinal effects, including most often nausea and vomiting, but also hemorrhage and pancreatitis.
  • When elderly people use aspirin to control pain, the increasing amount may create a state of confusion, which may lead to increased consumption.
We’re talking aspirin here which is available over the counter.  Acetaminophen overdose (acetaminophen 
Open bottles of Extra Strength Tylenol and Ext...
being the active ingredient in Tylenol) is the leading cause for calls to poison control centers, accounting for 56,000 emergency room visits, 2,600 hospitalizations, and an estimated 458 deaths due to acute liver failure each year. If you want to see some truly frightening statistics, take a look at prescription pain killers, many of which are known to lead to physical dependency.  Opioid dependence affects some 5 million Americans and leads to approximately 17,000 deaths per year.  These statistics were so pervasive that it caused the federal government to change the regulations for the prescription of certain classes of pain killers.

In September 2013, the FDA announced that extended-release and long-acting (ER/LA) opioid pain relievers will no longer be indicated for merely moderate pain. The labels for these analgesics previously stated that they were indicated for moderate-to-severe pain. Now, the labels indicate usage only for management of severe pain that requires daily, around-the-clock treatment because alternative treatments are inadequate. The labels will also include a warning stating that long-term maternal use of ER/LA opioid pain relievers can result in potentially fatal neonatal opioid withdrawal syndrome. These announcements were made in an effort to combat the epidemic of addiction and fatal overdoses associated with opioid abuse. http://emedicine.medscape.com/article/287790-overview

Another factor that many people fail to heed is the fact that once hooked it is very difficult to resist the siren call of opioids.  Withdrawal symptoms can include any number of the following and can persist for days or even weeks.

·         diarrhea, persistent shivering, and nausea
·         insomnia, restlessness, tremors
·         abdominal cramping, bone pains, and muscle ache

To get through these debilitating symptoms many patients wind up undergoing methadone or buprenorphine treatment, followed by a gradual tapering off.   

Being a chiropractor has meant that I have had many patients come to me who believed that they were unable to function without analgesics of some kind.  What I have been able to show most of them is that by treating  the underlying causes of pain it is possible to reduce and in many cases eliminate the use of pain pills altogether.  While treatment is an ongoing process that can take months to complete, what every one of them agrees is that when it comes to a quick fix, curing the underlying cause of their pain is worth taking the time to accomplish.

 Dr. Steven Warfield and Dr. Dave Edenfield are part of the team of doctors and therapists at http://endyourpain.org and  http://chiropractor-jacksonville-fl.com   who are dedicated to helping you and your family lead  healthier, happier and pain-free lives.  




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Thursday, December 27, 2012

Making Light of Pain


By Dr. Dave Edenfield

Increasingly, people are looking for natural remedies to reduce pain. The number of OTC drugs such as Aleve, Tylenol, Ibuprofen, Excedrin and their generic counterparts continue to increase exponentially. But so does the frequency and usage of stronger and potentially more harmful prescription pain me
English: A bottle of Excedrin's migraine formu...
English: A bottle of Excedrin's migraine formula. Taken by myself today with a FinePix S700. (Photo credit: Wikipedia)
dications.

In my previous blog “Making the Pain GoAway,” I pointed out how the allopathic medical community, already striving and over-stretched to meet the demands of an aging population that typically evinces more pain-related situations than its younger counterparts, has been increasingly prescribing pain-relief medications as a quick-fix remedy. 

Often times long-term use of these and similar prescription pain-relieving compounds can lead to chemical dependency, accidental overdose, rebound pain, unwanted side effects, and potentially dangerous interactions with other drugs (OTCs as well as prescribed medications). Even homoeopa
Pharmacy Rx symbol
Pharmacy Rx symbol (Photo credit: Wikipedia)
thic remedies are not above suspicion.  After all, the liver does not make the distinction between over the counter, prescribed medication, supplements or food. All of those items get processed through the liver regardless of the labels we give them.
For example, one popular migraine preventative supplement contains, among one of its “all natural” ingredients, 5-HTP (5-Hydroxytryptophan). One would assume this ingredient is innocuous because it’s part of the supplement’s holistic ingredients, right? Yet, this compound is contra-indicated if a doctor were to prescribe a low dose of the common pain reliever Diazepam, even a low, maintenance dose of two milligrams, three times per day.  

The sad fact is that until recently, there were few alternatives available to the public to attenuating pain other than taking these potentially dangerous drugs. However, advances in therapy devices such 
Dermatological laser
Dermatological laser (Photo credit: Wikipedia)
as the uses of ultrasound, muscle stimulation devices and even more recently, LASER therapy have radically changed the options that chiropractic patients can now rely on.

LASERs, while not uncommon in dermatology, cosmetic procedures, Lasik, varicose vein and even in more serious oncology and even endoscopic procedures, are yielding very promising results in the field of chiropractic and physical medicine. Today’s Lasers have been used successfully in a wide variety of surgical, therapeutic and cosmetic modalities.
How does therapeutic LASER therapy help chiropractors better manage or alleviate their patients’ pain?  Demonstrated tests and in-office results have shown that properly controlled and regular therapeutic LASER therapy:
pain management education
pain management education (Photo credit: The Pointe at Kilpatrick)
Accelerates tissue repair and stimulates cell growth
Causes faster wound healing
Reduces fibrous (scar) tissue formation
Helps relieve pain (analgesic properties)
Improves vascular activity
Increases metabolic activity
Improves nerve function and conductivity
Improves immunoregulation
Improves outcome of trigger point therapy and acupuncture
Helps relieves acute and chronic pain
Improves flexibility
Stimulates the growth of healthy collagen and muscle tissue

Most LASER treatments only take a few minutes to perform. Both the patient and therapist don special eyeglasses during treatment (these, by the way, make you look ultra-cool).  The laser resembles a small microphone with a cable that is attaches to its hand-sized, black box power supply. The laser, which has controls to adjust its strength, is applied directly on the skin of the affected area by the chiropractor or his/her assistant.  Unlike acupuncture or the muscle-stimulating Transcutaneous Electrical Nerve Stimulation (TENS) device, the patient usually feels very little, if any, sensation when the laser treatment is applied.

Unlike surgical lasers that rely on heat, therapeutic lasers which rely on light produce no discomfort to the patient whatsoever.  The skilled use of laser therapy gives your chiropractor added tools to help reduce or even eliminate chronic back and neck pain, carpal tunnel syndrome and other repetitive stress injuries, frozen shoulder, plantar fasciitis, post herpetic neuralgia, neuritis/neuralgia, disc herniations and other maladies. Many other conditions can benefit by the skilled application of therapeutic lasers.

Soft Tissue Injuries
Sprains and Strains
Muscular Spasms
Hematomas
Tendonitis/Tenosynovitis
Capsulitis/Bursitis
Myofascial Trigger
Acute/Chronic Joint Issues
Osteoarthritis
Ligament and Tendon Injuries
Rheumatoid Arthritis
Chrondomalacia Patella
Tempomandibular Joint (TMJ) pain

I recently treated an individual with therapeutic LASER therapy who, for years, had been experiencing persistent pain in the thenar eminence region of his right hand, the large muscle group at the base of his thumb. As a professional writer/editor and also semi-professional bassist (who employs several aggressive thumb-oriented strumming techniques), he obviously relied on the full, pain-free functioning of his hands, using them for his two main sources of livelihood. Over the years, over the counter medications, acupuncture, neuromuscular massage, analgesic ointments, natural compounds like bromine (derived from pineapples), wearing thumb braces, alternation of ice/heat etc., even chiropractic manipulation of the thumb joint, provided very little relief. Yet, after only one session with the LASER, he reported less pain and discomfort in that part of his hand. Thousands of studies have shaped the protocols used in laser therapy. The research supports that repeated LASER sessions will continue to improve his once seemingly chronic condition.

So, if you are searching for a way to make light of pain without the use of pharmaceuticals, I recommend you discuss therapeutic laser treatments with your chiropractor.  It could revolutionize the way you deal with discomfort.
Dr. Dave Edenfield is part of the team of doctors and therapists at http://www.lakewoodchiropracticjax.com/ who are dedicated to helping the public lead a healthy, pain-free life. 

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