1 / 31

SPINAL SOLUTIONS.CA

SPINAL SOLUTIONS.CA. DR. G. BLAIR LAMB OCTOBER 16, 2003. Understanding Pain. Is Chronic Pain New?. SPINAL SOLUTIONS.CA. BEGAN 1993 ONTARIO PAIN PHYSICIAN ASSOCIATION (OPPA) 1996-97. Chronic Pain. www.drlamb.com. TRAUMA REPETITIVE WORK STRESS ABNORMAL SLEEP AGING POPULATION.

reed
Download Presentation

SPINAL SOLUTIONS.CA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SPINAL SOLUTIONS.CA DR. G. BLAIR LAMB OCTOBER 16, 2003 Understanding Pain

  2. Is Chronic Pain New? SPINAL SOLUTIONS.CA BEGAN 1993 ONTARIO PAIN PHYSICIAN ASSOCIATION (OPPA) 1996-97

  3. Chronic Pain www.drlamb.com • TRAUMA • REPETITIVE WORK • STRESS • ABNORMAL SLEEP • AGING POPULATION

  4. 10% MIGRAINE HEADACHES SPINAL SOLUTIONS.CA

  5. 45% PAIN MEDICATIONS SPINAL SOLUTIONS.CA

  6. 70% MEDICAL VISITS SPINAL SOLUTIONS.CA

  7. 80% LOW BACK PAIN SPINAL SOLUTIONS.CA

  8. $50 BILLION TREATMENT FOR LOW BACK PAININ THE USA SPINAL SOLUTIONS.CA

  9. REPETITIVE STRAIN INJURY (RSI) SPINAL SOLUTIONS.CA CARPAL TUNNEL TENNIS/GOLFERS ELBOW ULNAR NEURITIS

  10. COST OF PAIN • WSIB • WORK DISABILITY INSURANCE • MVA • PHARMACEUTICALS/THERAPY • HOSPITAL AND SURGERY • FAMILY AND SOCIETY • PRODUCTIVITY

  11. WHY DO WE DEVELOP CHRONIC PAIN? SPINAL SOLUTIONS.CA

  12. MYOFASCIAL PAIN AND NEUROPATHY • MUSCLE DYSFUNCTION • TENDON DYSFUNCTION • NERVE DYSFUNCTION

  13. PRINCIPLES MUSCLE / NERVE • MATURATION-GROWTH HORMONE/DNA CHANGES • MUSCLES SHORTEN AND SCAR • TRAUMA, EXERCISE, STRESS, SLEEP • SHORTENING OCCURS AT REST/SLEEP • ALL MUSCLES-SPINE AND LIMBS

  14. SPINAL MUSCLES • INTRINSIC (DEEP) MUSCLES • CAUSE SPINE COMPRESSION/CRUSH • DISK HERNIATION/DEGENERATION • ARTHRITIS OF THE SPINE • CAUSES NERVE PROBLEMS

  15. NERVE PROBLEMS CAUSE • HEADACHES • MUSCLE SHORTENING ARMS/LEGS • TENDONITIS ARMS/LEGS • CARPAL TUNNEL SYNDROME • JOINT COMPRESSION • ARTHRITIS ARMS/LEGS

  16. REVIEW • DEEP SPINAL MUSCLES INJURE/SCAR • SLOW CRUSH VERTEBRAE/DISKS • CAUSES NERVE INJURY • NERVES REFER PAIN • CAUSING BACK, ARM AND LEG PAINS

  17. EARLY CLUES • NUMBNESS AND TINGLING ARMS/LEGS/HEAD • HEADACHES/ALLERGIES/JAW PAIN • JOINT STIFFNESS/ PAIN AT REST • DECREASED JOINT RANGE • ITCHINESS • RESTLESS SLEEP

  18. CLASSICAL THERAPY • PHYSIOTHERAPY • CHIROPRACTIC • MEDICATIONS • MASSAGE THERAPY • CORTISONE • SURGERY

  19. NEW TECHNOLOGY • NEW TECHNOLOGY STRETCHING (THE LAMB PROGRAM) • INTRAMUSCULAR STIMULATION • LAMB SPINAL BOTOX (PPWW) FOR LBP • SOUND/SHOCK WAVE FOR SHOULDERS AND PLANTAR FASCIITIS • MICRO ELECTRICAL THERAPY FOR PAIN AND DEPRESSION

  20. RECOMMENDATIONS • DAILY STRETCHING-SPINE • ADVIL 2/WEEK • EARLY DIAGNOSIS AND TREATMENT • EDUCATION PROGRAMS • CAUTION-REPETITIVE, TRAUMA, SLEEP DISORDERS • MET, SOUND WAVE, IMS, BOTOX • 2ND OPINION

  21. PHYSICIAN RESOURCES SPINAL SOLUTIONS.CA VIPDOCS.COM DR G. BLAIR LAMB

  22. PUBLIC AWARENESS • NURSING SHORTAGE • HOSPITAL BED/FUNDING CRISIS • INCREASING DRUG COSTS/LIMITS • DOCTOR CRISIS

  23. THE DOCTOR CRISIS • ONGOING FOR 15-20 YEARS • FALSE SECURITY • CDN MD’S-LARGE PRACTICES • HIGH VOLUMES 50-100/DAY • 70-100 HOURS/WEEK • 1 MILLION WITHOUT DOCTOR

  24. “DOCTOR MINUTES”coined by VIP Docs Inc. SPINAL SOLUTIONS.CA FIXED AMOUNT TO SPEND

  25. WHY SUDDEN CHANGE? • PHYSICIAN BURNOUT • WORK STRESS • FINANCIAL REMUNERATION POOR • NO BENEFITS • LIABILITY RISKS • BUREAUCRATIC • CMA/OMA

  26. ONTARIO MEDICINE • 1 MILLION WITHOUT FAMILY MD • SPECIALIST ACCESS-3-12 MONTHS • EXPECT 70% NO FAMILY DOCTOR IN 2-5 YEARS • MRI SCANS WAITING AT 9 MONTHS • ADD MRI’S BUT NO RADIOLOGISTS

  27. QUEBEC PANICKED • WORK IN ANY EMERGENCY IN QUEBEC • $5000 FINE/PENALTIES • MASS DEFIANCE BY MD's • EXODUS • BAD MESSAGE TO OUTSIDE MD's

  28. CANADA HEALTHCARE • FAMILY DOCTORS MOST AFFECTED • FD-8O% HEALTH CARE/40% MD's • 50-80% GRADS NOT SETTING UP FD • CANADA LOWEST MD/POP RATIO • EDUCATED POPULATION-DEMAND • NEW TECHNOLOGY- DEMAND • MANITOBA-NO LICENSE • MIXED MESSAGE-COME/GO

  29. WORLDWIDE MEDICINE • ABANDONMENT FAMILY MEDICINE • BRITAIN, USA, EUROPE • WORLDWIDE SHORTFALL-S. AFRICA • 12 YEARS GP, 17 EYE DOCTOR • LIABILITY • EXPECTATIONS • OVER-REGULATION

  30. PHYSICIAN RESOURCES • AQUIRE “GOOD” DOCTOR ACCESS • ACCESS SCANNING TECHNOLOGY • MRI, CT, EBCT, PET, • EDUCATION-VIDEO, SEMINARS • LESS PHYSICIAN DEPENDENCE • MEDICATION ACCESS

  31. FOR INFORMATION • PAIN-------------SPINALSOLUTIONS.CA • SCANS------------VIPDOCS.COM • EDUCATION----BROADCASTDOCS.COM • SEMINARS-------VIPDOCS.COM • CONSULTING---US-CANADA-HEALTH.COM

More Related