Archive by Author

Never Make Decisions Hungry!

31 Dec

“All misfortune is but a stepping stone to fortune.”  ~ Henry David Thoreau

Have you heard of the term, hangry?  Even if you haven’t, I can almost guarantee you’ve experienced it. According to the Urban Dictionary, the definition of hangry is: “When you are so hungry your lack of food causes you to become angry.”

Here is hangry used in a sentence:  The service in this place stinks!  I ordered my food over an hour ago.  I’m starving and starting to get really hangry!

Come on.  You can admit it…

You’ve Been Hangry!

We all have, and hangry is not a good place to be.  Well, now research is showing how being hungry affects our decision making.

According to an article published by the Max Planck Society, hunger affects not only decision making, but also the perception of risk.

According to the article, “Hungry people are often difficult to deal with. A good meal can affect more than our mood, it can also influence our willingness to take risks. This phenomenon is also apparent across a very diverse range of species in the animal kingdom. Experiments conducted on the fruit fly, Drosophila, by scientists at the Max Planck Institute of Neurobiology in Martinsried have shown that hunger not only modifies behavior, but also changes pathways in the brain.”

Studies show that animals are willing to take much more risk depending on how hungry they are.  For example, an animal will only hunt dangerous prey when hungry.  If they are not hungry, they will try their luck getting a meal in a less hazardous way.

That seems pretty obvious, but here’s something that is NOT obvious… and even a little surprising.  One study found that hungry humans took significantly more financial risk than their well-fed colleagues.

One obvious lesson here is…

Never Make Financial

Decisions When You’re Hungry!

Of course, make sure your financial advisor and stock brokers are also well fed.  Maybe call them and make sure they have a good breakfast before they start their work day!  

On a more serious note, it is obvious that blood chemistry is seriously affected by what and when you eat.  Your blood chemistry is extremely important when it comes to both your physical and mental health.

Hangry may seem funny, but when you are hungry, your body is not functioning optimally.

Your muscles and brain are not getting the nutrients they need.  Bad decisions and risk taking are just the tip of the iceberg. Not giving your body the nutrients it needs when it needs them can affect every organ and cell in your body.

Understand this:  If you want to GAIN WEIGHT, being “hangry” is one of the best ways to do it.

Why?  Because weight loss is best accomplished when you keep your blood sugar levels stabilized.  This can be accomplished by eating small portions of the correct foods multiple times throughout the day.  Often times, eating five or more small meals is ideal.

If you have reached the point when you feel hunger, then you are falling behind.  Hunger means your blood sugar levels have already dropped.  (Becoming “hangry” is a whole different level!)

But this does not mean you should eat as much as you want whenever you want.

The answer is to eat the right foods, at the right times, in the right portions.

Portion size is a BIG problem for most people.  But, believe it or not, you can be “tricked” into eating or drinking more  (or less) than you think you are.

Here is how:  You’ve heard the statement, “Everything is relative.”  Well, relative is a HUGE factor when it comes to how much you decide to eat.

There is something called the Delboef illusion.  This illusion occurs when people misjudge the size of identical circles when they are surrounded by larger circles of different sizes.

For example, people will think a circle is smaller if the circle surrounding it is huge and vice versa.

Researchers found that the same illusion applies to plates we eat our food on.

When the same portion of food is served on a very large plate, it seems like less food than when it is served on a small plate.

According to an article published by the Cornell University Food and Brand Lab, “For example, in a study conducted at a health and fitness camp, campers who were given larger bowls served and consumed 16% more cereal than those given smaller bowls. Despite the fact that those campers were eating more, their estimates of their cereal consumption were 7% lower than the estimates of the group eating from the smaller bowls. This suggests that not only could large dinnerware cause us to serve and eat more, it can do so without us noticing and trick us into believing we have eaten less.”

The Cornell article also revealed how we can use this optical illusion to our favor.  Here is how:  Serve the vegetables and healthy foods many people do not like on large plates.  The large plate will make the portion look small and easier to eat.  On the contrary, serve bad foods, like desserts, on small plates to make the serving size look bigger.

Want To Stimulate Your Brain

In Just 20 Minutes?

A study recently published in the Journal of Physical Activity and Health found that a 20-minute session of yoga improved participants’ speed and accuracy on two measures of brain function associated with the ability to focus and take in, retain, and use new information.  The study had 30 participants, and researchers said they performed significantly better immediately after the yoga practice than after moderate to vigorous aerobic exercise for the same amount of time.

And don’t forget, if you ever have any questions or concerns about your health, talk to us. Contact us with your questions. We’re here to help and don’t enjoy anything more than participating in providing you natural pain relief. (717) 697-1888.

Building a Bigger Brain.

31 Dec

Dr. Michael F. Roizen

Co-Author of 4 #1 NY Times Bestsellers including: YOU Staying Young.

The Owner’s Manual For Extending Your Warranty (Free Press)

Our basic premise is that your body is amazing.  You get a do over. It doesn’t take that long, and it isn’t that hard if you know what to do.  In these notes, we give you a short course in what to do so it becomes easy for you, and for you to teach others. We want you to know how much control you have over both the  quality and length of your life.

What do your favorite wool sweater, your retirement savings account, and your brain have in common? They’re all better off if they don’t shrink! But the brains of the 79 million Americans (and millions more Canadians) with slightly elevated blood sugar levels are at risk for just that!

Even a little extra blood glucose shrivels grey matter. Once you develop dementia, extra sugar may help short term memory but can still be bad for the long term. This column is not for those already with dementia. Please see a specialist very quickly as there are over 20 totally reversible causes including drugs, B12 deficiency, thyroid disease, etc. It seems the areas of the brain where memories are processed (hippocampus) and thinking takes place (the amygdala) grew smaller in women and men whose blood sugar was in the prediabetes range, about 110 mg/dL on a fasting blood sugar test. (And if you progress from prediabetes to diabetes—as most people eventually do—you’ll accelerate shrinkage even more!)

Now, it’s true that the size of your brain shrinks with age if you do not do anything about it—perhaps ‘cause we humans live so long– but there’s a lot you can do to reverse prediabetes (that will protect all your organs, not just your brain), control your glucose levels so you don’t ever develop prediabetes, and keep your neurons firing at their best. Exercise is most important, followed by stress management.  For comparison, brain games increase hippocampal size less than 10% of the amount that exercise does.

1) Break Out Your Walking Shoes. Exercise stimulates the growth of new neurons and new connections between neurons by boosting levels of a protein called BDNF that acts like “Miracle-Gro” for the brain. Even a few 30-minute walks a week protect against cognitive decline as you get older, and they are even more effective than brain games or spending time with your BFFs. We recommend you aim for 10,000 steps a day; if you can do that, you will definitely be giving prediabetes the heave-ho.

2) Break Out Your Sweat Socks and Heart Rate Monitor. More vigorous physical activity at any age increases your hippocampal size, and your brain connections.  That’s why exercising your leg and core muscles may be the best games for your brain. Get your heart rate up to 85% of your age adjusted max for 20 minutes three times a week, and you’ll get maximum benefit.

3) De-stress daily and get help for depression. Chronic worry and anxiety nibbles away at brain cells and brain connections by switching on a gene that blocks the creation of new nerve connections. The same goes for depression.

4) Get B’s, C, D, E — and omega-3s. Loading up on noggin-friendly nutrients — found in produce, whole grains, fortified breakfast cereal, low-fat milk or ½ a multi twice a day (for vitamin B12), and oily fish like salmon and trout (or take 900 mg of DHA a day from an algal oil supplement) — could substantially reduce your risk for brain shrinkage. People who don’t get enough of this good stuff had 37% more brain loss in one eye-opening report.

5) Lower high blood pressure. Take your blood pressure readings seriously. Anything higher than 115/75 can cause white matter changes and damage the blood vessels that supply every brain cell with oxygen and fuel.

6) Stop Smoking and Second Hand Smoke Exposure. Puffing on tobacco products strangles the blood supply to your brain, like cutting your laptop’s power cord.  It’s also associated with inflammation in your body (including your brain).  Avoiding second hand smoke and avoiding inflammation in your brain makes you much smarter.

7) Consider Supplements That Decrease Insulin Resistance. Cinnamon (2 teaspoons a day), tumeric (17 mg as a food spice—Indian food is a great place to start), purified omega-7’s (420 mg a day), and coffee (more than 2 cups a day if your doc says that’s all right for you) all decrease insulin resistance and may all improve long-term brain function.

8) Go To Sleep. Chronic bed-time trouble is another brain minimizer. Nix afternoon caffeine, de-stress before you turn in, make sure your room is cool and dark, and that a snoring pet or human bedmate isn’t keeping you up. In the morning, snap up the shades and get some morning light. Missing out on sun exposure may also downsize your little gray cells.

We haven’t even mentioned brain games or even ping-pong, both of which improve brain function.  And all make your RealAge younger by many years. Next month, we’ll return to things to prevent breast and prostate cancer like daily cruciferous veggies, avoidance of getting too big a waist, and two baby aspirins with a half glass of water, if your doc agrees.

Thanks for reading.

Young Dr Mike

NOTE: You should NOT take this as medical advice. 

This article is of the opinion of its author.

Before you do anything, please consult with your doctor.

You can follow Dr Roizen  (and get updates on the latest and most important medical stories  of the week) on twitter @YoungDrMike. 

Feel free to continue to send questions to youdocs@gmail.com. You can follow Dr Roizen on twitter @YoungDrMike (and get updates on the latest and most important medical stories of the week).  The YOU docs have a new web site: YOUBeauty.com  and its companion BeautySage.com the only site we know of where you can find skin products proven to meet the claims (opened for business on June 1st, 2012), and a new book: YOU: The Owner’s Manual for Teens.

Michael F. Roizen, M.D., is chief wellness officer and chair of the Wellness Institute at the Cleveland Clinic. His radio show streams live on http://www.healthradio.net  Saturdays from 5-7 p.m . E-mail him questions at YouDocs@gmail.com.   He is the co-author of 4 #1 NY Times Best Sellers including : YOU Staying Young and YOU: The Owner’s Manual. He is Chief Medical Consultant to the two year running Emmy award winning Dr Oz show– The Dr Oz show is #2 nationally in daytime TV.  See what all the fun is about, and what he, The Enforcer, is up to. Check local listings or log onto DoctorOz.com for channel and time. And for more health info, log onto youbeauty.com anytime.

 

Carpal Tunnel Syndrome – Are There Other Tunnels?

31 Dec

Carpal Tunnel Syndrome (CTS) refers to the median nerve being pinched in a tunnel at the wrist. As the name implies, “carpal” refers to the 8 small bones in the wrist that make up the “U” shaped part of the tunnel and “syndrome” means symptoms that are specific and unique to this condition. As we learned last month, CTS can be affected by nerve pinches more proximal to the wrist, such as at the forearm, elbow, mid-upper arm, shoulder or neck. To make matters more complex, there are two other nerves in the arm that can also be pinched in different tunnels, and the symptoms of numbing and tingling in the arm and hand occur with those conditions as well. This is why a careful clinical history, examination, and sometimes special tests like an EMG/NCV (electromyogram/nerve conduction velocity) offer the information that allows for an accurate diagnosis of one or more of these “tunnel syndromes” in the “CTS” patient. Let’s look at these different tunnels and their associated symptoms, as this will help you understand the ways we can differentiate between these various syndromes or conditions.

Let’s start at the neck. There are seven cervical vertebrae and eight cervical spinal nerves that exit the spine through a small hole called the IVF (intervertebral foramen). Each nerve, like a wire to a light, goes specifically to a known location which includes: the head (nerves C1, 2, 3), the neck and shoulders (C4, 5), the thumb side of the arm (C6), the middle hand and finger (C7) and the pinky side of the lower arm and hand (C8). If a nerve gets pinched at the spinal level (such as a herniated disk in the neck), usually there is numbness, tingling, and/or pain and sometimes, usually a little later, weakness in the affected part/s of the arm and hand (or numbness in the scalp if it’s a C1-3 nerve pinch). So, we as chiropractors can test the patient’s sensation using light touch, pin prick, vibration, and/or 2-points brought progressively closer together until 1-point is perceived and then comparing it to the other arm/hand. Reflexes and muscle strength are also tested to see if the motor part of the nerve is involved in the pinch. The exam includes compression tests of the neck to see if the arm “lights up” with symptoms during the test.

Next is the shoulder. Here, the nerves and blood vessels travel through an opening between the collar bone, 1st rib and the chest muscles (Pectorals). As you might think, the nerves and blood vessels can be stretched and pinched as they travel through this opening and can cause “thoracic outlet syndrome.” Symptoms occur when we raise the arm overhead. Hence, our tests include checking the pulse at the wrist to see if it reduces or lessens in intensity as we raise the arm over the head. At the shoulder, the ulnar nerve is the most commonly pinched nerve, which will make the pinky side of the arm and hand numb, tingly, and/or painful. A less common place to pinch the nerves is along humerus bone (upper arm) by a bony process and ligament that is usually not there or resulting from a fracture. Here, an x-ray will show the problem.

The elbow is the MOST common place to trap the ulnar nerve in the “cubital tunnel” located at the inner elbow near the “funny bone” which we have all bumped more than once. Cubital tunnel syndrome affects the pinky side of the hand from the elbow down. The median/carpal tunnel nerve can get trapped here by the pronator teres muscle, thus “pronator tunnel syndrome.” This COMMONLY accompanies CTS and MUST be treated to obtain good results with CTS patients. The radial nerve can be trapped at the radial tunnel located on the outside of the elbow and creates thumb side and back of the hand numbness/tingling.

Hence, you see the importance of evaluating and treating ALL the tunnels when CTS is present so a thorough job is done (which is what Chiropractors do). Try the LEAST invasive approach first – non-surgical treatment – as it’s usually all that is needed!

We realize you have a choice in who you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend or family member require care for CTS, we would be honored to render our services.

 

Low Back Pain and Balance.

31 Dec

Statistically, most people (estimated to be about 90%) will seek care for Low Back Pain (LBP) at some point in their lifetime.

Balance is a skill that is learned as we develop. Initially, as infants, we have not developed the “neuromotor pathways” or, sequence of signals between the brain and our toes, feet, ankles, knees, hips, and so on. The constant flow of sensory information received and processed by the brain prompts motor messages to be sent back to our limbs and allows us to move in a progressively more coordinated manner as we develop. This natural progression of developing motor control starts with crude, rather uncontrolled movement of the fingers, hands, arms, legs, and feet, and soon, we learn to hold up our head, scoot, roll over, crawl, stand, and eventually walk (usually during the first 12 months of life). The learning process of recognizing sounds, voice quality and inflections, and words occurs simultaneously. This bombardment of sensory information to the brain leads to the ability to gradually perform highly integrated functions including walking, running, jumping, and dancing. As part of that learning process, falling frequently occurs. We all recall the challenges of learning how to ride a bike, swim, do a somersault, climb a tree, swing, dance, do gymnastics, ski, and on and on. As time passes and we enter middle age, we become more sedentary. As a result, we start losing our “proprioceptive edge” and become less steady, leading to more frequent balance loss and falls. Eventually, we have to hold on to hand railings or the wall in order to keep our balance and falling occurs more frequently. Couple this gradual loss of balance with bone demineralization (osteoporosis) and the risk of a fracture, such as a hip or vertebra, increases as well.

So the question arises, what can we do to slow down this process and maybe even reverse it? The answer is, A LOT!!! Just like muscles shrink and atrophy if they are not used, so does our ability to maintain our balance. We have to keep challenging our balance in order to keep those neuromotor pathways open. That need doesn’t stop after childhood, and in fact, becomes more important as we age. Last month, we talked about the “normal” length of time people can stand on one foot with the eyes open verses closed. If you tried the test, do you remember the steadiness difference? This “test” can be used at various time intervals, such as once a month, as you add balance challenging exercises to your daily routine. Frequently, people will find that within the first 2-4 weeks, they will feel more “sure” or secure on their feet, and even may not feel the need for a cane, or they’ll reach out less often for a hand rail. Start with simple exercises like standing with your feet together and hold that position for progressively longer times (eyes open and closed). We will continue this discussion next month with more balance stimulating exercises.

We realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

 

Are You Getting Enough Sleep?

30 Dec

“A well-spent day brings happy sleep.”  ~ Leonardo da Vinci

For many, there is no bigger pain in the entire world than the sound of their alarm clock rousing them from a beautiful, deep slumber.

Do you get up or hit the snooze button?  Are you lazy if you slept eight hours and don’t get up? Well, perhaps not.  New research shows that your desire for more sleep may not come from laziness at all.  It may be genetic. More on that in a moment, but first, how much sleep do you really need?

The amount of sleep your body needs is the amount that results in you feeling fully rested and alert. According to a report by ABC News, if you find yourself sleeping in on weekends, then your body may be catching up on lost sleep time. On one hand, some researchers recommend trying to sleep more during the week to balance out your sleep schedule so you sleep the same number of hours on weekends. A short 25-minute nap in the afternoon can help make up for a sleep deficit during the week. On the other hand, Dr. W. Christopher Winter, medical director of the Martha Jefferson Hospital Sleep Medicine Center in Charlottesville, Virginia, thinks there’s no harm in sleeping in on Saturday and Sunday morning to make up lost time. But, that may not be such a good idea for some people. We’ll cover that later too…

How Many Hours of Sleep Do You Need?

The Centers for Disease Control and Prevention (CDC) recommends adults sleep 7-9 hours per night, teenagers sleep 8.5-9.5 hours per night, and children (ages 5-10 years old) sleep 10-11 hours per night. A review of 16 long-term studies published in the journal Sleep found that both short sleepers (under 7 hours) and long sleepers (over 9 hours) lived shorter lives than those who slept 7-9 hours per night. This may be the basis for the CDC’s 7-9 hour recommendation.

Inadequate sleep can negatively affect your heart, lungs, kidneys, appetite, metabolism, immune system, reaction time, mood, and brain function. People who don’t get enough sleep are more likely to develop type 2 diabetes (and all the health problems associated with that disease) because inadequate sleep affects insulin sensitivity.

A study of 24,000 Japanese women found those who slept less than six hours a night were more likely to develop breast cancer while a study by Case Western Reserve University in Cleveland found men who slept less than six hours a night were at a higher risk for potentially cancerous colorectal polyps.

Another study found lack of sleep might cause relationship problems. This research from the University of California at Berkeley (UCB) found that couples fight more and are less healthy after a bad night’s sleep.  “For the first time, to our knowledge, we can see the process of how the nature, degree, and resolution of conflict are negatively impacted by poor sleep,” said Dr. Serena Chen, a Professor of Psychology at UCB.

One thing to keep in mind is that if you sleep less than seven hours a night but you feel rested and alert when you wake up, that may be fine too. In fact, researchers at the University of California at San Francisco discovered individuals with a mutation to the DEC2 gene can function well on five or six hours a night, with no apparent adverse effects.

Oversleeping May Be Just As

Bad As Not Getting Enough Sleep!

Interestingly enough, sleeping over nine hours a night can lead to many of the same problems as sleeping too little. Long sleepers are at risk for obesity, type 2 diabetes, back pain, depression, and heart disease. If you tend to wake up before your alarm clock and you feel rested, get up and start your day. Forcing yourself to sleep in may do you more harm than good.

If it’s true that some people may genetically need less sleep, then the opposite is likely true as well: some of us may be genetically predisposed to needing more sleep than the “average” person. So, if you need more than nine hours of sleep to feel rested and alert, that may be okay.

Irregular Sleep Patterns May Be A Problem Too!

People with irregular work schedules (that, in turn, lead to irregular sleep patterns) may also experience health problems. One study recently found that females working shift patterns are associated with an increase risk of menstrual disruption and subfertility. The study collected data on 119,345 women from 1969 – 2013 and found that those working shifts (alternating shifts, evenings and nights) had a 33% higher rate of menstrual disruption than those working regular hours, and an 80% increased rate of subfertility.

In a nutshell, you must get the proper amount of sleep to be healthy. One of the biggest things we can take from this study is that the proper amount of sleep is individual.  It is not “8 hours.”  We are all different, and you must figure out what the proper amount of sleep is for you.

We all know people who can sleep five hours and wake up with a full charge. Five hours might be optimal for them, and that is awesome.  However, you might need eight, nine, or even more.

If you’re the type who has trouble getting restful sleep, here are some tips:

Regular exercise is often advised to improve sleep. Some experts recommend you try exercising earlier in the day, others think the evening before bed is a better idea. See what works best for you. Stress and anxiety can affect sleep and exercise has been shown to help relieve stress and anxiety, even if you don’t really want to work out.

Eating before bed may trigger acid reflux or an upset stomach that can hinder sleep. However, consuming a relaxing food or beverage (like a warm glass of milk) may help you fall asleep.

Avoid caffeine, alcohol, and smoking before bed as they can disrupt sleep patterns.

Take a hot bath, shower, or sauna before bed. This will raise your body temperature and cooling off facilitates sleep. The temperature drop from getting out of the bath signals to your body that “it’s time for bed.” On the same note, keep the room cool. Lower temperatures help with sleep.

Get out of bed. If you are having trouble falling asleep, get up and do something else. Don’t linger in bed and fret about not being able to fall asleep because it could develop into an even bigger sleeping problem.

Turn off the lights. Complete darkness (or as close to it as possible) is best. Even the tiniest bit of light in the room can disrupt your internal clock and your pineal gland’s production of melatonin and serotonin. Cover your windows with blackout shades or drapes.

Consider a “sound machine.” Listen to the sound of white noise or nature sounds, such as the ocean or forest, to drown out upsetting background noise and soothe you to sleep.

Try to sleep a consistent number of hours each night. While it may be okay to catch up on sleep during the weekends, if you can’t sleep Sunday night because you slept in on Sunday morning, that can be a problem.

Increase your melatonin. If you can’t increase levels naturally with exposure to bright sunlight in the daytime and absolute complete darkness at night, consider supplementation.

Last but not least, health conditions like back pain or neck pain can interfere with a good night’s sleep so make sure to get adjusted regularly to help keep your body functioning optimally so you can sleep restfully.

Don’t forget, if you ever have any questions or concerns about your health, talk to us. Contact us with your questions. We’re here to help and don’t enjoy anything more than participating in providing you natural pain relief.

Whiplash Facts.

30 Dec

“Whiplash” is considered a non-medical term that encompasses a range of injuries. These injuries typically affect the neck and are caused by a sudden movement of the neck associated with extension or forceful backward bending. The medical term “cervical acceleration-deceleration” (CAD) is considered to be a more accurate description of what happens during a car accident, and the term “whiplash associated disorders” (WAD) describes the injury’s residual signs and symptoms.

 

WAD or CAD is most commonly associated with motor vehicle collisions (MVCs), when a vehicle is struck from behind. Other less common causes include: dancing (especially “headbanging”), falls from stools or ladders, bicycle injuries, horse related injuries, and many others. In the UK in 2007, 430,000 people made an insurance claim for WAD, accounting for 14% of every driver’s premium. In the US, over 1 million WAD injuries occur annually due to car accidents alone with an estimated 3.8 cases per 1000 people per year. An estimated 6.2% of the US population has “late whiplash syndrome” or long-term problems associated with WAD.

Prior to the advent of the automobile, WAD was referred to as “railroad spine” (as it resulted from a train crash), first documented in 1919. WAD also occurred frequently in pilots landing on aircraft carriers due to the rapid deceleration that occurred as the planes landed and suddenly braked. When one thinks of “whiplash,” the visual of a high speed crash comes to mind. However, WAD can occur at speeds less than 15 mph due to less crash energy absorption by crushing metal. Since there is less car damage at lower speeds, that energy is transferred to the contents (the people) inside the car.

The neck consists of 7 vertebrae, the 6 disks, the 8 pairs of nerves, and the muscles, ligaments and other “soft-tissues.” There are 4 phases of injury (initial, retraction, extension and rebound), which all occur within 300 msec. Whereas, it takes about 800msec to voluntarily contract a muscle. Therefore, you can’t really “prepare” or fully brace for the impact. Most injuries occur at C5 and C6 in the lower part of the neck between 150 and 300 msec. of the cycle. Factors that influence injury include: the seat back angle, the seat back rebound, the headrest position, the direction the head is positioned at impact (worse if rotated), the occupants gender (females are at greater risk due to a more thin, less muscular neck), the size of each vehicle involved, and more. All these factors make it extremely challenging to accurately reconstruct a MVC on paper.

The most common symptoms associated with WAD include neck and upper back pain and headache, referred pain into the mid-back or down an arm and sometimes legs. The onset of symptoms can be immediate or delayed for days. Risk factors that worsen the prognosis of a case include: the presence of radiating pain from the neck to the arm and hand that follows a specific nerve, failure to respond to initial treatment, a delay in getting treated, and being placed in a cervical collar (especially if not allowing to be mobilized and exercised — i.e. chiropractic care). The key to the success of WAD treatment is to get treated immediately, don’t restrict yourself to a cervical collar, unless you have an unstable fracture, and do your exercises!

We realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.