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Blog

Blog

Help with Pain,

by Dr Jason Mazzarella, DC, DAAPM, DCAPM, DAAETS, FIAMA, MVC-FRA, CATSM, CBIS, CMVT, CPM, BSc HPA, BSc Kin

Dr. Jason Mazzarella, director of the North American Spine Institute in Toronto Canada has started a blog to discuss current topics in Chronic Pain.  

Research has shown that chronic pain is not well understood, not well evaluated and not well treated.  This blog is designed to provide insignt into chronic pain and other less understood healthcare topics, but discussing current research in the field of pain medicine.  

The hope for this blog is to start discussions regarding pain management therapies so that those suffering from pain have a better idea of treatment options and research available to them.

view:  full / summary

Crash Forensics

Posted by Toronto Pain Doctors: Chronic Pain, Whiplash and Concussion Therapy on September 13, 2013 at 12:35 AM Comments comments ()

In a recent court findings, Branco v. American Home Assurance Company, the court found that the insurer's denial of disability benefits was determined to be bad faith on the insurer's part.  This then resulted in a record $4.5 million dollar finding in favour of the plaintiff.

The problem for both the injured person and the insurer is how to determine if an injury is or is not due to a motor vehicle accident.  Pain research has shown that 90% of pain is generally inhibited as a survival mechanisim and thus an injury, instability or tissue damage could be present and unrecongized prior to a collision.  

The answer is through crash forensics.  This service evaluates the occupant kinematics that would have occured in a collision based on collision variables, risk factors and the occupant in order to determine which structures could be injured based on the crash forensics research.

By using crash forensics, we can then determine if a physical limitation or impairments is directly realted to the motor vehicle accident or not.  This will allow for an accurate, defenisble and scientifcally sound determination of need.  For additional information on crash forensics please see our website page: http://www.pain-group.com/crash-forensics which also has example video's for view.

Pain Management: Medical vs. Chiropractic Risk

Posted by Toronto Pain Doctors: Chronic Pain, Whiplash and Concussion Therapy on May 10, 2013 at 12:05 AM Comments comments ()

Musculoskeletal pain, who should be providing pain management treatment?

Research shows chiropractic to be the safest choice, but make your own decision.


Chiropractic:

On average about 40-50 manipulations cause strokes each year, with approximately 12 deaths per year.

Reasonable estimates for risk of stroke is 1/2 to 2 indicents per 1,000,000 treatments.

http://www.chiro.org/chimages/chiropage/cva-1.html


Medical Treatment

Medical mistakes contribute to 38,000-43,000 deaths per year.

http://www.theglobeandmail.com/life/health-and-fitness/health-navigator/patients-odds-of-winning-medical-malpractice-suits-in-canada-arent- good-says-new-book/article10812604/

Neck surgery - has a 3-4% rate of complication with an annual death rate of 4,000-10,000 per million.

The cervical spine research society editorial committee. The Cervical Spine, Second edition. Philadelphia: J.B. Lippincott Company 1990: 834.

Usage of NSAIDs, research found a 4 in 10,000 annual death rate with extrapolates to 3,200 deaths per year.

Fries, JF. Assessing and understanding patient risk. Scand J Rheumatol 1992; Suppl. 92: 21

Whiplash and Motor Vehicle Trauma

Posted by Toronto Pain Doctors: Chronic Pain, Whiplash and Concussion Therapy on April 13, 2013 at 8:40 PM Comments comments ()

This blog will post research and news regarding motor vehicle trauma and whiplash injuries. 

Pain

Posted by Toronto Pain Doctors: Chronic Pain, Whiplash and Concussion Therapy on April 13, 2013 at 8:35 PM Comments comments ()

This Blog will provide updates on Pain Management research


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