Thursday, February 6, 2014

Most Car Crash Victims Don’t Sue Despite Chronic Pain


Most Car Crash Victims Don't Sue Despite Chronic Pain- Chiropractic NewsAuto injury victims have long been accused of faking their symptoms to earn a payout, but a new study shows that in most cases, that accusation is patently false. Researchers from the University of North Carolina School of Medicine found that the vast majority of patients fail to pursue litigation after an auto collision, despite suffering from chronic pain.  “In the U.S., if someone develops chronic neck pain or other pain after a car accident, and they go to their doctor or tell their friends, they are often not believed or are viewed with great suspicion, as if their symptoms are not real and they are just trying to sue someone,” explained Samuel McLean, MD, MPH, lead author of the study and associate professor of anesthesiology and emergency medicine at the University of North Carolina. “Our findings indicate that persistent pain is very common among those who aren’t suing, and that only a minority of those with persistent pain are engaged in litigation.”
In the first large prospective study evaluating musculoskeletal pain after a car accident, researchers analyzed the medical records of 948 auto injury patients at eight different emergency departments in four states. Overall, 70% of those patients reported ongoing musculoskeletal symptoms six weeks after the auto accident. Over a third of patients felt pain in four or more body regions.
Despite this persistent pain, only 17% of patients had contacted a lawyer six weeks after their accident. Among patients not pursuing litigation, 28% had moderate to severe neck pain, 13% had widespread musculoskeletal pain, and 4% had fibromyalgia-like symptoms.
“It is hard enough to be suffering from a persistent pain condition after trauma that is moderate or severe, and/or occurring across many body regions. Unfortunately, these patients also often have to deal with the additional burden of not being believed. Hopefully the results of this study will contribute to helping doctors and the public understand that these symptoms are common, including among patients who aren’t suing anyone,” said Dr. McLean in a press release.
While depression and post traumatic stress do play a role in chronic pain, this study reminds us that the physical symptoms of auto injuries are indeed real. Countless studies have documented the tissue damage, inflammation, and nervous system changes that can occur after whiplash injuries.
Whether or not you plan on suing the responsible party, it is important to seek early treatment to avoid developing chronic pain after a car accident. Chiropractors can safely and effectively alleviate acute and chronic symptoms after auto injury, so you can get back to living your life free of pain.
Florida requires each driver to carry at least $10,000 in PIP coverage, which allows a Florida motorist to receive medical benefits if involved in an accident, even if the accident is their fault.  As part of the recent changes, individuals injured in car accidents will have only 14 days to seek initial treatment as opposed to the previous policy that placed no time limit on treatments. If treatment is sought after two weeks, nothing will be reimbursed by the insurance company. Further, policyholders may be eligible for only $2,500 in coverage, as opposed to the previous limit of $10,000. Only those with serious injuries are eligible for the higher limit, while those with less severe injuries will receive only up to $2,500. Patients will need certification by a medical doctor, osteopathic physician, dentist, physician assistant, or advanced registered nurse practitioner corroborating that the injury required immediate medical attention.Reference
McLean SA, et al. Incidence and predictor of neck and widespread pain after motor vehicle collision among US litigants and nonlitigants. Pain 2014. 155(2): 309-321. 

Wednesday, February 5, 2014

This is the PRC's first Blog! We are very excited about blogging! Here is a great article by Marissa Luck about Cervicogenic Headaches.  This article summarizes some recent research!

Neck Adjustments Effective for Cervicogenic Headache

Neck Adjustments for Cervicogenic Headache-Chiropractic News
Most people with chronic headache depend on medication to get by, but a recent study reminds us of the power of drug-free treatments.
Cervicogenic headache is estimated to affect between 20-25% of the adult population, but because the symptoms often mimic migraine and tension-type headache, the diagnosis can be easily overlooked.
This headache type is caused by musculoskeletal impairments in the cervical spine, or neck, that cause pain at the base of the skull or above the eyes. Patients also often report dizziness and lightheadedness. Both invasive and non-invasive treatments are available for CGH, but more research was needed to confirm the effectiveness of non-invasive approaches.
A recent study included a meta-analysis of six randomized, controlled trials on the effects of manual therapies for CGH. The interventions assessed included therapist-driven cervical manipulation and mobilization (neck adjustments); self-applied cervical mobilization; cervico-scapular strengthening; and therapist-driven cervical and thoracic manipulation.
Patients in all but one study reported a decrease in disability and pain after these treatments, as well as an improvement in function. The researchers found that a combined treatment of therapist-driven cervical manipulation and mobilization, along with strengthening exercises, were the most effective for minimizing pain.
These results add to previous research demonstrating the efficacy of a combined chiropractic and exercise treatment for CGH. Before you reach for medication for your headache, consider seeing a chiropractor who can help to diagnose and treat your headache once and for all.
References
Jull G, Trott P, Potter H, et al. A randomized controlled trail of exercise and manipulative therapy for cervicogenic headache. Spine 2002; 27(17):1835-1843.
Racicki S, et al. Conservative physical therapy management for the treatment of cervicogenic headache: a systemic review. Journal of Manual and Manipulative Therapy 2013; 21(2): 113-124.