Back Clinic Chiropractic. This is a form of alternative treatment that focuses on the diagnosis and treatment of various musculoskeletal injuries and conditions, especially those associated with the spine. Dr. Alex Jimenez discusses how spinal adjustments and manual manipulations regularly can greatly help both improve and eliminate many symptoms that could be causing discomfort to the individual. Chiropractors believe among the main reasons for pain and disease are the vertebrae’s misalignment in the spinal column (this is known as a chiropractic subluxation).
Through the usage of manual detection (or palpation), carefully applied pressure, massage, and manual manipulation of the vertebrae and joints (called adjustments), chiropractors can alleviate pressure and irritation on the nerves, restore joint mobility, and help return the body’s homeostasis. From subluxations, or spinal misalignments, to sciatica, a set of symptoms along the sciatic nerve caused by nerve impingement, chiropractic care can gradually restore the individual’s natural state of being. Dr. Jimenez compiles a group of concepts on chiropractic to best educate individuals on the variety of injuries and conditions affecting the human body.
A range of factors can play an essential part in the experience of chronic pain. Pain is the body’s normal reaction to an injury or illness, But for many people, pain can be a constant.
When pain lasts for 3 to 6 months or more, it�s called chronic pain. If you hurt day after day, it can take a toll on your emotional and physical health. And, if your emotional and physical health are affected, a variety of fundamental microorganisms can be affected as well. In order to maintain overall health and wellness, following a biocentric approach can often help best understand the impact of maintaining the health of every part which makes the human body. It may be beneficial to view this model to conceptualize the complex nature of this frequent condition.
Tissue Damage
This is damage or injury to the tissue which often generally can be the start of pain. The tissue damage causes input to the nervous system, commonly identified as the pain signal. This is also termed as “nociceptive input.” Each cell in the body comes together to form a variety of complex tissues, which independently come together to form organs and other important structures, each in charge of performing essential functions for the body.
Biocentrism,�the view or belief that the rights and needs of humans alone are not more important than those of other living things, explains how taking care of every single structure in the body, such as the cells which form tissues, even including microorganisms, can ensure the well-being of the body as a whole. Damaged tissues can often be a sign of a deeper issue within the human body. Tissue damage can be additionally caused by a variety of other issues.
Pain Sensation
In the simplest terms of this model, pain sensation is the actual perception that occurs in the brain following the nerve signals, due to nociception, which travel from the periphery into the central nervous system. Whilst nociception occurs at the site of injury, pain sensation is experienced in the brain. The human body is not simply a single organism, it is comprised of a wide variety of microorganisms, many of which help maintain the well-being of the nervous system.
Thoughts
Cognitions or ideas occur and are an assessment of the pain sensation signal coming into the nervous system as well as events surrounding it. These thoughts can be unconscious or conscious and will influence the way pain signals are perceived. For example, general body aches and stiffness are traditionally considered to be “good pain” when those happen after a vigorous exercise session, whereas they’re perceived as bad pain when related to a health illness, such as fibromyalgia,�a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness.
Emotions
The psychological component of pain is a person’s response to thoughts about the pain. If you believe (thoughts) that the pain is a serious danger (e.g. a tumor), subsequently emotional responses will incorporate fear, depression, and anxiety, amongst others. If you believe the pain isn’t a threat, then the psychological response will probably be negligible. Chronic pain has been a misunderstood condition and it’s effects have been reported to cause an array of emotional as well as mental disorders, due to the difficult ability to assess such conditions.
Suffering
The term “suffering” is often employed as a synonym for “pain” even though they’re theoretically and conceptually distinct. For example, a broken bone might cause pain without discomfort (since the individual knows the pain isn’t deadly and the bone will heal). By comparison, bone pain due to a tumor might cause the identical pain for a break but the distress will be much greater because of the “meaning” behind the pain (that tumor could be life-threatening). Suffering is connected to the psychological component of pain. For certain conditions which cause chronic pain, often seen in patients with fibromyalgia, a condition believed to have no cure, the fact alone that the individual’s symptoms of discomfort will never “go away” can implement a great deal of suffering.
Pain Behaviors
Pain behaviors are defined as things people do if they are in pain or suffer. These are behaviors that others observe as indicating pain, like limping, grimacing, talking about the pain, moving and taking pain medication. Pain behaviors are in reaction to all the other facets in the pain system model (tissue damage, pain feeling, thoughts, emotions, and distress). Life experiences, expectations, and ethnic influences also affect pain behaviors of the way the pain is expressed in terms. Interestingly, pain behaviors are also influenced by the environment, like how others react.
According to biocentrism, taking care of the environment, including taking care of all forms of life, such as its plants and animals, among others, is ultimately important towards the health and wellness of every organism. For example, if the food we eat is being properly taken care of, its full benefits can be properly absorbed. Nutrition is an important contributing factor for people with chronic pain. A balanced nutrition, consisting of healthy products, can help.
Additionally,�the�psychosocial environment includes each of the environments where an individual resides, works, and plays. Studies have consistently proven that these surroundings influence how an individual will reveal pain behaviors.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
The expression biocentrism encompasses all environmental integrity that extend the status of things from human beings to all living organisms. Biocentric ethics involves a rethinking of the relationship between nature and humans.
Biocentrism beliefs state that nature doesn’t exist simply to be used or consumed by people, but instead, that people are simply one species amongst many, and that since we are a part of an ecosystem, those activities that can negatively affect the living systems of which we’re a portion of can negatively influence us as well.
Much of the history regarding biocentric ethics can be understood concerning an expanding array of values. As environmental issues, such as human population growth, waste disposal, and resource depletion have begun to become a growing issue for society, several ethicists argued that value ought to be extended to include future generations of human beings. It’s been argued under biocentrism that individuals should expand moral standing to animals and plants and then to wilderness areas as well as ecosystems, species, and populations. Roots of biocentric ethics originated in several customs as well as in several historic figures.
The first of the five basic precepts of Buddhist ethics is to avoid harming or killing any living thing. The Christian saint Francis of Assisi preached to animals and proclaimed a theology that included plants and animals. Some Native American traditions hold that all things are sacred. The Romantic movement of the 18th and 19th centuries lacked the inherent value of the natural world against the propensity of the technological age to treat all nature as having value.
Biocentrism in the Medical World
While early biocentric beliefs and ideals have expanded through various aspects of society, biocentrism has also become the basis of ethics regarding its relation to human biomedical and behavioral research in the practice of human medicine, including natural, alternative care options, such as integrative medicine.
Integrative medicine is an approach to care that places the patient at the center and addresses the full array of physical, emotional, mental, social, spiritual and environmental influences that affect a person�s health. Implementing a personalized plan that considers the individual’s unique conditions, needs and circumstances, integrative medicine utilizes the most suitable interventions from an array of scientific disciplines to cure disease and illness as well as help people regain and maintain their overall health and wellness.
Integrative medicine is grounded from the definition of well-being. The World Health Organization (WHO) defines health as “a state of complete physical, psychological and social well-being and not just the absence of disease or infirmity.”
As mentioned above, integrative medicine attempts to restore and maintain health across a person’s lifespan by understanding the patient’s unique set of conditions affecting them and addressing the full selection of physical, emotional, mental, social, spiritual and environmental influences which can ultimately affect their wellness. During personalizing care, integrative medicine goes beyond the treatment of symptoms to address the causes of an illness. The patient’s immediate health needs in addition to the impacts of the complex and long-term interplay between influences are often taken into account before proceeding with the proper treatment.
Integrative medicine combines conventional medical treatments with remedies that are carefully selected and shown to be safe and effective. The goal is to combine the best that traditional medicine has to offer with therapeutic systems and therapies derived from ideas and cultures both new and old.
Integrative medicine is not the same as alternative medicine, which refers to an approach to healing that’s utilized in place of conventional treatments, or complementary medicine, which describes therapeutic modalities that are used to match allopathic approaches. Maintenance may be integrative irrespective of which modalities are used if the defining principles are implemented.
Many individuals erroneously use the term integrative medicine interchangeably with the conditions complementary medicine and other drugs, also known collectively as complementary and alternative medicine, or CAM. While medicine is not synonymous with CAM, CAM therapies do constitute an significant part the integrative medicine model.
The defining principles of integrative medicine are:
The individual and professional are partners in the healing process.
All aspects that influence health are taken into consideration, including body, mind, soul and community.
Providers utilize all healing sciences to facilitate the body’s innate healing response.
Powerful interventions which are organic and less invasive are utilized whenever possible.
Good medicine is based in good science. It is inquiry driven and open to new paradigms.
Together with the idea of treatment, the concepts of health promotion and the prevention of illness are paramount.
The maintenance is personalized to best address the individual’s unique conditions, needs and circumstances.
Practitioners of integrative medicine devote themselves into self-development and self-exploration and exemplify its fundamentals.
In addition to treating and managing the immediate health problems as well as the deeper causes of the disease or illness, integrative medicine strategies also focus on prevention and foster the growth of healthy behaviours and skills for successful treatment that patients can use throughout their lives. Much like the biocentrism ideals, professionals who practice integrative medicine ensure that the patient is surrounded by healthy, external factors, including environmental exposure as well as the proper nutrition, aside from the person’s unique human experience.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
Biocentrism is the ethical perspective with the moral standing or holding that all life deserves equal, ethical consideration and value. Although components of biocentrism can be discovered in spiritual traditions, it was not until the late decades of the 20th century�that the topic was dealt with by philosophical ethics in the Western tradition in a systematic method.
As a normative theory, biocentrism has practical implications for human behaviour. The good of all living beings generates responsibilities on the part of human beings.
Biocentrism may best be viewed as a means with which to follow and not as a set of rules to approach life. Approaching any and every living being with awe and humility can help to make life more purposeful, and it is in this manner that with which humans interact with other beings. Biocentric ethics can help to develop a group of attitudes and habits.
Biocentrism and Chiropractic Perspective
Following a biocentric ideal, in order for humans to achieve overall health and wellness, healthcare professionals and specialists have discussed the importance of maintaining and caring for the well-being of all living organisms which can be found within the human body, including microorganisms like bacteria. One natural medicine option is available to help safely and effective treat the body, much like the biocentrism belief: chiropractic care.
Chiropractic care, involving manual manipulations and spinal adjustments, can naturally provide relief from bodily pain and symptoms of bigger problems at hand, however, it’s crucial to understand that chiropractic doesn’t aim to become a cure for any one illness, disease, or health condition. Rather, chiropractic helps ease these by bringing the body back into balance, alignment, and stability. Chiropractic allows the body to naturally heal itself.
Chiropractors believe that when your system is aligned from adjustment methods, it has a greater prospect of recovering and repairing itself from the inside out. This may indirectly treat issues impacting a patient, while also preventing potential health concerns from taking hold too. Studies have shown that a manipulation of the spinal column can help to reduce inflammation and stress as well as help boost a person’s disposition, regulate sleep cycles, and also stabilize blood pressure levels. These effects often add up to bring relief from more serious health conditions, such as diabetes. In this way, chiropractic does not treat the issue, but it helps the body combat it naturally.
In order to comprehend how the body is really helped by this kind of care, it’s important to understand the parts of the body it benefits, such as the brain and spine. When you think about it, the spine is the base of our bodies, as it’s in charge of carrying out many of the body’s important functions. Primarily, it keeps us vertical and gives us both equilibrium and stability. It is also a part of the nervous system, which is the human body’s communication center. The central nervous system as a whole, sends and receives messages all over the body, and its wellness determines body functions. Though you might immediately understand its importance, much like biocentrism, the ethical perspective that all life deserves equal moral consideration or has equal moral standing, the health and wellness of the spine is linked to the entire body, which is exactly what makes its general well-being so crucial to a lot of structures and functions.
Involving Biocentrism with Nutrition
Chiropractic is based on the premise that the body is able to achieve and maintain health through its own natural recuperative powers, provided it has a properly functioning nervous system which also receives the essential health care elements. These components include sufficient nourishment, water, rest, exercise and a clean atmosphere. Through a biocentric ideal, the human body can continue maintaining a healthy system by taking care of the microorganisms, such as the bacteria found in our gut, as well as the plants and animals which we consume. Biocentrism also involves taking care of the environment. A healthy environment can ensure humans are consuming healthy organisms as well.
The body consists of two synergistic elements that have to function at optimal for health. Issues in the biomechanical component, comprising joints, tendons, ligaments and bones controlled by the nervous system, can be handled by the chiropractic care, therapy and rehabilitation. Problems in the biochemical component, consisting of the organs with all of their functions and also controlled by the nervous system, are best addressed by nutrition, which includes food, water and supplements. As you can’t function without impacting the other, it is important to address both elements. With knowledge of nutrition and the ability to help individuals, individuals can begin to follow more biocentric ideals in order to make better decisions and to support the health of their own bodies.
Many chiropractors believe that their patients must accept responsibility for their wellness and well-being. Consequently, DCs, or doctors of chiropractic, provide exercise recommendations, dietary guidance, health-risk avoidance advice and wellness counseling. Chiropractors are often active in public health efforts to improve the well-being of individuals.
“All good health starts with the gut. A lack of gut health leads to more musculoskeletal issues. Sixty to 70 percent of our immune cells are in our gut,” stated Dr. Silverman, DC. His therapy revolves around changing patients’ lifestyles, making them more active and putting them on a suitable dietary plan. “It is important to indicate a healthy diet plan to keep a healthy nutrient supply to help the body with natural purpose and recovery procedures,” concluded Dr. Silverman.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Back Pain
Back pain is one of the most common symptoms reported among the general population. While back pain can occur due to a variety of injuries and/or underlying conditions, a work accident has often been associated as a frequent origin of back pain issues. Back pain can affect an individual at least once throughout their lifetime. Fortunately, federal employees who experience back pain, such as symptoms of sciatica, can benefit from programs like FECA.
Federal employees face the same injury risks as those in the private industry and different areas of the public sector. Those risks can be serious. The Bureau of Labor Statistics (BLS) reports that approximately 124 federal employees suffered fatal accidents in 2013.
Based on the BLS, the top causes of fatal injuries among workers are:
A federal worker who suffers a job-related private injury or illness (or even families of these employees who have been lost) can seek benefits through the Federal Employees’ Compensation Act (FECA). These benefits include coverage of wages that are lost because of permanent or temporary disability. They also have death benefits for eligible survivors.
The following is a closer look at the most common leading causes of accidents among federal employees:
Transportation Incidents
Many federal jobs require travel between offices or even as a main function of the job. Postal work is the apparent example. Truck and car accidents, which are usually as a result of driver error, can be fatal or result in serious injury. In cases where another driver is at a motor vehicle’s error caused an accident or fault, a worker may consider filing an injury claim in addition to seeking workers’ compensation benefits.
Violence
Unfortunately, federal employees may also be hurt by violence. Incidents of violence include attacks by other creatures and dogs as a cause of harm. In acts of violence, the perpetrator or an animal’s owner may also be held responsible for the employee’s injury, which adds to compensation for the employee’s losses.
Struck by Object or Equipment
There are many ways from being struck by an object or equipment, a worker can suffer a head injury, eye injury, fracture, internal organ injury, cut, bruise or alternative injury. By way of instance, materials and tools can drop from above in a storeroom or roll off a truck. Material stacked can collapse. Debris could be ejected by means of a power tool. By, or a man who excursions can fall and hit at them, make them fall and be hurt.
Falls, Trips or Slips
Slipping or tripping onto a floor or falling off a ladder, scaffolding is a common source of injury in all walks of life. Falls can lead to broken bones, brain injuries, back and spine injuries and much more. In the workplace, using scaling ladders, step stools or other gear puts a worker in danger of falling. Meanwhile, as workers leave equipment or leave slippery and moist floors, this can result in falling accidents.
Harmful Substance Exposure
From being exposed to certain harmful substances such as chemicals, A worker can suffer catastrophic injuries such as burns. A worker may also create health issues from repeated exposure to asbestos, smoke, diesel exhaust or other dangerous substances.
Fire and Explosions
Compressed gases, flammable liquids, open-flames and chemicals are fire and explosion risks. At car depots with petrol or gasoline pumps for automobiles, trucks or equipment, fuel can be ignited. Some metals and synthetic substances that are organic in addition to many natural can form. Third-and-fourth-degree burns, if survived, typically require treatment that includes several surgeries and rehab and leave the sufferer disabled.
Caught-in / Caught-between Accidents
Employees involved in “captured” accidents can endure fractures and tearing accidents if their body parts or clothes become caught in machinery, or even when the worker is crushed between objects or torn from moving components. Caught-in accidents consist of trench, excavation or construction collapses, which may cause devastating injuries in addition to injuries.
Overexertion
Pressure and the stress from overexertion can harm nerves muscles and tendons in the neck, upper extremities and back. Work activities which can result in such musculoskeletal injuries include lifting, pushing, pulling, carrying and holding materials, tools and other objects. They can also be caused by bending, reaching working in awkward body positions and doing similar jobs repetitively or the exact same. Employees can suffer harms that cause numbness, swelling and debilitating pain and sprains, strains, tears, pinched nerves, herniated discs, hernia, carpal or tarsal tunnel syndrome.
Electrocution / Shock
Workers who come into contact may suffer electrocution, which can be death, or jolt, which encircles burns and other accidents caused . Electrical currents can also cause explosions, fires, arc flash and arc blast — each of which might cause burn injuries. Shock and electrocution may be caused by contact with bare wires , damaged fixtures, overhead power lines or faulty equipment or gear.
Seek Federal Benefits
It can be difficult for people people who have never before applied to document a federal workers’ compensation or disability benefits claim. The principles regulating benefits available to employees are lengthy and complicated. Workers who are eligible for numerous advantages may realize that they offset each other, so your total benefit might be less than what you deserve if your claim is organised improperly.
Various experts will allow you to sort through the confusion and work to pursue the advantages or reimbursement you deserve. They can work throughout the country with federal employees.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Back pain is one of the most common symptoms reported among the general population. While back pain can occur due to a variety of injuries and/or underlying conditions, a work accident has often been associated as a frequent origin of back pain issues. Back pain can affect an individual at least once throughout their lifetime. Fortunately, federal employees who experience back pain, such as symptoms of sciatica, can benefit from programs like FECA.
In the last few decades, important puzzles of mainstream science have generated a re-evaluation of the nature of the world which goes far beyond anything we could have imagined. A more precise comprehension of the planet requires that we believe it is biologically centered.
It’s a very simple but wonderful notion that Biocentrism tries to clarify. Knowing this fully yields answers. This new version, blending physics and biology rather than keeping them separate, and placing observers to the equation, is called biocentrism. Its requirement is driven in part by the attempts to make a theory of everything, an overarching view.
What’s Biocentrism?
Biocentrism, in an ecological and political sense, as well as literally, is a moral standpoint that extends value that is inherent to all things. It’s an understanding of how the earth works as it relates to biodiversity. It stands in contrast to anthropocentrism, which centers only on humans value. The biocentrism extends value to the whole of nature.
The term biocentrism encompasses all environmental ethics that expand the standing of moral object from human beings to all living things in character. Ethics calls for a rethinking of the relationship between people and nature. It states that character does not exist only to be consumed or used by people, but that people are only one species among many, and that because we are a part of an ecosystem, any activities which negatively influence the living systems of which we’re a part adversely affect us as well, whether or not we maintain that a biocentric worldview.
Biocentrism and Human Health
Biocentrists endorse species’ equality. But is endorsing the equality of species compatible with maintaining the health of individuals, or should at least sometimes the health of humans be forfeited for the sake of other species? In the following guide, the compatibility of individual and biocentrism health is discussed in detail. It is asserted that maintaining the prestige of species is in no way in conflict. In fact, It can be additionally argued that there’s a relationship between the prerequisites for human well-being and the requirements of biocentrism.
Biocentrists are well known for their devotion to the equality of species. Yet if this dedication is to be defensible, it may be argued that it has to be understood by analogy with humans’ equality. Accordingly, just as we claim that people are equivalent, yet justifiably treat them otherwise, we ought to also have the ability to claim that all species are equal, yet justifiably treat them as such. In human ethics, there are interpretations which we give. Everybody is equally at liberty to pursue her or his own interests, but this allows us to always prefer ourselves to others, who are understood to be like competitions in a competitive match.
In fact, this belief �and how it could relate to human health and wellness can be closely correlated with the study of microbiology and it’s institution. Microbiology is a modern discipline intended to objectively study microorganisms, including pathogens and nonpathogens. Also, it can be argued that an exclusively biocentric microbiology is crucial for enhancing our understanding not only of the microbial world outside, but also that of our own guts, and our own species.
Since its birth, microbiology associated with biocentrism has been associated with human health and individual pursuits (e.g., cheese, yogurt, beer, wine, pickles, and recently fuel). Biology is largely microscopic; large plants, other animals that are macroscopic, and individuals are the exception. The simple fact that human eyes have a limited range shouldn’t stop individuals from embracing a realistic view of nature. Nevertheless, research institutions and funding agencies give priority to the analysis of microbes which interact with human health, the ones that make energy, or the ones that improve the taste and yield of individual foods, largely ignoring the vast majority of projected bacterial and archaeal cells on Earth.
The area of metagenomics has crossed the medical barrier, and it is becoming common to see that the gut and mouth microbiomes, by way of example, are being examined and explained similarly to those in other environments.
Biocentric microbiology helps us better understand pathogenesis. Classifying microbes into friends and foes, often preventing us from recognizing the main goal of each microbe, which will be not any different from the most important objective of every organism: survival. Biocentric microbiology will especially benefit genomics, phylogenomics evolutionary biology.
It may be argued that microbiology will progress fields associated with human health, including diagnostics, immunoprophylaxis, and therapeutics. The classical illustration of how diagnostics have profited from environmental microbiology is that the development of polymerase chain reaction (PCR)-based microbial analysis tools. PCR is essential in identifying and quantifying human pathogens, and is the only reliable method.
As with a variety of treatments and alternative care methods, biocentrism in the medical field can ultimately help health care professionals improve the well-being of humans simply from the understanding that the biology around us, by keeping it safe, can substantially help improve the overall health and wellness of human beings.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
Federal employees that are injured at work do not get benefits through workers’ comp insurance or their nation’s workers’ comp program.
Instead, federal employees receive workers’ compensation benefits through the Federal Employees Compensation Act, abbreviated as FECA, except for railroad workers, longshoremen, black lung coal miners, and refuge workers (that are insured under their own national laws for workers’ compensation). Members of the USA armed forces are also not considered federal employees for purposes of FECA.
FECA provides benefits and injury compensation for workers injured on the job, or even if their injury happened during the course and scope of their employment offsite. FECA covers both injuries and occupational diseases that arise over time work conditions. The United States Department of Labor, through the Office of Worker Compensation Programs, administers the workers’ comp benefits provided by the Federal Employees Compensation Act.
Qualifications
Coverage under FECA, or the Federal Employees Compensation Act, is supplied to all national government employees regardless of the number of years of service, nature of the position, or kind of job they perform. In order to be covered by FECA, you must be employed by the federal government, not a private government contractor. If you are currently working for a private business, the workers’ compensation laws in the state will cover you.
For the injury or illness to qualify under FECA, then you must have become injured while performing duties of your job or you developed a disease because of the conditions and hazards inherent in your job. This may consist of accidents occurring while working or traveling offsite as well.
FECA does not cover injuries and diseases that arise because of activities beyond the “course and scope of your employment.” Activities beyond the course and scope of employment include commuting to and from work, recreational excursions, and activities for private reasons. Injuries sustained while intoxicated or under the influence of non-prescription drugs will not be covered by the Federal Employees Compensation Act. FECA also provides benefits to surviving family members for employees that die on the job while performing work-related pursuits.
Back Pain in Federal Employees
As with anyone experiencing symptoms of back pain after being involved in a work accident, due to aggravated conditions or illness, or simply from wear-and-tear injuries, it’s essential for federal employees to seek the proper care and benefits for their symptoms to receive immediate medical attention. Spine issues resulting in sciatica can be debilitating and may affect an employee’s capability to work. Programs for federal employees like FECA may help substantially improve an individual’s overall health and wellness, allowing them to return to work as soon as possible.
FECA Workers’ Compensation Benefits
If your FECA workers’ compensation claim is permitted, you will start to receive workers’ compensation benefits to compensate you for your injury or illness and help you with the recovery. First, FECA will cover all necessary and appropriate claim-related medical therapy. This includes prescriptions, surgery and rehabilitation.
The Federal Employees Compensation Act provides compensation if a worker is disabled and unable to work as a result of industrial injury or occupational disease. You will be compensated by your service directly for your lost wages and more. Should your inability to work exceed 45 days, FECA will cover your wages that are lost.
If your workers’ compensation claim is based on an occupational disease, you’re entitled to compensation for lost salary from FECA after an initial three-day waiting period.
If your injury or illness results in permanent partial disability or permanent total disability, FECA will provide advantages and additional benefits. The total amount of the compensation is based on the severity of your permanent disability and the effect it has on your earning capacity. And if you have dependents, you will probably receive increased permanent disability compensation to account for your own requirement to supply for those dependents.
In the event that you need job retraining to return to the workforce after your injury or illness FECA provides compensation. Dependents are eligible to receive survivor’s benefits. For further details regarding the benefits of the Federal Employees Compansation Act, visit the�Division of Federal Employees’ Compensation (DFEC).
Speak to an Attorney
If your FECA employees’ compensation claim is refused, your claim may be more complicated, or your injury may have been considered more severe. You should carefully consider speaking to a lawyer in your area experienced in FECA employees’ compensation law. Although an attorney isn’t necessary to obtain workers’ compensation benefits, an attorney can help in ensuring you get all of the benefits you’re entitled to get, guiding you through the procedure.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Back pain is one of the most common symptoms reported among the general population. While back pain can occur due to a variety of injuries and/or underlying conditions, a work accident has often been associated as a frequent origin of back pain issues. Back pain can affect an individual at least once throughout their lifetime. Fortunately, federal employees who experience back pain, such as symptoms of sciatica, can benefit from programs like FECA.
Two surgeons discuss the diagnosis and treatment of acromioclavicular injuries in athletes. El Paso, TX. Chiropractor, Dr. Alexander Jimenez follows the discussion.
Acromioclavicular (AC) joint injuries most often occur in athletic young adults involved in collision sports, throwing sports, along with overhead activities like upper-extremity strength training. They account for 3% of all shoulder injuries and 40% of shoulder sports injuries. Athletes in their second and third decade of life are more often affected(1), and men are injured more commonly than women (5:1 to 10:1)(1,2).
Acromioclavicular dislocation was known as early as 400 BC by Hippocrates(3). He cautioned against mistaking it for glenohumeral (shoulder joint) dislocation and advocated treating with a compressive bandage in an attempt to hold the distal (outer) end of the clavicle in a diminished position. Almost 600 decades later Galen (129 AD) recognized his own acromioclavicular dislocation, which he sustained while wrestling(3). He left the tight bandage holding the clavicle down as it was too uneasy. In today’s era this injury is better known, but its treatment remains a source of fantastic controversy.
Anatomy
The acromioclavicular joint combines the collarbone to the shoulder blade and therefore links the arm to the axial skeleton. The articular surfaces are originally hyaline cartilage, which affects to fibrocartilage toward the end of adolescence. The average joint size is 9mm by 19mm(4). The acromioclavicular joint contains an intra-articular, fibrocartilaginous disc which may be complete or partial (meniscoid). This helps absorb forces in compression. There is marked variability in the plane of the joint.
Stabilizers
There is little inherent bony stability in the AC joint. Stability is provided by the dynamic stabilizers — namely, the anterior deltoid muscle arising from the clavicle and the trapezius muscle arising from the acromion.
Additionally, there are ligamentous stabilizers. The AC ligaments are divided into four — superior, inferior, anterior and posterior. The superior is most powerful and blends with muscles. The acromioclavicular ligaments contribute around two- thirds of the constraining force to superior and posterior displacement; however, with greater displacement the coracoclavicular ligaments contribute the major share of the resistance. The coracoclavicular ligament consists of the conoid and trapezoid. The conoid ligament is fan-shaped and resists forwards motion of the scapula, while the more powerful trapezoid ligament is level and resists backward movement. The coracoclavicular ligament helps bunch scapular and glenohumeral (shoulder joint) motion and the interspace averages 1.3 cm.
Mechanism Of Injury
The athlete who sustains an acromioclavicular injury commonly reports either one of two mechanisms of harm: direct or indirect.
Direct force: This is when the athlete falls onto the point of the shoulder, with the arm usually at the side and adducted. The force drives the acromion downwards and medially. Nielsen(5) found that 70 percent of acromioclavicular joint injuries are caused by an direct injury.
Indirect force: This is when the athlete falls onto an outstretched arm. The pressure is transmitted via the humeral head into the acromion, therefore the acromioclavicular ligament is disrupted and the coracoclavicular ligament is stretched.
On Examination
The athlete presents soon after the severe injury with his arm splinted to his side. The patient may state that the arm feels better using superiorly directed support on the arm. Most motions are limited secondary to pain near the top of the shoulder; the degree varies with the grade of sprain. The hallmark finding is localized swelling and tenderness over the acromioclavicular joint.
In dislocations, the outer part of the collarbone will appear superiorly displaced using a noticeable step deformity (in fact, it is the shoulder which sags beneath the clavicle). Occasionally, the deformity may only be apparent later, if first muscle spasm reduces acromioclavicular separation. Forced cross-body adduction (yanking the affected arm across the opposite shoulder) provokes discomfort. The clavicle can frequently be moved relative to the acromion.
Acromioclavicular Visualisation
The typical joint width measures 1-3mm. It’s regarded as abnormal if it is more than 7mm in men, and 6mm in women. Routine anteroposterior views of the shoulder reveal the glenohumeral jointnonetheless, that the acromioclavicular joint is over penetrated and so dark to interpret. Reduced exposure enhances visualization. The individual stands with both arms hanging unsupported, both acromioclavicular joints on one film. Weighted viewpoints (stress X-rays) are obtained with 10-15 lb weights not held but suspended from the individual’s wrists. They help differentiate type II-III injuries, but are of little clinical significance and therefore are no longer recommended in our practice.
Classification Of AC Separation
The importance of identifying the injury kind can’t be over emphasized because the treatment and prognosis hinge on an accurate diagnosis. The injuries are graded on the basis of that ligaments are injured and how badly they’re torn.
Allman (6) classified acromioclavicular sprains as grades I, II and III, representing respectively, no involvement, partial tearing, and total disruption of the coracoclavicular ligaments. More recently, Rockwood (1) has further classified the more severe injuries as standard III-VI.
The injuries are classified into six categories:
Type I This is the most common injury encountered. Only a mild force is needed to sustain such an injury. The acromioclavicular ligament is sprained with an intact coracoclavicular ligament. The acromioclavicular joint remains stable and symptoms resolve in seven to 10 days. This injury has an excellent prognosis.
Type II The coracoclavicular ligaments are sprained; however, the acromioclavicular ligaments are ruptured. Most players can return to their sport within three weeks. There is anecdotal evidence to suggest that steroid injections into the acromioclavicular joint speed up the resolution of symptoms, but this practice is not universal.
Type III The acromioclavicular joint capsule and coracoclavicular ligaments are completely disrupted. The coracoclavicular interspace is 25-100% greater than the normal shoulder.
Type IV This is a type III injury with avulsion of the coracoclavicular ligament from the clavicle, with the distal clavicle displaced posteriorly into or through the trapezius.
Type V This is type III but with exaggeration of the vertical displacement of the clavicle from the scapula-coracoclavicular interspace 100-300% greater than the normal side, with the clavicle in a subcutaneous position.
Type VI This is a rare injury. This is type III with inferior dislocation of the lateral end of the clavicle below the coracoid
Treatment
The treatment of acromioclavicular joint injuries varies based on the seriousness or grade of the injury.
Initial treatment: These can be quite painful injuries. Ice packs, anti-inflammatories plus a sling are utilized to immobilize the shoulder and then take the weight of the arm. As pain starts to subside, it is important to start moving the fingers, wrist and elbow to prevent shoulder stiffness. Next, it’s important to begin shoulder motion in order to stop shoulder stiffness.
Un-displaced injuries only require rest, ice, and then a slow return to activity over two to six weeks. Major dislocations require surgical stabilization in athletes if their dominant arm is involved, and if they participate in upper-limb sports
Type I & II: Ice pack, anti-inflammatory agents and a sling are used. Early motion based on symptoms is introduced. Pain usually subsides in about 10 days. Range-of-motion exercises and strength training to restore normal motion and strength are instituted as the patient�s symptoms permit. Some symptoms may be relieved by taping (taking stress off acromioclavicular joint). The length of time needed to regain full motion and function depends upon the severity or grade of the injury. The sport and the position played determine when a player can return to a sporting activity. A football player, who does not have to elevate his arm, can return sooner than a tennis or rugby player. When a patient returns to practice and competition in collision sports, protection of the acromioclavicular joint with special padding is important. A simple �doughnut� cut from foam or felt padding can provide effective protection. Special shoulder- injury pads, or off-the-shelf shoulder orthoses, can be used to protect the acromioclavicular joint after injury.
Some Type II injuries may develop late degenerative joint changes and will need a resection of the distal end of the clavicle for pain relief. It is important to note that after a resection of the distal end of the clavicle, particularly in a throwing athlete, there may be formation of heterotopic bone on the under surface of the clavicle which can cause a painful syndrome which presents like shoulder impingement.
Type III: The treatment of type III injury is less controversial than in past years. In the 1970s, most orthopaedic surgeons recommended surgery for type III acromioclavicular sprains(7). By 1991, most type III injuries were treated conservatively(8). This change in treatment philosophy was prompted by a series of retrospective studies(9). These showed no outcome differences between operative and nonoperative groups.
What’s more, the patients treated non-operatively returned to full activity (work or athletics) earlier than surgically treated groups(10, 11). The exceptions to this recommendation include people who perform repetitive, heavy lifting, people who operate with their arms above 90 degrees, and thin patients who have prominent lateral ends of the clavicles. These patients may benefit from surgical repair(12).
Any discussion about the management of acute injuries to the AC joint must deal with which of the many methods of surgical therapy described is the best for their situation, but whether surgery should be considered at all. Surgery is generally avoided in athletes participating in contact sports since they will often re-injure the shoulder later on.
Type IV-VI: Account for more than 10-15% of total acromioclavicular dislocations and should be managed surgically. Failure to reduce and fix these will lead to chronic pain and dysfunction.
Surgery
Surgical repair can be divided into anatomical or non- anatomical, or historically into four types:
? Coracoclavicular repairs (Bosworth screws(13), cerclage, Copeland and Kessel repair).
? Distal clavicular excision.
? Dynamic muscle transfers.
? Disadvantages of surgery are that there are risks of infection, a longer time to return to full function and continued pain in some cases.
For the individual with a chronic AC joint dislocation or subluxation that remains painful after three to six months of closed treatment and rehabilitation, surgery is indicated to improve functioning and comfort.
For sequelae of untreated type IV-VI, or painful type II and III injuries, the Weaver Dunn technique is advocated. This�entails removing the lateral 2cm of the clavicle and reattaching the acromial end of the coracoacromial ligament to the cut end of the clavicle, thus reducing the clavicle to a more anatomical position.
Postoperatively, the arm is supported in a sling for up to six weeks. Following the first two weeks, the patient is permitted to use the arm for daily activities at waist level. After six weeks, the sling or orthosis is discontinued, overhead actions are allowed, formal passive stretching is instituted, and light stretching using elastic straps is initiated. Stretching and strengthening are begun slowly and gradually. The athlete shouldn’t return to their sport without restriction until full strength and range of motion has been recovered. This usually occurs four to six months following operation.
Conclusion
AC joint injuries are an important source of pain at the shoulder area and have to be assessed carefully. The management of these injuries is nonoperative in the majority of cases. Type I and II injuries are treated symptomatically. The present trend in uncomplicated type III injuries are a non operative strategy. In the event the athlete develops following problems, a delayed reconstruction might be undertaken. In athletes involved in heavy lifting or prolonged overhead activities, surgery may be considered acutely. Type IV-VI injuries are generally treated operatively.
No matter what kind of treatment is chosen, the ultimate purpose is to restore painless function to the wounded AC joint so as to reunite the athlete safely and as quickly as possible back to their sport. It is possible in the vast majority of acromioclavicular joint injuries.
References
Reza Jenabzadeh and Fares Haddad
1. Rockwood CA Jr, Williams GR, Young CD. Injuries of the Acromioclavicular Joint. In CA Rockwood Jr, et al (eds), Fractures in Adults. Philadelphia: Lippincott-Raven, 1996; 1341-1431.
2. Dias JJ, Greg PJ. Acromioclavicular Joint Injuries in Sport: Recommendations for Treatment. Sports Medicine 1991; 11: 125-32.
3. Adams FL. The Genuine Works of Hippocrates (Vols 1,2). New York, William Wood 1886.
4. Bosworth BM. Complete Acromioclavicular Dislocation. N Eng J Med 2 41: 221-225,1949.
5. Nielsen WB. Injury to the Acromioclavicular Joint. J Bone Joint Surg 1963; 45B:434-9.
6. Allman FL Jr. Fractures and Ligamentous Injuries of the Clavicle and its Articulation. J Bone Joint Surg Am 1967;
49:774- 784.
7. Powers JA, Bach PJ: Acromioclavicular Separations: Closed or Open Treatment? Clin Orthop 1974; 104 (Oct): 213-223
8. Cox JS: Current Methods of Treatment of Acromioclavicular Joint Dislocations. Orthopaedics 1992; 15(9): 1041-1044
9. Clarke HD, Mc Cann PD: Acromioclavicular Joint Injuries. Orthop Clin North Am 2000; 31(2): 177-187
10. Press J, Zuckerman JD, Gallagher M, et al: Treatment of Grade III Acromioclavicular Separations: Operative versus
Nonoperative Management. Bull Hosp Jt Dis 1997;56(2):77-83
11. Galpin RD, Hawkins RJ, Grainger RW: A Comparative Analysis of Operative versus Nonoperative Treatment of Grade III Acromioclavicular Separations. Clin Orthop 1985; 193 (Mar): 150-155
12. Larsen E, Bjerg-Nielsen A, Christensen P: Conservative or Surgical Treatment of AC Dislocation: A Prospective, Controlled, Randomized Study. J Bone Joint Surg Am 1986;68(4):552-555
13. Bosworth BM. Complete Acromioclavicular Dislocation. N Engl. J. Med. 241: 221-225,1949.
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