A wide variety of conditions are treated by Dr. Dunn at Dunn Chiropractic & Rehab & Rehab. Below is a partial list of the many conditions, which demonstrate a good response to chiropractic care and management. If you have any questions or desire any additional information about the below-listed conditions or any other condition, please feel free to contact us with your questions, so we can assist you.
“Whiplash” is a common term used to describe a Cervical Acceleration – Deceleration Injury, which is one of the most common injuries suffered in an auto accident, especially a "rear-end type crash." When an auto (or anything) crashes into another auto (2nd auto) from either direction, the impact forces from the 1st auto tries to shove the 2nd auto out from under the person sitting in the 2nd auto (similar to pulling the table cloth out from under the dishes, glasses and table settings on a table, without disturbing the items sitting on the table). The person’s body is forced by the seat belt or surrounding structures to move in the same direction as their auto. Like a whipping action, the head and neck lag behind.
Then, as the auto suddenly stops by braking or by hitting another object, the person’s body suddenly stops by the restraint of the seat belt or surrounding structures, but now, the head and neck attempt to continue in the direction of motion and, while unexpected and out of control “whips” beyond the normal ranges of motion, which results in over-stretching and injury to the soft tissues, especially in the head, neck and upper back. The symptoms associated with this “whipping motion” is commonly described as “whiplash,” and can be a very serious injury with long term effects, if not treated properly. This type of injury can result in head, neck and upper body pain and stiffness, plus headaches and symptoms in the upper extremities (arms and hands).
In auto accidents, where only minor damage occurs to the auto, whiplash injuries can have a lingering effect on the cervical spine (neck). Even if pain is not an immediate symptom, the damage done to the spinal cord and nervous system can go undetected (sometimes for years), but eventually, this whiplash damage will result in a chronic conditio, if not treated appropriately and at the proper time.
Q: Should I See An Attorney Before I See Dr. Dunn?
A: You should be examined by Dr. Dunn before consulting an attorney. The exam findings will help you determine, if it is necessary for you to consult an attorney, and if it is necessary, the attorney will have your exam findings, when evaluating your case. If you need an attorney, we can give you names of reputable and qualified attorneys, whom other patients have worked with in the past.
Q: What If My Car Sustained Only Minor Damage?
A: Documented studies done by Charles Carroll, M.D., Paul McAtee, M.D. and Lee Riley, M.D. revealed: "The amount of damage to the automobile bears little relation to the force applied to the cervical spine (neck) of the occupants."
In other words, the damage to the passengers in an auto is not necessarily directly related to the damage to the vehicle.
Q: If I Need Treatment For My Injuries, Do I Have To Pay For It Myself?
A: No. Only in rare circumstances does the patient at Dunn Chiropractic & Rehab pay for his/her care, as he/she receives it. Although each case must be determined on an individual basis, as a courtesy to our patients, Dunn Chiropractic & Rehab provides care to most auto accident patients on an “open account,” which means you do not pay for your care, until you settle your auto injury claim. In addition, some auto insurance policies have "Med Pay" and/or “Uninsured Motorist” coverage. If you have either or both of these types of coverage on your auto policy, your policy may pay for your care (up to the limits of your policy), while you are waiting for the settlement with the “at fault” insurance company. More good news, if you use your auto medical coverage, it should not raise your auto insurance premiums.
Q: The At-Fault Insurance Company Has Been Calling Me And Wants To Settle...What Should I Do?
A: Since I am not an attorney, I can not give you legal advice. However, based on my experience as a doctor, I would recommend you not settle your injury claim, until I give you a thorough examination. In my opinion, if you settle your injury claim before you are examined or before your injury is fully resolved, you will release the "at-fault" insurance company and their insured from all future liability. Which means, you will be completely on your own and will have to pay for any necessary future care out of your own pocket. Be sure to check with your attorney for his/her official legal opinion.
Q: I have been to the Emergency Room and my Medical Doctor...Do I Really Need to See Dr. Dunn?
A: Yes. An Emergency Room physician is usually very good at his job, but his job is to make sure you do not have a life-threatening condition. So, with non-life-threatening auto accident injuries, the ER doctor often gives the patient pain, muscle relaxant and anti-inflammatory medications, which helps to decrease the symptoms, but does not restore the normal biomechanics of the spine. The patient is released from the Emergency Room, and the ER doctor has done his job.
Unfortunately, many auto accident injuries (example: whiplash) have “soft tissue” components, which are not life-threatening, but result in serious abnormal biomechanical movements of the spinal motor units. This type of injury can be very painful and result, often years later, in serious chronic conditions (such as, spinal degeneration) with a lifetime of debilitating pain. Studies have shown, these chronic conditions are occurring at an alarming rate. Thus, any person, who has been in an auto accident, even a minor auto accident, should be examined by Dr. Dunn, who has had advanced training in the diagnosis and treatment of auto accident injuries. Dr. Dunn has participated in research projects and has received advanced training with the Spine Research Institute of San Diego and the Texas A & M University. He understands the abnormal biomechanics of the spine, which can result from auto accidents. This is what makes Dr. Dunn an expert in diagnosing and treating auto accident injuries.
If you have received treatment, but are still having problems, you should get a second opinion examination from Dr. Dunn.
Q: Does Chiropractic Care Hurt?
A: Although most of our patients would answer, “absolutely no pain with our care.” The truth is...every patient is different. Everyone has a different threshold, where they experience pain. The care at Dunn Chiropractic & Rehab is very gentle and quite soothing, and most patients can hardly wait to get their care, but occasionally, a patient may arrive in very severe pain or just have a very low pain threshold. For this patient, we modify the treatment to an even more gentle intensity so it will not exceed this patient’s pain threshold.
Q: Is Chiropractic Care Safe?
A: Yes, chiropractic care and management is extremely safe, particularly, when compared to the side effects from medications and surgery.
What Should I Do If I Am Injured In An Auto Accident
NOTE: Make a list of the following directions and put it in the glove box of all of your vehicles.
First, call 911 for the police and an emergency squad, if you (or anyone else) are possibly injured. While waiting for the first responders to arrive, take photos with your mobile phone of the accident scene, including photos of all autos and their license plates, plus photos of the other driver’s insurance card and driver’s license.
Write the following information on a piece of paper or call your mobile phone voice mail, home voice mail or office voice mail and record the following information:
State on the recording:
- Your Name
- Recording Date & Time
- Date & Time of the Accident
- Road Condition (Dry, Wet, Damp, Ice, Snow, Gravel)
- Location of the Auto Accident
- Reported to Police (Yes or No)
- Injuries (Yes or No)
- If yes, who
- Describe Accident (while fresh in your mind)
- Person at Fault: Myself, My Driver, Other Driver
Other Driver’s Information:
- Street Address, City, State & Zip Code.
- Phone #
- Driver’s License #
- Auto Make – Auto Model – Auto Year
- License Plate #
- License Plate State
- Insurance Company Name
- Insurance Policy #
- Police Officer’s Name & ID #
- Police Department (City - Sheriff - State Patrol)
If you are injured, have the paramedics examine you. Follow their advice, go to the emergency room, if directed. Be examined, receive care, and follow the ER doctor’s advice.
After you are released from the ER or the hospital, TAKE CARE OF THE EMERGENCY HEALTH SITUATIONS, first.
As soon as possible, within 1-2 days, call Dunn Chiropractic & Rehab and schedule an exam with Dr. Dunn, so you can be evaluated for “non-life threatening” injuries, especially abnormal biomechanical injuries in the spine. If you did not experience any significant injury, you can turn your exam bill into your or the at-fault insurance company, settle your claim and return to a normal pain-free life, without worry of future complications. If you were injured, the exam will document the injury, you can undergo appropriate treatment for your injuries, especially abnormal biomechanical injuries to the spine. You will have the best chance of receiving optimal results, and avoiding chronic pain in the future.
Dunn Chiropractic & Rehab treats workers, who have been injured on the job. Dr. Dunn is an Ohio BWC-Certified doctor. No referral is necessary to have Dr. Dunn examine and/or treat an injured worker, whether the injured worker initially consults Dr. Dunn after a new injury or already has an established BWC claim.
The injured worker has the right to choose his treating physician. For the initial visit after the workplace injury, you may be examined and treated by any doctor or Emergency Room, who is qualified to treat your injury. The initial physician does not need to be an Ohio BWC-Certified physician. For all subsequent visits, any treating doctor must be an Ohio BWC-Certified doctor.
If you have a workplace injury and initially consult Dunn Chiropractic & Rehab, we will help you complete the FROI form and file your claim with the Ohio BWC.
If you have an established BWC claim and want to consult with or changr physicians to Dr. Dunn, we will help you complete and file the necessary paperwork for BWC.
Dunn Chiropractic & Rehab is dedicated to providing the best care for your workplace injury, which will help you get back to work and back to your life, as quickly as possible. We focus on taking care of the most important workplace injury ... YOURS.
What is Workers’ Compensation
The Ohio Bureau of Workers’ Compensation covers any work related injuries and/or occupational diseases. If you are hurt on the job, and BWC allows your claim, the BWC will pay your medical bills, while you recover. The BWC provides other benefits for injured workers, such as, lost wages, if you are temporarily disabled and cannot continue to go to work.
What Should I Do If I Am Injured At Work?
- Report your injury/illness to your employer, immediately.
- Seek immediate medical care, if necessary. For the initial visit after the workplace injury, you may be examined and treated by any doctor or Emergency Room, who is qualified to treat your injury.
- File a claim with the Ohio BWC.
Can I Change Doctors After My Claim is Filed?
You may change doctors, if you feel you are not making progress with your current doctor or any other good reason. To change doctors, you will need to complete the Notice to Change Physician of Record (C-23) form, which can be found on the website www.bwc.ohio.gov, and submit it to the MCO for approval.
What Happens If I Am Unable To Work?
If you cannot work for 8 or more days, you may be eligible to receive payment for lost wages. Your disability must be documented and certified, as work-related. If you qualify for these benefits, your BWC claim service specialist will assist you and explain this in more detail.
What If My Employer Disputes My Claim?
If you or your employer disputes an issue in your claim, either party may file an appeal. The Industrial Commission of Ohio (IC) is a separate State of Ohio agency from the Ohio BWC. If you or your employer file an appeal on the issue, you will receive notice of the date, time and location of an IC Hearing. The Industrial Commission will evaluate the evidence and listen to the testimony of the employer (or its representative) and the injured worker (or their representative). You may choose to represent yourself at the IC Hearing, or you may hire a lawyer at your own expense. After the Hearing, the Industrial Commission representative will make a ruling, based on the evidence. Each of the involved parties will usually receive the IC's decision within a week after the IC Hearing.
A Personal injury is an injury of a person, where another person is responsible or liable for the damages to the injured person.
An example of one type of a personal injury condition is an auto accident, where a person fails to maintain control of his auto and crashes into a second auto and causes injury to a person riding in or driving the second auto.
A second type of a personal injury is a person (#1), who is visiting his friend (#2). Person #1 is walking down the stairs, when he slips and falls because he did not see a child’s small toy laying on the step. When he landed on the edge of the stairs, the fall broke his arm. His medical bills for the examination and treatment of his injuries were the responsibility of the homeowner (person #2), and covered under the homeowner’s liability insurance policy.
Dunn Chiropractic & Rehab understands Personal Injury conditions and the medico-legal documentation required.
When you have a headache, your body is trying to tell you...“something is wrong.” Because headaches are so common, some people have the misbelief, headaches are just a normal part of everyday life, and everyone has headaches. This is totally untrue!
Headaches are not normal! Everyone does not have headaches, but headaches are a growing epidemic in our society today. People, who suffer from headaches, often try to mask their pain with over-the-counter (OTC) and prescription pain medications, which, at best, only provides temporary relief to their headache pain.
Good news! Research studies have shown many headaches are directly linked to spinal misalignment, muscle imbalance, and nerve irritation. Dunn Chiropractic & Rehab has helped hundreds of patients, who were suffering from many different types of headaches.
Once the type of headache is determined, a successful treatment plan can be developed.
The 5 most common types of headaches are:
- Tension Headaches
- Cluster Headaches
- Sinus Headaches
- Rebound Headaches
- Migraine Headaches
Tension Headaches are the most common type of headache. They feel like a constant pain over the entire head or at the temples, back of the head, top of the neck and especially at the forehead and behind the eyes. Because of the location of the headache pain around the eyes and over the sinus areas, tension headaches are often misdiagnosed as sinus headaches, by patients and doctors. Likewise, tension headaches are often misdiagnosed as cluster headaches (occur in groups or cycles) and rebound headaches (if the patient’s history reveals overuse of painkillers, while trying to get relief). The average tension headache usually does not cause nausea or vomiting, but they certainly can interfere with daily activities.
Sinus Headaches occur when a sinus becomes inflamed (usually from an infection) and the lining of the sinus is swollen. The sinus opening is swollen shut and blocks normal drainage. The pressure in the sinus continues to build and results in pain. Sinus headaches usually come with a fever and can be diagnosed by symptoms or the presence of pus viewed through a fiber-optic scope. Headaches, due to sinus infection, can be treated with antibiotics, as well as antihistamines or decongestants.
Rebound Headaches are secondary to the chronic, overuse of painkillers, which were taken for the headache pain. They are named “rebound” because they reoccur. These headaches result from the pain medication, which was, ironically, taken for the reoccurring headaches. These medications include over-the-counter, as well as prescription drugs. How does this work? One theory claims too much medication can cause the brain to shift into an excited state, which triggers more headaches. A second theory claims rebound headaches are a symptom of drug withdrawal, as the level of pain medications drop in the bloodstream.
Chronic Reoccurring Headaches in patients, who have been taking medications over a long period of time for their headaches, are often misdiagnosed as Rebound Headaches, when the headaches are really chronic recurring Tension Headaches. By the way, Dunn Chiropractic & Rehab has a very high success rate with chronic recurring Tension Headaches (95%).
Migraine Headaches are usually associated with very severe debilitating pain, which can run in families. Migraines have specific diagnostic criteria:
- At least 5 previous episodes of headaches, which lasts between 4 and 72 hours
- Headaches must have resulted in, at least, 2 out of these 4 symptoms:
- one-sided pain
- throbbing pulsating pain
- moderate-to-severe pain and
- pain, which
- interfered with routine daily activities
- was worsened by routine daily activities or
- prohibited routine daily activity
- At least one associated feature
- nausea and/or vomiting, or
- sensitivity to light and sound
A migraine may be foreshadowed by an aura, such as, visual distortions or hand numbness
Headaches can be aggravated and increased in intensity by “headache triggers,” which can include, but are not limited to caffeine; chocolate; alcohol; cigarettes; cigars; stress; fatigue; eye strain; personality traits; weight; daily schedule; plus foods and drinks, which vaso-constrict (narrow) or vaso-dilate (expand) blood vessels.
Remember, many headaches are misdiagnosed, and research studies have shown many headaches are directly linked to spinal misalignment, muscle imbalance, and nerve irritation.
Dunn Chiropractic & Rehab has helped hundreds of patients decrease the intensity and frequency of their headaches or totally eliminated their headaches. There is no need to suffer with headaches. Click here to schedule an appointment with Dunn Chiropractic & Rehab for a headache evaluation. Don't let headaches ruin your life! Be Headache Free - Be Healthy - Be Happy - Enjoy Life.
Most people carry all of their stress and tension in the back of their head, neck and between their shoulder blades. This tension and stress can result in painful trigger points and tight stiff muscles. These hypertonic (too tight) muscles (like tight guide-wires on a small tree) can cause abnormal biomechanical movements in the vertebral segments of the cervical spine (neck). As a result of this abnormal biomechanical movement, many conditions, such as, facet syndromes, degenerative disc disease, degenerative joint disease (arthritis) and slipped or herniated discs can occur in the neck and result in pinched and/or irritated nerves, which can cause neck-arm-hand pain. These are just a few of the many causes of neck-arm-hand pain. Neck pain is very common and can be very severe. If you are experiencing, neck, arm, and/or hand pain with limited range of motion in the neck (restricted and hurts, when you attempt to move it up or down or right or left), call Dunn Chiropractic & Rehab so we can help reduce your pain, restore normal functioning and prevent further damage.
Lower Back-Leg-Foot Pain
Do you ever wake up in the morning and feel nagging back aches? How about after a long day’s work? Does your low back keep you from doing your job, enjoying your hobbies or playing with your children? If you answered yes to any of these questions “You Are Not Alone!”
Low back pain is one of the most common health problems in our society today. It has resulted in thousands of lost hours at work, and even greater time lost with family and friends. Lower back pain has many different causes, but many are secondary to displaced (slipped) disc, degenerative joint disease (arthritis), or a combination of all.
Lower back pain can be a very serious problem. Dr. Dunn has the experience and expertise to diagnosis and treat conditions, which result in lower back pain.
Dunn Chiropractic & Rehab has special therapies and equipment, designed to treat lower back pain. With proper treatment, lower back pain can be successfully eliminated and surgical intervention can be avoided.
Slipped, Bulging, Protruded and Herniated Discs
Discs normally have a direct blood supply. Unfortunately, studies have shown our discs lose their direct blood supply in the 18-25 year old range. From then on, our discs can only absorb fluids and nutrition from the surrounding tissues, like a sponge. This method is not as good as a direct blood vessel, and our disc begin to dehydrate and degenerate.
With disc degeneration progressing, our normal activities of daily living result in little cracks and tears in the discs. This damage to the disc can result in chemicals released, like smoke from a fire, which irritates the neighboring nerves and results in pain. The cracks and tears also make the disc more susceptible to larger tears and displacement of the nucleus pulposus (jelly) through the annular fibers (dough) of the disc (jelly squeezing through the doughy fibers of a jelly filled donut).
These displacements can range from a minimal bulge, to a larger protrusion, to a larger herniation, to complete rupture of the nucleus pulposus (jelly) from the center of the disc (donut). Among many other factors, the severity of pain often depends on:
- if the disc is giving off irritating chemicals (inflammatory proteins),
- if the disc is laying next to the nerve, but not displacing it, or
- if the disc is compressing and/or displacing the nerve.
The most common signs and symptoms, which a patient may be experiencing from a disc problem, are numbness and tingling through their arms or legs (depending on the location of the disc), which is quite often accompanied by sharp severe radiating pain.
Discs, which are bulging or pinching a nerve, can be a very serious condition. Dr. Dunn has the experience and expertise to diagnosis and treat discs problems.
Dunn Chiropractic & Rehab has special therapies and equipment, designed to treat disc conditions. With proper treatment, the pain and other symptoms associated with disc conditions can be successfully eliminated, and surgical intervention can be avoided.
When the patient presents with a disc condition, which requires surgical intervention, Dr. Dunn will refer the patient to a qualified surgeon.
Degenerative Discs (Cervical & Lumbar)
Nerves to the disc only penetrate into the very outer portion of the annulus fibrosus. Even though there is very little innervation to the disc, the disc can become a significant source of back pain, if a tear in the disc reaches the very outer portion of the annulus, where the nerves are located, and the nerves become sensitized.
With continued degeneration of the disc, the nerves on the periphery of the disc will actually grow further towards the center of the disc, where it is easier for them to become a source of pain.
If this jelly-like material leaks out of the disc and comes in contact with a nerve root, it will inflame the nerve root and create pain down the leg (sciatica or lumbar radiculopathy) or down the arm (cervical radiculopathy), depending on the location in the spine.
In the same manner, if any of the inflammatory proteins within the nucleus of the disc leak into the outer annulus and touch the pain fibers in this area, it can create severe pain in the neck or the lower back, again, depending on the location of the disc in the spine.
When we are born, the disc is comprised of about 80% water, which gives it a spongy quality (fresh jelly donut) and allows it to function as a “shock absorber.” As we age and degenerate, the water content decreases, and the disc becomes less capable of acting as a shock absorber (stale jelly donut). In addition, the proteins within the disc change composition; thus, as our disc degenerates, most of us will develop tears into the annulus fibrosus (the tough outer layer of the disc). Most people will have some level of disc degeneration by their sixth decade.
It must also be noted disc degeneration can lead to and hasten the onset of additional spinal conditions, such as: spinal stenosis, a form of spinal degeneration, which leads to nerve root or spinal cord pinching, and osteoarthritis of the spine, degenerative changes in the facet joints (the hinges on the back side of the vertebrae, which permit and control the directions of movement in the spine, similar to the hinges on your front door).
Generally, the pain associated with degenerative disc disease is thought to stem from two main factors: inflammation and “micromotion” instability.
The inflammatory proteins, contained within a lower back disc, can cause severe pain in the lower back and can radiate into the hips, down the back of the leg (called sciatica or lumbar radiculopathy) and possibly into the foot and toes. If the disc is located in the neck, the inflammatory proteins can cause severe pain in the neck and can radiate into the arm, shoulder and possibly into the hand and fingers (called a cervical radiculopathy).
If the annulus (the outer rings of the spinal disc) degenerates and wears down, it is not as effective in resisting motion in the spine. This condition is called "micromotion instability” because it is usually not associated with gross instability, such as a slipped vertebrae.
Both the inflammation and micromotion instability can cause severe pain and muscle spasms. The muscle spasm is the body's attempt to stabilize the spine. It is a reflex to protect the body and can be quite painful. These muscle spasms, which result from micromotion instability, are associated with the intense pain and acute exacerbations of a degenerative disc.
The two findings most correlated with a pathological disc (a degenerating disc, which is painful) are: cartilaginous end plate erosion and disc space collapse.
In between the vertebral body and the spinal disc is a layer of cartilage, which is known as the cartilaginous end plate. The cartilaginous end plate is the source of nutrition for the disc. If the cartilaginous end plate becomes eroded, the disc is likely to go through a degenerative process, which leads to the inflammation and micromotion instability, which in turn, causes an acute exacerbation of pain and muscle spasm. As the disc continues through the degenerative process, the disc space will collapse.
There are several symptoms, which are fairly consistent for people with lower back pain or neck pain, which is secondary to degenerative disc disease, including:
Pain, which is usually related to physical activity, will result in an acute exacerbation (flare up), but will return to a lower grade of pain, or the pain will go away entirely.
The amount of chronic pain, referred to as the patient's baseline level of pain, is quite variable between individuals. It can range from almost no pain (just a nagging level of irritation) to very severe and disabling pain. Activities, which involve bending, lifting, and twisting, will usually make the patient's pain worse. Certain positions can also make the pain worse. For example, for lumbar degenerative disc pain, the pain is generally made worse with the sitting posture, especially when sitting for long periods of time, since in the seated position, the lumbar disc is loaded with three times more pressure, than when standing. Walking, and even running, may actually feel better than prolonged sitting or standing. Patients will generally feel better, if they can change positions frequently. Patients with lumbar degenerative disc disease will generally feel better, when lying in a reclining position (such as, with the legs propped up in a recliner), or lying down with a pillow under the knees, since these positions decrease the gravitational pressure and stress on the lumbar disc.
Most patients with degenerative disc disease will have some underlying chronic low back pain or neck pain, with intermittent exacerbations of more severe pain. The cause of these exacerbations is believed to be due to abnormal micromotion in the degenerated disc, which spurs the inflammatory reaction. In an attempt to stabilize the spine and stop the micromotion, the body reacts to the disc pain with muscle spasms. The reactive spasms are what make patients feel like their back has just "gone out of place."
Degenerative disc disease most commonly occurs in the cervical spine (neck) or the lumbar spine (lower back), as these areas of the spine have the most motion, and therefore, are most susceptible to wear and tear.
As a final note, the severity of pain does not correlate with the need for surgery. Some non-surgical conditions may produce very severe pain and muscle spasms, while some surgical conditions may have rather low levels of pain.
The goals for treatment of degenerative disc disease usually include:
- Decrease the pain, muscle spasms and swelling;
- Decrease spinal fixations (hypomobile segments) to increase segmental and regional ranges of motion;
- Participate in a rehab exercise program to stretch, strengthen and stabilize the spine, which helps to prevent future exacerbations; and
- Lifestyle modifications to help the patient develop a healthier lifestyle.
Degenerative disc disease can be a very serious condition. Dr. Dunn has the experience and expertise to diagnosis and treat degenerative disc disease.
Dunn Chiropractic & Rehab has special therapies and equipment, designed to treat degenerative disc disease. With proper treatment, the pain and other symptoms associated with degenerative disc disease can be successfully eliminated, and surgical intervention can be avoided.
When the patient presents with a disc condition, which requires surgical intervention, Dr. Dunn will refer the patient to a qualified surgeon.