This guideline provides guidance on the assessment and management of major trauma, including resuscitation following major blood loss associated with trauma. For the purposes of this guideline, major trauma is defined as an injury or a combination of injuries that are life-threatening and could be life changing because it may result in long-term disability. This guideline covers both the pre-hospital and immediate hospital care of major trauma patients but does not include any management after definitive lifesaving intervention. It has been developed for health practitioners and professionals, patients and carers and commissioners of health services.

What's to know about cervical spondylosis? Cervical spondylosis is a type of osteoarthritis. It is very common, and it happens as people get older, and the vertebrae and discs in the neck deteriorate. Minor symptoms include neck pain and stiffness, but numbness and more severe effects are possible. Symptoms often resolve alone, but treatment is available. Read now


Generally, you can expect to fill out paperwork or a questionnaire explaining your health history, reason for your visit, surgical and family history, any pain you are feeling or any previous injuries you may have. At my appointment, there was a case manager that came in to explain who I would be meeting with and how the appointment would go. This made me much more comfortable about the whole process—I actually felt at ease and excited to keep working through the next steps! Here is an example of the type of forms you will be asked to fill out.
Chiropractic works by making carefully placed adjustments to realign your spine. These adjustments allow the muscle tissues to properly support the spine and vital neurological processes that occur within it. When the spine is able to function without interference, the body is better able to facilitate healing, thereby relieving pain and restoring health in a variety of ways.
D. D. Palmer founded chiropractic in the 1890s,[23] after saying he received it from "the other world",[24] and his son B. J. Palmer helped to expand it in the early 20th century.[23] Throughout its history, chiropractic has been controversial.[25][26] Despite the overwhelming evidence that vaccination is an effective public health intervention, among chiropractors there are significant disagreements over the subject,[27] which has led to negative impacts on both public vaccination and mainstream acceptance of chiropractic.[28] The American Medical Association called chiropractic an "unscientific cult" in 1966[29] and boycotted it until losing an antitrust case in 1987.[21] Chiropractic has had a strong political base and sustained demand for services; in recent decades, it has gained more legitimacy and greater acceptance among conventional physicians and health plans in the United States.[21]
After selling his very successful practice in Boise, Idaho, Dr. Tim Dudley moved to Whitefish in 2015 to pursue his professional goals of starting a consulting business to teach other Chiropractors how to be effective and successful. He also wanted to practice what he was preaching and set out to create his dream practice from the ground up. While Whitefish has many chiropractors, there was room for Dr. Dudley’s unique and highly specialized skill set here, and it also put he and his wife much closer to where they were both raised, and to their families. Once Dr. Dudley found his ideal office space in downtown Whitefish, he opened his doors and has been helping and healing one spine at a time.
Finding a good, or even great, chiropractor doesn’t happen just by chance. It’s like anything else today–there are online options for finding user-generated reviews and recommendations to help you find the best chiropractor close to you. Add that to your network of family and friends, and peer-reviewed sites like PainDoctor.com, and you have the tools you need to make the best decision for you.
Dr. KenGee Ehrlich, also known as The Good Chiropractor throughout Los Angeles, has worked with athletes from all areas of sports. Taking a wellness approach to his treatment methods, he works with individuals of all ages to not only provide relief from pain, but the adjustments needed to provide healing in those areas as well. The Good Roll Pillow, which was featured at the ESPY’s, has provided adjustments and helped athletes and actors get relief from their ailments. See how Dr. KenGee can provide you relief!
The AANS does not endorse any treatments, procedures, products or physicians referenced in these patient fact sheets. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific neurosurgical advice or assistance should consult his or her neurosurgeon, or locate one in your area through the AANS’ Find a Board-certified Neurosurgeon online tool.
Welcome to Rafey Chiropractic & Health Center located at 3377 Compton Road Suite 130 in Cincinnati, OH. We understand that choosing a chiropractor is a big decision. This article will help you learn the basics of chiropractic care. Please don't hesitate to contact our Cincinnati chiropractors with any further questions you have. We are here to help you achieve your goals.
Neck pain may result from abnormalities in the soft tissues—the muscles, ligaments, and nerves—as well as in bones and disks of the spine. The most common causes of neck pain are soft-tissue abnormalities due to injury (a sprain) or prolonged wear and tear. In rare instances, infection or tumors may cause neck pain. In some people, neck problems may be the source of pain in the upper back, shoulders, or arms.
Epoch Chiropractic: Voted the Best Chiropractor in New Castle County in Delaware, 2012 Reader's Choice 2014 Award Winners for #1 Chiropractor Awarded a Trademark Women of Distinction - Honors Edition 2017 We're more than just Chiropractic. At Epoch, we provide quality Chiropractic care, including Auto and Work Injury cases, Spinal Decompression, Nutrition, Weightloss, Metabolic Analysis and more. Dr. Himani Patel specializes in Women and children, prenatal and pediatric care. In addition, we provide one-on-one ergonomic and postural corrective exercises for a healthier spine outside the clinic. OUR Patients get better! X-rays are performed on ... View Profile
Chiropractic Physician serving the Miami community for over twenty years.Whether you have an illness, pain, suffered a sport injury or an accident(auto mobile, work or slip and fall) or just want to approach health in a proactive way(wellness mentality) we are here to help you achieve your goals toward a healthy future. Neuropathy and weight loss programs.

My niece has some spine disorders, and I think that being able to visit a chiropractor would be helpful for her. I’m glad that you talked about chiropractors being able to have a knowledge of anatomy and physiology, and I think that being able to have this knowledge would help them with her spine disorders. I’m going to have to see if a chiropractor would be the best option, or if we could find a specialist for spine disorders! Thanks for the information!
One of the most common questions that people ask is around the safety of chiropractic care. So, how safe is it? According to the American Chiropractic Association, “Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of back pain, neck pain, joint pain of the arms or legs, headaches, and other neuromusculoskeletal complaints.” While chiropractic is considered a safe complementary therapy, there can be some potential side effects, like soreness following a spinal manipulation.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Many patients seek orthopaedic care for neck pain because orthopaedists are specifically trained to diagnose, treat, and help prevent problems involving the muscles, bones, joints, ligaments, and tendons. Although some orthopaedists confine their practices to specific areas of the musculoskeletal system, most treat a wide variety of diseases, injuries, and other conditions, including neck pain.

Spinal manipulation is associated with frequent, mild and temporary adverse effects,[14][138] including new or worsening pain or stiffness in the affected region.[139] They have been estimated to occur in 33% to 61% of patients, and frequently occur within an hour of treatment and disappear within 24 to 48 hours;[13] adverse reactions appear to be more common following manipulation than mobilization.[140] The most frequently stated adverse effects are mild headache, soreness, and briefly elevated pain fatigue.[141] Chiropractic is correlated with a very high incidence of minor adverse effects.[4] Chiropractic are more commonly associated with serious related adverse effects than other professionals following manipulation.[17] Rarely,[46] spinal manipulation, particularly on the upper spine, can also result in complications that can lead to permanent disability or death; these can occur in adults[14] and children.[142] There is a case of a three-month-old dying following manipulation of the neck area.[137] Estimates vary widely for the incidence of these complications,[13] and the actual incidence is unknown, due to high levels of underreporting and to the difficulty of linking manipulation to adverse effects such as stroke, which is a particular concern.[14] Adverse effects are poorly reported in recent studies investigating chiropractic manipulations.[143] A 2016 systematic review concludes that the level of reporting is unsuitable and unacceptable.[144] Reports of serious adverse events have occurred, resulting from spinal manipulation therapy of the lumbopelvic region.[145] Estimates for serious adverse events vary from 5 strokes per 100,000 manipulations to 1.46 serious adverse events per 10 million manipulations and 2.68 deaths per 10 million manipulations, though it was determined that there was inadequate data to be conclusive.[13] Several case reports show temporal associations between interventions and potentially serious complications.[146] The published medical literature contains reports of 26 deaths since 1934 following chiropractic manipulations and many more seem to remain unpublished.[17]

Don’t medically investigate neck pain until it’s met at least three criteria: (1) it’s been bothering you for more than about 6 weeks; (2) it’s severe and/or not improving, or actually getting worse; and (3) there’s at least one other “red flag” (age over 55 or under 20, painful to light tapping, fever/malaise/nausea, weight loss, nasty headache, severe stiffness, very distinctive pain, and numbness and/or tingling and/or weakness anywhere else). Note that signs of arthritis are not red flags.
Numerous controlled clinical studies of treatments used by chiropractors have been conducted, with conflicting results.[4] Systematic reviews of this research have not found evidence that chiropractic manipulation is effective, with the possible exception of treatment for back pain.[4] A critical evaluation found that collectively, spinal manipulation was ineffective at treating any condition.[10] Spinal manipulation may be cost-effective for sub-acute or chronic low back pain but the results for acute low back pain were insufficient.[11] The efficacy and cost-effectiveness of maintenance chiropractic care are unknown.[12] There is not sufficient data to establish the safety of chiropractic manipulations.[13] It is frequently associated with mild to moderate adverse effects, with serious or fatal complications in rare cases.[14] There is controversy regarding the degree of risk of vertebral artery dissection, which can lead to stroke and death, from cervical manipulation.[15] Several deaths have been associated with this technique[14] and it has been suggested that the relationship is causative,[16][17] a claim which is disputed by many chiropractors.[17]
Generally, you can expect to fill out paperwork or a questionnaire explaining your health history, reason for your visit, surgical and family history, any pain you are feeling or any previous injuries you may have. At my appointment, there was a case manager that came in to explain who I would be meeting with and how the appointment would go. This made me much more comfortable about the whole process—I actually felt at ease and excited to keep working through the next steps! Here is an example of the type of forms you will be asked to fill out.
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