Osteopathic Manipulation for Facial Numbness and Pain After Whiplash Injury

From “Journal of the American Osteopathic Association”, July 2013

This article describes how auto accident injuries affect the jaw and trigeminal nerve which is a cranial nerve exiting from the skull, causing facial pain and numbness. Osteopathic manipulation is described in the article, to the cervical spine, suboccipital and cranial regions alleviating patients complaints. Whiplash injuries are common causes of neck pain, arm radiation and numbness along with headaches, but injuries to the jaw, cranial bones and nerves are less well understood.

Reimbursement for Treating Crash Victims: Deconstructing the Objections

In a May 2013 article By Arthur Croft, DC, MPH, MS, FACO, an expert on automobile injuries, the author discusses the difficulty that auto injury victims often have in settling “low impact” claims. He concludes that, ” The single most frequently cited justification by auto insurers for refusing to honor medical bills for treatment is that injuries are unlikely, uncommon or impossible in collisions in which the property damage is under $1000 or so. Yet evidence suggests low-speed accidents are actually MORE LIKELY to cause injury”.

Back Pain #1 Cause of Disability Worldwide

The Global Burden of Disease 2010 Project, a massive series of studies, identified Low Back Pain as #1 and Neck Pain as #4 causes of worldwide disability. Part of the cause is that the population is living longer with the burden of pain and disability increasing from prior generations. Musculoskeletal conditions such as neck and back pain and arthritis affect more than 1.7 billion people worldwide and have a greater impact on the health of the world population (death and disability) than HIV/AIDS, tropical diseases including malaria, the forces of war and nature, and all other neurological conditions combined. “Musculoskeletal conditions are an enormous and emerging problem in all parts of the world and need to be given the same priority for policy and resources as other major conditions like cancer, mental health and cardiovascular disease”-Scott Haldeman, DC, MD, PhD.

Omega-3 supplementation lengthens DNA and reduces inflammation

From “Brain, Behavior and Immunity” 2012, showed that daily mega-3 supplementation lengthens DNA telomeres, which are the “caps” of DNA of our cells. Every time a cell divides, the telomere shortens slightly. Re-lengthening of telomeres is an important finding linked to the prevention of cancer, reversing the aging process and possibly the prevention of various degenerative diseases by reducing inflammation. This study suggests, that omega-3 supplementation or from diet, may help musculoskeletal inflammatory and degenerative arthritis pain, especially with a vigorous exercise program.

Fall Track/ Balance Track Program

Falls are very common among the elderly. Broken hips and head injuries from falling are a leading cause of death or significant functional decline over the age of 65. 1 out of 3 adults age 65 and over fall each year. The total average healthcare cost of a fall injury of people 72 and over is $19,440. Over 1/3 of the elderly required hospitalization following a bathroom incident.

Clinicares Fall Track and Balance Track physical therapy and rehabilitation program, is patient specific, designed to treat vertigo and imbalance patients. We begin with a thorough physical medicine consultation and evaluation, then perform a VENG (videonystagmography) test to obtain inner ear and brain function diagnoses. With this specific data, a PT program is designed for the patient to improve their condition. Balance patients are among the most common physician referrals to Clinicare which is covered by Medicare and most insurers.

Osteoarthritis knee pain

Hyaluronic acid is a major component of the natural knee lubricants and cartilage which reduces friction and shock absorption. Osteoarthritis causes wear of the knee cartilage and depletes this fluid level. Our Hyalgin program uses medication containing hyaluronic acid which is injected directly into the arthritic area allowing for improved lubrication and attempt at cartilage rejuvenation. This is done at this facility under diagnostic ultrasound guidance so that we can accurately visualize correct needle placement to the specific arthritic area. Improved patient outcomes have been shown when active rehabilitation therapy in our supervised PT gym is performed along with this procedure. This program is covered by Medicare and most insurers.