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Mt. Pleasant, Gaylord, & West Bloomfield, MI

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Back to School = Backpack Injuries

According to the U.S. Consumer Product Safety Commission, at least 14,000 children are treated for backpack-related injuries every year. Overloaded or improperly fitted backpacks can cause back, neck and shoulder injuries. Heavy packs may even lead to spinal disc compression; causing severe neck and back pain. A few simple precautions can help your child avoid these painful consequences.

Backpack Safety Tips:

  • The American Academy of Orthopedic Surgeons says that the weight of a backpack should not be more than 10-15% of a child’s body weight, but many children carry much more than that. Weigh your child’s school supplies (laptop, books, etc.) and make sure the total weight (including the backpack) falls within, or below, that range.
  • Make sure the backpack fits your child’s size and body frame. Don’t buy a large backpack that your child will “grow into.”
  • Teach your child how to properly load a backpack – with heavy items near the center at the bottom of the pack to balance the weight – and buy a pack that is just big enough to hold the essentials. No extra room means no extra weight can be added.
  • Choose a pack with a waist strap. The American Chiropractic Association warns that our bodies are not designed to carry items hanging from our shoulders. A waist strap helps distribute the weight to our hip bones and should be worn whenever the pack is worn.
  • The backpack straps should be adjustable, padded and at least two inches wide. All straps (including the waist strap) should be used each time the pack is worn. Carrying a backpack on one shoulder – even for short distances – can lead to painful injuries.

Backpacks are a fact of life during the school year. Protect your children from pain and injury by helping them select and use them correctly.

Filed Under: Back Pain Tagged With: back pain, back to school, backpacks

Why a Physiatrist?

When you get injured, your first thought may be to make an appointment directly with an orthopedic surgeon, chiropractor or sports medicine physician. However, a physiatrist helps a wide range of patients, including those suffering from injury, disease or musculoskeletal pain.

Physiatrists prefer to take a non-surgical approach to rehabilitation and are dedicated to problems of the musculoskeletal system. Consulting with a physiatrist before seeking surgical treatment can be a valuable decision. Physiatrists offer big-picture insight to help patients understand their full spectrum of treatment options.

The Big Picture

Physiatrists study the big picture and, because their training is broad, it allows them to look at the total body rather than just one organ. By considering other areas of the body, physiatrists can be helpful for pinpointing difficult-to-diagnose pain by examining the relationships of all the moving parts of the body. A physiatrist’s goal is to restore functionality in patients living with injuries, diseases and disorders.

Physiatrists often act in concert with a patient’s other physicians, such as primary care doctors and neurologists — or even spearhead a team of medical professionals to optimize a patient’s treatment.

By having a physiatrist assume a central role in your recovery, they will create your step-by-step plan for rehabilitation, orchestrating the entire therapeutic team. Physiatrists enlist the support of many experts, including physical therapists, occupational therapists, psychologists, care managers, and other needed physicians and professionals.

Physiatrists can use non-surgical procedures to treat injury and illness, and manage pain. This can involve a range of therapies, including prescribing adjuvant and analgesic medications to help with function recovery, strength and flexibility exercises; aids such as braces and wheelchairs are often employed. For those needing surgical procedures, consulting a physiatrist before and after surgery can be can be very helpful in speeding up recovery and maintain functionality. (See last week’s blog.)

Because a physiatrist focuses on functional wellness, they tailor your treatment to your needs. If you simply want to climb the stairs or be able to play on the floor with your children, your treatment program may be different than an injured Olympic athlete hoping to compete professionally again. Whatever your needs, a physiatrist can help get you there.

What Procedures do Physiatrists Perform?

  • Electromyography (EMG): Inserting fine needle electrodes into muscles to measure the performance of muscles and nerves. This helps physiatrists discern if weakness is due to dysfunction of the muscles or nerves.
  • Nerve conduction studies (NCS): Using electrodes to establish the location of a nervous system injury.
  • Peripheral joint injections: Injecting bone and soft tissues to help diagnose and treat disorders.
  • Trigger point injections: Using lidocaine or dry needling on trigger points to ease soft tissue pain.
  • Musculoskeletal ultrasound: Using internal imagery through an ultrasound to evaluate soft tissue abnormalities, and to guide injections.
  • Spasticity management: Using oral antispasticity agents to treat spasticity after CNS injury (stroke, cerebral palsy, etc.), and to help relieve pain.

Physiatrists may also provide treatments such as image-guided spinal diagnostics and injections, epidural injections, radiofrequency ablation; and other procedures like acupuncture and stem cell treatments.

If you or someone you know is suffering from musculoskeletal pain, injury, or disease, talk to your physician about being referred to a Michigan Spine and Pain physiatrist. We strive to be a model physiatrist practice through continual education and dedication to providing quality care.

Filed Under: News

Is Pain Making You Tired?

Pain and fatigue often go hand in hand, especially when there is chronic, long-term pain. The exhaustion and weakness that can accompany pain may develop slowly or appear suddenly. When developing a pain management strategy, coping with fatigue should also be part of the plan.

Here are some factors that contribute to the pain/fatigue cycle, and tips for how to break free:

Physical Stress

Use it or lose it…

Reducing your physical activity because of pain can weaken muscles and make you tire more easily. Talk with your pain management team and work out a realistic exercise and activity plan.

Tip: Enlist friends and family to help you achieve your activity goals and help you regain your confidence. A walk with a friend seems shorter than a trudge alone. Just remember to be realistic and tell them when need to stop and rest.

 You don’t move like you used to…

Whether you’re limited by an injury, living with arthritis pain, or recovering from surgery, pain can cause you to adjust the way you move. This can create unusual stress on muscles and joints and cause more pain – and more fatigue.

Tip: Be aware of how you position your body whether you are moving or at rest.  If, for example, you are favoring an injured knee, be aware that the other knee is now taking on more than its usual share of the load and will tire more easily – and be more prone to injury.

Play now, pay later…

Overdoing it can increase both pain and fatigue. Learn your limits and adjust your activity accordingly.  Don’t let overexertion on a “good day” lead to a series of “bad days.”

Tip:  Pay attention to the signals your body sends you and don’t try to push past your limit. Discuss any problems or setbacks with your medical team. Don’t wear yourself out trying to prevent fatigue!

Emotional Stress

Emotional stress can also contribute to fatigue. Injuries can change your everyday life in an instant. You feel a loss of control and the burden of adjusting your lifestyle during treatment and recovery. Long term pain can be emotionally as well as physically draining. Depression is a common, and serious, side effect of chronic pain. Depression can contribute to fatigue and fatigue can feed the powerless feelings that lead to depression. It’s important to break that cycle.

Tip: Do what makes you happy. Stay connected with family and friends.  Continue activities that give you joy. If you find yourself avoiding the people and activities that you previously enjoyed, talk to your doctor right away. 

Hidden dangers…

Finally, keep an open dialogue with your doctor about any new (or increasing) weakness or fatigue to make sure there aren’t any underlying illnesses or health conditions responsible. Don’t assume that pain alone is the culprit.

Pain and fatigue often go hand in hand, especially when there is chronic, long-term pain. The exhaustion and weakness that can accompany pain may develop slowly or appear suddenly. When developing a pain management strategy, coping with fatigue should also be part of the plan.

Here are some factors that contribute to the pain/fatigue cycle, and tips for how to break free:

Physical Stress

Use it or lose it…

Reducing your physical activity because of pain can weaken muscles and make you tire more easily. Talk with your pain management team and work out a realistic exercise and activity plan.

Tip: Enlist friends and family to help you achieve your activity goals and help you regain your confidence. A walk with a friend seems shorter than a trudge alone. Just remember to be realistic and tell them when need to stop and rest.

 You don’t move liked to… you use

Whether you’re limited by an injury, living with arthritis pain, or recovering from surgery, pain can cause you to adjust the way you move. This can create unusual stress on muscles and joints and cause more pain – and more fatigue.

Tip: Be aware of how you position your body whether you are moving or at rest.  If, for example, you are favoring an injured knee, be aware that the other knee is now taking on more than its usual share of the load and will tire more easily – and be more prone to injury.

Play now, pay later…

Overdoing it can increase both pain and fatigue. Learn your limits and adjust your activity accordingly.  Don’t let overexertion on a “good day” lead to a series of “bad days.”

Tip:  Pay attention to the signals your body sends you and don’t try to push past your limit. Discuss any problems or setbacks with your medical team. Don’t wear yourself out trying to prevent fatigue!

Emotional Stress

Emotional stress can also contribute to fatigue. Injuries can change your everyday life in an instant. You feel a loss of control and the burden of adjusting your lifestyle during treatment and recovery. Long term pain can be emotionally as well as physically draining. Depression is a common, and serious, side effect of chronic pain. Depression can contribute to fatigue and fatigue can feed the powerless feelings that lead to depression. It’s important to break that cycle.

Tip: Do what makes you happy. Stay connected with family and friends.  Continue activities that give you joy. If you find yourself avoiding the people and activities that you previously enjoyed, talk to your doctor right away. 

Hidden dangers…

Finally, keep an open dialogue with your doctor about any new (or increasing) weakness or fatigue to make sure there aren’t any underlying illnesses or health conditions responsible. Don’t assume that pain alone is the culprit.

Filed Under: Chronic Pain, Depression, Fitness and Exercise, Healthy Living, News

Why You Should Include a Physiatrist on Your Medical Team

Study Shows Net Benefits Physiatrist Consultation on Surgery Rates for Back Pain

Results of a 2013 study published in the medical journal Spine demonstrated a dramatic correlation between patients referred to a physiatrist and a significant decrease in spinal surgery.

The study, developed to determine whether an insurer rule requiring physiatrist consultation before non-urgent surgical consultation would affect surgery referrals and surgery rates, was dramatic, according to the study’s authors, Dr. John Fox; Dr. Andrew J. Haig; Brian Todey; and Sastish Challa.

While spine surgery rates vary, efforts to curb excessive reliance on surgery versus alternate treatments have been spotty, according to the authors. As nonsurgical spine experts, the study posits that physiatrists often are effective in providing patients with a different perspective on treatment options.

The study, conducted in 2007, included the requirement by insurers that patients with non-urgent spine surgical consultations in a specific geographic region first had to consult with a physiatrist (who received extra compensation for the assessment).

Both surgical consultations and surgical rates results were then compared between 2006–07 and 2008–10. A survey of patients evaluated by physiatrists was subsequently performed to assess patient satisfaction and the results were telling.

The study concluded that physiatry referrals increased 70 percent while surgical referrals decreased 48 percent, and the total number of spine operations dropped 25 percent, with an incidental decrease in overall costs as an added benefit to both patient and insurer. (Although spinal fusion rates dropped, the percentage of fusion operations increased from 55 percent to 63 percent of all surgical procedures.)

Of 740 patients surveyed (a 48 percent response rate), 74 percent were “satisfied” or “very satisfied” with the physiatry consultation. However, only 40 percent of patients who underwent previous spine surgery were satisfied. Although surgical rates decreased at all regional hospitals and throughout all surgical groups, there were substantial shifts in market share.

The study concluded that a physiatrist consultation prior to surgical consultation resulted in decreased surgical rates and continued patient satisfaction across large segments of the public.

To read more about this study, click here.

For more information on how a physiatrist can benefit your diagnosis and treatment options, contact the professionals at Michigan Spine and Pain at online or call (800) 586-7992 to schedule a consultation.

Filed Under: News

5 Tips to Help Speed Post-Op Recovery from Surgery

There’s no question that back surgery is a serious affair and that time is the most valuable asset. However, there are many things patients can do to help speed the process. We’ve outlined 10 recommendations that will help patients in their road to recovery. Some are more obvious than others, but all will aid in your struggle to get back on the proverbial dance floor. Proactivity is the fluid that helps grease the wheels to recovery.

No. 1 | Diet

Eating well is essential in recovery and reducing your sodium intake is a big first step to overall better health. Eat small amounts several times throughout the day, which will help avoid nausea and bloating.

  • No Sports Drinks: the “rehydrating” beverages are filled with sodium, which encourages water retention. Eliminating as much sodium from your diet as possible helps reduce swelling.
  • Boost Protein Intake: Protein is essential with all wound healing, muscle and skin re-growth, and repair and prevention of hair loss. Make sure every meal or snack includes a good source of protein.
  • Cutback on the Sugar: Refined sugars can suppress the immune system, upsetting your body’s mineral balance and increase fasting levels of blood glucose.
  • Get on the Grapevine: Wine works as a diuretic, so consuming a glass of wine a few weeks post-operatively may be helpful for post-surgical swelling. Note: Never mix alcohol with any prescription drugs, and always consult with your physician before you consume alcoholic beverages.
  • Supplement with Probiotics: Antibiotics and other prescription drugs will destroy good bacterium in the gut. Probiotics restore your ability to digest and move your bowels.

No. 2 | Get Up and Move

  • Increasing circulation and the flow of lymph fluid will help your body to heal faster. Don’t run … walk. Provided you are able, rest for the first 24 hours post-op and then slowly get back into your normal daily activities, as tolerated. In the early stages of post-surgical recovery, many physicians request that heart rate should not to be elevated.  We suggest walking in your neighborhood or mall at a normal shopping pace — not an exercise pace. You can do this without raising your heart rate for any length of time. Quit if you experience fatigue, dizziness or experience nausea.

No. 3 | Stay Hydrated!

  • Our maxim is “Only water hydrates,” but in lieu of water we also recommend low fat milk (1%); tea; diluted fruit juice (about 4 oz. /day); flavored water (i.e. Vitamin Water Zero); and Crystal Light. Stay away from carbonated beverages, including seltzers.
  • Water-rich Fruits and Vegetables: Fruits like watermelon and grapefruit are water-rich. Strawberries also have high water content and are also low in natural sugar. Zucchini and celery are two vegetables that have high water content.

No. 4 | Take it Easy … Rest

  • While moving around is essential to getting your lymphatic system back in order, listening to the needs of your body is critical for long-term recovery. A week or so after your surgery, your conscious mind may be saying “get back to your routine,” but it’s well known that your body remains in a “trauma” mode for up to six weeks post-surgery. Listen to your body and what it tells you: if you need to sleep, then rest. Sleep is a miracle healer. Eat if you’re hungry and especially, drink when you’re both hungry and thirsty. Many times, if one is dehydrated, it masks itself with hunger. We recommend an 8-ounce glass of water before every meal.

No. 5 | Reach for the Stars and Stretch

  • Loosening and strengthening muscles helps your skeletal system. Try using a large exercise ball. Rotate in all directions, if possible. Lay on your back, sides and stomach.

Of course, your specific circumstances will dictate how each of our suggestions will affect your recovery. Before you begin any recovery options outlined, please consult your surgeon or treating physician to make sure nothing contravenes their advice.

Filed Under: Back Surgery Tagged With: Post Surgery

Pain from Car Accidents

Experiencing an auto accident can be very traumatic. Nobody wants to be in a car crash! After a crash there are so many symptoms that may occur as a result, both psychological and physical. It can be difficult for people to gather themselves emotionally after an auto accident; they may feel flustered, scared, have difficulty remembering, be panicked or have difficulty focusing.

There may be physical effects that are obvious after a crash such as broken bones, wounds, cuts or scrapes, bruises and the like.  There are however many physical issues that are not obvious on the surface, and many that are not obvious until some time has passed after the accident. In fact, there are often physical injuries that are not detectible for weeks and never to the naked eye and which require sophisticated medical diagnosis techniques to be found.

Some injuries may be treated with physical therapy, massage or other therapeutic techniques.  Injuries such as whiplash are an example of this type of injury. If pain is prolonged however, more than a month or so, these types of injuries may need more medical attention. In either case, it is wise to first consult a pain specialist for proper diagnosis and prescribed treatment.  At Michigan Spine and Pain we can prescribe appropriate physical therapy, massage or other treatments as necessary for whiplash or other similar auto injuries.

After an accident people sometimes consider calling an attorney to discuss insurance and monetary claims. We encourage people to seek legal counsel if they believe their case may warrant legal help, but calling an appropriate doctor ought to be one of the first calls a person makes and such a call doesn’t preclude legal representation. 

If a person has been in a car accident and feels any of the following symptoms s/he should call a doctor immediately:

  • Headaches
  • Back pain
  • Neck or shoulder pain
  • Stiffness in the shoulder or neck
  • Numbness in the arms or hands
  • Psychological or personality changes
  • Swelling or pain in any part of the body including the abdomen

Michigan Spine and Pain is a multidisciplinary pain clinic that is supervised by a Board Certified M.D. in Physical Medicine and Rehabilitation as well as Board Certified in Pain Medicine. Many attorneys who specialize in automobile injuries recognize the expertise of the team at Michigan Spine and Pain and Dr. Marvin Bleiberg.  Many physicians refer their patients for pain management and relief to our team. Please call 88.586.7992 or contact us HERE with any questions or to schedule a consultation.

Filed Under: Automobile Accidents, News Tagged With: auto accident, auto accidents, automobile accidents, car accident, car crash, pain after car accident, pain from car crash, whiplash

Tennis Elbow — A Painful Condition

You don’t have to play tennis to have a tennis elbow.  Lateral epicondylitis, tennis elbow, is a painful condition that occurs when tendons in your elbow are overly strained. This is commonly caused by repetitive motions of the arm and wrist.

Many people who do not actually play tennis get tennis elbow.  This condition is especially common in people whose work or lifestyle includes repetitive motions of the arm.

The most painful spot of pain is typically the point where the tendons of the forearm muscles attach to the outside of the elbow, although, the pain can radiate or travel down or sometimes up the arm.

One of the common signs that someone has tennis elbow is that they find it particularly painful to grab an object or to twist their arm, as when opening a door using a doorknob.

It is wise to consult your physician if the pain persists or is severe. There are many in office solutions that can benefit people who suffer from tennis elbow. Our office has successfully remediated this problem in many patients.

Remember to consult your healthcare provider before beginning any at home treatments.

Filed Under: Elbow Pain, Treatments for pain

Golfing Injuries from Head to Toe

The unique twisting motion of the golf swing can cause injuries from head to toe. Here’s a rundown of some common golf injuries and tips on how to avoid them.

Neck

As you swing, that twisting motion can lead to spasms, chronic neck pain and even pinched nerves. The more you swing, the worse it gets. Warming up with neck exercises before you practice or play will increase strength and flexibility – and reduce your risk of injury.

Shoulders

It’s no surprise that shoulder injuries are common among golfers. Strength training and adjustments to your swing can help you avoid tendonitis, bursitis and rotator cuff injuries. Don’t forget to handle your golf bag with care; just yanking those heavy clubs out of the car can injure your back or shoulder.

Elbows

Golfer’s Elbow is a painful irritation and inflammation of the outer or inner elbow tendon. This can result from repetition – or even from hitting the ground instead of the ball. Moderation is key.  Don’t wait until you feel pain to call it a day.

Wrists and Hands

Wrist and hand injuries are often caused by repetitive movement. Wrist Tendonitis is a common and painful injury which can take months to heal. Learning the proper grip and avoiding long practice sessions can help you avoid wrist and hand injuries.

Back

Back pain is frequently seen in golfers. Whether you’re swinging a golf bag or a golf club, herniated or slipped discs, muscle strain and ligament damage are all “par for the course.” It’s best to schedule a doctor’s visit for any type of back pain. What seems like a minor problem could be an indication of a larger medical problem. Warm ups and strength exercises can help prevent back injuries.

Hip

The pivoting motion of repeated golf swings is hard on the hips and can result in hip injuries similar to rotator cuff tears. Taking time to warm up, and incorporating a regimen of exercises that build strength and flexibility, can help you support the muscles that surround the hip joint and prevent painful and disabling injuries.

Knee

Uneven ground, a poor stance and the stress on your knees during the golf swing can all contribute to knee injuries. Our knees really aren’t designed for the rotation and side-to-side movement required to swing a golf club successfully. To help protect your knees, follow an exercise plan designed to keep the muscles in your hips, lower back, and mid back flexible and also strengthen the muscles around your knee joint.

Ankles and Feet

Ankle sprains, plantar fasciitis, Achilles tendonitis, swollen feet and blisters are all common golfing injuries. Proper shoes and strengthening exercises will help you stay on your feet without pain or injury.

Take proactive steps to prevent pain and injury

Your swing is everything!

Proper technique will not only improve your game, it can help prevent painful and potentially serious injuries. Without it, the stress you place on your body is likely to lead to discomfort and pain.

Know when to stop! 

Adjusting your technique to “play through the pain”, doesn’t work. You’ll just transfer the same physical stresses to other areas of your body and increase your chances of multiple injuries and even more pain.

More than an ounce of prevention

A regimen of preventative measures like warming up, wearing the right shoes, strength exercises and learning the proper swing technique will help you avoid injuries and concentrate on enjoying the game. Check out these tips from the Mayo Clinic for proactive steps you can take to avoid painful golf injuries.

Know when to call you doctor

As always, you need to “listen” to your body.  Sometimes personal prevention or mediation measures don’t do the trick.  We are always available to answer your questions and if your pain does not improve, or gets worse, you should be in touch with a doctor.  Feel free to reach out HERE if you would like to have your questions answered, or if you need to make an appointment.

Filed Under: Back Pain, Golf Injury, News Tagged With: golf and low back pain, golf injuries, golf injury, golf pain, preventing golf injury, preventing sports injuries

Chronic Headaches and Migraines

There are millions who suffer with migraines or chronic headaches.  Headaches are a very specific type of pain, no two headache sufferers are alike.  At Michigan Spine and Pain we approach each headache and each person as an individual and with a fresh multidisciplinary approach to diagnosis and treatment.  Every patient is evaluated fully to determine the root cause of the pain and to determine the best course of curative and restorative action.

It is very common for headaches and migraines to be incorrectly diagnosed.  There are many variable and different causes of headaches.  In our e-book (click HERE) we discuss several different types of headaches and their symptoms and possible treatments.

We urge you to take your headache seriously and to know that we will do the same.  Please call 800.586.7992 or contact us HERE anytime with questions or to schedule a consultation.  We look forward to helping your relieve your pain.

Filed Under: Headaches, Migraines, News Tagged With: headache, headache support, headache type, headaches, migraine, migraine treatment

Invisible Pain and Society Reactions

Oftentimes there is lifestyle difficulty that comes with chronic pain.  People have difficulty with the expectations put upon them in society, and they also have to deal with their personal pain and suffering.

Many are taught to push aside illness and to “grin and bare it,” especially when the problem is not visible to the outside world.  We often deal with invisible sources of pain—at least to the naked eye. A person suffering with chronic pain may look completely healthy to the outside world, yet be suffering terribly.  Additionally, pain levels are not always static; one day may bring terrible pain and the next may be tolerable or very little.  Sometimes it is one activity versus a different activity that causes a variance in pain.

There are many stories of isolation due to pain.  Both physical isolation because of physical limitations and emotional isolation. Often a patient becomes isolated or depressed because their non-visible pain is mocked, or disregarded by family, friends and associates.

People may have the best of intentions, however in the general population, the concept of pain is one that is caused by an illness or injury, and then dissipates when the patient is cured or healed. This is not the case with chronic pain sufferers. Their pain may not leave and may worsen. This seems illogical to people and it may cause them to be insensitive.

Furthermore, neither age, nor race, nor socioeconomic status is a determinant of chronic pain.  Anyone may suffer, although society tends to expect certain populations, such as the elderly, to be those typically suffering with pain.

We can help anyone with their pain related problems.  At Michigan Spine and Pain we have a tremendous amount of resources to help patients with pain that is chronic, visible, invisible….anything.  Let us help you reduce your pain.  Call us anytime at 800-586-7992 or contact us HERE.

Filed Under: Chronic Pain, Depression, News Tagged With: chronic pain, depression and pain, invisible pain

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Dr. Marvin Bleiberg

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