Back Clinic Personal Injury Chiropractic Team. Injuries from an accident can not only cause physical harm to you or a loved one, being involved in a personal injury case can often be a complicated and stressful situation to handle. These types of circumstances are unfortunately fairly common and when the individual is faced with pain and discomfort as a result of trauma from an accident or an underlying condition that has been aggravated by the injury, finding the right treatment for their specific issue can be another challenge on its own.
Dr. Alex Jimenez’s compilation of personal injury articles highlights a variety of personal injury cases, including automobile accidents resulting in whiplash, while also summarizing various effective treatments, such as chiropractic care. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.
Cycling is on the rise. Bike shares�are popping up in cities across the country. An increasing number of workers are commuting�on two wheels. And�more folks are pedaling for fresh air and fitness. The number one concern among all of them? Traffic�specifically staying safe when navigating streets busy with cars.
The good news is that a few bits of bike safety knowledge go a long way in keeping you out of harm�s way. Here�s how to avoid common causes of car-bike collisions.
Bike & Rider Visible
When a driver hits a cyclist, the first words out of his mouths are inevitably, �I didn�t see her!� Though the onus is on drivers�to be aware of their surroundings, you can take a few easy steps to make them aware that you�re there. This is especially important in low-light conditions, when accidents are most common. Stats show serious accidents happen most often between 6 p.m. and 9 p.m.
Get daytime running lights. The latest trend in cycling is to run daytime running lights�white in the front and red in the rear�just like motorcycles and many cars. Portable, rechargeable lights like Bontrager�s Ion 100 are intense enough that cars can see you from nearly a quarter mile away.�They also have a flashing mode, which gets the attention of distracted drivers. One study found that the incidence rate of bicycle accidents with personal injury to the rider was 19%�lower for riders using permanent running lights.�Well worth the 40 bucks they cost!
Wear reflective clothing.�It�s easy to blend in with the surroundings when you�re pedaling a skinny bike along the roadside. Create a contrast by wearing �hi-viz� clothing or accent pieces like vests, a helmet, and gloves that make you easier to see. Research shows it can lower your risk of run-ins with cars by 40%. When the light is dim, wear cycling-specific reflective accessories.
Be Predictable
Follow the rules of the road. Flow with (never against) traffic. Obey street signs, traffic signals, and road markings. Hold a straight line as much as possible (obviously skirting around obstacles like potholes and storm grates) and avoid weaving in and out of parked cars. Signal your intentions to turn�simply put your arm out and point�so cars know which direction you�re going.
Mind The Intersections
The majority of accidents happen in intersections. The most common scenario is a car turning right turns into you without seeing you. Other common scenarios include an oncoming car turns left into you as you�re going straight. Or a car simply pulls out into the intersection directly in front or into you. To avoid these, you can do the following:
Ride further left. Riders often hug the edge of the road as far right as possible. But in traffic, especially when you�re moving about the same rate of speed as the cars, it�s safer to move into the lane where you are fully visible. Riding in the lane is also smart when the road is simply too narrow for cars to pass you at a safe distance.
Stay out of the blind spot. When coming to a stop at a traffic light or stop sign, avoid stopping right next to the car to your left. The driver�can�t see you and may turn right into you. Stop behind the car�so you can see its blinkers. If the driver fails to use her blinkers, you’ll also be able to see the car turning before it turns into you.
Be cautious passing on the right. When you�re riding to the right of traffic, especially if you�re in a bike lane, you will likely find yourself occasionally passing cars on the right hand side, especially when traffic is slow. It�s best to avoid passing on the right. But if you do, be vigilant and keep your eye out for intersections, driveways, parking lots, and other places cars may be turning right (or crossing traffic and making a left from the opposite direction), so a driver doesn’t�inadvertently turn right into or in front of you.
Make eye contact. When at an intersection with cars coming in from either side, make eye contact with the drivers to be sure they see you before pulling into the intersection. If they don�t appear to see you, wave an arm to get their attention. (Lights help a lot here, too.)
Check our our sister site: Biking Experts to learn more…
Give Yourself A Door Buffer
When riding past parked cars on your right, give yourself ample space to avoid being �doored� by someone opening their car door into traffic. It helps to keep an eye on side view mirrors, as well, since you can see cars that are occupied, where someone may step out without looking.
For the second straight year, U.S. pedestrian deaths are setting alarming new records. The number of pedestrians killed on U.S. roads rose a projected 11 percent between 2015 and 2016, the largest year-to-year increase on record, according to a new Governors Highway Safety Association (GHSA) report.
During the first six months of 2016, preliminary data show 2,660 pedestrian deaths nationwide, compared to 2,486 for the same period during 2015. The year-long projection is based on those numbers. The report also projects a 22 percent rise in pedestrian deaths from 2014. Both estimates are sharply higher than the 9 percent increase in pedestrian deaths between 2014 and 2015.
“This is the second year in a row that we have seen unprecedented increases in pedestrian fatalities, which is both sad and alarming,” said report author Richard Retting, who’s with Sam Schwartz Transportation Consultants.
“It is critical that the highway safety community understand these disturbing statistics and work to aggressively implement effective countermeasures,” he added in a GHSA news release.
Pedestrian Risks and Automobile Accidents
Pedestrians account for about 15 percent of U.S. road deaths. In the first six months of 2016, the number of pedestrian deaths rose in 34 states, fell in 15 states and in the District of Columbia, and remained the same in one state. The report cited several possible reasons for the spike. They include Americans driving more due to lower gas prices; more people choosing to walk for health, transportation, economic or environmental reasons; and widespread use of smartphones, a distraction for walkers and drivers alike.
“Everyone walks, and we want to encourage that, but at the same time we want to make sure that we all get to our destinations safely,” GHSA Executive Director Jonathan Adkins said.
“Unfortunately, this latest data shows that the U.S. is not meeting the mark on keeping pedestrians safe on our roadways. Every one of these lives represents a loved one not coming home tonight, which is absolutely unacceptable,” he said.
One doctors’ group added that prevention — keeping your eyes and ears on your surroundings — is key.
“Today’s projected pedestrian fatalities — the highest ever recorded — are an urgent wake-up call that we need to work harder at consistently focusing on where and how we are walking,” said Dr. Alan Hilibrand. He’s a spokesman for the American Academy of Orthopaedic Surgeons.
“Pedestrians need to be mindful of their surroundings,” while walking, Hilibrand said. “Walking while looking at your phone or an electronic device can result in sprains, broken bones, and other serious, even fatal, injuries.”
SOURCES: Governors Highway Safety Association, news release, March 30, 2017; March 30, 2017, American Academy of Orthopaedic Surgeons
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 .
Brain injuries are common complications in our modern world. Approximately 2 million individuals experience a head injury in the United States alone each year. Although most brain or head injuries are not considered life threatening, they could sum up to billions of dollars in annual revenue. Brain injuries are often categorized according to patient response. Only 1 out of 4 reported brain injuries are considered moderate or severe.
El Paso, TX. Chiropractor Dr. Alex Jimenez looks at exercise as treatment for back injuries.
Since 1992 Opioid Prescriptions Rose From 112 Million To More Than 249 Million As Of 2015
In 2004, there were enough written opioid prescriptions to ensure every American could have their own bottle. According to studies, a written prescription of a pain-killer should not be used for a back related injury; but rather, exercise is the most effective tool for recovery.
The First &�Foremost Way To Heal & Prevent Further Injury To The Back Is By Simply Moving Around
Vidan Family Chiropractic explains that �what made the body-heals the body.” They suggest exercise such as walking, stretching and yoga instead of requesting an opioid prescription.
Dr. Alex Vidan from Vidan Family Chiropractic joins us more information on the excessive use and prescription of opioids for injuries.
El Paso, TX. Chiropractor Dr. Alex Jimenez examines patients that go through chiropractic vs. traditional medical care.
Because back pain is such a common problem, a group of Canadian researchers recently investigated the role�that the type of primary caregiver has on financial compensation.
This was a large study of 5,511 patients who experienced a work-related back injury in Ontario, Canada.
Patients Saw The Following Providers For Their First Visit:
85.3% saw a medical doctor
11.4% saw a chiropractor
3.2% saw a physical therapist
A Comparison Of The Duration Of Financial Compensation For Back Pain Among Patients From Each Group
The study found that chiropractic patients had the shortest amount of time receiving compensation for their pain and also were less likely to have a recurrence.
In addition, chiropractic patients didn�t need to see other healthcare providers for their pain. 75% of chiropractic patients saw no other provider, while 58.6% of physical therapy patients also saw a medical doctor.
The authors conclude:
�The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest.�
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Blanchette M, Rivard M, Dionne CE, et al. Association between the type of first healthcare provider and the duration of financial compensation for occupational back pain. Journal of Occupational Rehabilitation 2016 Sep 17.
Whiplash is�a common injury, annually affecting about 2 million individuals within the U.S. Generally due to a car accident, whiplash also can be a consequence of falling, engaging in sports &�being shaken or punched.
Whiplash may be the common term�for�neck damage or stress caused by hyperextension (see image below) and hyperflexion (see image below). It frequently does not cause immediate symptoms: over-time, it might produce actually. Since whiplash could cause long-lasting results to the back, it is vital that you see your physician if you have been injured, even if you don�t have pain.
The cervical spine (throat) is really a sophisticated structure consists of vertebrae (spinal bones), intervertebral disks (behave as shock absorbers), muscles, ligaments, and nerves. The throat is is flexible and will move it different guidelines (jerk, swivel) while supporting the total weight of the head. However, that mobility can make the throat at risk of injury. Throughout a whiplash event, your throat goes swiftly and vigorously backward and forward. Pain can continue despite the injury itself has healed.
Whiplash can result in reduced productivity, temporary impairment, and perhaps substantial medical expenses.
Not Just Pain In The Neck
A person with whiplash’s chief criticism is upper back pain or neck pain. Other symptoms may include:
Pain
Stiffness
Pain within the arm and/or shoulder that may expand to the hand(s).
Paresthesias (including numbness or tingling) and/or weakness that’ll expand into the hand(s).
Headache
You might possibly experience dizziness, nausea, ringing�in the ears, weakness, jaw pain, and blurred vision.
A Condition With�An Impact
The most frequent cause of whiplash is definitely a car accident in which the person�s vehicle (often stopped) is rear-ended by another car or truck. Because of this, the neck’s bones are forced�into a hyperextended position, while the upper vertebrae are hyperflexed, leading to an unusual S-shaped curve. This cycle typically damages the delicate tissues (structures, tendons, muscles) of the neck.
How Do I Realize I Have Whiplash?
Your doctor works a neurological and physical exam and carefully reviews your medical history. Because x rays don�t show injuries to delicate tissues, a CT (computerized tomography) scan or MRI (magnetic resonance imaging) could be executed.
What Does Treatment Involve?
Treatment is determined by the extent and level of the whiplash, and factor is given to general health and your age. Initial therapy can include:
Short term rest (a day or two)
Ice, for first day or two; then alternate ice and temperature
Gentle�range-of-motion exercises
Anti-inflammatory drugs (over-the-counter or prescription)
Muscle relaxants
*When using ice, make certain the cool source is draped in a towel to safeguard your skin area. Don’t apply ice for longer than 15 minutes at a time.
If your pain does not disappear inside a reasonable timeframe, or when it is serious, your doctor may recommend trigger-point injections, physical treatment, chiropractic, massage, acupuncture, and/or use of a transcutaneous electrical nerve stimulation (TENS) device.
Soft�collars, although once trusted for whiplash, are not employed so frequently anymore, since by immobilizing the neck, the muscles can weaken and delay recovery.
Surgery is rarely warranted by whiplash. If your pain persists even after you’ve undergone nonsurgical treatment, your doctor might advise surgery, according to what structures have already been injured and how serious the harm is. It is vital that you understand the risks carried with surgery. Thus, you should have a thorough conversation with your doctor.
In February, an immigration enforcement case in El Paso earned the attention of domestic violence advocates across the country. As the El Paso Times reported, an undocumented woman was detained by immigration officers right after she went to the courthouse to get a restraining order against a violent and abusive partner. Domestic violence advocates were horrified, worried that it would potentially deter undocumented people from reporting abuse to law enforcement. “It sends a powerful message to victims and survivors that there is no safe place,” Ruth Glenn, executive director of the National Coalition Against Domestic Violence, told Bustle in February.
Now, a month later, the effect of fighting domestic violence is being felt. Sometime after the El Paso incident, Enrique Elizondo, a worker for a domestic violence hotline, received a call from an undocumented woman (I have not included any identifying details to protect her confidentiality), facing an abusive husband. According to Elizondo, she was at the point of fear that the abuse could become lethal. But, after selling all her belongings to come to the United States, she found herself feeling like she was out of options. According to Elizondo, her partner had specifically made threats about contacting Immigration and Customs Enforcement (ICE) and having her deported if she took action. The El Paso case made her fear he could. Elizondo tells Bustle he tried to help her contact legal help, but the woman asked him, Is this legal advocate going to deport me? Ultimately, Elizondo says he was able to get her legal help.
Supporting All Survivors on International Womens Day
As we celebrate International Women’s Day, it’s important to remember that ALL women deserve support and safety, regardless of race, religion, country of…
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According to domestic violence advocates interviewed for this article, these situations are becoming the norm for dealing with undocumented survivors of domestic violence. The 2013 re-authorization of the Violence Against Women Act (VAWA) protects survivors of abuse from deportation for reporting the crime, but, as fear in undocumented communities has grown due to more expansive calls for immigration enforcement under Donald Trump’s administration, it’s hard for the people helping survivors to convince them they’re safe.
The February El Paso case may very well have been a fluke according to the El Paso Times, the woman detained had further criminal complaints against her beyond her immigration status. But the publicity generated by a women detained while seeking help from a court has nevertheless led to worry among violence survivors. Already, four cases in Denver of domestic violence were dropped due to fears of the survivors about immigration status, according to Denver City Attorney Kristin Bronsonm who spoke to NPR about the situation.
“That case [in El Paso] alone, I am actually sure had a chilling effect,” Ruth Glenn tells Bustle a month after we initially spoke. Her organization, the National Coalition Against Violence, is working “to ensure that advocates know how to support those victims by making sure that they know what the laws and the rules are,” she says. Specifically, it has been focusing on helping shelters figure out how to deal with these issues such as knowing that they are expected to maintain the confidentiality of their residents even if ICE officers shows up at the door.
Unfortunately, some are prioritizing continuing to live with abuse.
Under the Obama administration, a 2011 legal memorandum required ICE to exercise prosecutorial discretion when dealing with victims or witnesses to crimes like domestic violence.
According to a statement from Letitia Zamarippa, spokeswoman for ICE, that memo is still in effect. U.S. Immigration and Customs Enforcement (ICE) officers will take into consideration if an individual is the immediate victim or witness to a crime, in determining whether to take enforcement action. Particular attention is paid to victims of domestic violence, human trafficking or other serious crimes.”
But even with the law officially in place, the uncertainty caused by Trump administration actions stepping up deportations and limiting restrictions on ICE causes fear among survivors.
The Trump administration’s recent actions taking aim at sanctuary cities, hoping to push local police agencies to enforce immigration laws, worries advocates, as well.
If you think about victims of domestic violence who are already being controlled by a perpetrator, that is compounded and exacerbated when you rely on that person to interpret the laws for you, who is filtering all that information to control you.”
“When you have your local sheriff, whose job is to come to domestic violence scenes and to be in the community if they’re also enforcing immigration law the question is whether victims are going to come call when they’re being abused or sexually assaulted,” says Huang. “Entire communities are afraid of reaching out for help. ICE officers are not always the best at finding out if there’s victims.”
Overall, the growing sense of uncertainty, the anti-immigration rhetoric, and the threats to sanctuary city are leaving a strong impact on domestic violence victims who live in a legal gray area and may not be well versed in their legal rights. “If you think about victims of domestic violence who are already being controlled by a perpetrator, that is compounded and exacerbated when you rely on that person to interpret the laws for you, who is filtering all that information to control you,” Monica McLaughlin, Deputy Director of Public Policy at the National Network to End Domestic Violence, tells Bustle.
The underlying problem is that even if undocumented immigrants can technically get help, McLaughlin explains, “if what’s been communicated indicates that they can’t because they’re not safe, then survivors really aren’t going to reach out to law enforcement for help.”
N.L. chiropractors� association says workers also get back on the job faster
CBC News
The Newfoundland &�Labrador Chiropractic Association
Seeing A�Chiropractor First After�A Workplace Injury Gets Workers Back On The Job Faster
Dr. Darrell Wade, CEO of the association, said the September 2016 study�analyzed data from more than 5,500 injured workers in Ontario.
�What it found was that the initial provider of care for back pain was a very strong determinant of the duration of financial compensation for at least the first five months of the claim,� he told CBC Radio�s On the Go.
The study, published in the Journal of Occupational Rehabilitation, found that workers who saw a chiropractor first, rather than a physician or a physiotherapist, needed full compensation for a shorter time.
�What they found was that people who had seen a chiropractor first had seen about a 20 per cent less cost in these claims over those who visited their family physician,� he said.
The study involved more than 5,000 injured workers in Ontario, comparing time lost depending on which health care professional they saw first. (CBC)
A majority of workplace injuries are related to joints and muscles, making chiropractors a logical choice for the first visit, said Wade.
�Getting to the person who is most adequately equipped to treat your injury in the first place is what really accounts for the reductions in lost time from work and compensation costs,� he said.
In the study, done by researchers at the University of Montreal, just 11 per cent of the workers saw a chiropractor first, and Wade says that percentage would be less in Newfoundland and Labrador.
�It does speak to a great potential for improvement in our system, were we to use chiropractors more as the front line for musculoskeletal injuries, in particular, back pain,� he said.
�All too often these patients are not getting to us until three�months after an injury and at that point the chance of success decreases significantly.�
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