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CHIROPRATIC CARE


We provide advanced spinal correction utilizing "state of the art" chiropractic techniques. Never in the history of chiropractic have we been able to provide the level of help and expertise that now exists. These newer correction methods are even safer, more comfortable and more effective than ever before. As a Doctor of Chiropractic, Dr. Makda Getachew has years of training and experience in spinal adjustment.

CORRECTIVE EXERCISES


We teach our patients special "blueprint" exercises to help strengthen and correct their own unique problem. These exercises can be performed in the comfort of your own home and can improve the effectiveness of your spinal correction. In addition to skeletal misalignment, muscles and connective tissues can be out of place or strained by improper alignment and use. Specific exercises and stretches can help your body stay in balance and in health.

LIFESTYLE ADVICE


We often find it helpful to "coach" our patients on certain activities they should avoid or do differently to avoid aggravating their particular health challenge. Our goal is to help every patient achieve a fulfilling and happy lifestyle full of the activities they enjoy most. We recognize that each our patient is a whole person, and help them reach true health and wellness is a collaborate effort between our professionals and our patients.

NUTRITIONAL COUNSELING


We provide specific recommendations on nutritional supplements and healthy food choices to enhance our patient´s return to optimal health. Do you know which supplements and vitamins are good for you? Do you know how these supplements and vitamins interact with one another? Dr. Makda Getachew can provide a structured nutritional program based on your individual needs.

MASSAGE THERAPY


Massage therapy offers a natural conservative treatment approach that relieves musculoskeletal pain for many patients. Our office provides specific massage and muscular therapy that is tailored to meet the patient's condition and injury. The benefits of massage therapy may include increasing blood circulation, reducing swelling, relaxing muscles, relieving muscle pain and spasms, and aid in recovery and range of motion.

SPINAL AND POSTURAL SCREENINGS


Posture and spinal screenings can reveal important health information and unlock the door to improved health and well-being. We provide screenings at area malls, community events, health fairs and places of employment. Contact us today to arrange a screening at your event or workplace.

CAR ACCIDENT & WHIPLASH



What is whiplash ?


Whiplash is a relatively common injury in an automobile accident that is often ignored or mistreated due to lack of understanding of the condition. Whiplash is usually the result of a front or rear impact while in a stationary position. Failure to properly educate and treat patients with whiplash can lead to chronic psychosocial symptoms including depression and anxiety. Whiplash is a relatively common injury that occurs to a person’s neck and back following a sudden acceleration-deceleration force that causes unrestrained, rapid forward and backward movement of the head, neck, and back most commonly from motor vehicle accidents. The term “whiplash” was first used in 1928. The term “railway spine” was used to describe a similar condition that was common in persons involved in train accidents prior to 1928. The term “whiplash injury” describes damage to both the bone structures and soft tissues, while “whiplash associated disorders” describes a more severe and chronic condition. Fortunately, whiplash is typically not a life-threatening injury, but it can lead to a prolonged period of partial disability


What causes whiplash?



Whiplash is most commonly caused by a motor vehicle accident in which the person is in a car that is not moving, and is struck by another vehicle from behind. It is commonly thought the rear impact causes the head and neck to be forced into hyperextended (backward) position as the seat pushes the person's torso forward - and the unrestrained head and neck fall backwards. After a short delay the head and neck then recover and are thrown into a hyperflexed (forward) position. More recent studies investigating high-speed cameras and sophisticated crash dummies have determined that after the rear impact the lower cervical vertebrae (lower bones in the neck) are forced into a position of hyperextension while the upper cervical vertebrae (upper bones in the neck) are in a hyperflexed position. This leads to an abnormal S-shape in the cervical spine after the rear impact that is different from the normal motion. It is thought that this abnormal motion causes damage to the soft tissues that hold the cervical vertebrae together (ligaments, facet capsules, muscles).


What are the symptoms of whiplash?


Common symptoms related to whiplash may include:


  1. neck pain and stiffness
  2. headache
  3. shoulder pain and stiffness
  4. dizziness
  5. fatigue
  6. jaw pain (temporomandibular joint symptoms)
  7. arm pain
  8. arm weakness
  9. visual disturbances
  10. ringing in the ears (tinnitus),
  11. back pain

In a more severe and chronic case of "whiplash associated disorder" symptoms may include:
  1. depression
  2. anger
  3. frustratio
  4. anxiety
  5. stress
  6. drug dependency
  7. post-traumatic stress syndrome
  8. sleep disturbance (insomnia)

Patients with whiplash injuries may enter into litigation and social isolation may occur as a result of their symptoms.



What is the treatment for whiplash?


The most important issue in the management of whiplash is optimal education of the patient about their injury. This includes information on the cause, potential treatments, and likely outcomes. Patients should understand that this is a real injury, but that nearly all patients have the ability to fully recover. Patients that do not receive this information are much more likely to develop the more chronic "whiplash associated disorder." In the past, the initial treatment for whiplash was often a soft cervical collar for several weeks. The goal of the collar was intended to reduce the range of motion of the neck and to prevent any additional injuries. More recent studies have shown that this prolonged immobilization actually slows the healing process. If there is no evidence of abnormal spinal alignment, early range of motion is advised. Patients involved in early range of motion exercises have been shown to have a more reliable and rapid improvement in their symptoms. This treatment typically involves rotational exercises performed 10 times per hour as soon as symptoms allow within the first four days of the accident. It seems that excessive rest and immobilization have been shown to have greater chances of chronic symptoms. This is explained by loss of range of motion leading to increased pain and stiffness. Immobilization also causes muscle atrophy (muscle wasting), decreased blood flow to the injured soft tissues, and healing of damaged muscles in shortened position that renders them less flexible. Chiropractic treatment, exercises and physical modalities can be useful in helping to wean a patient from a cervical collar as well as to help strengthen muscles and reduce painful motions. If the patient begins to develop psychological symptoms including anger, anxiety or depression following an injury, prompt treatment of the emotional condition is recommended. This can help the patient better understand the good chances for successful recovery and reduce the chances of chronic symptoms. Here at Makda Chiropractic Health Center each patient will receive individualized treatment to address their specific injury.



NECK PAIN GUIDELINES


  1. New Cervical Spine Guidelines Relevant for Chiropractic Practice
  2. Clinical Compass
  3. Council on Chiropractic Guidelines and Practice Parameters
  4. Special Announcement: New Cervical Spine Guidelines Relevant for Chiropractic Practice
The mission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) is to gather and evaluate existing evidence-based practice information; to facilitate the development of new information where existing evidence is lacking; and to distribute and assist in implementation of evidence-based practice information that is relevant to the chiropractic profession. The Canadian Chiropractic Guideline Initiative (CCGI) has recently published a guideline on neck pain-associated disorders (NAD) and whiplash-associated disorders (WAD) in the Journal of Manipulative and Physiological Therapeutics (JMPT)[i] . The CCGPP recognizes this document as a quality evidence-based guideline related to cervical spine injury. The nature of the guideline is thorough, scientifically sound, and directly relevant to chiropractic practice, therefore, we recommend “The Treatment of Neck Pain-Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline” for use in chiropractic practice. This clinical practice guideline describes the best evidence on the management of NADs and WADs and replaces 2 prior chiropractic guidelines. The CCGPP suggests that clinicians become familiar with this guideline and to use it appropriately to enhance safety and quality care decisions. The authors of the Canadian guideline concluded that a “multimodal approach including manual therapy, self-management advice, and exercise is an effective treatment strategy for both recent-onset and persistent neck pain.” The CCGI provides free online video tutorials on the guideline and the paper is provided for free on the JMPT website. Provided on the CCGI website is an executive summary for your convenience. However, we recommend that one should read the full original document to understand fully and apply the contents of this or any guideline.
For further information about other guidelines please visit our website: www.clinicalcompass.org.


COX FLEXION DISTRACTION TECHNIQUE



Cox Technic is non-surgical, doctor-controlled, hands-on spinal manipulation performed with the patient lying on The Cox Table, our proprietary, specially designed chiropractic instrument. This table permits the effective administration of flexion-distraction and decompression adjustment and manipulation. Well-researched and documented, flexion-distraction and decompression helps relieve spinal pain and return patients to their desired quality of life by...

  1. dropping intradiscal pressure to as low as -192mm Hg
  2. widening the spinal canal foraminal area by 28%
  3. reducing pressure on the spinal nerves
  4. returning motion to the spinal joints

The goal of Cox Technic is to help the spinal pain patient go from "pain" to "no pain" as quickly as possible following the "rule of 50%" which governs the Cox Technic System of Spinal Pain Management. Evidence-based Cox Technic is appropriate for conditions causing low back and leg pain as well as neck and arm pain. It also reduces pain attributable to …

Fig.1 - No Pain
Fig.2 - Pain

Fig.3 - No Pain
Fig.4 - Pain


  1. disc herniation
  2. a slipped disc
  3. a ruptured disc
  4. facet syndrome
  5. stenosis
  6. spondylolisthesis
  7. other conditions

ORTHOTICS