770 386 7707

Garber Chiropractic Care Center

of Cartersville, Ga.

Dr. Steven Garber has prepared, and will be publishing, an informative series of articles explaining the cause and effect of Spinal Injury as it relates to Neck and Back Pain.  These documents are to provide, those interested, with comprehensive information to understand the nature of the pain that they may be experiencing.  Understanding the problem is the first step in correcting it.  Dr. Garber has over thirty years of experience in helping patients relieve pain and enjoy normal active living.  Chiropractic Care can offer pain relief to many types of pain and injury.  Both he and the staff of the Garber Chiropractic Center are a resource to the community, offering information and a free consultation to those in need.   

 

Chiropractic Care and Pain Relief for Cartersville, Acworth, Taylorsville, Kingston, White, Emerson, and Euharlee Georgia

 

Pain Relief During Pregnancy

Women experiencing musculoskeletal pain related to pregnancy can greatly benefit from manual therapies, including spinal manipulation, acupuncture, and massage therapy. Access to manual therapy can be facilitated by family physicians and obstetricians by making this information available to their patients.

TMJ Syndrome

bigstock Jaw Pain In Older Man 69029920(Temporomandibular Joint Syndrome) TMJ or Temporomandibular Joint Syndrome is a painful condition of the jaw that involves the hinge joint (TMJ) which allows you to open and close your mouth. You have two TMJ joints, one on each side of your mouth or face. Temporomandibular Joint Syndrome is also referred to as Temporomandibular Joint Disorder or Temporomandibular Joint Dysfunction. The muscles involved in chewing open and close your mouth as well as allow you to glide or jut your jaw forward and side to side. Coordination of the various muscles of the jaw is essential to proper and painless jaw function. Imbalance in the muscles of the jaw can often cause jaw pain or jaw dysfunction which may show up as "clicking" or "popping" sounds during talking or chewing.

Function of TMJ Syndrome

When you open your mouth the lower surface of the TMJ or condyles glide forward. When you close your mouth the condyles glide back into their original position. It works like a hinge and is known as a "hinge joint". To assist in smooth operation of this movement, a soft disc of cartilage known as a meniscus, lies between the condyles and the inner surface of the joint. The disc serves to absorb and distribute shock to the TMJ from chewing, talking and yawning which are repetitive movements that occur thousands of times every day. The strongest muscle in the body by weight and size is the masseter muscle of the jaw and it can apply a force of up to 200 lbs to the molars of the back of your mouth located by the TMJ. The disc serves to distriubute the forces of chewing evenly throughout the joint.

Signs and Symptoms of TMJ Syndrome

  • Jaw pain with talking, chewing or yawning
  • Neck pain with talking, chewing or yawning
  • Jaw clicking, grinding or popping with talking, chewing or yawning
  • Ear pain or ringing in the ears (tinnitus)
  • Tenderness and/or swelling in the area of the TMJ on the affected side
  • Inability to fully open or completely close the mouth
  • Headaches
Causes of TMJ Syndrome
  • Direct trauma from a blow or a sports, auto or work related accident
  • Repetitive grinding or clenching of the teeth
  • Prolonged dental work
  • Excessive chewing of gum or hard candies and foods
  • Arthritic degeneration
Chiropractic and TMJ Syndrome

Two types of TMJ disorders that can be helped through Chiropractic care are:

1. TMJ Muscular Imbalance: This condition of the TMJ occurs when one or several of the muscles of the jaw are simply too tight or in spasm, causing the jaw to shift to the right or to the left during opening and closing of the mouth. This continuous abnormal shifting of the jaw irritates the TMJ, causing pain, irritation and inflammation of the joint which leads to the pain and spasm cycle. In other words, pain causes spasm and spasm in-turn causes more pain in an ongoing vicious cycle. This condition can be effectively treated through specialized massage, done by the doctor, to the muscles of the TMJ that are in spasm which stops the pain and spam cycle and helps to restore normal function to the jaw.

2. Acute TMJ Dysfunction: This condition typically occurs when sudden trauma to the jaw causes displacement of the cartilage pad in the jaw known as the meniscus. The jaw typically locks and it becomes difficult and painful to open or close the mouth or to talk, chew or yawn. The trauma can be in the form of a blow from a punch or a sports, auto or work related accident. It can also occur during the normal course of eating food that requires hard chewing or during a big yawn. This condition can be effectively treated through a specialized manipulation or adjustment to the jaw, done by the doctor, on the affected side which often immediately corrects the condition. (However in certain cases it does take multiple treatments)

If you, or a loved one, are experiencing pain contact our office to schedule a free NO obligation consultation with the doctor or email Dr. Garber with a question concerning your case for a quick response. Garber Chiropractic Care Center 770-386-7707
Chiropractic Care and Pain Relief for Cartersville, Acworth, Taylorsville, White and Euharlee GA.

What is Fibromyalgia?

bigstock Fibromyalgia Signs And Sympto 89383949 800Fibromyalgia is a unique, often used but relatively new diagnosis for unexplained body aches and pains accompanied by general fatigue and loss of energy. The pains are typically not localized to one region of the body such as the neck or lower back, but are generally spread throughout multiple regions of the body including but not limited to:

  • Neck
  • Shoulders
  • Chest 
  • Lower back
  • Hips 
  • Shins
  • Elbows
  • Knees

The pain originates in these regions but then spreads out, often times connecting one painful region to another and affecting large regions of the body or the body as a whole. A lot of individuals with Fibromyalgia wake with the pain and have morning stiffness of their joints. Some get relief once they move around for a while, however many don't. Many wake up tired even after a full night's sleep. Many have disturbed sleep, wake up numerous times during the night and never enter into the deep levels of restful sleep.

CAUSES

The cause of Fibromyalgia is medically unknown. Those who suffer from Fibromyalgia state that it is triggered by both physically and emotionally stressful situations, lack of sleep, changes in the weather or eating certain foods. It is the opinion of this author that much of what is causing the pain of Fibromyalgia is TOXIC OVERLOAD. The body has accumulated too many toxins through the air we breathe, the water we drink and the foods we eat. The toxins are being stored in the fatty tissues of the body, causing inflammation of the tissues and leading to bodily aches and pains. It is also the opinion of this author that some who suffer from the symptoms of Fibromyalgia actually have a low functioning thyroid which can lead to the symptoms of fatigue, loss of energy, lack of drive, feeling cold, weight gain, poor digestion and of course aches and pains of the body. Although not everyone with Fibromyalgia will have a low functioning thyroid gland, all should be checked to rule it out and then treated appropriately if found. 

DIAGNOSIS

There is no specific blood test to diagnose fibromyalgia. The diagnosis is purely made on the basis of the patients symptoms and an examination of 18 specific points on the body for Pain and Tenderness. Those points are seen in the illustration below. To be diagnosed with fibromyalgia you must have had the symptoms of widespread pain for at least 3 months with eleven of the eighteen points tender or painful to touch.

Misdiagnosis:

Fibromyalgia is often misdiagnosed or mistakenly diagnosed for the following conditions: 

  • Chronic neck pain
  • Chronic low back pain
  • Degenerative disc disease
  • Chronic fatigue syndrome
  • Depression
  • Hypothyroidism (low functioning thyroid gland)
  • Lyme disease
  • Sleep disorders

Before accepting the diagnosis of Fibromyalgia, make sure you truly have the appropriate symptoms, the tender points on your body and have ruled out all of the above misdiagnosed conditions.

Fibromyalgia Symptoms by Body System

With full blown, chronic Fibromyalgia, many of the body systems are affected. Here is a list of the various body systems and how they can be affected by Fibromyalgia:

Central Nervous System

  • Headaches
  • Dizziness
  • Sleep disorders
  • Brain fog
  • Memory impairment
  • Depression

Muscular System

  • Muscle weakness/fatigue
  • Muscle twitches
  • Muscle pain

Urinary System

  • Difficult of painful urination

Eyes

  • Visual disturbances
  • Blurry vision

Digestive System

  • Nausea
  • Poor digestion

Reproductive System

  • Dysmenorrhea (painful periods)
  • Irregular periods

Skin

  • Rashes
  • Itching

Jaw

  • Jaw Pain or dysfunction

Systemic

  • Widespread body aches/pain
  • Weight gain
  • Chronic cold symptoms
  • Chemical sensitivities
  • Food sensitivities

Treatment

Although no single specific treatment is available, many individuals have success controlling their symptoms through a multi-disciplinary approach including Chiropractic adjustments, massage therapy, appropriate dietary changes, exercise, stretching and a positive mental/spiritual outlook. Our recommendations are one or several of the following:

  • Chiropractic Adjustments
  • Massage Therapy
  • Detoxification Program
  • Blood tests to determine thyroid function
  • Blood tests to determine hormone levels
  • Food allergy testing
  • Hair analysis for Toxicity levels of the body
  • Dietary counseling
  • Nutritional testing
  • Exercise program
  • Counseling / stress relief methods

If you, or a loved one, are experiencing pain contact our office to schedule a free NO obligation consultation with the doctor or email Dr. Garber with a question concerning your case for a quick response. Garber Chiropractic Care Center 770-386-7707
Chiropractic Care and Pain Relief for Cartersville, Acworth, Taylorsville, White and Euharlee GA.

Failed Back Surgery Syndrome

The aftermath of spinal surgery is not always good. Some are helped, some are not. 10-40% of individuals suffer with on-going pain and disability after surgery. Certain individuals who have had back surgery are either not improved or are worse off than they were prior to the surgery. This is called "Failed Back Surgery Syndrome". To make the condition sound palatable, and leave out the word "Failed" this syndrome has recently been re-named "Post Surgical Continued Pain."

Causes of Failed Back Surgery Syndrome

  • Recurrent or Persistent Disc Herniation: removal of a disc can weaken the area leading to another herniation at the same level or another level at a later time. 
  • Spinal Stenosis from Scar Formation: This is narrowing of the openings where the nerves exit the spine due to post-surgical scar formation. 
  • Post-Operative Infection: Upwards of 12% of patients receiving back surgery will develop an infection in the surgical area complicating healing and leading to a poor eventual outcome.
  • Post-Operative Epidural Fibrosis: Now that is a mouth full. This is basically scar tissue that has formed around the protective covering of the spinal cord and nerve roots that leads to persistent back and or leg pain. 
  • Battered Nerve Root Syndrome: This is caused by accidental stretching, bruising or cutting of a nerve or from burning of a nerve from lasers, leaving permanent nerve damage and chronic pain. 

Click this link For detailed information on Failed Back Surgery Syndrome

Hope for Failed Back Surgery Syndrome

spinal-decomp999

Recent studies reveal that "Cox Flexion Distraction Technique" a method used in this office can be effective at reducing the pain and improving the quality of life in individuals who suffer from "Failed Back Surgery Syndrome." 

A recent article published in the Journal of Chiropractic Medicine revealed that a 55 year old male postal worker who had recently undergone a spinal fusion was still having pain and spasms in his lower back as well as right sided buttock and leg pain. After undergoing 13 Cox Flexion Distraction treatments the patient was Pain Free. A two year follow up revealed that the patient was still Pain Free.

Another article recently published in The Journal of Manipulative and Physiologic Therapeutics showed 32 cases of Failed Back Surgery Syndrome with an average pain of 6 (on a 1-10 scale) was reduced to an average pain of 2 after receiving an average of 14 Cox Flexion Distraction treatments.

If you, or a loved one, are experiencing pain contact our office to schedule a free NO obligation consultation with the doctor or email Dr. Garber with a question concerning your case for a quick response. Garber Chiropractic Care Center 770-386-7707
Chiropractic Care and Pain Relief for Cartersville, Acworth, Taylorsville, White and Euharlee GA.

What is Whiplash?

whiplashWhiplash is not a true medical term but is more of an expression used to describe an injury to the spine that occurs when unexpected movement of your neck comes to an abrupt and grinding halt. There are a lot of misconceptions surrounding whiplash. To see where you are in your understanding of the condition, take the following five question quiz. Let's get started.

(Answers follow the last question)

1. The average collision speed in most rear-end automobile accidents is:

  1. 10-25 mph
  2. 15-30 mph
  3. 1-5 mph
  4. 6-12 mph

2. Regarding healing of injuries from whiplash, which of the following is most accurate:

  1. The majority of whiplash injuries recover in about 6 weeks
  2. The majority of whiplash injuries recover in about 6-12 weeks
  3. About 25-50% of whiplash injuries never fully resolve
  4. Most whiplash injuries rarely resolve completely

3. According to crash test studies using human volunteers, the lowest speed that is still enough to create injury to the neck is:

  1. 12 mph
  2. 2 mph
  3. 5 mph
  4. 15 mph

4. In modern passenger cars, permanent damage to bumper systems begins to occur at:

  1. 20-25 mph
  2. 2-7 mph
  3. 8-12 mph
  4. 25-30 mph

5. Which of the following is most correct concerning whiplash and children:

  1. Children have 2/3 the risk of injury than that of adults
  2. Children have 1/6 the risk of injury than that of adults
  3. Children and adults are at equal risk of injury from whiplash
  4. Children have a much higher risk than adults of injury from whiplash

 

ANSWERS:  1. d        2. c        3. c        4. c        5. a

So how did you do? The quiz should key you in to some important information concerning whiplash injuries such as:

  • Most rear-end collisions occur at relatively low speeds ...6-12 mph
  • Many who suffer a whiplash injury never fully recover ...25-50%
  • Injuries to the spine begin at speeds as low as 5mph
  • Bumper damage begins to occur at relatively low speeds ...8-12 mph
  • Children have a lower risk of injury than do adults

 

What exactly is a "whiplash" injury

neck pain600x

To begin with, there are numerous scientific terms for a whiplash injury, the best one being CAD, which stands for Cervical Acceleration/Deceleration injury. This term describes what happens during a whiplash injury ..... rapid fire acceleration of the head and neck followed by a sudden STOP of all movement. This action simulates a "Snapping Whip" thus the term "Whiplash." The end result is injury to the local soft tissues, such as muscles, ligaments, tendons and discs along with injury to the hard structures or vertebrae. The soft tissue structures are stretched beyond their elastic limit and tear, just like the elastic band on your underwear tears when stretched too far. The hard vertebrae are damaged from excessive compressive forces "jamming" them together. The end result is a wide array of different aches, pains and often bizarre symptoms like dizziness and memory difficulties.

Common symptoms of a "Whiplash" injury:

  • Neck pain and stiffness
  • Headache
  • Shoulder pain
  • Fatigue
  • Jaw pain
  • Arm pain
  • Mid and lower back pain

Severe "Whiplash" injuries may include: (WAD - Whiplash Associated Disorders)

  • Dizziness
  • Visual disturbances
  • Ringing in the ears
  • Head feels too heavy
  • Depression, anger, frustration and anxiety
  • Insomnia 
  • Disorientation
  • Crying

The Mechanism of a "Whipash" Injury

The most common motor vehicle accident that causes "Whiplash Injuries" and "Whiplash Associated Disorders" is when one car is struck from behind (struck vehicle) by another car (bullet vehicle), commonly known as being rear-ended.

 

The energy of the collision passes through the "bullet" vehicle to the "struck" vehicle and then to the passengers. The amount of energy is determined by the weight of each vehicle and the speed of travel. If you are struck by a vehicle that is larger (heavier) than your vehicle and moving faster than your vehicle, more energy is transferred to you and your passengers, putting you at greater risk for whiplash injuries. If the cars are damaged, the energy was partially absorbed by the crunching and buckling steel, if the cars are not damaged the energy gets directly transferred to you and your passengers. Either way, injury can be the end result!

Other causes of "Whiplash" injuries?

Although most commonly caused by automobile collisions, they can occur from sport related activities and falls that cause the neck to get suddenly jerked. Recent studies using high speed cameras and sophisticated crash dummies reveal that during a rear end collision, the lower part of the neck snaps backward while the upper part of the neck snaps forward creating an awkward "S" type configuration which leads to a damaged neck.

"Head restraints" and "Whiplash" injuries

You are probably thinking that you are protected from a whiplash injury because you have "head restraints" on your car seats. Believe it or not, in certain instances they can actually increase the degree of injury. With rear end collisions your body tends to ride up the back of the seat as much as 3 1/2 inches, raising your overall height and forcing your head and neck to buckle backward over the restraint ......So if the head restraint is set too low it can actually cause more damage as your head and neck pivots backward over the restraint instead of being stopped by it. Another important factor in the proper use of head restraints is the distance of the back of your head to the restraint. More than 2-3 inches away renders the restraint nearly useless because of the forward lunge of the body making the restraint almost nonexistent.

Ways to prevent or minimize "Whiplash" injuries

Headrestraint 2

  • Purchase a car with a good rear-crash rating (Insurance Institute for Highway Safety (www.iihs.org)
  • Learn to properly adjust the head restraints for each individual in your vehicle
  • Always wear your safety belt
  • Sit upright, not leaning to either side (you don't want to get hit at an angle)
  • Don't "Tailgate"
  • If time allows, and you sense you are going to be rear-ended, place your head back so it is touching the head restraint and position your head and body looking straight forward

Proper positioning of the Head Restraint

The center of the head restraint should be at the level of the top of your ear as demonstrated in the picture above. The idea is for the back of your head to hit the restraint in an accident, not your neck The distance between your head and the head restraint should be no more than 3 inches so if the restraint can be tilted forward, move it so that it is no more than 3 inches from your head, or closer if possible.

Does speed and damage to the vehicle matter?

There are many who think that because they were in a low speed accident and there was little or no damage to their vehicle that the likely hood of injury from the accident does not exist  .......NOT SO! 

According to an article in Dynamic Chiropractic, written by Dr. Arthur Croft, a world renowned expert in "Whiplash" injuries, current research reveals that, 29% on individuals received minor injuries at 2.5 mph and 38% at 5 mph. Although these injuries were minor and temporary, they did include neck pain and headaches.

The research also reveals that damage to vehicles typically does not occur until somewhere between 8-12 mph. Conclusion .... injuries occur during low speed motor vehicle accidents even in the absence of vehicle damage!

More information concerning "Whiplash Injuries"

  • 1 out of 3 patients never totally recover from their injuries
  • 10% have constant and severe neck pain
  • Average time for soft tissue healing is 6-10 weeks
  • A disc injury is the cause of chronic neck pain in 25% of patients

 

THE GOOD NEWS

Research reveals that Chiropractic Therapy has a greater than 93% success rate in treating patients with whiplash injuries, even in the late or chronic stages ....

Injury Journal 1996;27(9)

"Whiplash" injuries can be effectively treated with a combination of Chiropractic Adjustments to realign misaligned vertebrae, and physical therapy to speed up healing of the damaged soft tissues. Cox Flexion Distraction, a form of traction done by the doctor that helps to separate the vertebrae and promote healing of damaged disc's may also be helpful. A good nutritional  " joint formula" may be indicated for the treatment of damaged cartilage and other soft tissues in the injured spinal areas.

If you, or a loved one, are experiencing pain contact our office to schedule a free NO obligation consultation with the doctor or email Dr. Garber with a question concerning your case for a quick response. Garber Chiropractic Care Center 770-386-7707
Chiropractic Care and Pain Relief for Cartersville, Acworth, Taylorsville, White and Euharlee GA.