After an Auto Accident

Advance Health Blog

After an Auto Accident

Chris Goetz - Thursday, February 18, 2016

Do Not Wait to See a Doctor After an Auto Accident

Goetz with CaptionCommon wisdom states that you should visit a doctor no more than 72 hours after being involved in an accident. You could be suffering from an injury that you are not aware of, and that can be dangerous. But there is also the effect that waiting to seek medical care can have on a potential case. A serious delay or gaps in treatment can cause a reduction in any money you may be entitled to from your insurance company or the party at fault.

Medical doctors and chiropractors are trained to examine patients after an accident to determine the extent of any injuries suffered. With the proper diagnosis you can make an educated decision about how to proceed with your treatment and any claim you may want to make against the responsible party.

Fault and No-Fault States

States have different laws regarding who pays for personal injuries when an automobile accident has occurred. The majority of US states are “Fault States.” In this system the insurance companies pay claims according to whose negligence caused the accident, or who is at fault. Fault can sometimes be divided among more than one party. If you disagree with the insurer you may need to file a law suit to try to receive compensation.

No-Fault states, like Florida, employ a different system where each insurance company will pay for its own clients’ medical bills. In these states, auto insurance policies include personal injury protection or PIP. In most cases No-Fault states have adopted this system in response to a high number of court battles involving fault in auto accidents.

Statutes of Limitations

Your own safety is not the only concern that should hurry you to visit a doctor after an accident. Many states also have statutes of limitations which limit the time you can wait to file a lawsuit if you have been injured in an automobile accident. Once that time has expired, your legal options will be severely limited. In Florida the statute of limitations for filing a personal injury lawsuit after a car accident is two years.

After an Accident

Even if you do not have PIP or think you cannot afford to visit a doctor, call one anyway. Many chiropractors and medical doctors have long term, professional relationships with attorneys that may be able to help you. Here are some other suggestions of what to do immediately following an automobile accident and during treatment for injuries:

  • Insist on obtaining a police report even if the other involved parties do not want one.
  • Take photos of the accident scene if you are able.
  • Keep a journal of your injuries and treatment.
  • Keep copies of all communications regarding your accident from your doctor, lawyer and insurance company.
  • Keep detailed records of all of your expenses related to the accident and your medical treatment.
  • Don’t accept a settlement until you have completed all of your medical treatment.

If you are involved in an automobile accident, and whether you believe you are at fault or not, contact Advance Health Services right away. Our doctors can perform a complete medical examination that will reveal any injuries you may have experienced. After that we can get you started on a treatment plan and get you in touch with an attorney if you need one.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.

Hidden Auto Accident Injuries

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Hidden Auto Accident Injuries

Chris Goetz - Thursday, January 21, 2016

These Auto Accident Injuries Do Not Always Reveal Themselves Immediately

Goetz with CaptionAuto accident injuries are not always immediately apparent. Part of the reason is the hormones and endorphins that the body produces during a stressful event like a car accident. These natural chemicals can make one unaware of the pain from their injuries and make them feel as if nothing is wrong. To further complicate matters, some injuries may not even show up on X-rays or MRI’s. For these reasons it is important to be aware of how your body feels for days and even weeks after an accident, paying attention for any pain and discomfort that reveals itself later.

Here are some of the most common types of injuries you could suffer in an auto accident that sometimes do not reveal themselves immediately:

  • Whiplash
  • Concussion
  • Spinal Injury
  • Post-traumatic stress disorder (PTSD)


Whiplash is a neck injury that is caused by a forceful and rapid back and forth movement of the neck. The name comes from the movement’s similarity to the cracking of a whip. It is most often seen occurring during auto accidents that involve a rear end collision. Whiplash is sometimes referred to as a neck strain or sprain, but there are other types of neck injuries that fall under those descriptions.

A victim of whiplash may experience neck pain, stiffness, numbness, and spasms as well as headaches and dizziness. Left untreated whiplash could develop into chronic neck pain. The reason this type of injury is not immediately recognized is because some of the symptoms may not appear for a few days and those symptoms can be mistaken as being caused by another type of injury.


A concussion is categorized as a mild traumatic brain injury. It can be caused by a blow to the head as well as a violent shaking of the head or upper body. Most concussions are temporary and can be treated with rest. Concussions are often hidden injuries because most of the symptoms can be caused by other injuries. On some occasions concussions can cause loss of consciousness. Here are some of the symptoms that may point to a concussion:

  • Headaches
  • Memory Loss
  • Trouble concentrating
  • Irritability and mood swings
  • Fatigue
  • Loss of balance and coordination

Spinal Injury

One would think that a spinal injury is not likely to go unnoticed. In most cases that is true. However, facet syndrome is a type of spinal injury that could easily be mistaken for something else. Facet syndrome is the irritation of the joints on the back of the vertebrae. These joints are responsible for many of the twisting movements of the body. They can be impacted in an auto accident. Often the pain from facet syndrome is a dull ache which can easily be attributed to soreness from being in an auto accident. More serious symptoms could appear later and include chronic pain and loss of mobility.

In other cases spinal injury symptoms are simply confused for different injuries. Pain or numbness in the extremities, for example, is not uncommon.

Post-traumatic Stress Disorder

PTSD is a mental health condition that can be triggered by a stressful or frightening experience. It is not caused by an actual physical injury to the brain and is therefore not apparent immediately following an accident. Instead, the symptoms will develop over time and sometimes continue to worsen for weeks or months. Some common symptoms of PTSD include:

  • Anxiety
  • Depression
  • Flashbacks
  • Nightmares

PTSD is treated with counseling or psychiatric care.

The reality is that you should see a doctor after being involved in any kind of auto accident, no matter how seemingly small. At Advance Health Services we work to heal accident victims every day. Our doctors and physical therapists employ a range of tests that could reveal hidden injuries before symptoms appear, allowing us to begin treatment right away. If you are involved in an accident call us to make an appointment.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.

Stretch Zone Method

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Stretch Zone Method

Chris Goetz - Thursday, October 22, 2015

The Stretch Zone Method Provides Amazing Results

Goetz with CaptionThe Stretch Zone Method is a form of Practitioner Assisted Stretching that is quickly gaining in popularity among athletic and personal trainers, massage and physical therapists and chiropractors all around the country. The method’s growing use stems from incredible ability to increase a person’s resistance to injuries, overall health and performance whether in athletics or day to day activities. Using specially designed tables equipped with carefully positioned pads and adjustable straps, The Stretch Zone Method takes a neurological approach to stretching, allowing muscles to extend further than they normally would. The results it provides are perfect for anyone living, or wanting, an active lifestyle.

Developed by a Practitioner Assisted Stretching Expert

Leading practitioner-assisted stretching expert Jorden Gold was inspired to develop the Stretch Zone Method in 2004 after witnessing how deep stretching helped his grandfather, who previously could barely get himself out of a bed, become more active and mobile. Jorden Gold used his physiology and biology training to approach muscle stretching from a different perspective

The Stretch Zone Method works through the nervous system to increase flexibility. Our muscles have a kind of nerve related energy known as the stretch reflex. When a movement stretches a muscle too far or too fast, the stretch reflex is what stops the movement from continuing. The stretch reflex is meant to protect our muscles from over extending. The Stretch Zone Method works with the stretch reflex and other neuromuscular principles to get beyond the muscle’s normal stretching limit. With the Stretch Zone Method table’s adjustable straps and pads, the practitioner uses specific protocols to reposition, isolate, stabilize and manipulate the muscles. Once the body is properly stabilized, the stretch reflex diminishes, allowing the muscle to stretch further. As much as 160% further.

Greater Flexibility and Range of Motion

While the Stretch Zone Method will lead to greater flexibility and muscle elasticity, the real goal is to increase range of motion. By re-establishing the muscle’s resting position, movement becomes more effortless and efficient. No muscles are hyper-extended or strained because the method retrains the nervous system to allow for a greater stretching range. You can expect to:

  • Reduced Stress
  • Feel lighter and younger
  • Increase Muscle Relaxation
  • Relieve Stiffness and Soreness
  • Increase & Maintain Range of Motion
  • Enhance Physical & Athletic Skills
  • Correct Compensational Shifts & Muscle Imbalances

Advance Health Services is happy to offer the Stretch Zone Method to our patients. It is based on solid science and provides amazing results. The Method is an excellent complement to our Chiropractic and Physical Rehabilitation services. Call us today and find out what the Stretch Zone Method can do for you.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.


Advance Health Blog

The ReBuilder

Chris Goetz - Friday, February 27, 2015

The ReBuilder Offers Immediate Drug and Surgery Free Neuropathy Pain Relief

Goetz with CaptionDoctors and patients have been searching for new ways to manage neuropathy pain for years. The secret lies in rebuilding damaged nerve cells. That damage can be caused by a number of factors from having high blood sugar or lack of oxygen in the blood to severely pinched nerves or exposure to dangerous neurotoxins. One direct result of many of these conditions is the reduction of the nerve cells and expansion of the gaps between them. Signals passing through the nervous system suddenly encounter a gap they cannot cross. The resulting sensation is pain, tingling or numbness. Left untreated, these nerve gaps begin to confuse the brain, causing stronger pain and strange sensations like chills when it is warm.

Cholesterol reducing statin drugs can also cause neuropathy when they are overused. This is because the myelin sheaths surrounding some nerves are heavy in cholesterol. When the statin has done its job on the arteries it goes looking for more cholesterol to attack. Enough of this effect will eventually cause nerve damage.

Ultimately, neuropathy can be understood as an electrical problem. The minuscule electrical signals traveling from the brain and through the nervous system are interrupted. The ReBuilder is a device that uses a soothing, restorative electrical signal to fix these nerve problems. It immediately starts to work on eliminating uncomfortable neuropathy symptoms and pain while also gently restoring nerves to health.

The ReBuilder is so effective that patients experience immediate improvements of their symptoms. Pain is reduced while mobility is increased. The process is simple, comfortable and does not involve drugs or any invasive procedures. Furthermore, it takes only thirty minutes per session. The restorative signal that the ReBuilder transmits has several important benefits:

  • Re-educates the nerve paths
  • Re-polarizes the nerve membranes
  • Improves nerve impulse transmission
  • Promotes healing of superficial skin sores and ulcers

The ReBuilder measures the damage of peripheral nerves and then corrects that damage. It sends small electrical signals to the nerves and muscles which are duplicates of the normal nerve signals sent by the brain, only larger so that they activate damaged and inactive nerves. It does this by measuring your nerves every eight seconds and then computing and delivering the correct electrical signal of its own. As the nerves are restored and their condition improves, the ReBuilder continually adjusts its own signal. The results of the ReBuilder treatments are cumulative so it is therapeutic, not just temporary.

If you are ready to try an effective neuropathy pain treatment that has immediate results while not relying on drugs or surgery, the Rebuilder is for you. Call Advance Health Services today to schedule your consultation.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.

Neuropathy Treatment

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Neuropathy Treatment

Chris Goetz - Friday, January 23, 2015

A Holistic Approach to Neuropathy Treatment

Goetz with CaptionMetabolism is the physiological process that breaks down the foods we eat into its simplest components - protein, carbohydrates and fats. These are the sources of energy the body uses for all of its functions. Sometimes there is a break down in this process. The body has trouble processing one type of food or another and experiences a shortage, or surplus, of one of food's building blocks. This is called a metabolic disorder, and there are many different types.

One of the most common metabolic disorders is diabetes which affects some 26 million people in the US. Type I diabetes involves a malfunction of the pancreas. It fails to produce sufficient insulin to aid in the metabolism of sugar. The blood sugar level becomes imbalanced and can cause all kinds of physiological problems. Some symptoms are mild and can be regulated with medicine and lifestyle changes. Other symptoms can be severe and even life threatening. A common symptom of diabetes is neuropathy, a condition affecting sensory nerves that often results in numbness or pain in the extremities. When combined with diabetes associated vascular impairment, the condition sometimes produces ulcers that can be a risk for infection.

Neuropathy treatments strive to increase nerve function and blood flow while also relieving pain and stopping ulcers from forming. At Advance Health Services, we specialize in the treatment of neuropathy and neuropathic pain. Our physicians and staff are highly knowledgeable about effective neuropathy treatments. One such treatment is The ReBuilder, a device designed specifically to treat neuropathic pain. The ReBuilder delivers a restorative signal to the legs and arms that is comfortable and soothing. This is done without the need for invasive surgery or medication. It works by imitating the natural nerve transmissions of the body to encourage inactive nerves to activate. Advance Health Services offers the ReBuilder and a variety of other treatments to reduce neuropathic pain and discomfort.

Functional Medicine Aims to Restore Balance

Functional Medicine strives to restore psychological, physiological and structural balance. It is a scientific approach to health care that promotes wellness and treats disease through assessment of the unique biochemical aspects of individual patients and by tailoring a treatment plan based on that uniqueness. Functional Medicine works on seven basic principles

  • Science-based medicine
  • Patient-centered care
  • Balance of internal and external factors
  • Biochemical individuality
  • Interconnections of physiological processes
  • Promotion of organ reserve
  • Health as a positive vitality

Following these principles, a physician employing the Functional Medicine approach focuses on the unique physiology, environmental and genetic influences of each individual patient. Assessment includes studying patient history, physical examination and testing. The physician then chooses interventions and treatments with the goal of addressing imbalances and restoring, or significantly improving, optimal physiological functions. Proper physiological function then leads naturally to better health. You can benefit from the Functional Medicine approach to neuropathy treatment at Advance Health Services. Call us today if you need help.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.

Integrative Medicine

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Integrative Medicine

Chris Goetz - Wednesday, October 15, 2014

Integrative Medicine Compliments Traditional Medicine to Treat the Body, Mind and Soul

Goetz with CaptionIntegrative medicine is a term that describes an approach to patient health and well being that combines conventional and alternative forms of healing. In an integrative approach the entire facet of medicine is combined. Traditional therapies are entwined with alternative, evidence based treatments. The rise of the integrative approach in clinics, hospitals and medical schools around the country is a direct result of the dissatisfaction felt with a health care system that has doctors rushing and overwhelmed and patients pushed through with a quick fix to their immediate problem but little or no hope for a real solution. A system that has often provided a cure for symptoms but not for the underlying ailment.

Key to integrative medicine is a broad approach to overall health. It relies on Western medicine but draws heavily from other cultures and traditions. Acupuncture, acupressure, massage, even chiropractic are all alternative forms of healing that have become mainstream over the years. These and other natural, non-invasive therapies are the backbone of an integrative approach. It involves a partnership between doctor and patient in an approach to healthcare that treats the whole person and not just the illness. The shared goal is to achieve optimal health by examining the patient's health history, their body, their nutrition and exercise habits.

In the past integrative medicine and alternative therapies were thought to be expensive. Today it is common wisdom that this approach keeps patients healthier, longer and naturally. It saves money in the long run because while a pill or expensive procedure will be utilized when appropriate and necessary, diet, exercise and lifestyle changes are the real goals. When a patient drops unhealthy habits and replaces them with behavior that is beneficial to their health, the need for traditional medicine and medical procedures reduces as well. Many proponents of integrated medicine prefer to use the term "complementary" over "alternative" since the non-traditional therapies employed are not meant as replacements. Integrated medicine uses mainstream and non-traditional therapies side by side with the goal of overall health and well being for the patient.

A 1993 study found that one out of every three Americans was familiar with and had used alternative therapies. The past decade has seen a rapid growth in the popularity of integrated medicine. Its use in hospitals has more than doubled during that time, and it's acceptance as a viable healthcare approach continues to grow.

At Advance Health Services we have always taken the integrated approach. Alongside medical doctors you will find chiropractors, massage therapists, nutritionists, acupuncturists and a diverse team of healthcare professionals. Our goal is to treat you as a whole person and help you achieve optimal health.

Visit us at Advance Health Services today for fast and effective relief. Call us at (305) 600-4685 or use our contact form to book a consultation.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.

Lipo Laser

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Lipo Laser Effective Weight Loss Treatment

Chris Goetz - Friday, September 13, 2013

Lipo Light Laser is a Safe and Highly Effective Weight Loss Treatment

Goetz with CaptionSummer is just about over, but here in South Florida that means there are a few more weeks left to make it to the beach. If you were unable to take off those pounds that you meant to loose this summer, there is new, non invasive weight loss procedure that may be just what you need. Lipo Light Laser is a natural and safe way to remove inches from your waist, hips, and thighs by using the power of Light Therapy. This treatment is non invasive, hygienic, and highly effective.

Lipo Light Laser uses photobiomodulation technology. Basically, it is a low lever laser that stimulates cellular function. In this case, the Lipo Light Laser uses specific wavelengths to target stimulation of the adipose cells. The adipose cells function as the body's fat storage for energy. This activity in the adipose cells releases fatty acids and breaks them down, making them small enough to pass through the cell walls.

Lipo Light Laser treatment involves securing four to eight small treatment pads with adjustable straps to the target area. During the treatment process, these pads are held directly against the skin so that they will provide their maximum effect. Treatments last between twenty to thirty minutes. A single area should be treated twice a week for a four week period. After treating one area, the same process can be repeated to target another. Maintenance treatments to previously treated areas can be performed twice a month.

After each and every treatment it is important to do some form of exercise. The Lipo Light Therapy releases fatty acids into the bloodstream, and exercise will create a demand in your body for energy, and your body will draw on those fatty acids for the energy it needs.

Lipo Light Laser treatments have been found to be an effective weight loss solution for many people. In fact, studies show that only about 3% of people treated show only minimal results with the rest able to take full advantage of the procedure. Lipo Light Laser therapy has been found to be least effective on men that have hard fat cells stored in there bodies for many years. On the other hand, it is highly effective for new mothers. The treatment is painless and many actually find it pleasant and relaxing. Persons under eighteen years of age and those with the following conditions should not use this treatment:

  • Pregnancy and breastfeeding
  • Kidney or liver disease
  • Cancer
  • Medical oedema
  • Auto Immune disease
  • Metal pins or plates
  • Thyroid problems
  • Urine infection

You owe to yourself to find out if this incredible, safe and painless weight loss treatment is right for you, before the beach days are really gone!

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.

Joint Pain

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Joint Pain

Chris Goetz - Thursday, August 15, 2013

How can I avoid joint pain?

Goetz with CaptionJoints are an important part of our bodies that make flexibility and movement possible. Unfortunately, joints deteriorate over time, gradually reducing our flexibility and mobility as we age. Even if not afflicted with a disease that affects the joints, like arthritis, many seniors experience stiff, painful joints and a reduced range of movement brought on by years of use, and sometimes abuse. Just as bones loose density and muscles loose flexibility with age, joints wear down as we get older.

Fortunately, there are steps that can be taken to promote healthy, flexible joints well into old age. Like the rest of the body, joints benefit greatly from a healthy diet and regular exercise. Studies show that eating right and exercising can improve and help to maintain joint mobility, even after arthritis has set in. There are also other habits that can be developed now to promote healthy joints for life.

The beneficial affects of a proper diet on our bodies cannot be overstated. Good nutrition equals good health, and this basic science can be applied to joint health as well. A diet that includes vitamin D and omega 3 fatty acids will be beneficial to joint health and mobility. Aside from increasing bone density, vitamin D acts as an anti inflammatory for joints. Vitamin D is added to processed milk and is also absorbed by the body from sunlight. Omega 3 fatty acids are found in fish and are known to reduce swelling in joints. On a more general level, reducing fat and maintaining a healthy weight decreases stress on the bones and joints and will slow the normal deterioration of joints over time. Finally, our bodies need the amino acids found in protein to strengthen joints.

Regular exercise has an incredible positive effect on the body and will also help in maintaining a healthy weight. Exercise increases muscle strength as well as improving balance, flexibility and posture, all of which are beneficial to the joints. Exercises that greatly increase flexibility are the most effective for joints. Included are yoga, Pilates and Tai Chi. Aerobic exercise can be helpful for relieving arthritis pain.

There are number of other practices that promote healthy, mobile joints. Aside from the benefits to joints, these habits will also positively affect health and overall well being.

  • Maintain good posture
  • Distribute weight evenly when standing to avoid unbalanced stress on the joints
  • Wear loose clothing to promote mobility
  • Avoid cracking knuckles or other joints
  • Avoid injuries and diseases like rheumatism, arthritis and gout

It is never to late to start practicing healthy habits that will strengthen and maintain joint mobility. Eating well and exercising, in particular, have numerous beneficial effects and will keep the joints flexible and mobile for life.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.

Fibromyalgia Treatment

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Fibromyalgia Treatment

Chris Goetz - Monday, May 13, 2013

What is the best way to treat Fibromyalgia?

Goetz with CaptionMost of the time when we experience pain, it is centralized in a particular part of the body.  The sources of back pain or a headache, or more specific pain like an ear ache or the pain from a sprained wrist, are often readily apparent and a course of action obvious.  There is, however, a small portion of the population, maybe 3 or 4 percent, that suffers from a disorder characterized by chronic widespread pain that affects many parts of the body at once.

Fibromyalgia is a disorder that can develop from psychological, genetic and environmental factors.  Patients with fibromyalgia suffer from chronic bouts of pain throughout the body, most commonly in the extremities.  Another primary symptom is a heightened, painful reaction to any pressure applied to the body.  Other common symptoms include moderate to severe fatigue, sleep disorders, stiffness in the joints and detrimental effects on memory and mood.  In some cases patients may experience tingling sensations, muscle spasms and twitching and even irritable bowel.  Fibromyalgia occurs nine times more often in women than in men, but it is also a widely under-diagnosed condition.

Although its cause is unknown, fibromyalgia often exists simultaneously with stress related disorders and psychological disorders like anxiety and depression.  Some researchers believe these conditions may actually contribute to the onset of fibromyalgia.  Relationships have also been established with poor health, obesity and behavioral choices like smoking, drinking, and lack physical activity.  The neuro-chemical irregularities that accompany fibromyalgia can also cause fatigue, sleep and mood problems, perhaps explaining why they occur together.  While not all medical professionals agree on the cause, the American College of Rheumatology has defined these criteria for the diagnosis of fibromyalgia:

  • A history of widespread pain in all four quadrants of the body, lasting more than three months
  • Pain in at least 11 of 18 designated tender points, although a person with the disorder may also experience pain in other areas of the body

Since its causes are unknown, fibromyalgia has no common treatment or cure.  Instead, treatment usually consists of managing its symptoms.  What developments there have been over the years in understanding fibromyalgia have led to more success in treating it.  In particular, treatment plans may include medication, chiropractic, patient education, psychological and behavioral therapy as well as stretching and exercise regimens.  Many holistic and natural approaches can also provide benefits.

The US Food and Drug Administration approved pregabalin and milnacipran as medications to treat fibromyalgia.  Some antidepressants like duloxetine and amitriptyline can reduce pain, fatigue, depression and sleep disorders and have been used successfully in treating fibromyalgia.  Their long term use, however, should be closely monitored for side effects.

Chiropractic adjustments to the neck and back are known to have a restorative effect on the entire body, and many fibromyalgia patients find that chiropractic care offers relief of all over body pain. Chiropractic care keeps the muscles from losing mobility, or tightening.  Loss of movement and pliability causes a neurological reflex and tightening of the muscles, leading to pain and the development of fibromyalgia trigger points.  A routine of regular chiropractic adjustments, at least once or twice a week, will keep muscles mobile and relaxed, helping to reduce the onset of pain.  Chiropractic care is often provided alongside physical therapies like massage therapy, ultrasound and electrical muscle stimulation, which are all excellent for relieving stress and pain.

Chiropractic can also provide relief from cervical spine stenosis, a condition often suffered by fibromyalgia patients.  This condition compresses the covering of the upper spine, causing severe pain all over the body.  Chiropractic care works to specifically relieve pressure and the compression caused by cervical spine stenosis.

Many natural approaches have been found to have positive, quantifiable effects on fibromyalgia symptoms and pain.  A daily dose of 300 - 600 milligrams of magnesium can dramatically reduce the number of tender points experienced by a fibromyalgia patient.  Vitamin B has a similar effect.  Increased consumption of omega-3 fatty acids, found in fish, flax and walnut oil, paired with a reduction in saturated fats, will help prevent interferences and deficiencies in the nervous system that lead to fibromyalgia symptoms.  Acupuncture is another effective approach in relieving the pain and stress oof fibromyalgia.

Behavioral changes can be very effective in treating the symptoms of fibromyalgia as well as reducing its onset.  Improving health by quitting smoking, losing weight and regulating sleep are known to be effective.  Exercise will, of course, improve health and fitness as well as sleep and is therefore recommended to combat symptoms.  Cardiovascular exercise is strongly connected to a reduction in fibromyalgia symptoms in some patients, though most professionals will recommend an exercise program based on strengthening and stretching muscles that also emphasizes relaxation and breathing techniques like Pilates, yoga or tai chi.

Fibromyalgia, although rare, can have a dramatic effect on a patient.  The pain and accompanying fatigue and other symptoms can be debilitating and very disruptive to one's life.  While there is no known cure, your doctor can help manage symptoms and the condition.  With proper lifestyle choices, good health and the help of your physician, fibromyalgia can be controlled instead of controlling.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.

Shoulder Joint Injury

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Shoulder Joint Injury

Chris Goetz - Friday, April 05, 2013

Shoulder Joints are Highly Susceptible to Injury

Goetz with CaptionThe socket joint of the shoulder has a wide range of motion.  This makes the shoulders subject to increased injury from overexertion and overuse.  The fact is that the shoulder's extreme mobility comes with a trade off in stability.  With age comes the deterioration of tendons, ligaments and joints caused by years of stress.  Common injuries include painful strains and sprains, dislocation, pinched nerves and tendinitis. Furthermore, shoulder joint instability can lead to arm and shoulder bone fractures.

The extreme mobility of the shoulder also makes it susceptible to arthritic degeneration.  Most degenerative conditions of the shoulder involve the muscles of the rotator cuff.  Again due to the shoulder's high mobility and instability, the soft tissue of the rotator cuff muscles experience repeated stress and strain.  The most common symptoms of this kind of degeneration are pain and diminished range of motion.

Diagnosing the cause of shoulder pain will likely include the use of x-rays.  X-rays are a dependable way to find decreased space between bones, slipped discs, fractures and tumors.  All of these are possible causes of shoulder pain and limited mobility.  Magnetic resonance imaging, or MRI, can provide a more detailed picture of tendon, ligament and nerve damage when needed.

Chiropractic care has proven to be an effective therapy for shoulder pain and injuries. Chiropractic adjustments encourage proper spine alignment and mobility, relieving stress on nerves and muscles.  Patients receiving chiropractic care for shoulder pain or other injuries can expect to enjoy the benefits almost immediately.  However, many shoulder injuries accumulate over years of stress and the goal of any treatment plan should be long term relief.

A treatment plan for shoulder pain or injury should include the body's own recuperative abilities.  A good rehabilitative exercise routine will increase range of motion while strengthening shoulder muscle strength to prevent future injury.  A patient with an acute shoulder injury should receive rehabilitative therapy before beginning an exercise program.

Many physical therapy modalities can also be highly successful in treating shoulder pain.  Massage, hot and cold therapy, electrical muscle stimulation (EMS), ultrasound and Jade can provide pain relief on their own or in conjunction with other treatments.  If further care is required, an orthopedic can prescribe anti-inflammatory medications or corticosteroid injections or perform surgery to repair rotator cuff muscles.

It is important to visit your doctor or chiropractor to get on a safe and effective therapy and exercise plan.  After the pain is gone and the injury has healed, the goal should be to maintain shoulder muscle strength and proper range of motion.

Dr. Chris Goetz was an offensive lineman with the San Diego Chargers and New York Jets from 1990-1992. Having seen the benefits of therapy as he recuperated from his NFL injuries, he decided to enroll in Chiropractic Medicine school and dedicate himself to bringing relief and wellness to others. He has been Owner/Director of Advance Health Services of Miami since 1999.