Michigan Spine & Pain

Mt. Pleasant, Gaylord, & West Bloomfield, MI

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Digital Record Keeping and our Practice

Is your doctor going digital? Have you filled out new patient paperwork on line lately? Was there a laptop or tablet in your physicians’ hands when she saw you last? If not, be ready for these and other electronic experiences soon.

There is so much progress being reported about the ease and efficiency and a multitude of other benefits of entering and storing medical records as digital or electronic files.  Even with all that we see happening all around us, it is clear that many questions remain yet to be explored and many more questions still need to be answered. For whom are medical records easy: the doctor, the clinic’s medical staff, the insurance companies and/or the patients? Regarding privacy issues, who gets to have access to digital records and how do we know they are secured from people who shouldn’t be peeping? How do we as the health care provider differentiate in our record-keeping among patients who utilize government-funded insurance where there are certain requirements versus those who are private insurance subscribers? What aspects of our records are required by law and the insurance companies and what aspects do we choose to utilize on our own?

Michigan Spine and Pain is considering these issues and many others as we look at the variety of ways that we can utilize electronic record keeping in the best interests of our patient community. As we research a few of the latest and some of the most trusted trends, let us know what you think about your experiences in our offices. Your feedback is valuable to us as we strive to keep up to date with important best practices in office management. If you are interested in learning more about the subject of electronic records including some insights on a few of the forces shaping the discussions, we encourage you to read either of the following articles. We found them to be well-written with unique perspective on the complex components of record keeping as it relates to medical care.

www.bostonglobe.com/lifestyle/health-wellness/2014/06/15/apps-store-personal-medical-records-growing-popularity/mh9wIhU4KdFHa1veptEUEO/story.html

www.bostonglobe.com/lifestyle/health-wellness/2014/06/15/websites-and-apps-allow-users-store-health-records-online/Q40ZT9f2PF9CSPCFYhrefP/story.html

Filed Under: Feature, Patient Experience Tagged With: digital medical records, electronic medical records

Net Gains: Playing Tennis Safely

tennisTennis is a fabulous sport to watch or to play, and the temperate Michigan summer is an ideal environment for regular matches.

Tennis is terrific exercise, combining a great cardio workout along with usage of a wide variety of muscle groups.

Tennis is a relatively low-injury sport, much lower than soccer and golf. Injuries can be avoided with some smart preparation prior to playing and improved techniques.

The most common tennis injuries are:

  • sprained ankles
  • back pain or strain
  • tennis elbow
  • shoulder bursitis
  • calf strain

To prevent each of these, consider doing the following:

To prevent sprained ankle, first avoid playing on slippery pavement or when you are really tired. If you are prone to twisting your ankle, considering wearing an ankle brace.

Back pain prevention is that old standby: stretching prior to playing and building up your core and abdominal muscles. Yoga and Pilates, situps and crunches all improve back and core strength. The worst thing you can do for your back is to go out on the court cold with no warm-up whatsoever. Be cognizant that serving places a lot of strain on the back because of the hyperextension (bending backwards) that is involved.

The infamous tennis elbow is caused mostly from repetitive motion, and often a racquet grip that is  too tight. This causes the muscles that connect from the forearm to the humerus to be inflamed.  Be sure that your tennis racket handle is not  too small for you. Take frequent breaks when you play to bend your wrist up (the stop sign) and to bend your wrist down. You may benefit from a tennis elbow compression strap, but only on the advice of your health professional.

Shoulder Bursitis prevention requires that the tennis player pay particular attention to the muscles of the shoulder and really maintain good strength in all of the arm muscles. Lifting weights that target biceps, triceps, trapezius and scapula muscles all will benefit the tennis player. A variety of rowing-style exercises are also helpful. Serving the ball places the greatest strain on the shoulders, so it is advisable to utilize a coach and/or a physical therapist to evaluate your serve and make corrections in your mechanics.

Calf strain occurs when you are starting your motion, pushing off to the left, right, forward or backward to return a volley. Adequate nutrition before a match helps (carbohydrates seem to make the difference, too) as does hydration and monitoring your own fatigue level.

Filed Under: Back Pain, Feature Tagged With: tennis elbow, tennis injuries, tennis injury prevention

Pregnancy and Lower Back Pain

pregnant 2It is true. You’re not just imagining it!  There are so many pregnant women! In Michigan, the long winter has a side benefit of higher conceptions during the winter months, which means lots of fall babies.

Pregnancy is an exciting time for you, your family and friends, but the changes in your body can increase the pressure on your spine and cause back pain, particularly low back pain. You are definitely not alone. Most women (between 50 and 80%) experience back pain during pregnancy. Typically, lower back pain hits its peak beginning in the 7th month.

This article addresses the reasons for low back pain and some preventive measures. A future post will be about available treatment for pregnancy-related low back pain.

Reasons for low back pain include:

  • Weight gain. It is healthy and necessary to gain an appropriate amount of weight during pregnancy, but your back takes the brunt of that extra weight.
  • Posture changes. When you are pregnant, you may inadvertently be shifting your posture, which can contribute to low back pain.
  • Hormone changes. The culprit is a hormone called relaxin. Relaxin allows the ligaments in your pelvis to relax and makes the joints looser. This effect is to prepare your body for childbirth. But, the down side is that the relaxin can cause the ligaments that support your spine to loosen, and this can lead to pain.
  • Muscle separation. The uterus expands as your pregnancy progresses, and there are two planes of muscles called the rectal abdominis muscles, which can separate from the expansion.
  • Stress. Often people physically take on stress in their body, bringing on muscle tension, which can lead to pain or spasms. Although pregnancy can be exciting and joyful, it is not without stress, as you contemplate the changes in your lifestyle and the time and financial commitment that being a parent entails.

How to Prevent Lower Back Pain in Pregnancy

  • Monitor your weight gain. Pregnancy is not the time to diet. You need more calories to sustain yourself and nourish the growing baby. But pregnancy is also not the time to say to yourself, “My maternity clothes are so roomy. I’ll eat whatever I want!”  Overindulging and allowing a really large weight gain will put added pressure on your back. If you can, try to find a balance of proper eating.
  • Practice good posture when standing. Stand up straight. Keep your shoulders back. Try not to slouch or to lean back. Keep your feet apart. If you are forced to stand for a long time, rest one foot on a low stool or a low step. Take breaks.
  • Wear shoes that help your posture. Those spike heels go back in the closet! It’s time for comfortable, low-heeled (not flat) shoes with really good support, especially in the arches.
  • Practice good posture when sitting. Think about where you sit the most. Your favorite couch may not be the one that encourages good posture. You need an upright seat that gives you good firm back support. Experiment with pillows behind your back. Also look for an ottoman or footstool for you to place your feet on.
  • Be extremely careful when you lift anything. First consider not lifting and asking somebody else for assistance. But, if you must lift, even something small, squat down and lift with your legs. Don’t bend at the waist. Remember, even taking the dishes out of the dishwasher is light lifting. Bend the knees, not the waist.
  • Try to stay active. Regular physical activity is important for anybody with back issues and pregnant women still accrue the benefits of an active lifestyle. If your obstetrician gives the ok, consider regular gentle exercises. Walking and swimming are excellent choices. Also, any exercise regimen like very gentle yoga or pilates where you can stretch can be beneficial as well.

IMPORTANT NOTE: ANYTIME you are ever concerned that the feeling or sensation you have while pregnant is questionable, call your obstetrician immediately. Pain accompanied by vaginal bleeding, fever or burning during urination may be very serious. If this occurs, contact your obstetrician immediately.

Filed Under: Feature

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Dr. Marvin Bleiberg

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