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Chronic pain affects millions, stemming from trauma, stress, and aging. This resource provides an in-depth analysis of chronic pain, its causes, and the financial burden it creates, including significant treatment costs for conditions like low back pain. We explore muscle and nerve dysfunctions, the role of repetitive strain injuries, and highlight innovative treatments such as the Lamb Program and intramuscular stimulation. Awareness and education are crucial to address the increasing challenges in pain management and healthcare access.
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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
10% MIGRAINE HEADACHES SPINAL SOLUTIONS.CA
45% PAIN MEDICATIONS SPINAL SOLUTIONS.CA
70% MEDICAL VISITS SPINAL SOLUTIONS.CA
80% LOW BACK PAIN SPINAL SOLUTIONS.CA
$50 BILLION TREATMENT FOR LOW BACK PAININ THE USA SPINAL SOLUTIONS.CA
REPETITIVE STRAIN INJURY (RSI) SPINAL SOLUTIONS.CA CARPAL TUNNEL TENNIS/GOLFERS ELBOW ULNAR NEURITIS
COST OF PAIN • WSIB • WORK DISABILITY INSURANCE • MVA • PHARMACEUTICALS/THERAPY • HOSPITAL AND SURGERY • FAMILY AND SOCIETY • PRODUCTIVITY
WHY DO WE DEVELOP CHRONIC PAIN? SPINAL SOLUTIONS.CA
MYOFASCIAL PAIN AND NEUROPATHY • MUSCLE DYSFUNCTION • TENDON DYSFUNCTION • NERVE DYSFUNCTION
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
SPINAL MUSCLES • INTRINSIC (DEEP) MUSCLES • CAUSE SPINE COMPRESSION/CRUSH • DISK HERNIATION/DEGENERATION • ARTHRITIS OF THE SPINE • CAUSES NERVE PROBLEMS
NERVE PROBLEMS CAUSE • HEADACHES • MUSCLE SHORTENING ARMS/LEGS • TENDONITIS ARMS/LEGS • CARPAL TUNNEL SYNDROME • JOINT COMPRESSION • ARTHRITIS ARMS/LEGS
REVIEW • DEEP SPINAL MUSCLES INJURE/SCAR • SLOW CRUSH VERTEBRAE/DISKS • CAUSES NERVE INJURY • NERVES REFER PAIN • CAUSING BACK, ARM AND LEG PAINS
EARLY CLUES • NUMBNESS AND TINGLING ARMS/LEGS/HEAD • HEADACHES/ALLERGIES/JAW PAIN • JOINT STIFFNESS/ PAIN AT REST • DECREASED JOINT RANGE • ITCHINESS • RESTLESS SLEEP
CLASSICAL THERAPY • PHYSIOTHERAPY • CHIROPRACTIC • MEDICATIONS • MASSAGE THERAPY • CORTISONE • SURGERY
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
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
PHYSICIAN RESOURCES SPINAL SOLUTIONS.CA VIPDOCS.COM DR G. BLAIR LAMB
PUBLIC AWARENESS • NURSING SHORTAGE • HOSPITAL BED/FUNDING CRISIS • INCREASING DRUG COSTS/LIMITS • DOCTOR CRISIS
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
“DOCTOR MINUTES”coined by VIP Docs Inc. SPINAL SOLUTIONS.CA FIXED AMOUNT TO SPEND
WHY SUDDEN CHANGE? • PHYSICIAN BURNOUT • WORK STRESS • FINANCIAL REMUNERATION POOR • NO BENEFITS • LIABILITY RISKS • BUREAUCRATIC • CMA/OMA
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
QUEBEC PANICKED • WORK IN ANY EMERGENCY IN QUEBEC • $5000 FINE/PENALTIES • MASS DEFIANCE BY MD's • EXODUS • BAD MESSAGE TO OUTSIDE MD's
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
WORLDWIDE MEDICINE • ABANDONMENT FAMILY MEDICINE • BRITAIN, USA, EUROPE • WORLDWIDE SHORTFALL-S. AFRICA • 12 YEARS GP, 17 EYE DOCTOR • LIABILITY • EXPECTATIONS • OVER-REGULATION
PHYSICIAN RESOURCES • AQUIRE “GOOD” DOCTOR ACCESS • ACCESS SCANNING TECHNOLOGY • MRI, CT, EBCT, PET, • EDUCATION-VIDEO, SEMINARS • LESS PHYSICIAN DEPENDENCE • MEDICATION ACCESS
FOR INFORMATION • PAIN-------------SPINALSOLUTIONS.CA • SCANS------------VIPDOCS.COM • EDUCATION----BROADCASTDOCS.COM • SEMINARS-------VIPDOCS.COM • CONSULTING---US-CANADA-HEALTH.COM