This New Blog post from Dr. Jared Wilson, DC, MS at Gaitway Chiropractic in Spokane, Washington addresses the importance of chiropractors and other medical professionals working together in a collaborative effort to improve patient-centered care. Dr. Jared Wilson blogs about chiropractic health and other relevant health news. He is an expert in musculoskeletal injuries and functional rehab. He holds a Chiropractic Doctorate degree and a Masters of Exercise and Sports Science degree.
Integrated care can have multiple definitions depending on who you talk to. Many people, including myself, would say that integrated care means that all providers (primary care doctor, orthopedist, physiatrist, chiropractor, physical therapist, neurologist, cardiologist, etc.) collaborate in a comprehensive, interprofessional, evidence-based, patient-centered effort to deliver effective and affordable care. This would give patients complete care.
For this to work most efficiently though, there needs to be a system in place where providers are either able to, a) easily send office visit notes to a central location where the provider will actually see them; or, b) simply access the same electronic health record for that patient. This would allow all providers to see the big picture of the care being provided. You have this setup at a large organization such as Providence, Rockwood, Group Health. But chiropractors tend to be in an independent lot usually because the chiropractor is practicing in a private office setting and having all providers in the same space would improve communication. Plus hospitals and big organizations understand the value to them to keep loyal providers within their own system who regular refer patients within that system.
Undoubtedly the greatest advantage of integrated care settings is patient care. However, I feel there is still a lack of effort put forth by many providers to strive for integration. The biggest reason, I believe, is time. Being part of a comprehensive care team requires more time and effort in communicating with other doctors. But I know that doctors who care about their patients will in fact take this time out of their busy schedules to meet their patients' needs. Coming out of chiropractic school I was blessed to work with an amazing chiropractor who modeled the very nature of patient-centered, integrative care. Any additional second he had away from treating patients was spent calling patients or their providers to ensure the best care was being given. This example really made an impression on me. Seeing patients benefit from this approach to their care is a reason I strive to do the same.
Research shows that chiropractic care plays a critical role in pain management programs which reduce the long-term costs of health care. The Department of Veteran Affairs is a group that has seen the inclusion of chiropractic. The reason is the VA is following directives to find safe and effective alternatives to opiates and expensive surgical procedures. This has led to the gradual expansion of chiropractic services offered at the VA. This is great news!
The easiest way I’ve found to integrate my care into a patient’s bigger care picture is simply asking new patients if they would mind me communicating their findings and treatment plan with their primary care physician. This is easily done by faxing initial office visit notes and follow up progress reports. I really think this is where the majority of chiropractors fit into the integrated patient care model. Not every chiropractor will have the opportunity to join with a major organization.
The best part of integration is getting to see patients who never have received chiropractic care and wouldn’t have, for that matter, had it not been for their primary care doctor recommending it as a viable treatment option. If you ever hear a medical professional say, “Oh don’t go see a chiropractor,” I challenge you to ask them why? Writing this blog helps me stay motivated to continue reaching out to other providers, usually allopathic ones, in hopes to build healthy, interprofessional relationships. These types of relationships will help to break down any remaining ugly walls that may exist between the chiropractic and medical professions, reduce health care costs, and lead to patient centered care. Chiropractic care results speak for themselves. Anybody who doubts that can look at the piles of supporting anecdotal and clinical research.
If you have any questions about how chiropractic care could help you, please call Gaitway Chiropractic in north Spokane at (509) 466-1366, request an appointment online, or come by the clinic at 8611 N Division St, Ste A, Spokane, WA 99208.
This New Blog post from Dr. Jared Wilson, DC, MS at Gaitway Chiropractic in Spokane, Washington addresses the importance of being evaluated by a doctor trained in whiplash biomechanics and traumatology after being involved in a motor vehicle collision. Dr. Jared Wilson blogs about chiropractic health and other relevant health news. He is an expert in musculoskeletal injuries and functional rehab. He holds a Chiropractic Doctorate degree and a Masters of Exercise and Sports Science degree.
Over three million whiplash injuries occur each year in the U.S. as a result of motor vehicle collisions. Almost half of these injuries lead to chronic issues such as headaches, neck pain, back pain and shoulder pain, to name just a few. These problems can have significant impact on a person’s normal activities of daily living such as work proficiency, recreation, sleep, social interactions and more.
Because of the unique presentation of these automobile collision injuries, it is important for the patient and the treating doctors to be educated about the many issues surrounding whiplash treatment and related medical-legal issues. Unfortunately many car accident victims suffer without knowing that there is much help available to them, often times at no cost to them.
In order to address these issues and effectively treat persons injured in motor vehicle collisions, Dr. Jared Wilson has advanced education and experience in effective and efficient ways of treating these injuries. Dr. Wilson understands the wide range of physical injuries and clinical conditions that can occur as a result of these unfortunate events. At your first appointment at Gaitway Chiropractic, Dr. Wilson conducts a comprehensive physical examination. Dr. Wilson will even determine if your condition warrants the use of the latest imaging technologies such as dynamic X-Rays, CT, MRI, nerve conduction studies and others. He will make the proper referral for imaging when needed.
Dr. Wilson is trained in how to provide patients with the most effective and comprehensive gentle treatment and rehabilitation strategies (including nutritional supplementation and diet instead of medication) to promote optimal healing. Dr. Wilson also recognizes when conservative treatment is limited, and he strives to put together the ultimate team of medical professionals that are focused on helping you recover from these motor vehicle injuries. To make an appointment, or ask any questions, please call Gaitway Chiropractic in north Spokane at (509) 466-1366, request an appointment online, or come by the clinic at 8611 N Division St, Ste A, Spokane, WA 99208.
Many people over the years have started using foam rollers in the gyms, health clinics, sporting events, and at home. You have probably seen your friends post on facebook, twitter, and pinterest the best ways to use a foam roller. The media has really helped increase the popularity of these self-myofascial release tools.
Over the past few years I've seen all kinds of posts on the internet about the right size, shape, and texture to use. The use of foam rollers has spread like wildflowers. You can even get one with flowers decorated on it, ha!
But is this soft tissue therapy really helpful for the treatment of skeletal muscle issues like immobility, pain, loss of range of motion, and athletic performance?
Let's turn to what the research indicates.
A recent review of the literature was presented May 2015 at the American College of Sports Medicine 62nd Annual Meeting. Nine studies were evaluated. Six using foam rollers and three with handheld rollers.
Regardless of the exact mechanism of how myofascial release works to benefit skeletal muscle issues such as immobility, pain, loss of range of motion, and certain athletic performance measures, it is clear that it is beneficial.
So call today, 509-466-1366, or request an appointment online and find out how to properly use a foam roller for you muscular complaints and what other ways we could help you.
A new study by the department of social and behavioral health sciences at Harvard determined that more than half of all children and adolescents in the United States are not getting enough water. Could this be that we are drinking too much juices and soda throughout the day and thinking, "Well there's water in there so I must be okay."? There can be dramatic health risks to not getting enough water.
Severe dehydration can cause:
...But you may be surprised to know that even mild dehydration can result in
I always make sure that I get a full 20 fluid ounces in the morning before I eat anything and I force myself to get an additional 100 fluid ounces throughout the day. I keep my water bottle with my at all times. I like bottles that have measurement lines on the side so you can accurately determine how much you are getting.
Did you know that drinking enough water can help you LOSE WEIGHT?! I tell people all the time who struggle with weight issues to drink HALF their weight in fluid ounces. This simple trick can help a lot in reaching your weight goal.
“Prevalence of Inadequate Hydration among US Children and Disparities by Gender and Race/Ethnicity: National Health and Nutrition Examination Survey, 2009-2012,” Erica L. Kenney, Michael W. Long, Angie L. Cradock, Steven L. Gortmaker, American Journal of Public Health, online June 11, 2015, doi:10.2105/AJPH.2015.302572.
With the recent trend of cross fitness training in the early 2000's, and the growing interest in climbing sports, specifically rock climbing, elbow injuries along with other upper extremity injuries are becoming more prevalent.
Most often injuries to the elbow are to the biceps muscle. However a lesser but still common injury to the elbow is a strain of the brachialis muscle which is located close to the biceps and assists the biceps when bending the elbow. This injury is called Climber's Elbow. It is caused by a forceful flexion contraction of the muscle greater than it is able to tolerate or a forceful over extension of the elbow. Most often this injury, like most muscle injuries, are a result of a previous lesser strain to that muscle that likely never was caught or was not allowed to heal properly. The athlete then returned to full activity too early resulting in the injury.
Diagnosis of Climber's Elbow begins with a clear understanding of the mechanism of injury. This comes from the patient's report of how the injury occurred. Using skilled palpation and specific muscle testing of the elbow in various positions, an expert in musculoskeletal injuries will be able to distinguish between the more common biceps strain and Climber's Elbow.
Treatment of Climber's Elbow depends on the severity of the injury. A Grade 3 strain, a complete tear of the muscle away from its attachment point near the bone, is a surgical case. The less severe Grade 1 and 2 strains can be treated conservatively by a musculoskeletal injury expert. Below is a typical progression through the stages of healing for Climber's Elbow.
Acute (Inflammatory) Stage (0-2 weeks)
Sub-acute (Repair) and Chronic (Remodeling) Stages (2-8 weeks)
It's important to note that the time frames listed above for the stages of healing for Climber's Elbow are just typical time frames. These would be the expected times only if the healing process occurs normally. Different body types, conditions, and compliance will effect this.
Did you know that both the American Chronic Pain Association and the State of Oregon's low back pain management guidelines recommend SPINAL MANIPULATION as the only non-drug treatment for all three phases of low back pain (acute, subacute, chronic).
Chiropractic focuses on health, rather than disease. Prevention and wellness are at its foundation. Doctor Jared Wilson, DC, MS uses a "whole-person" style of chiropractic care. This includes spinal manipulation, soft tissue mobilization, functional corrective exercises, healthy lifestyle habit recommendations such as nutrition and exercise. This style of treatment can help healthy people stay healthy and offer those who are in pain the ability to regain health.
The unique aspect of chiropractic is the manipulation of the spine and extremities using specific contacts and a controlled thrust with the hands, also known as an adjustment. An adjustment can help restore proper range of motion, nerve conduction and vascular flow as well as decrease pain and inflammation from injury and chronic pain syndromes.
This is encouraging to read positive support that bridges the gap between allopathic and alternative medicine. The ultimate goal is to serve patients in the most effective way!
You probably know what a GATEWAY is. It is a structure or passage in which a NEW PLACE is reached.
You may not know what GAIT means. GAIT is a style of locomotion. It is the way we MOVE! Every time you take a step there is a continual loss and regain of your body's balance and center of mass with respect to gravity.
At Gaitway Chiropractic in Spokane, Washington, Doctor Jared Wilson, DC, MS applies the concepts of GAIT and WAY physically and holistically. This is done by examining and correcting the way a person moves combined with encouraging proper lifestyle habits. These habits include nutrition, exercise, and healthy relationships. By incorporating these concepts and stepping through the GAITWAY, Doctor Wilson can help you achieve your goals and reach a NEW LIFE!
Dr. Jared Wilson, DC, MS
Dr. Jared Wilson blogs about chiropractic health and other relevant health news. He is an expert in musculoskeletal injuries and functional rehab. He holds a Chiropractic Doctorate degree and a Masters degree in Exercise and Sports Science.