DOT-CDL Physicals , Auto Injury Specialist, Chiropractic Adjustments
Chiropractic is a health care profession that focuses on the relationship between the body's structure—mainly the spine—and its functioning. Although practitioners may use a variety of treatment approaches, they primarily perform adjustments (manipulations) to the spine or other parts of the body with the goal of correcting alignment problems, alleviating pain, improving function, and supporting the body's natural ability to heal itself.Chiropractic services are used most often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches.
One of the most common therapeutic procedures performed by Doctor of Chiropractic is spinal manipulation (sometimes referred to as a "chiropractic adjustment"). The purpose of spinal manipulation is to restore joint mobility by manually applying a controlled force into joints that have become hypomobile – or restricted in their movement – because of a tissue injury. Tissue injury can be caused by a single traumatic event, such as improper lifting of a heavy object, or through repetitive stresses, such as sitting in an awkward position with poor spinal posture for an extended period of time. In either case, injured tissues undergo physical and chemical changes that can cause inflammation, pain, and diminished function for an individual. Manipulation, or adjustment of the affected joint and tissues, restores mobility, thereby alleviating pain and muscle tightness, allowing tissues to heal.
Chiropractic adjustment rarely causes discomfort. However, patients may sometimes experience mild soreness or aching following treatment (as with some forms of exercise) that usually resolves within 12 to 48 hours. Compared to other common treatments for pain, such as over-the-counter and prescription pain medications, chiropractic's conservative approach offers a safe and effective option.
Therapeutic ultrasound has been shown to cause increases in:
How does Ultrasound work?
The waves are generated by a piezoelectric effect caused by the vibration of crystals within the head of the wand/probe. The sound waves that pass through the skin cause a vibration of the local tissues. This vibration or cavitation can cause a deep heating locally though usually no sensation of heat will be felt by the patient. In situations where a heating effect is not desirable, such as a fresh injury with acute inflammation, the ultrasound can be pulsed rather than continuously transmitted.
What does Ultrasound do?
Ultrasound can produce many effects other than just the potential heating effect. It has been shown to cause increases in tissue relaxation, local blood flow, and scar tissue breakdown. The effect of the increase in local blood flow can be used to help reduce local swelling and chronic inflammation, and, according to some studies, promote bone fracture healing.
Typical Ultrasound treatments
A typical ultrasound treatment will take from 3-5 minutes depending on the size of the area being treated. A small amount of gel or lotion is applied to the area of treatment; then the therapist slowly moves the sound head over the area being treated. During the treatment the head of the ultrasound probe is kept in constant motion. If kept in constant motion, the patient should feel no discomfort at all.
In addition to the many joints and bones that comprise the thoracic spine, there is a network of interwoven and layered muscles. These muscles are used to stabilize and move the spine, aid in respiration, and move the shoulder and arm.
Fascia is a layer of connective tissue that contributes to the supportive structure of the spine and musculoskeletal system. The fascia invests, or surrounds, the muscles and allows for the smooth gliding of one muscle upon another. Investing fascia helps to prevent muscles from adhering to each other.
With injury, chronic postural stress, or overuse, myofascial trigger points or myofascial adhesions may develop – all commonly referred to as myofascial Chiropractors treat myofascial pain syndromes such as myofascial trigger points or adhesions with manual myofascial therapy. This therapy normally includes the use of direct pressure upon the trigger point, or the use of active anchor-and-stretch myofascial release techniques.
Our office offers 2 types of massages: Therapeutic & Deep Tissue
Therapeutic Massage - There is no denying the power of bodywork, or massage therapy, regardless of it’s intent to be therapeutic or pampering. Researchers at top medical schools and journals, have attributed close to 90% of ailments seen in family practice to be stress related disorders, which regular therapeutic massages can help prevent. There are various techniques that utilize different strokes, movement and pressure, to best suit your needs. Budgeting time and money for bodywork is an investment in your health, and a necessary piece of your wellness plan. The AMTA (American Massage Therapy Association) credits the physical and mental benefits of massage therapy to include the following:
1. It Is Relaxing – When the body is tense and under stress, it produces unhealthy levels of the well-known stress hormone, cortisol, which can contribute to weight gain, sleeplessness, digestive problems, and headaches. Massage therapy has been shown to decrease cortisol levels in the body. This enables the body to enter a recovery mode. Moreover, this form of therapy also triggers lasting feelings of relaxation, improved mood, and reduced stress levels.
2. It Reduces Stress – Not only can massage therapy help with stress relief, but regular massage sessions over a prolonged period of time can boost energy levels, reduce pain, and stimulate individuals on physical as well as emotional levels.
3. It Can Help Lower Blood Pressure – Regular massage therapy sessions have been found to reduce blood pressure levels. In fact, some long-term studies have shown that a consistent massage program can reduce both systolic (upper number) and diastolic (lower number) blood pressure. Moreover, it can also reduce cortisol levels within the body. Furthermore, consistent massage sessions can also reduce trigger sources for anxiety, hostility, tension, and depression. In turn, lower blood pressure levels can also reduce the risk of heart attack, stroke, and/or kidney failure, as well as many other health issues.
4. It Promotes Muscle Relaxation – The purpose of massage therapy is to target the source of the body’s pain via eliminating tense muscles, increasing flexibility, and providing relaxation to the affected muscles as well as the body as a whole. Massage also promotes circulation to the affected or injured muscles, which increases nutrients and oxygen to the damaged tissues. In turn, this increased activity to the affected sites reduces stiffness and edema (swelling) in the muscles and joints, as well as increases flexibility to help reduce pain. Moreover, this form of therapy also releases endorphins (pain-killing hormones), which boost the dopamine and serotonin levels in the body. These hormones assist the body in many ways–physically as well as emotionally. Case in point, they promote healing, pain management, and feelings of euphoria, as well as help to calm the nerves.
5. It Can Help Improve Circulation – The long-term benefits of massage therapy are not to be underestimated. Improved circulation is part of a snowball effect that occurs in the body as a result of receiving regular massage therapy on a consistent basis. This is because proper circulation brings damaged, stiff, and tense muscles the rich blood supply they need to promote healing.
6. It Can Help Improve Posture – Many Americans experience back, neck, and muscle pain from a variety of sources. However, the primary cause of this pain results from poor posture. In fact, chronic back pain, which is the number one reason for missed work days and second most common cause of disability, is often the result of incorrect or poor posture while standing and/or sitting. Moreover, being overweight, poor posture, and repetitive or overuse movements can also contribute to the strain on the back and other potential problem areas. As a result, the added strain often causes spasms, pain, and tense muscles in the hips, glutes, back, neck, and legs.
7. It Can Help Strengthen the Body’s Immune System – Regular massage sessions provide many benefits to the human body. It is a well-known fact that individuals who experience high levels of stress are more vulnerable to illness and injury. When stress is combined with sleep disturbances and poor nutrition, the impact is directed at the body’s immune system. Its ability to naturally protect itself against infections, pathogens, and bacteria is greatly reduced. Some might wonder how massage therapy benefits the immune system. Studies have indicated that regular massage sessions not only help reduce stress, but can also boost the immune system’s cytotoxic capacity (activity level of the body’s natural “killer cells”) and enhances the body’s ability to deliver nourishment. Moreover, massage therapy can be a great addition to any exercise program. Much like regular exercise can keep the body fine-tuned, regular massage therapy can help keep the immune system strong and resilient.
Deep Tissue Massage – Uses slow, deep and deliberate strokes to release deep-rooted muscle tension that needs to be unlocked. Posture, muscle tension and flexibility are noticeably improved!
Electrical muscle stimulation. During this chiropractic therapy, electrodes are placed on the skin that send light electrical pulses to different areas of the body with the purpose of reducing inflammation, curtailing muscle spasms and relieving back pain. In the chiropractic setting, some procedures include the use of electrical current to stimulate a therapeutic effect on the body. When applied to tissue, electric currents create thermal, physiologic, and chemical responses. The currents also alter pain impulses. Interferential stimulation is the most commonly used form of electrical stimulation used in the chiropractic setting. Two channels of electrical stimulation create a third current that penetrates the affected tissues with little resistance. This stimulation helps control pain and muscle contractions. Interferential stimulation also reduces edema, swelling caused by fluid in the body’s tissues.
any studies have reported the importance of exercises in managing acute and chronic low back pain, strengthening the low back, preventing and keeping back patients working, and to improve quality of life. The strength of the abdominal muscles was also found to be able to differentiate between those with vs. without chronic.
Overall and when combined with chiropractic care, aerobic exercise helps promote proper digestion, keeps the muscles in proper tone and promotes better circulation. Walking briskly around the block at least once or twice is a convenient and popular activity.
Also, many forms of work and/or household tasks can function as an exercise program. The important point is to exercise!
Benefits of exercise
When done in a controlled, progressive manner, exercises for relieving back pain have many benefits, including:
AFTER AN ACCIDENT SEE A DOCTOR WITHIN 72 HOURS!
The Florida PIP (Personal Injury Protection) 14-day rule requires any injured victims to seek medical care within 14 days of an accident.
A big mistake people make after a vehicle accident is in having what is called a delay in treatment. A delay in treatment is failing to see a physician as soon as possible.
More times than not, people involved in auto accidents do not always seek medical attention right away.
Because the pain is not immediately felt, or because they hope the pain will subside, a lot of people do not see a need to visit a doctor. Other times, the hassle of filing a personal injury claim can plain out seem like a hassle.
Unfortunately, delaying medical attention will have a negative impact on your well being. One of the key reasons most accident victims believe they are not hurt after an accident is due to the adrenaline, also known as epinephrine. Adrenaline is the hormone responsible for the human body’s fight or flight response; however, after a car accident, it can trick you into “feeling no pain.” Directly after an auto accident that does not cause catastrophic injuries, the initial response is say you feel fine. Often times the next day after the adrenaline has subsided a person can experience quite a bit of pain. The instinct to wait instead of seeking the attention of a medical expert is a mistake.
Under the 2013 PIP law change, an accident victim must get “initial services and care” within two weeks of a crash if they want to receive benefits through their PIP coverage. Almost any type of medical attention will meet this requirement, as long as it comes from a qualified health care provider, or a qualified health care provider supervised or prescribed the care.
A qualified health care provider might include:
It is always a good idea to go to the emergency department or see your doctor as soon as possible after a crash, both to ensure you are healthy and to meet this qualification as outlined in the Florida PIP 14-day Rule.
Our certified Doctor makes it easy for commercial drivers to fulfill Department of Transportation (DOT) regulatory requirements
If you’re a professional truck or bus driver, you may have been told that you need a Department of Transportation (DOT) physical. Mandated by federal law, this checkup clears you for driving commercial motor vehicles (CMVs) and helps ensure that you and fellow CMV drivers can handle the long hours, exhausting schedules, and stress of operating commercial vehicles.
The Federal Motor Carrier Safety Administration (FMCSA) sets regulations for safe operation of commercial vehicles in the country. Each state also has specific regulations. The test assesses your general health, as well as mental and emotional fitness for the demands of professional driving.
The FMCSA requires all commercial drivers to carry a certificate of good health, which you’ll receive upon passing your DOT Medical Examination. Only medical professionals who are listed on the FMCSA National Registry of Certified Medical Examiners can issue your certificate. Those listed on the registry have had the proper training in FMCSA regulations to determine if you’re healthy enough to work safely and ensure that you’re not wrongly disqualified.
Yes if you fall into one of these categories:
Edgewater Chiropractic Clinic PA offers DOT physicals. One of our practitioners, Dr. Carly Meckle, DC, is a Certified Medical Examiner. You can make an appointment by calling our office. (386) 423-7575
Also be sure to bring your driver’s license and previous certificate if you have one. The fee due at the time of service is $60. Unfortunately, insurance doesn’t usually cover these appointments, however some companies will reimburse their employees.
During the appointment, you’ll fill out the Medical Examination Report form. Use the form to indicate any prior or current health conditions. These may include:
Be honest in this form. If you’re not, you could have your certificate revoked.
Your doctor will go over this form and ask additional questions. She will check your lung function, heart, digestive track, and coordination. You’ll also take some basic tests including:
The visit takes about 30 minutes.
Most medical certificates are good for two years. However, if you have low blood pressure or high blood pressure, or any other condition that may inhibit your ability to drive, you may receive a 1-year certificate. And if you have very high blood pressure or other treatable conditions, you may receive a 3-month certificate. After 3 months, if you show improvement in that condition, you’ll be eligible to get a 1 or 2-year certificate.
Unfortunately, sometimes drivers begin suffering from a condition (after receiving their certificate) that makes it unsafe to carry out their responsibilities on the job. If this is the case, you must stop driving, have the condition treated, and then take your DOT physical again to ensure your safety as well as that of fellow drivers.
If you fail the exam, this does not necessarily prohibit you from becoming a driver. Talk with your doctor about your disqualifying condition. If you can improve it with treatment, discuss a plan to address it and try again.
The FMCSA has driver exemption programs for some people with diabetes, impaired vision or hearing, or other disabilities. Your doctor can help you decide if you’re eligible for those programs.
According to the latest statistics from the FMCSA, large truck and bus fatalities have decreased 17% since 2003. Injury crashes have also dropped 18% and property-damage-only incidents have declined 27%. The industry’s focus on safety has been paying off, and your DOT physical plays an important role in CMV safety. At Edgewater Chiropractic Clinic, we make this exam easy and convenient for you. Contact us with any questions or to set up your appointment.
Dr. Meckle puts your specific needs first. We are proud to provide a high quality level of customer service, chiropractic experience, and commitment to health and wellness to all our patients. Our goal is to improve your lifestyle by caring for your health.
With years of experience, Dr. Carly Meckle is capable analyzing your body and creating a custom pain relief and rehabilitation plan to benefit your health. She understands the importance of educating you on chiropractic care so that you can heal quickly.
Not only will our team treat your existing conditions, we strive to prevent pain and illness from reoccurring. We strive to help you improve your quality of life, achieve your wellness goals, and heal your body to live your best life possible.